Monitoring the SessionHB 215
Filed
Initial review · graded Nov 9, 2026 · How we grade
relating to preauthorization determinations conducted by physicians of the same specialty as the requesting physician or health care provider.
Caption from analyzed text · version I.
Insurers’ reviewers must match the requesting doctor’s specialty. Starts January 1, 2028.
This bill requires that any decision on whether a health care service gets preauthorization be made by a physician of the same specialty as the doctor or provider asking for or recommending that service. It touches insurers and utilization review agents that make these calls, along with the doctors and patients waiting on approval. Starting with requests made on or after January 1, 2028, a reviewer from a different specialty can no longer make the preauthorization decision.
Labels: BACK FROM THE DEAD. Same text as a bill filed before that died: 89R HB 2639 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 2. Filed in 2 sessions: 89R and 90R. Checked against 88R and 89R only.
90R-HB215 · 2026-11-09
relating to preauthorization determinations conducted by physicians of the same specialty as the requesting physician or health care provider.
Insurers’ reviewers must match the requesting doctor’s specialty. Starts January 1, 2028.
This bill requires that any decision on whether a health care service gets preauthorization be made by a physician of the same specialty as the doctor or provider asking for or recommending that service. It touches insurers and utilization review agents that make these calls, along with the doctors and patients waiting on approval. Starting with requests made on or after January 1, 2028, a reviewer from a different specialty can no longer make the preauthorization decision.
[ ] NONE FOUND
No fiscal note in the loaded record.
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
Not tied to this bill.
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Oct 28, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
$37,500.00
Also funds 137 other sitting lawmakers.
Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Dec 10, 2024 to Aug 31, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 100987680, 101007262, 101030846, 101036309, 101069420.
$11,569.08
Also funds 9 other sitting lawmakers.
Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
TeamDerived itemized flow · Feb 3, 2026 to Jun 2, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101040256, 101061992.
$10,000.00
Also funds 15 other sitting lawmakers.
Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
TeamDerived itemized flow · Sep 23, 2025 to Oct 10, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101030846, 101072241.
Missing data does not establish zero giving. Display amounts are rounded.
$37,500.00
Also funds 137 other sitting lawmakers.
Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Dec 10, 2024 to Aug 31, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 100987680, 101007262, 101030846, 101036309, 101069420.
$11,569.08
Also funds 9 other sitting lawmakers.
Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
TeamDerived itemized flow · Feb 3, 2026 to Jun 2, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101040256, 101061992.
$10,000.00
Also funds 15 other sitting lawmakers.
Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
TeamDerived itemized flow · Sep 23, 2025 to Oct 10, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101030846, 101072241.
No floor vote loaded for this bill.
No fiscal note in the loaded record.
Analysis of text version I by a super-expensive superintelligence, Nov 9, 2026, against the published rubric.
Filed 2 times: 89R and now. Checked against 88R and 89R only.
by Rep. Lalani, same lead author · Died in committee · same text
Introduced textLast action, Mar 18, 2025: Referred to Insurance
Relating to preauthorization determinations conducted by physicians of the same specialty as the requesting physician or health care provider.
Caption, 89R bill history
Texas House · Filed Nov 9, 2026
11/09/2026 H Filed
Texas Legislature Online · Introduced
Data snapshot Nov 10, 2026 at 2:31 AM CST. Grades, charges, quotes and corrections follow the published record.
Health Care Providers
Insurance--Health & Accident
PHYSICIANS
The text as introduced · 157 words
90R3851 SCR-F By: Lalani H.B. No. 215 A BILL TO BE ENTITLED AN ACT relating to preauthorization determinations conducted by physicians of the same specialty as the requesting physician or health care provider. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter F, Chapter 4201, Insurance Code, is amended by adding Section 4201.254 to read as follows: Sec. 4201.254. PREAUTHORIZATION DETERMINATION BY PHYSICIAN OF RELEVANT SPECIALTY REQUIRED. (a) In this section, "preauthorization" has the meaning assigned by Section 4201.651. (b) A preauthorization determination must be made by a physician who is of the same specialty as the physician or health care provider proposing to provide the service or recommending the provision of the service. SECTION 2. Section 4201.254, Insurance Code, as added by this Act, applies only to a request for preauthorization of health care services made on or after January 1, 2028. SECTION 3. This Act takes effect September 1, 2027.