{"data":{"id":"us-tx/tex.-insurance-code-4201.054","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 4201.054","heading":"WORKERS' COMPENSATION BENEFITS.","body":"(a) Except as provided by this section, this chapter applies to utilization review of a health care service provided to a person eligible for workers' compensation medical benefits under Title 5, Labor Code. The commissioner of workers' compensation shall regulate as provided by this chapter a person who performs utilization review of a medical benefit provided under Title 5, Labor Code.\n(b) Sections 4201.303(c), 4201.304(b), 4201.357(a-1), and 4201.3601 do not apply to utilization review of a health care service provided to a person eligible for workers' compensation benefits under Title 5, Labor Code.\n(c) Title 5, Labor Code, prevails in the event of a conflict between this chapter and Title 5, Labor Code.\n(d) The commissioner of workers' compensation may adopt rules as necessary to implement this section.\nAdded by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.\nAmended by:\nActs 2007, 80th Leg., R.S., Ch. 134 (H.B. 1006), Sec. 7(a), eff. September 1, 2007.\nActs 2007, 80th Leg., R.S., Ch. 134 (H.B. 1006), Sec. 7(b), eff. September 1, 2007.\nActs 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.075(a), eff. September 1, 2007.\nActs 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.075(b), eff. September 1, 2007.\nActs 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.075(a), eff. September 1, 2007.\nActs 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.075(b), eff. September 1, 2007.\nActs 2015, 84th Leg., R.S., Ch. 1037 (H.B. 1621), Sec. 2, eff. September 1, 2015.","path":["INSURANCE CODE","TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW","CHAPTER 4201. UTILIZATION REVIEW AGENTS","SUBCHAPTER B. APPLICABILITY OF CHAPTER"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4201.htm#4201.054","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"6a7ad472db182140415dd9b62418d556305e2f90a2d1f95d602381861fd85b28","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-4201.053","next":"us-tx/tex.-insurance-code-4201.055"},"notice":"GroundRules: Original legal text. Not legal advice."}