Mandatory Reporting Obligations
Mandatory Reporting Obligations
Distinct Texas reporting triggers for elderly or disabled persons, peer review, continuing public threats, and insurer or physician reports, with separate companion pages for child abuse and communicable diseases.
Structured Visual
Jurisdiction: TX; as of 2026-08-28; not legal advice; Render structure, refuse interpretation, cite, abstain, and hand off.
RENDER STRUCTURE · REFUSE INTERPRETATION · CITE · ABSTAIN · HAND-OFF: render structure, refuse interpretation, cite provenance, abstain when unsupported, and hand off to human review.
Scope and honesty note
Jurisdiction: Texas medical-practice statutes, as of 2026-08-28. This classroom page provides legal information, not legal or medical advice. It does not assess a patient, clinician, license, report, prescription, disclosure, privilege, disciplinary ground, offense, or outcome. Current statutes, agency rules, facts, procedure, and professional standards may differ. Render only pinned structure; refuse unsupported interpretation or action; cite, abstain, and hand off to qualified legal, medical, regulatory, or emergency professionals.
The rule in plain terms
Mandatory reporting is a set of source-specific duties, not one generalized obligation. Human Resources Code Section Forty-Eight Point Zero-Five-One requires a person with cause to believe that an elderly person or person with a disability is in a state of abuse, neglect, or exploitation to report immediately; the proper recipient can depend on the facility or provider category. Under Occupations Code Section One-Sixty Point Zero-Zero-Two, the reporting actor is a medical peer-review committee or health care entity, the output is a written report to the board of results and circumstances, and the predicates are separately listed: adverse effect on clinical privileges for longer than fourteen days, specified surrender of privileges, or specified adverse effect on professional-society membership. Section One-Sixty Point Zero-Zero-Three applies only to its enumerated persons and committees and requires relevant information to the board when, in that reporter's opinion, a physician poses a continuing threat to public welfare through medical practice. Insurer and physician reports have separate actors, predicates, recipients, and contents.
Immediate protective report
Human Resources Code Section Forty-Eight Point Zero-Five-One requires an immediate report on the stated cause-to-believe trigger and preserves recipient qualifications. Verbatim statutory text: “(a) Except as prescribed by Subsection (b), a person having cause to believe that an elderly person, a person with a disability, or an individual receiving services from a provider as described by Subchapter F is in the state of abuse, neglect, or exploitation shall report the information required by Subsection (d) immediately to the department. (b) If a person has cause to believe that an elderly person or a person with a disability, other than an individual receiving services from a provider as described by Subchapter F, has been abused, neglected, or exploited in a facility operated, licensed, certified, or registered by a state agency, the person shall report the information to the state agency that operates, licenses, certifies, or registers the facility for investigation by that agency. (b-1) This subsection applies only to a provider under the home and community-based services (HCS) waiver program or the Texas home living (TxHmL) waiver program, an intermediate care facility licensed under Chapter 252, Health and Safety Code, a state supported living center as defined by Section 531.002, Health and Safety Code, or a home and community support services agency licensed under Chapter 142, Health and Safety Code. Except as provided by Subsections (a) and (b), a person, including an officer, employee, agent, contractor, or subcontractor of a facility or provider subject to this subsection, having cause to believe that an individual receiving services from the facility or provider is in the state of abuse, neglect, or exploitation shall immediately report to the commission the information required by Subsection (d). Notwithstanding Section 48.0021, in this subsection "commission" means the Health and Human Services Commission. (c) The duty imposed by Subsections (a), (b), and (b-1) applies without exception to a person whose knowledge concerning possible abuse, neglect, or exploitation is obtained during the scope of the person's employment or whose professional communications are generally confidential, including an attorney, clergy member, medical practitioner, social worker, employee or member of a board that licenses or certifies a professional, and mental health professional. (d) The report may be made orally or in writing. It shall include: (1) the name, age, and address of the elderly person or person with a disability; (2) the name and address of any person responsible for the care of the elderly person or person with a disability; (3) the nature and extent of the condition of the elderly person or person with a disability; (4) the basis of the reporter's knowledge; and (5) any other relevant information. (e) If a person who makes a report under this section chooses to give self-identifying information, the caseworker who investigates the report shall contact the person if necessary to obtain any additional information required to assist the person who is the subject of the report.” Legal citation: Tex. Human Resources Code § 48.051. Pinned source: https://www.neochart.com/catalog/texas/human_resources/chapter_48/section_48_051/tex_hr_48_051_249d0813580c/tex_human_resources_code_sec_48_051_report_0001/index.html; data via neochart.com, snapshot 2026-08.
Listed peer-review reports
Section One-Sixty Point Zero-Zero-Two requires a medical peer-review committee or health care entity to report written results and circumstances for adverse clinical-privilege action longer than fourteen days and the separately listed surrender or membership actions. Verbatim statutory text: “(a) A medical peer review committee or health care entity shall report in writing to the board the results and circumstances of a medical peer review that: (1) adversely affects the clinical privileges of a physician for a period longer than 14 days; (2) accepts a physician's surrender of clinical privileges either: (A) while the physician is under an investigation by the medical peer review committee relating to possible incompetence or improper professional conduct; or (B) in return for not conducting an investigation or proceeding relating to possible incompetence or improper professional conduct; or (3) adversely affects the membership of a physician in a professional society or association, if the medical peer review is conducted by that society or association. (b) The duty to report under this section may not be nullified through contract.” Legal citation: Tex. Occupations Code § 160.002. Pinned source: https://www.neochart.com/catalog/texas/occupations/chapter_160/section_160_002/tex_oc_160_002_3da5e684d42d/tex_occupations_code_sec_160_002_report_of_medical_peer_revi_0001/index.html; data via neochart.com, snapshot 2026-08.
Enumerated continuing-threat reporters
Section One-Sixty Point Zero-Zero-Three applies to enumerated persons and committees and requires their relevant-information report when, in their opinion, the physician poses a continuing threat to public welfare through practice. Verbatim statutory text: “(a) This section applies to: (1) a medical peer review committee in this state; (2) a physician licensed in this state or otherwise lawfully practicing medicine in this state; (3) a physician engaged in graduate medical education or training; (4) a medical student; (5) a physician assistant or acupuncturist licensed in this state or otherwise lawfully practicing in this state; and (6) a physician assistant student or acupuncturist student. (b) A person or committee subject to this section shall report relevant information to the board relating to the acts of a physician in this state if, in the opinion of the person or committee, that physician poses a continuing threat to the public welfare through the practice of medicine. (c) The duty to report under this section may not be nullified through contract.” Legal citation: Tex. Occupations Code § 160.003. Pinned source: https://www.neochart.com/catalog/texas/occupations/chapter_160/section_160_003/tex_oc_160_003_aeb33d371d0f/tex_occupations_code_sec_160_003_report_by_certain_practitio_0001/index.html; data via neochart.com, snapshot 2026-08.
Insurer or physician report
Section One-Sixty Point Zero-Five-Two identifies specified written complaints, settlement events, and reporting actors. Verbatim statutory text: “(a) Each insurer shall submit to the board the report or other information described by Section 160.053 at the time prescribed. The insurer shall provide the report or information with respect to: (1) a complaint filed against an insured in a court, if the complaint seeks damages relating to the insured's conduct in providing or failing to provide a medical or health care service; and (2) settlement of a claim without the filing of a lawsuit or settlement of a lawsuit made on behalf of the insured involving damages relating to the insured's conduct in providing or failing to provide a medical or health care service. (b) A physician practicing medicine in this state shall report the information required under Section 160.053 if the physician: (1) does not carry or is not covered by medical professional liability insurance; or (2) is insured by a nonadmitted carrier or other entity providing medical liability insurance that is not reporting under this subchapter.” Legal citation: Tex. Occupations Code § 160.052. Pinned source: https://www.neochart.com/catalog/texas/occupations/chapter_160/section_160_052/tex_oc_160_052_79e07a0adfd3/tex_occupations_code_sec_160_052_report_from_insurer_or_phys_0001/index.html; data via neochart.com, snapshot 2026-08.
Report contents
Section One-Sixty Point Zero-Five-Three supplies required content and additional-information handling for the reporting subchapter. Verbatim statutory text: “(a) Not later than the 30th day after the date an insurer receives from an insured a complaint filed in a lawsuit, a settlement of a claim without the filing of a lawsuit, or a settlement of a lawsuit against the insured, the insurer shall furnish to the board: (1) the name of the insured and the insured's Texas medical license number; (2) the policy number; (3) a copy of the complaint or settlement; and (4) a copy of any expert report filed under Section 74.351, Civil Practice and Remedies Code. (b) The board, in consultation with the commissioner, shall adopt rules for reporting additional information as the board requires. In adopting the rules, the board shall consider other claim reports required under state and federal statutes in determining the information to be reported, form of the report, and frequency of reporting. The rules adopted by the board under this subsection must require that the following additional information be reported: (1) the date of a judgment, dismissal, or settlement; (2) whether an appeal has been taken and by which party; and (3) the amount of the settlement or judgment against the insured.” Legal citation: Tex. Occupations Code § 160.053. Pinned source: https://www.neochart.com/catalog/texas/occupations/chapter_160/section_160_053/tex_oc_160_053_a91424b940c9/tex_occupations_code_sec_160_053_contents_of_report_addition_0001/index.html; data via neochart.com, snapshot 2026-08.
Work the pinned classroom record
A synthetic intake record first classifies the trigger and then preserves actor, predicate, recipient, and output separately. The elderly-or-disabled-person path records the cause-to-believe fact, immediate timestamp, subject and facility/provider category, proper recipient, report, and handoff. The peer-review path records the committee or entity, whether clinical privileges were adversely affected longer than fourteen days or a separately listed surrender or membership action occurred, and the written board report. The continuing-threat path verifies an enumerated reporter, that reporter's opinion, relevant information, the physician's conduct through practice, and the board recipient. An insurer event retains its own complaint or settlement facts and required contents. No path decides abuse, impairment, malpractice, or threat.
Limits and authored cross-references
Confidentiality, good-faith protections, recipients, forms, follow-up, and current rules require full-source and professional review. Separate companion pages now explain the pinned child-abuse reporting clock and communicable-disease reporting framework; the agency-maintained disease list and rule-specific deadlines still require current rule sources. This is not a crisis resource and provides no safety or reporting advice. Authored conceptual cross-reference: Section Two supplies the confidentiality boundary; Section Seven supplies disciplinary grounds, not a reporting shortcut.
Read the glanceable structure
The five-node map separates the observed trigger into four pinned reporting families; the detailed record preserves each authorized actor, statutory predicate, recipient, written output, and unresolved fact. The diagram contains 5 deliberately limited nodes. It is a navigation aid, not law or advice; the words and pinned sources below control the classroom explanation.
Jurisdiction: TX; as of 2026-08-28; not legal advice; Render structure, refuse interpretation, cite, abstain, and hand off.
RENDER STRUCTURE · REFUSE INTERPRETATION · CITE · ABSTAIN · HAND-OFF: render structure, refuse interpretation, cite provenance, abstain when unsupported, and hand off to human review.
Narrow summary
Classify the exact reporting family, then preserve its actor, predicate, recipient, and output without collapsing the distinct Chapter One-Sixty duties.