HB 2150 — Relating to telephone access for certain health benefit plan verifications and preauthorization requests and for utilization review requests.

Summary

Relating to telephone access for certain health benefit plan verifications and preauthorization requests and for utilization review requests.

Bill Text

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill amends 5 section(s) of the Texas statutes: Section 843.347(c), Insurance Code, Section 843.348(f), Insurance Code, Section 1301.133(c), Insurance Code, Section 1301.135(e), Insurance Code, Section 4201.004(a), Insurance Code.

• Section 843.347(c), Insurance Code

  between 6 a.m. and 6 p.m. central time Monday through Friday on each day that is not a legal holiday and between 9 a.m. and noon central time on Saturday, Sunday, and after 6 p.m. central time Monday through Friday and after noon central time on Saturday, Sunday, and legal holidays responding on or before the second calendar day after the date → 24 hours a day, seven days a week, including : (1) during any period in which personnel are not available due to circumstances beyond the health maintenance organization's reasonable control; (2) respond as soon as possible but not later than two hours after

  amended

• Section 843.348(f), Insurance Code

  between 6 a.m. and 6 p.m. central time Monday through Friday on each day that is not a legal holiday and between 9 a.m. and noon central time on Saturday, Sunday, and after 6 p.m. central time Monday through Friday and after noon central time on Saturday, Sunday, and legal holidays responding 24 → 24 hours a day, seven days a week, including : (1) during any period in which personnel are not available due to circumstances beyond the health maintenance organization's reasonable control; (2) respond as soon as possible but two

  amended

• Section 1301.133(c), Insurance Code

  between 6 a.m. and 6 p.m. central time Monday through Friday on each day that is not a legal holiday and between 9 a.m. and noon central time on Saturday, Sunday, and after 6 p.m. central time Monday through Friday and after noon central time on Saturday, Sunday, and legal holidays responding on or before the second calendar day after the date → 24 hours a day, seven days a week, including : (1) during any period in which personnel are not available due to circumstances beyond the insurer's reasonable control; (2) respond as soon as possible but not later than two hours after

  amended

• Section 1301.135(e), Insurance Code

  between 6 a.m. and 6 p.m. central time Monday through Friday on each day that is not a legal holiday and between 9 a.m. and noon central time on Saturday, Sunday, and after 6 p.m. central time Monday through Friday and after noon central time on Saturday, Sunday, and legal holidays responding 24 → 24 hours a day, seven days a week, including : (1) during any period in which personnel are not available due to circumstances beyond the insurer's reasonable control; (2) respond as soon as possible but two

  amended

• Section 4201.004(a), Insurance Code

  at least 40 hours per week during normal business hours in this state hours other than normal business hours hours other than normal business hours the second working day later of: (A) the date the call was received; or (B) the date the details necessary to respond have been received from the caller → 24 hours a day, seven days a week, including legal holidays any period in which personnel are not available due to circumstances beyond the utilization review agent's reasonable control a period described by Subdivision (2) as soon as possible but two hours call is received

  amended

Action History

1. March 14, 2025

   Referred to Insurance

2. March 14, 2025

   Read first time

3. January 28, 2025

   Filed

Sponsors

• Cassandra Garcia Hernandez · Primary

Subjects