# Tex. Insurance Code § 1357.005: PROHIBITED CONDUCT

> Texas · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.005

## Section

- **Citation:** Tex. Insurance Code § 1357.005
- **Heading:** PROHIBITED CONDUCT
- **Jurisdiction:** Texas
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** TX Code / Code in / Chapter 1357 / Section 1357.005

## Text

(a) An issuer of a health benefit plan may not:

(1) offer a financial incentive for an enrollee to not receive breast reconstruction or to waive the coverage required under this subchapter;

(2) condition, limit, or deny the eligibility of a person to enroll in the plan or to renew coverage under the terms of the plan solely to avoid the requirements of this subchapter; or

(3) reduce or limit the reimbursement or amount paid to, or otherwise penalize, an attending physician or provider or provide a financial incentive or other benefit to an attending physician or provider to induce the physician or provider to provide care to an enrollee in a manner that is inconsistent with this subchapter.

(b) This section does not prevent an issuer of a health benefit plan from negotiating with a physician or provider the level and type of reimbursement that the physician or provider will receive for care provided in accordance with this subchapter.

## Nearby sections

- [Tex. Insurance Code § 1357.001 § 1357.001. DEFINITIONS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.001.md)
- [Tex. Insurance Code § 1357.002 § 1357.002. APPLICABILITY OF SUBCHAPTER.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.002.md)
- [Tex. Insurance Code § 1357.003 § 1357.003. EXCEPTION.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.003.md)
- [Tex. Insurance Code § 1357.004 § 1357.004. COVERAGE REQUIRED.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.004.md)
- [Tex. Insurance Code § 1357.005 § 1357.005. PROHIBITED CONDUCT.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.005.md)
- [Tex. Insurance Code § 1357.006 § 1357.006. NOTICE OF COVERAGE.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.006.md)
- [Tex. Insurance Code § 1357.007 § 1357.007. RULES.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.007.md)
- [Tex. Insurance Code § 1357.051 § 1357.051. DEFINITION.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.051.md)
- [Tex. Insurance Code § 1357.052 § 1357.052. APPLICABILITY OF SUBCHAPTER.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.052.md)
- [Tex. Insurance Code § 1357.053 § 1357.053. EXCEPTION.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.053.md)
- [Tex. Insurance Code § 1357.054 § 1357.054. COVERAGE REQUIRED.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.054.md)
- [Tex. Insurance Code § 1357.055 § 1357.055. PROHIBITED CONDUCT.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.055.md)
- [Tex. Insurance Code § 1357.056 § 1357.056. NOTICE OF COVERAGE.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.056.md)
- [Tex. Insurance Code § 1357.057 § 1357.057. RULES.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.057.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1357_S1357.005. Check the current official text before relying on it. Not legal advice.