(a) In addition to or in lieu of an administrative penalty under Section 415.021 or a sanction imposed under Section 415.023, the commissioner may impose sanctions against a person who serves as a designated doctor under Chapter 408 who, after an evaluation conducted under Section 413.002(b), is determined by the division to be out of compliance with this subtitle or with rules adopted by the commissioner relating to:
(1) medical policies, fee guidelines, and impairment ratings; or
(2) the quality of decisions made under Section 408.0041 or Section 408.122.
(b) Sanctions imposed under Subsection (a) may include:
(1) revocation of certification for a designated doctor on the division list of designated doctors; or
(2) restrictions on the reviews made by the person as a designated doctor.

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