GroundRules
← Search the law
Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Insurance Code § 4201.3601: IMMEDIATE APPEAL TO INDEPENDENT REVIEW ORGANIZATION FOR DENIAL OF PRESCRIPTION DRUGS OR INTRAVENOUS INFUSIONS.

Read at publisher ↗
Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW
  3. CHAPTER 4201. UTILIZATION REVIEW AGENTS
  4. SUBCHAPTER H. APPEAL OF ADVERSE DETERMINATION

Notwithstanding any other law, in a circumstance involving the provision of prescription drugs or intravenous infusions for which the patient is receiving benefits under the health insurance policy, the enrollee is:

(1) entitled to an immediate appeal to an independent review organization as provided by Subchapter I; and

(2) not required to comply with procedures for an internal review of the utilization review agent's adverse determination.

Added by Acts 2015, 84th Leg., R.S., Ch. 1037 (H.B. 1621), Sec. 7, eff. September 1, 2015.

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

Browse this collection