TX HB2369

Allows custodial officers, detention officers, emergency medical technicians, firefighters, and peace officers to request a medical examination to define their compensable injury, even if an insurance carrier-requested examination was already performed

Requires insurance carriers to waive the right to contest the extent of injury if they fail to dispute it within 60 days of receiving the treating doctor's report, specifically for the covered first responder categories

Mandates that insurance carriers provide specific written reasons and describe evidence reviewed when denying workers' compensation claims from first responders, including explanations for why presumptions under Government Code Chapter 607 do not apply

Requires insurance carriers to reimburse first responders for all medical expenses related to their claimed injury when an administrative law judge determines the injury is compensable and the decision becomes final or is affirmed on appeal

Applies only to claims based on compensable injuries occurring on or after September 1, 2025