Tex. Ins. Code § 4201.652

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.

Section 4201.652 - [Effective Until 4/1/2025] Applicability of Subchapter

This subchapter applies only to:

(1) a health benefit plan offered by a health maintenance organization operating under Chapter 843, except that this subchapter does not apply to:

(A) the child health plan program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code; or

(B) the state Medicaid program, including the Medicaid managed care program operated under Chapter 533, Government Code;

(2) a preferred provider benefit plan or exclusive provider benefit plan offered by an insurer under Chapter 1301; and

(3) a person who contracts with a health maintenance organization or insurer to issue preauthorization determinations or perform the functions described in this subchapter for a health benefit plan to which this subchapter applies.

Tex. Ins. Code § 4201.652

Added by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 1018,Sec. 5, eff. 9/1/2021, op. for a request for preauthorization of health care services made on or after January 1, 2022.

This section is set out more than once due to postponed, multiple, or conflicting amendments.