Bill > HB2639

This bill introduces a new requirement for preauthorization determinations in healthcare services, which is a process where insurance companies review and approve medical treatments or procedures before they are performed. Specifically, the bill mandates that any preauthorization determination must be conducted by a physician who specializes in the same medical field as the physician or healthcare provider requesting or recommending the service. This means, for example, that a cardiology procedure would need to be reviewed by another cardiologist, rather than a physician from a different specialty. The bill will apply to preauthorization requests made on or after January 1, 2026, and will take effect on September 1, 2025. The goal appears to be ensuring that medical service approvals are reviewed by professionals with the most relevant and specialized medical expertise, potentially improving the accuracy and appropriateness of medical service authorizations.

Business and Industry

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB2639