Tex. Ins. Code § 4201.3601

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.

Section 4201.3601 - Immediate Appeal to Independent Review Organization for Denial of Prescription Drugs or Intravenous Infusions

Notwithstanding any other law, in a circumstance involving the provision of prescription drugs or intravenous infusions for which the patient is receiving benefits under the health insurance policy, the enrollee is:

(1) entitled to an immediate appeal to an independent review organization as provided by Subchapter I; and

(2) not required to comply with procedures for an internal review of the utilization review agent's adverse determination.

Tex. Ins. Code § 4201.3601

Added by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 1037,Sec. 7, eff. 9/1/2015.