Texas Occupations Code - OCC § 117.003. Direct Patient Care Not Insurance

(a) A physician or health care practitioner providing direct patient care is not an insurer or health maintenance organization, and the physician or practitioner is not subject to regulation by the Texas Department of Insurance for the direct patient care.

(b) A direct patient care agreement is not health or accident insurance or coverage under Title 8, Insurance Code, and is not subject to regulation by the Texas Department of Insurance.

(c) A physician or health care practitioner is not required to obtain a certificate of authority under the Insurance Code to market, sell, or offer a direct patient care agreement or provide direct patient care.

(d) A physician or health care practitioner providing direct patient care does not violate Section 1204.055, Insurance Code.