HB 215 — Preauthorization determinations conducted by physicians
This bill covers preauthorization determinations conducted by physicians of the same specialty as the requesting physician or health care provider.
This bill covers preauthorization determinations conducted by physicians of the same specialty as the requesting physician or health care provider.
Author: Lalani. Filed: 11/09/2026 (H Filed). Caption: “Relating to preauthorization determinations conducted by physicians of the same specialty as the requesting physician or health care provider.”
Subjects: Health Care Providers (I0387), Insurance--Health & Accident (I0422), PHYSICIANS (S1282). Council document: see the Legislature history page.
Full bill text (Introduced)
Official text from the Texas Legislature. Bill history for HB 215 · Bill text (HTML).
90R3851 SCR-F By: Lalani H.B. No. 215 relating to preauthorization determinations conducted by physicians of the same specialty as the requesting physician or health care provider.
SECTION 1. Subchapter F, Chapter 4201, Insurance Code, is amended by adding Section 4201.254 to read as follows: Sec. 4201.254. PREAUTHORIZATION DETERMINATION BY PHYSICIAN OF RELEVANT SPECIALTY REQUIRED. (a) In this section, "preauthorization" has the meaning assigned by Section 4201.651. (b) A preauthorization determination must be made by a physician who is of the same specialty as the physician or health care provider proposing to provide the service or recommending the provision of the service.
SECTION 2. Section 4201.254, Insurance Code, as added by this Act, applies only to a request for preauthorization of health care services made on or after January 1, 2028.
SECTION 3. This Act takes effect September 1, 2027.
Sources: Texas Legislature, Today's Filed Bills in the House (11/09/2026), HB 215; 90th Legislature BillLookup history and Introduced bill text.