Texas SB1380 prohibits preauthorization requirements for certain health care services by physicians and providers.

Texas SB1380 amends the Insurance Code to establish that health maintenance organizations and insurers cannot require preauthorization for specific health care services. These include emergency care, intervention-necessary care, primary care, outpatient mental health care, antineoplastic cancer treatments, and others. The bill also prohibits retrospective reviews of these services unless there is a reasonable cause to suspect a basis for denial.

Texas SB1380 prohibits preauthorization requirements for certain health care services by physicians and providers.

Texas SB1380 amends the Insurance Code to establish that health maintenance organizations and insurers cannot require preauthorization for specific health care services. These include emergency care, intervention-necessary care, primary care, outpatient mental health care, antineoplastic cancer treatments, and others. The bill also prohibits retrospective reviews of these services unless there is a reasonable cause to suspect a basis for denial.