Texas § IN.4202.003 - REQUIREMENTS REGARDING TIMELINESS OF DETERMINATION
Full text of Texas The Texas Constitution § IN.4202.003 — REQUIREMENTS REGARDING TIMELINESS OF DETERMINATION, with citation guidance and answers to common questions.
§ IN.4202.003. REQUIREMENTS REGARDING TIMELINESS OF DETERMINATION
REQUIREMENTS REGARDING TIMELINESS OF DETERMINATION. The standards adopted under Section 4202.002 must require each independent review organization to make the organization's determination: (1) for a life-threatening condition as defined by Section 4201.002 , the provision of prescription drugs or intravenous infusions for which the patient is receiving benefits under the health insurance policy, or a review of a step therapy protocol exception request under Section 1369.0546 , not later than the earlier of the third day after the date the organization receives the information necessary to make the determination or, with respect to: (A) a review of a health care service provided to a person with a life-threatening condition eligible for workers' compensation medical benefits, the eighth day after the date the organization receives the request that the determination be made; or (B) a review of a health care service other than a service described by Paragraph (A), the third day after the date the organization receives the request that the determination be made; or (2) for a situation other than a situation described by Subdivision (1), not later than the earlier of: (A) the 15th day after the date the organization receives the information necessary to make the determination; or (B) the 20th day after the date the organization receives the request that the determination be made. Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017 ), Sec. 4, eff. April 1, 2007. Amended by: Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645 ), Sec. 2, eff. September 1, 2013. Acts 2015, 84th Leg., R.S., Ch. 1037 (H.B. 1621 ), Sec. 8, eff. September 1, 2015. Acts 2017, 85th Leg., R.S., Ch. 103 (S.B. 680 ), Sec. 4, eff. September 1, 2017.
Source: official Texas text · Last verified 2026-08-27
Frequently Asked Questions About Texas § IN.4202.003
What does The Texas Constitution § IN.4202.003 cover?
Section IN.4202.003 ("REQUIREMENTS REGARDING TIMELINESS OF 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.4202.003?
A common citation format is "The Texas Constitution § IN.4202.003" (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.4202.003 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.