Texas HB2641 prohibits preauthorization requirements for certain health care services.

Texas HB2641 amends the Insurance Code to add a new subchapter prohibiting health maintenance organizations and insurers from requiring preauthorization for specific health care services. These include emergency care, intervention-necessary care, and other services deemed urgent or preventive. The bill also restricts retrospective reviews and payment denials for services not requiring preauthorization, except in cases of fraud or failure to perform services. It applies to health benefit plans delivered, issued, or renewed after January 1, 2026.

Texas HB2641 prohibits preauthorization requirements for certain health care services.

Texas HB2641 amends the Insurance Code to add a new subchapter prohibiting health maintenance organizations and insurers from requiring preauthorization for specific health care services. These include emergency care, intervention-necessary care, and other services deemed urgent or preventive. The bill also restricts retrospective reviews and payment denials for services not requiring preauthorization, except in cases of fraud or failure to perform services. It applies to health benefit plans delivered, issued, or renewed after January 1, 2026.