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  89R5925 DNC-F     By: Campbell S.B. No. 2012       A BILL TO BE ENTITLED   AN ACT   relating to the provision of certain information about physicians   and nurses making determinations regarding requests for   preauthorization of health care services or supplies.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Subchapter G, Chapter 4201, Insurance Code, is   amended by adding Section 4201.3025 to read as follows:           Sec.   4201.3025.     PREAUTHORIZATION DETERMINATION: REQUIRED   PHYSICIAN INFORMATION.   A utilization review agent shall include in   any written documentation that records a utilization review   determination made regarding a request for preauthorization, as   defined by Section 4201.651, or a determination made in an appeal of   an adverse determination made regarding a request for   preauthorization:                   (1)     the signature of the physician or nurse making the   determination;                 (2)  the full printed name of the physician or nurse;                 (3)     a unique provider identifier number for the   physician or nurse, such as a national provider identifier;                 (4)     the credentials of the physician or nurse,   including board certification and area of specialty expertise and   training, as applicable;                 (5)     attestation by the physician or nurse that the   physician or nurse has appropriate training and expertise in the   field of medicine that is sufficient to make an informed decision   regarding the medical necessity or appropriateness of the health   care service or supply proposed to be provided to the patient;                 (6)     attestation by the physician or nurse that the   physician or nurse does not have a conflict of interest that would   interfere with the physician's or nurse's ability to make an   impartial determination based on the merits of the specific patient   case; and                 (7)     the amount of time the physician or nurse spent   evaluating medical records or other information related to the   review or appeal before making the determination.          SECTION 2.  Section 4201.3025, Insurance Code, as added by   this Act, applies only to a request for preauthorization made on or   after January 1, 2026, under a health benefit plan delivered,   issued for delivery, or renewed on or after that date.          SECTION 3.  This Act takes effect September 1, 2025.