Relating to telephone access for certain health benefit plan verifications and preauthorization requests and for utilization review requests.
SB 177 requires health insurance companies and health maintenance organizations in Texas to maintain toll-free phone access for two key services: (1) verifying health benefit plans and (2) processing preauthorization and utilization review requests. The bill mandates that staff must be available 24 hours a day, seven days a week, with specific hours (6 a.m.-6 p.m. Central Time Monday-Friday, excluding holidays; 9 a.m.-noon on weekends/holidays), and requires a phone system to record calls during unavailable times. Organizations must respond to calls within two hours for verifications and within 24 hours for preauthorizations. This directly affects insurers and health plans that handle patient care coordination, aiming to reduce delays in healthcare access.
Bill status
in committee
1 of 4 stages cleared
Introduction
Nov 2024
Committee Review
Floor Vote
Governor
Introduced Nov 12, 2024
Last action Feb 3, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
4
Key actions
0
Committee
1
Feb 3, 2025
Committee
Referred to Health & Human Services
upper
Feb 3, 2025
Introduced
Read first time
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
JM
José Menéndez
DDemocratic
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