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Bill

SB 2012

Relating to the provision of certain information about physicians and nurses making determinations regarding requests for preauthorization of health care services or supplies.

89th Legislature (2025) Introduced by Donna Campbell

SB 2012 requires insurers to disclose physicians' and nurses' identities and qualifications when denying preauthorization for healthcare services, increasing transparency in insurance approval decisions.

Referred to Health & Human Services
#healthcareproviders(i0387) #insurance--health&accident(i0422) #nurses&nurseaides(s2704) #physicians(s1282)
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Bill Summary · SB 2012

Legislative bill overview

SB 2012 requires health insurance companies to disclose information about the specific physicians and nurses who make preauthorization decisions for requested medical services or supplies. The bill mandates transparency regarding the qualifications and identities of these decision-makers to patients and healthcare providers.

Why is this important

Preauthorization decisions directly affect patient access to care and treatment timelines. Currently, patients often don't know who denied their requests or their qualifications, making it difficult to challenge denials or understand the medical reasoning. This bill aims to increase accountability in the insurance approval process, which affects millions of Texans annually.

Potential points of contention

  • Insurance industry compliance costs: Insurers may argue that identifying individual reviewers creates administrative burden and potential liability issues, potentially raising premiums
  • Reviewer privacy and safety concerns: Insurance companies may resist naming individual decision-makers due to privacy protections and concerns about targeting or harassment
  • Definition ambiguity: The bill doesn't specify what "certain information" entails—whether it includes names, credentials, specialty, or other details—potentially creating implementation disputes

Compiled from official sources — confirm details with the bill’s official record.

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