tx-May152026-51: 28 TAC §§19.1702, 19.1705, 19.1706, 19.1709, 19.1710 (Amendment) — Licensing and Regulation of Insurance Professionals
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STATUTORY AUTHORITY. TDI proposes amendments to §§19.1730 - 19.1733, and new §19.1734 under Insurance Code §§4201.003, 4202.002, and 36.001. Insurance Code §4201.003 authorizes the commissioner to adopt rules to implement Insurance Code Chapter 4201. Insurance Code §4202.002 authorizes the commissioner to adopt standards and rules for independent review organizations. Insurance Code §36.001 provides that the commissioner may adopt any rules necessary and appropriate to implement the powers and duties of TDI under the Insurance Code and other laws of this state. CROSS-REFERENCE TO STATUTE. Proposed amendments to §§19.1730 - 19.1733 and new §19.1734 implement Insurance Code Chapter 4201, Subchapter N, and HB 3812, 89th Legislature. §19.1730. Definitions. The following words and terms have the following meanings when used in this subchapter unless the context clearly indicates otherwise. (1) Adverse determination regarding a preauthorization exemption--A decision by an issuer that one or more preauthorization requests or claims [retrospectively] reviewed as part of an evaluation [as defined in paragraph (4)(B)of this section,] with respect to a particular health care service [for...
The agency’s own summary, as published.
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