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A BILL TO BE ENTITLED
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AN ACT
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relating to preauthorization determinations conducted by |
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physicians of the same specialty as the requesting physician or |
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health care provider. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter F, Chapter 4201, Insurance Code, is |
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amended by adding Section 4201.254 to read as follows: |
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Sec. 4201.254. PREAUTHORIZATION DETERMINATION BY PHYSICIAN |
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OF RELEVANT SPECIALTY REQUIRED. (a) In this section, |
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"preauthorization" has the meaning assigned by Section 4201.651. |
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(b) A preauthorization determination must be made by a |
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physician who is of the same specialty as the physician or health |
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care provider proposing to provide the service or recommending the |
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provision of the service. |
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SECTION 2. Section 4201.254, Insurance Code, as added by |
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this Act, applies only to a request for preauthorization of health |
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care services made on or after January 1, 2026. |
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SECTION 3. This Act takes effect September 1, 2025. |