HB 2639
AN ACT relating to preauthorization determinations conducted by
89th Regular Session
Jan 14, 2025 - Jun 2, 2025 • Session ended
Awaiting Committee Assignment
Bill filed, pending referral to House committee
Committee
Not yet assigned
Fiscal Note
Not available
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
Bill filed: AN ACT relating to preauthorization determinations conducted by
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