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TX HB1818
Bill
Status
1/13/2025
Primary Sponsor
Hubert Vo
Click for details
AI Summary
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Requires the Commissioner of Insurance to conduct annual examinations of health maintenance organizations (HMOs) and insurers to determine compliance with utilization review and preauthorization requirements
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Examinations must cover requirements under multiple Insurance Code chapters, including those relating to preauthorization of medical care and health care services
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Documentation provided during these examinations is confidential and exempt from public disclosure under the Texas Public Information Act
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The commissioner may waive the annual examination requirement if utilization review compliance was already examined as part of another examination that year
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HMOs and insurers must pay fees assessed by the commissioner to cover examination expenses, including actual salaries and costs of examiners
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Takes effect September 1, 2025
Legislative Description
Relating to examinations of health maintenance organizations and insurers by the commissioner of insurance regarding compliance with certain utilization review and preauthorization requirements; authorizing a fee.
INSURANCE, COMMISSIONER OF
Last Action
Left pending in committee
3/26/2025