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HB 2639

AN ACT relating to preauthorization determinations conducted by

House Bill
Filed

Filed

Bill introduced by legislator

Committee

Hearing

Passed Cmte

Calendar

Passed

Sent

Enrolled

Governor

Signed

89th Regular Session

Jan 14, 2025 - Jun 2, 2025 • Session ended

Awaiting Committee Assignment

Bill filed, pending referral to House committee

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Fiscal Note

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What This Bill Does

Requires that preauthorization determinations for health care services must be conducted by a physician who specializes in the same medical field as the requesting physician. Starting January 1, 2026, insurance companies and healthcare providers must ensure that the physician reviewing a preauthorization request has the same medical specialty as the physician recommending the service. This change aims to improve the review process by having specialists with comparable medical expertise evaluate treatment requests.

Subject Areas

Bill Text

relating to preauthorization determinations conducted by
physicians of the same specialty as the requesting physician or
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Subchapter F, Chapter 4201, Insurance Code, is
amended by adding Section 4201.254 to read as follows:
Sec. 4201.254.  PREAUTHORIZATION DETERMINATION BY PHYSICIAN
OF RELEVANT SPECIALTY REQUIRED.  (a)  In this section,
"preauthorization" has the meaning assigned by Section 4201.651.
(b)  A preauthorization determination must be made by a
physician who is of the same specialty as the physician or health
care provider proposing to provide the service or recommending the
SECTION 2.  Section 4201.254, Insurance Code, as added by
this Act, applies only to a request for preauthorization of health
care services made on or after January 1, 2026.
SECTION 3.  This Act takes effect September 1, 2025.

Bill History

filed

Bill filed: AN ACT relating to preauthorization determinations conducted by