Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Insurance Code § 4201.151: UTILIZATION REVIEW PLAN.

Where this section sits in the code

INSURANCE CODE
TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW
CHAPTER 4201. UTILIZATION REVIEW AGENTS
SUBCHAPTER D. UTILIZATION REVIEW: GENERAL STANDARDS

A utilization review agent's utilization review plan, including reconsideration and appeal requirements, must be reviewed by a physician licensed to practice medicine in this state and conducted in accordance with standards developed with input from appropriate health care providers and approved by a physician licensed to practice medicine in this state.

Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.

Amended by:

Acts 2019, 86th Leg., R.S., Ch. 1218 (S.B. 1742), Sec. 3.02, eff. September 1, 2019.

Collected 2026-08-27T01:47:21Z. Source file · JSON

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