The civic record
Read. Follow. Verify.Texas requires annual preauthorization compliance exams for health maintenance organizations and insurers
Last action · March 26, 2025: Left pending in committeeSponsor: Hubert Vo
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What This Bill Proposed
Beginning September 1, 2025, the Texas commissioner of insurance must examine health maintenance organizations and insurers at least annually for compliance with medical and requirements, and organizations must pay a fee for the examination expenses.
Health insurers and health maintenance organizations face mandatory annual state compliance audits regarding medical procedures and must pay the associated examination costs.
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
health maintenance organizations
Health maintenance organizations are subject to mandatory annual compliance examinations regarding preauthorization and must pay examination fees.
insurers
Insurers are subject to mandatory annual compliance examinations regarding medical care and health care preauthorization requirements.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Are documents provided during these examinations public?
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in House committee.
Procedural history
7 actions- Mar 26, 2025HouseLeft pending in committee
- Mar 26, 2025HouseTestimony taken/registration(s) recorded in committee
- Mar 26, 2025HouseConsidered in public hearing
- Mar 26, 2025HouseScheduled for public hearing on . . .
- Mar 14, 2025HouseCommitteeReferred to Insurance
- Mar 14, 2025HouseIntroducedRead first time
Show 1 earlier action
- Jan 13, 2025HouseIntroducedFiled
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Mandatory Annual Preauthorization Audits
Shifts oversight from discretionary or periodic checks to a mandatory annual examination schedule for utilization review compliance.
Connected Entities
Sources
capitol.texas.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 55)
- Controversy15Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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