Texas Insurance Code 1217.005 – Advisory Committee On Uniform Prior Authorization Forms
(a) The commissioner shall appoint a committee to advise the commissioner on the technical, operational, and practical aspects of developing the single, standard prior authorization form required under § 1217.004 for requesting prior authorization of health care services, including:
(1) requirements for the health benefit plan issuer or agent of the health benefit plan issuer to acknowledge receipt of the standard form;
(2) timelines under which the health benefit plan issuer or agent of the health benefit plan issuer must acknowledge receipt of the standard form; and
(3) implications, including administrative penalties, for the failure of a health benefit plan issuer or agent of a health benefit plan issuer to:
(A) timely acknowledge receipt of the standard form; or
(B) use or accept the form.
(b) The commissioner shall consult the advisory committee with respect to any rule relating to a subject described by § 1217.004 before adopting the rule and may consult the committee as needed with respect to a subsequent amendment of an adopted rule.
Terms Used In Texas Insurance Code 1217.005
- Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
- Rule: includes regulation. See Texas Government Code 311.005
(c) The advisory committee shall be composed of an equal number of members from each of the following groups of stakeholders:
(1) physicians;
(2) health care providers other than physicians;
(3) hospitals;
(4) representatives of health benefit plans; and
(5) Health and Human Services Commission representatives.
(d) A physician may not serve on the advisory committee as a physician member under Subsection (c)(1) if the physician is or has been employed by or consults or has consulted for an insurance company.
(e) A member of the advisory committee serves without compensation.
(f) § 39.003(a) of this code and Chapter 2110, Government Code, do not apply to the advisory committee.