Tex. Lab. Code § 413.002 · Subchapter A. GENERAL PROVISIONS
MEDICAL REVIEW.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The division shall monitor health care providers, insurance carriers, independent review organizations, and workers' compensation claimants who receive medical services to ensure the compliance of those persons with rules adopted by the commissioner relating to health care, including medical policies and fee guidelines.
(b) In monitoring health care providers who serve as designated doctors under Chapter 408 and independent review organizations who provide services described by this chapter, the division shall evaluate:
(1) compliance with this subtitle and with rules adopted by the commissioner relating to medical policies, fee guidelines, treatment guidelines, return-to-work guidelines, and impairment ratings; and
(2) the quality and timeliness of decisions made under Section 408.0041, 408.122, 408.151, or 413.031.
(c) The division shall report the results of the monitoring of independent review organizations under Subsection (b) to the department on at least a quarterly basis.
(d) If the commissioner determines that an independent review organization is in violation of this chapter, rules adopted by the commissioner under this chapter, applicable provisions of this code or rules adopted under this code, or applicable provisions of the Insurance Code or rules adopted under that code, the commissioner or a designated representative shall notify the independent review organization of the alleged violation and may compel the production of any documents or other information as necessary to determine whether the violation occurred.
Notes and commentary — not statutory text
History
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993. Amended by Acts 1995, 74th Leg., ch. 980, Sec. 1.42, eff. Sept. 1, 1995.
Amended by:
Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.227, eff. September 1, 2005.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/LA/htm/LA.413.htm
- Text hash
- sha256 9636db2679d7af953a775c96a668191ef8fcb8c8b34c1a713a818ee9f723a22a
- 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.
Labor Code
- Tex. Lab. Code ch. 408WORKERS' COMPENSATION BENEFITSPrinted as Chapter 408
- Tex. Lab. Code § 408.0041DESIGNATED DOCTOR EXAMINATION.Printed as Section 408.0041, 408.122, 408.151, or 413.031
- Tex. Lab. Code § 408.122ELIGIBILITY FOR IMPAIRMENT INCOME BENEFITS.Printed as Section 408.0041, 408.122, 408.151, or 413.031
- Tex. Lab. Code § 408.151MEDICAL EXAMINATIONS FOR SUPPLEMENTAL INCOME BENEFITS.Printed as Section 408.0041, 408.122, 408.151, or 413.031
- Tex. Lab. Code § 413.031MEDICAL DISPUTE RESOLUTION.Printed as Section 408.0041, 408.122, 408.151, or 413.031
Cited by 1 provision
Provisions in this library whose text cites Tex. Lab. Code § 413.002. Each shows the citation as that text prints it.
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.