SB 547 Texas Senate · 89th Legislature (2025)

Relating to notice from a health benefit plan issuer regarding a physician's or health care provider's preauthorization exemption status.

SB 547 requires health insurers and health maintenance organizations in Texas to notify the Texas Department of Insurance (TDI) within 10 days of key decisions about physicians' or providers' preauthorization exemption status - such as granting, denying, continuing, or rescinding exemptions. TDI must then create a public database tracking these exemptions and compile annual reports on evaluation frequency, appeals, and exemption outcomes by provider type and service. The bill directly affects insurers (who must report), healthcare providers (who gain access to their exemption status), and TDI (which manages the data). It aims to increase transparency around preauthorization exemptions without altering the exemption criteria itself.
Bill status passed 3 of 5 stages cleared
Introduction
Dec 2024
Committee Review
May 2025
Senate Passage
May 2025
House Passage
Governor
Introduced Dec 6, 2024 Last action May 2, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 4 edits · May 1, 2025
MODERATE
The bill was reorganized and expanded to include new sections repealing an existing provision and clarifying how the law applies to future determinations. The text was cleaned up to remove formatting artifacts and consolidate related sections into a more coherent structure.
Scope change
The bill now includes a repeal of Section 4201.659(d) and clarifies that the new requirements apply only to determinations made on or after the effective date, with prior determinations governed by existing law.
REQUIREMENT

Added a new Section 4201.660 establishing notification requirements for health plans regarding physician preauthorization exemption status.

Removed Section 4201.659(d) which is no longer needed after the new structure was implemented.

TIMELINE

Added a transition provision clarifying that the new law applies only to determinations made on or after the effective date of September 1, 2025.

TECHNICAL

Removed formatting artifacts, page numbers, and duplicate text while consolidating the bill into a cleaner, more readable format.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
26
Key actions
6
Committee
7
May 2, 2025
Committee
Referred to Insurance
lower
May 2, 2025
Introduced
Read first time
lower
May 1, 2025
Introduced
Received from the Senate
lower
May 1, 2025
Upper · Passed
Passed
upper
Apr 28, 2025
Upper · Passed
Committee report printed and distributed
upper
Apr 28, 2025
Upper · Passed
Reported favorably as substituted
upper
Apr 23, 2025
Upper · Passed
Vote taken in committee
upper
Apr 9, 2025
Upper · Passed
Left pending in committee
upper
Apr 9, 2025
Upper · Passed
Testimony taken in committee
upper
Feb 3, 2025
Committee
Referred to Health & Human Services
upper
Feb 3, 2025
Introduced
Read first time
upper
1 primary · 1 co-sponsor

Sponsors