Tex. Ins. Code § 1377.052 · Subchapter B. COVERAGE FOR CERTAIN AMINO ACID-BASED ELEMENTAL FORMULAS
UTILIZATION REVIEW.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A utilization review agent acting on behalf of a health benefit plan issuer may review a treating physician's determination of the medical necessity of the use of an amino acid-based elemental formula for the treatment of an enrollee who is diagnosed with a disease or disorder listed in Section 1377.051(a).
(b) Utilization review under this section is subject to Chapter 4201.
Notes and commentary — not statutory text
History
Added by Acts 2009, 81st Leg., R.S., Ch. 1129 (H.B. 2000), Sec. 1, eff. September 1, 2009.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1377.htm
- Text hash
- sha256 f9d31016f3df953811e3e07739446bf53d0a6870d96b24208fa2be19e4f6af5c
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
This section cites
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