Preauthorization Bills Introduced in Texas Legislature

HB 410 is the first TMA-supported prior authorization bill this session to get a hearing, but it’s just one piece of TMA’s broad offensive on the practice.

https://www.texmed.org/TexasMedicineDetail.aspx?id=55920

HB 410 is the first TMA-supported prior authorization bill this session to get a hearing, but it’s just one piece of TMA’s broad offensive on the practice. Other measures targeting preauthorization and related issues include:

  • House Bill 907 by representative Johnson, which would generally ban prior authorizations for prescription drugs to treat chronic or autoimmune diseases.
  • House Bill 2142 by Rep. Hubert Vo (D-Houston), which would require the Texas Department of Insurance to conduct once-a-year exams of health insurers’ preauthorization requirements to make sure the health plans are complying with laws governing prior authorization.
  • House Bill 2035, also by Representative Johnson, which would make it a deceptive trade practice for insurers to violate the prudent-layperson standard for emergency care; to deter health-plan enrollees from seeking care consistent with that standard; or to engage in a pattern of wrongful denials for emergency care.