Texas § IN.843.255 - COMPOSITION OF COMPLAINT APPEAL PANEL

Full text of Texas The Texas Constitution § IN.843.255 — COMPOSITION OF COMPLAINT APPEAL PANEL, with citation guidance and answers to common questions.

§ IN.843.255. COMPOSITION OF COMPLAINT APPEAL PANEL

COMPOSITION OF COMPLAINT APPEAL PANEL. (a) A health maintenance organization shall appoint members to a complaint appeal panel to advise the health maintenance organization on the resolution of a disputed decision appealed by a complainant. (b) A complaint appeal panel shall be composed of an equal number of health maintenance organization staff members, physicians or other providers, and enrollees. A member of a complaint appeal panel may not have been previously involved in the disputed decision. (c) The physicians or other providers on a complaint appeal panel must have experience in the area of care that is in dispute and must be independent of any physician or provider who made any previous determination. If specialty care is in dispute, the complaint appeal panel must include a person who is a specialist in the field of care to which the appeal relates. (d) The enrollee members of a complaint appeal panel may not be employees of the health maintenance organization. Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.

Source: official Texas text · Last verified 2026-08-27

Frequently Asked Questions About Texas § IN.843.255

What does The Texas Constitution § IN.843.255 cover?

Section IN.843.255 ("COMPOSITION OF COMPLAINT APPEAL PANEL") is part of the The Texas Constitution, the codified statutory law of Texas. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Texas § IN.843.255?

A common citation format is "The Texas Constitution § IN.843.255" (Texas). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Texas law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Texas official source linked on this page or consult a licensed Texas attorney.

How does Texas § IN.843.255 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Texas can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in Texas.