By: Blanco  S.B. No. 1151
         (In the Senate - Filed February 6, 2025; February 28, 2025,
  read first time and referred to Committee on Health & Human
  Services; April 7, 2025, reported favorably by the following vote:  
  Yeas 7, Nays 0; April 7, 2025, sent to printer.)
Click here to see the committee vote
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to an insurer's responsibility to review and audit a
  third-party administrator.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  The heading to Section 4151.1042, Insurance
  Code, is amended to read as follows:
         Sec. 4151.1042.  RESPONSIBILITIES OF INSURER; [SEMIANNUAL]
  AUDIT AND REVIEW REQUIREMENTS.
         SECTION 2.  Section 4151.1042(c), Insurance Code, is amended
  to read as follows:
         (c)  If an administrator administers benefits for more than
  100 certificate holders, injured employees, plan participants, or
  policyholders on behalf of an insurer, the insurer shall, at least
  semiannually, conduct a review of the operations of the
  administrator. At least biennially, the insurer shall conduct an
  [on-site] audit of the operations of the administrator.
         SECTION 3.  This Act takes effect September 1, 2025.
 
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