{"data":{"id":"us-tx/tex.-government-code-526.0054","jurisdiction":"us-tx","citation":"Tex. Government Code § 526.0054","heading":"PRIOR AUTHORIZATION FOR HIGH-COST MEDICAL SERVICES AND PROCEDURES.","body":"(a) The commission may:\n(1) evaluate and implement, as appropriate, procedures, policies, and methodologies to require prior authorization for high-cost medical services and procedures; and\n(2) contract with qualified service providers or organizations to perform those functions.\n(b) A procedure, policy, or methodology implemented under this section must comply with any prohibitions in state or federal law on limits in the amount, duration, or scope of medically necessary services for Medicaid recipients who are children.\nAdded by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.","path":["GOVERNMENT CODE","TITLE 4. EXECUTIVE BRANCH","SUBTITLE I. HEALTH AND HUMAN SERVICES","CHAPTER 526. ADDITIONAL POWERS AND DUTIES OF COMMISSION AND EXECUTIVE COMMISSIONER","SUBCHAPTER B. PROGRAMS AND SERVICES PROVIDED OR ADMINISTERED BY COMMISSION"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.526.htm#526.0054","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"39c30d900ca8f63a3f5a33080914dbd0184b9a087f8f4528b02570f06e5ddd2c","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-526.0053","next":"us-tx/tex.-government-code-526.0055"},"notice":"GroundRules: Original legal text. Not legal advice."}