Texas Insurance Code 845.002 – Definitions
Terms Used In Texas Insurance Code 845.002
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
- Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005
- Population: means the population shown by the most recent federal decennial census. See Texas Government Code 311.005
- Rule: includes regulation. See Texas Government Code 311.005
- United States: includes a department, bureau, or other agency of the United States of America. See Texas Government Code 311.005
In this chapter:
(1) “Board” means the board of directors of the system.
(2) “Enrollee” means an individual who:
(A) resides in a rural area; and
(B) is entitled to receive health care services through a health care plan sponsored by, arranged for, or provided by the system.
(3) “Health care services” has the meaning assigned by Section 843.002.
(4) “Health care provider” means a physician, facility, practitioner, or other person or organization who, under a license or grant of authority issued by this state, provides care or supplies to individuals under a health benefit plan. The term does not include a hospital provider.
(5) “Hospital provider” means a county hospital, county hospital authority, hospital district, municipal hospital, or municipal hospital authority.
(6) “Local health care provider” means:
(A) a person licensed, registered, or certified as a health care practitioner in this state who resides or practices in a rural area in which the person provides health care services; or
(B) a general or specialty hospital that is not a hospital provider under this chapter.
(7) “Participating hospital provider” means a hospital provider that participates in the system.
(8) “Person” means an individual, professional association, professional corporation, partnership, limited liability corporation, limited liability partnership, or nonprofit corporation, including a nonprofit corporation certified under Section 162.001, Occupations Code.
(9) “Rural area” means:
(A) a county with a population of 50,000 or less;
(B) an area that is not delineated as an urbanized area by the United States Bureau of the Census; or
(C) any other area designated as rural by a rule adopted by the commissioner, subject to Section 845.003.
(10) “System” means the statewide rural health care system established under this chapter.
(11) “Territorial jurisdiction” means the geographical area in which a participating hospital provider is obligated by law to provide health care services.