HB 2641 Texas House · 89th Legislature (2025)

Relating to health benefit plan preauthorization requirements for physicians and providers providing certain health care services.

HB 2641 prohibits health insurance plans from requiring preauthorization (prior approval) for certain health care services provided by physicians and providers. It specifically applies to "intervention-necessary care" - acute services for severe injuries or illnesses that could lead to irreversible harm or emergency care without timely treatment (e.g., severe pain or acute conditions requiring immediate attention). The bill defines this care to include services typically given in a doctor's office or outpatient setting that meet specific medical necessity criteria. It applies to most health maintenance organizations (HMOs) under Texas law but excludes Medicaid programs and children's health plans. This directly affects doctors and clinics providing these urgent services by removing a bureaucratic hurdle for patients needing timely care.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 18, 2025 Last action Mar 18, 2025
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 18, 2025
Committee
Referred to Insurance
lower
Mar 18, 2025
Introduced
Read first time
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Suleman Lalani
Suleman Lalani
DDemocratic
TX
76