Tex. Ins. Code § 4201.004 · Subchapter A. GENERAL PROVISIONS
TELEPHONE ACCESS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A utilization review agent shall:
(1) have appropriate personnel reasonably available, by toll-free telephone at least 40 hours per week during normal business hours in this state, to discuss patients' care and allow response to telephone review requests;
(2) have a telephone system capable, during hours other than normal business hours, of accepting or recording incoming telephone calls or of providing instructions to a caller; and
(3) respond to a call made during hours other than normal business hours not later than the second working day after the later of:
(A) the date the call was received; or
(B) the date the details necessary to respond have been received from the caller.
(b) A utilization review agent must provide to the commissioner a written description of the procedures to be used when responding with respect to poststabilization care subsequent to emergency treatment as requested by a treating physician or other health care provider.
Notes and commentary — not statutory text
History
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4201.htm
- Text hash
- sha256 3212927f9edfb14f0e45b97164665973430c49e924b5d06daf00da0dcce7ae81
- 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
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.