Tex. Lab. Code § 504.054 · Subchapter C. BENEFITS AND OFFSETS
CONTESTED CASE HEARING ON AND JUDICIAL REVIEW OF INDEPENDENT REVIEW.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A party to a medical dispute that remains unresolved after the review described by Section 504.053(d)(3) is entitled to a contested case hearing. A hearing under this subsection shall be conducted by the division in the same manner as a hearing conducted under Section 413.0311.
(b) The administrative law judge conducting the contested case hearing under Subsection (a) shall consider any treatment guidelines adopted by the political subdivision or pool that provides medical benefits under Section 504.053(b)(2) if those guidelines meet the standards provided by Section 413.011(e).
(c) A party that has exhausted all administrative remedies under Subsection (a) and is aggrieved by a final decision of the division may seek judicial review of the decision.
(d) Judicial review under Subsection (c) shall be conducted in the manner provided for judicial review of a contested case under Subchapter G, Chapter 2001, Government Code, and is governed by the substantial evidence rule.
(e) A decision of the independent review organization is binding during the pendency of a dispute.
Notes and commentary — not statutory text
History
Added by Acts 2011, 82nd Leg., R.S., Ch. 1162 (H.B. 2605), Sec. 36, eff. September 1, 2011.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 839 (H.B. 2111), Sec. 17, eff. September 1, 2017.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/LA/htm/LA.504.htm
- Text hash
- sha256 a2f3eb45fa9511a8c4f2160782e8c8b6aeeaebe15a53e3bfa70934da67890632
- 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.
Government Code
Labor Code
- Tex. Lab. Code § 413.011REIMBURSEMENT POLICIES AND GUIDELINES; TREATMENT GUIDELINES AND PROTOCOLS.Printed as Section 413.011(e)
- Tex. Lab. Code § 413.0311REVIEW OF MEDICAL NECESSITY DISPUTES; CONTESTED CASE HEARING.Printed as Section 413.0311
- Tex. Lab. Code § 504.053ELECTION.Printed as Section 504.053(b)(2) | Section 504.053(d)(3)
Cited by 2 provisions
Provisions in this library whose text cites Tex. Lab. Code § 504.054. Each shows the citation as that text prints it.
Labor Code
- Tex. Lab. Code § 504.055EXPEDITED PROVISION OF MEDICAL BENEFITS FOR CERTAIN INJURIES SUSTAINED BY FIRST RESPONDER IN COURSE AND SCOPE OF EMPLOYMENT.Printed as Section 504.054
- Tex. Lab. Code § 504.057EXPEDITED PROVISION OF MEDICAL BENEFITS FOR CERTAIN INJURIES SUSTAINED BY CERTAIN DEATH INVESTIGATION PROFESSIONALS IN COURSE AND SCOPE OF EMPLOYMENT.Printed as Section 504.054
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.