Practice areas: Health Care, Business & Corporate
Licensed in Texas since: 1999
Education: University of Wisconsin Law School
Languages spoken: English, French, Spanish
Selected to Super Lawyers: 2014 - 2026 Silhol Law, PLLC
11700 Preston RdSuite 660, PMB 396
Dallas, TX 75230 Phone: 214-750-0238 Email: Michael L. Silhol Visit website
Details 
With 40 years of experience, Michael Silhol represents health care providers, including hospitals, imaging centers, physician groups, ambulatory surgical centers, and telemedicine specialists. His work encompasses transactions, operations, and compliance-related matters. In 2017, Michael was elected a Fellow of the American Health Law Association and is Board Certified in Health Law by the Texas Board of Legal Specialization. He has been General Counsel at several healthcare companies, including Radiologix, Inc., and Parkland Health and Hospital System. Michael was also Vice President of Legal Operations for Triad Hospitals, Inc., and Operations Counsel for HCA, Inc.
A proud U.S. Army veteran, Michael served as a JAG officer in the U.S. Army, attaining the rank of Captain while stationed at III Corps, Fort Hood, Texas from 1986 to 1989.
Michael is a 1985 cum laude graduate of the University of Wisconsin Law School, where he served as managing editor of the Wisconsin Law Review and was elected to the Order of the Coif. He is also a 1983 magna cum laude graduate of Vanderbilt University, where he was elected to Phi Beta Kappa.
First Admitted: 1985, Wisconsin
Bar / Professional Activity
- Member of the Board of Directors of the American Health Lawyers Association, 2007
- Member of the Board of Directors of the New Mexico Bar Health Law Section, 2025
- Licensed to practice in New Mexico, 2023
Verdicts / Settlements (Case Results)
- Obtained a unanimous take-nothing arbitration award in favor of a physician management company client regarding the valuation of a minority interest in the company. The arbitration involved the valuation of a healthcare company and whether my client used good faith in determining the fair market value of a minority shareholder. This victory was notched against an AmLaw100 law firm touted to have the best litigators in Dallas., 2024
- Obtained a favorable ALJ decision on behalf of a physician group reversing the denial of Medicare reimbursement for spinal surgeries., 2025
Representative Clients
- Eagle Telemedicine - provide legal counsel to nation's leading provider of telemedicine services to hospitals, 2023
Transactions
- Memorial MRI & Diagnostic Imaging - Represented Buyer in purchase of diagnostic imaging centers in Texas. , 2025
Special Licenses / Certifications
- Board certified in health law by the Texas Board of Legal Specialization
- Received law license to practice in New Mexico, 2023
Pro bono / Community Service
- Member of the Board of Directors of AFS-USA, Inc, the world's oldest and largest intercultural exchange program.
- American Health Law Association - Elected to the Fellow Class of AHLA in 2017, recognizing contributions to the health law community., 2017
Educational Background
- B.A., Vanderbilt University, magna cum laude, Phi Beta Kappa, 1983
White Papers
- Texas health care providers and insurers face new mandates and increased penalties over the use of electronic health records (EHR) as a result of HB300, which was passed in the 2011 Texas legislative session and signed into law by Governor Perry.The Texas legislation expands privacy rights of patients beyond that contained in federal HIPAA legislation and regulation. The new law, which is not effective until September 1, 2012, is designed to better ensure the security and privacy of protected health information (PHI) that is exchanged via electronic means. However, the law will also increase mandates on covered entities (health care providers and health insurers), grant new enforcement authority to a variety of state agencies, establish standards for the use of EHR, and increase penalties for the wrongful electronic disclosure of PHI, including creating a new felony for the wrongful accessing or reading of EHR via electronic means. With the recently increased federal enforcement activity regarding patient privacy, covered entities in Texas can expect similar enforcement action from state agencies as well, Texas Health Care Providers and Insurers Face New Mandates and Increased Penalties Regarding Electronic Health Records, Health Care, 2011
- Paper presented at the 2025 New Mexico Health Law Institute. The paper explored the legal and ethical considerations of the use of AI in the legal field and in medicine. Guidance by relevant authorities was discussed, followed by a review of case studies. , The Ethics of AI in Law and Medicine, Healthcare, 2025
- Practical implication and how Texas SB 1264 will work with providers attempting to collect payment from out-of-network patients. Presentation given to the Health Law Section of the Dallas Bar Association., Texas SB 1264 and Out-of-Network Balance Billing, Healthcare, 2020
- As healthcare providers seek to lower costs and provide services in underserved areas, many are looking to technology and the growing use of telemedicine. Telemedicine is the remote delivery of healthcare services over a telecommunications infrastructure. With the advance of technology and the introduction of services such as Skype, Tango and FaceTime, it is relatively easy to establish a simultaneous video and voice connection with an individual in a remote location. However, recent disciplinary action taken against an Oklahoma physician who engaged in telemedicine demonstrates that providers should proceed with knowledge and caution in this area., Regulatory Issues in Telemedicine, Health Care, 2013
- The Office for Civil Rights (OCR) of the U.S. Department of Health and Human Services has begun the pilot phase of HIPAA privacy and security audits of health care providers, health insurers and health care clearinghouses (“covered entities”) to assess HIPAA compliance efforts., HIPAA Privacy and Security Audits Begin: Enforcement Measures May Follow, Health Care, 2012
- As physician reimbursement decreases, physicians are increasingly looking to other means to replace lost income and control more of the healthcare dollar. From television infomercials to highway billboards, physicians are entering the world of marketing to build and sustain a medical practice.Part of the marketing by physicians involves describing the nature and benefits of off-label use of medical devices and drugs. But physicians need to be wary of the many restrictions surrounding off-label marketing. While these restrictions generally apply to manufacturers, it is important for physicians to understand the extent of these restrictions and how they may apply to them. The extent to which the prohibition against off-label marketing applies to physicians is ambiguous. This article explores the ways in which physicians may engage in off-label marketing of drugs and devices, while noting the restrictions that may apply to such practices., Physician Off-Label Marketing, Health Care, 2012
- Texas has recently had a significant revision regarding the ability of physicians to delegate prescribing devices, drugs, and other controlled substances to advanced practice registered nurses (APRNs) and physician assistants (PAs). SB 406 substantially revises Chapter 157 of the Texas Occupations Code, which governs the authority of a physician to delegate certain medical acts, and expands the ability of APRNs and PAs to prescribe or order Schedule II controlled substances in certain practice settings. SB 406 also eliminates the old concept of “alternate” and “primary” practice site requirements and authorizes the use of a “Prescriptive Authority Agreement” (PAA) in order to delegate prescription writing authority to APRNs and PAs. The new statute increases to seven (from four) the number of APRNs and PAs to whom a physician can delegate prescribing authority, and provides an exception to that limit when the PAA is exercised in a facility-based practice or elsewhere. However, the new rules also have increased the continuing education requirements of APRNs who receive this delegation of authority and provide for substantial documentation requirements, as well as enforcement actions by the BON, the TMB, and the Texas Physician Assistant Board. , Texas Changes Rules Regarding Delegation of Prescriptive Authority by Physicians, Health Care, 2013
- The 83rd Texas Legislature that convened in 2013 went through three special sessions and passed over 1,400 bills. A large number of these bills are health-related and deal with Medicaid funding. Even though Texas has declined to participate in Medicaid expansion under the Affordable Care Act, the state is still working on its Section 1115 Medicaid waiver, disproportionate share funding and expansion of medical residency programs, 2013 Health Legislative Issues in Texas, Health Care, 2013
- After three days of historic oral arguments before the U.S. Supreme Court, the fate of the Affordable Care Act (ACA), the momentous 2010 health reform law, is uncertain, given robust questioning of the ability of Congress to force individuals to purchase health insurance., Fate of Health Reform is Uncertain After Supreme Court Oral Arguments, Health Care, 2012
Scholarly Lectures / Writings
- On March 23, 2010, President Obama signed into law the most sweeping health care legislation since Medicare was enacted in 1965.The Patient Protection and Affordable Care Act1 (the “Act”) seeks to transform the American healthcare delivery system through a variety of cutting-edge initiatives and by amending a series of existing laws. The law has been described as allowing the “biggest transformation of government since World War II”2 in its effort to provide increased healthcare coverage to millions of Americans while also seeking to control the spiraling cost of healthcare.The law will impact hospitals and health systems in numerous ways as it seeks to achieve the two goals of increased coverage and controlling costs. Hospitals will face increased demands for primary and preventive care from an increasing number of patients. At the same time, hospitals will see reimbursement changes, increased reporting requirements relating to quality outcomes and experimentation with new payment models. The result of these changes, assuming the Act is implemented,3 will be an increased drive toward integration of hospitals and healthcare systems as they, along with physicians and other providers, react to this massive transformation of the U.S. healthcare delivery system., Author and speaker, Driving Provider Integration: Implications for Hospitals and Health Systems of the Patient Protection and Affordable Care Act, American Health Lawyers Association, Health Care, 2010
- Presented to the Health Care Section of the Dallas Bar Association on the new Texas law governing the payment of out-of-network providers. Class was granted CLE by the State Bar of Texas,, Presenter, Understanding the Out Of Network Provider Payment Rules in Texas, Health Care, 2020
Other Outstanding Achievements
- Ranked by Chambers in its Texas Spotlight Guide as a small to medium law firm known for its work in healthcare. , 2025
Honors
- Fellow, American Health Law Association, 2017
- Awarded 2009 Best Corporate Counsel by the Dallas Business Journal for work done on behalf of the successful 2008 bond election for the Dallas County Hospital District's issuance of $742 million in general obligation bonds to build a replacement facility for Parkland Memorial Hospital, Best Corporate Counsel, Dallas Business Journal, 2009
Industry Groups
- Health Care
Office location for Michael L. Silhol
11700 Preston Rd
Suite 660, PMB 396
Dallas, TX 75230
Selections
13 Years Super Lawyers
- Super Lawyers: 2014 - 2026