Texas § IN.4201.657 - EFFECT OF APPEAL OR INDEPENDENT REVIEW DETERMINATION
Full text of Texas The Texas Constitution § IN.4201.657 — EFFECT OF APPEAL OR INDEPENDENT REVIEW DETERMINATION, with citation guidance and answers to common questions.
§ IN.4201.657. EFFECT OF APPEAL OR INDEPENDENT REVIEW DETERMINATION
EFFECT OF APPEAL OR INDEPENDENT REVIEW DETERMINATION. (a) A health maintenance organization or insurer is bound by an appeal or independent review determination that does not affirm the determination made by the health maintenance organization or insurer to rescind a preauthorization exemption. (b) A health maintenance organization or insurer may not retroactively deny a health care service on the basis of a rescission of an exemption, even if the health maintenance organization's or insurer's determination to rescind the preauthorization exemption is affirmed by an independent review organization. (c) If a determination of a preauthorization exemption made by the health maintenance organization or insurer is overturned on review by an independent review organization, the health maintenance organization or insurer: (1) may not attempt to rescind the exemption before the end of the next evaluation period that occurs; and (2) may only rescind the exemption after if the health maintenance organization or insurer complies with Sections 4201.655 and 4201.656 . Added by Acts 2021, 87th Leg., R.S., Ch. 1018 (H.B. 3459 ), Sec. 5, eff. September 1, 2021.
Source: official Texas text · Last verified 2026-08-27
Frequently Asked Questions About Texas § IN.4201.657
What does The Texas Constitution § IN.4201.657 cover?
Section IN.4201.657 ("EFFECT OF APPEAL OR INDEPENDENT REVIEW DETERMINATION") is part of the The Texas Constitution, the codified statutory law of Texas. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Texas § IN.4201.657?
A common citation format is "The Texas Constitution § IN.4201.657" (Texas). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Texas law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Texas official source linked on this page or consult a licensed Texas attorney.
How does Texas § IN.4201.657 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Texas can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Texas.