|
Senate Bill 1742 |
Senate Author: Menéndez et al. |
|
Effective: 9-1-19 |
House Sponsor: Johnson, Julie |
Senate Bill 1742 amends the Insurance Code and Labor Code to require physician and health care provider directories maintained by health benefit plan issuers to include the specialty of each physician and provider and to include certain information for health care providers that are facilities. The bill provides for the required posting of preauthorization requirements on the website of a health maintenance organization or insurer that uses a preauthorization process. The bill also revises provisions relating to utilization review, independent review, and peer review for certain health benefit plans and workers' compensation coverage. Among other provisions, the bill requires physicians involved in the utilization review process to be licensed in Texas.
Senate Bill 1742 creates a joint interim committee to study, review, and report on the use of prior authorization and utilization review processes by private health benefit plan issuers in Texas and to propose reforms related to the transparency of and improving patient outcomes under those processes.