Learn About The Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Current as of January 01, 2024 | Updated by Findlaw Staff
(a) Except as provided by Subsection (d), the commission shall enter into a contract under which the contractor is authorized on behalf of the commission or a health and human services agency to recover money under a subrogation or third-party reimbursement right the commission or agency holds that arises from payment of medical expenses. The contract must provide that:
(1) the commission or agency, as appropriate, shall compensate the contractor based on a percentage of the amount of money the contractor recovers for the commission or agency; and
(2) the contractor may represent the commission or agency in a court proceeding to recover money under a subrogation or third-party reimbursement right if:
(A) the attorney required by other law to represent the commission or agency in court approves; and
(B) the representation is cost-effective and specifically authorized by the commission.
(b) The commission shall develop a process to:
(1) identify claims for the recovery of money under a subrogation or third-party reimbursement right described by this section; and
(2) refer the identified claims to a contractor authorized under this section.
(c) A health and human services agency shall cooperate with a contractor authorized under this section on a claim the agency refers to the contractor for recovery.
(d) If the commission cannot identify a contractor who is willing to contract with the commission under this section on reasonable terms, the commission:
(1) is not required to enter into a contract under Subsection (a); and
(2) shall develop and implement alternative policies to ensure the recovery of money under a subrogation or third-party reimbursement right.
(e) The commission may allow a state agency other than a health and human services agency to be a party to the contract required by Subsection (a). If the commission allows an additional state agency to be a party to the contract, the commission shall modify the contract as necessary to reflect the services the contractor is to provide to that agency. (Gov. Code, Sec. 531.0391.)
Cite this article: FindLaw.com - Texas Government Code - GOV'T § 525.0102. Subrogation and Third-Party Reimbursement Contracts - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-525-0102/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw’s Learn About the Law.
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)