Texas HB3812: Relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians.

What the bill says

An act relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians.

From the enrolled text, May 28, 2025:

AN ACT relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 4201.152, Insurance Code, is amended to read as follows: Sec. 4201.152. UTILIZATION REVIEW UNDER[ADDED: DIRECTION OF] PHYSICIAN. A utilization review agent shall conduct utilization review under the direction of a physician licensed to practice medicine in this state.[ADDED: The physician may not hold a license to ] [ADDED: practice administrative medicine under Section 155.009, ] [ADDED: Occupations Code.] SECTION 2. Section 4201.651(a), Insurance Code, is amended to read as follows: (a) In this subchapter[ADDED: :] [ADDED: (1)][ADDED: ][ADDED: ][ADDED: "Affiliate" has the meaning assigned by Section ] [ADDED: 823.003.] [ADDED: (2) "Preauthorization"][[DELETED: , "preauthorization"]] means a determination by a health maintenance organization, insurer, or person contracting with a health maintenance organization or insurer that health care services proposed to be provided to a patient are medically necessary and appropriate. SECTION 3. Section 4201.653, Insurance Code, is amended by amending Subsections (a) and (b) and adding Subsection (a-1) to read as follows: (a) A health maintenance organization or an insurer that uses a preauthorization process for health care services may not require a physician or provider to obtain preauthorization for a particular health care service …

Sponsors

• Greg Bonnen (R, HD-024) · primary sponsor
• Tom Oliverson (R, HD-130)
• Venton Jones (D, HD-100)
• Robert Guerra (D)
• Cody Harris (R, HD-008)
• Carrie Isaac (R, HD-073)
• Janie Lopez (R, HD-037)
• William Metcalf (R, HD-016)
• Kelly Hancock (R, SD-009)
• Ann Johnson (D, HD-134)
• Charles Schwertner (R, SD-005)

Latest actions

1. June 20, 2025: Effective on 9/1/25
2. June 20, 2025: Signed by the Governor
3. May 30, 2025: Sent to the Governor
4. May 28, 2025: Signed in the Senate
5. May 28, 2025: Signed in the House
6. May 28, 2025: Reported enrolled
7. May 28, 2025: Senate passage reported
8. May 28, 2025: Placed on local & uncontested calendar
9. May 27, 2025: Passed
10. May 27, 2025: Read 3rd time

Votes

• Insurance Committee Vote (Out of committee): 7 yea, 1 nay, passed
• Health & Human Services Committee Vote (Out of committee): 8 yea, 0 nay, passed
• Rules suspended-Three day rule (May 27, 2025): 30 yea, 1 nay, passed
• Read 3rd time (May 27, 2025): 30 yea, 1 nay, passed
• Record vote RV#2681 (May 15, 2025): 116 yea, 26 nay, passed
• Record vote RV#2613 (May 15, 2025): 139 yea, 0 nay, passed

Common questions

What is HB3812?

HB3812 is a bill in the Texas Legislature (89th Legislature Regular Session): Relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians.

What does HB3812 do?

In its own words: An act relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians.

What is the status of HB3812?

Signed into law as of June 20, 2025. Latest action: Effective on 9/1/25 (June 20, 2025).

Who sponsored HB3812?

Greg Bonnen (R, HD-024), with 10 co-sponsors.

Where is the official record for HB3812?

On the Texas Legislature website: https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB03812