Enrolled Bill Summary

Senate Bill 1884 amends the Civil Practice and Remedies Code to allow a health insurance carrier, health maintenance organization, or managed care entity that is subject to a legal cause of action on a claim by an insured or enrollee to request a review of the claim by an independent review organization provided the carrier, organization, or entity complies voluntarily with certain requirements applicable to utilization review agents and the review is performed according to standards established for independent review organizations. Voluntary compliance means the carrier, organization, or entity agrees to furnish any medical records, documentation, or information required and to pay for the independent review.