Tex. Ins. Code § 4201.660 · Subchapter N. EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS FOR PHYSICIANS AND PROVIDERS PROVIDING CERTAIN HEALTH CARE SERVICES
REPORT.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) Each health maintenance organization and insurer shall submit to the department, in the form and manner prescribed by the commissioner, an annual written report, for each health care service subject to an exemption under Section 4201.653, on the:
(1) exemptions granted by the health maintenance organization or insurer for the service;
(2) determinations by the health maintenance organization or insurer to rescind or deny an exemption for the service, including the number of exemptions denied or rescinded by the health maintenance organization or insurer under Section 4201.655; and
(3) independent reviews of determinations conducted by an independent review organization under Section 4201.656, including:
(A) the number of determinations made by the health maintenance organization or insurer for which a physician or provider requested an independent review under Section 4201.656; and
(B) the outcome of each independent review described by Paragraph (A).
(b) Subject to this subsection, a report submitted under Subsection (a) is public information subject to disclosure under Chapter 552, Government Code. The department shall ensure that the report does not contain any identifying information before disclosing the report in accordance with Chapter 552, Government Code.
Notes and commentary — not statutory text
History
Added by Acts 2025, 89th Leg., R.S., Ch. 640 (H.B. 3812), Sec. 8, eff. September 1, 2025.
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 03297a6fee66be29569b1c383540eea2b3e7f0729b72ccc214628c47fe4e6787
- 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
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Insurance Code
- Tex. Ins. Code § 4201.653EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS FOR PHYSICIANS AND PROVIDERS PROVIDING CERTAIN HEALTH CARE SERVICES.Printed as Section 4201.653
- Tex. Ins. Code § 4201.655DENIAL OR RESCISSION OF PREAUTHORIZATION EXEMPTION.Printed as Section 4201.655
- Tex. Ins. Code § 4201.656INDEPENDENT REVIEW OF EXEMPTION DETERMINATION.Printed as Section 4201.656
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.