{"data":{"id":"us-tx/tex.-insurance-code-1377.052","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1377.052","heading":"UTILIZATION REVIEW.","body":"(a) A utilization review agent acting on behalf of a health benefit plan issuer may review a treating physician's determination of the medical necessity of the use of an amino acid-based elemental formula for the treatment of an enrollee who is diagnosed with a disease or disorder listed in Section 1377.051(a).\n(b) Utilization review under this section is subject to Chapter 4201.\nAdded by Acts 2009, 81st Leg., R.S., Ch. 1129 (H.B. 2000), Sec. 1, eff. September 1, 2009.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1377. COVERAGE FOR CERTAIN AMINO ACID-BASED ELEMENTAL FORMULAS","SUBCHAPTER B. COVERAGE FOR CERTAIN AMINO ACID-BASED ELEMENTAL FORMULAS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1377.htm#1377.052","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"7a658920441f9356a9774ae204c857c7b90acae80d0ad6bdbb93faaec3355b26","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1377.051","next":"us-tx/tex.-insurance-code-1379.001"},"notice":"GroundRules: Original legal text. Not legal advice."}