Section 4201.652 - [Effective 4/1/2025] Applicability Of Subchapter This subchapter applies only to:
(1) a health benefit plan offered by a health maintenance organization operating under Chapter 843, except that this subchapter does not apply to: (A) the child health plan program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code; or(B) the state Medicaid program, including the Medicaid managed care program operated under Chapter 540 or 540A , Government Code, as applicable;(2) a preferred provider benefit plan or exclusive provider benefit plan offered by an insurer under Chapter 1301; and(3) a person who contracts with a health maintenance organization or insurer to issue preauthorization determinations or perform the functions described in this subchapter for a health benefit plan to which this subchapter applies.Tex. Ins. Code § 4201.652
Amended by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 2.140, eff. 4/1/2025.Added by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 1018,Sec. 5, eff. 9/1/2021, op. for a request for preauthorization of health care services made on or after January 1, 2022.This section is set out more than once due to postponed, multiple, or conflicting amendments.