tx-May152026-53: 28 TAC §§19.1730 - 19.1734 (Amendment) — Licensing and Regulation of Insurance Professionals
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§19.1803 STATUTORY AUTHORITY. TDI proposes amendments to §19.1801 and §19.1803 under Insurance Code §§1217.004, 1369.304, and 36.001. Insurance Code §1217.004 authorizes the commissioner to adopt rules related to the use of a standard form for requesting prior authorization of health care services. Insurance Code §1369.304 authorizes the commissioner to adopt rules related to the use of a standard form for requesting prior authorization of prescription drug benefits. 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 §19.1801 and §19.1803 implement SB 1296 and HB 4611. §19.1801. Applicability. [(a)] Applicable health benefit plans. This subchapter applies only to a health benefit plan that is subject to Insurance Code Chapter 1217, concerning Standard Request Form for Prior Authorization of Health Care Services, or Insurance Code Chapter 1369, Subchapter G, concerning Standard Request Form for Prior Authorization of Prescription Drug Benefits. [that provides benefits for medical or...
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