Code: 

Labor Code

Title: 

Title 5. Workers’ Compensation

Section: 

415.005

Name: 

Overcharging By Health Care Providers Prohibited; Administrative Violation

Eff. Date: 

September 1, 2005

No Rule Reference

§415.005
Overcharging By Health Care Providers Prohibited; Administrative Violation

(a) A health care provider commits a violation if the person charges an insurance carrier an amount greater than that normally charged for similar treatment to a payor outside the workers’ compensation system, except for mandated or negotiated charges.

(b) A violation under this section is an administrative violation. A health care provider may be liable for an administrative penalty regardless of whether a criminal action is initiated under Section 413.043.

Acts 1993, 73rd Leg., ch. 269, § 1, eff. Sept. 1, 1993. Amended by Acts 2005, 79th Leg., ch. 265, § 3.269, eff. Sept. 1, 2005.