TX HB2150

Health maintenance organizations and insurers must have personnel available via toll-free telephone 24 hours a day, seven days a week (including legal holidays) to handle benefit verifications and preauthorization requests, replacing the previous limited hours of 6 a.m.-6 p.m. weekdays and 9 a.m.-noon on weekends/holidays

Response time for recorded verification and preauthorization calls is reduced from two calendar days to two hours after the call is received

Utilization review agents must have personnel available by toll-free telephone 24/7 including legal holidays to discuss patient care and respond to review requests, replacing the previous 40-hour weekly minimum during normal business hours

When personnel are unavailable due to circumstances beyond the organization's reasonable control, telephone systems must still be capable of accepting or recording incoming calls

The act takes effect September 1, 2025