Texas § IN.1352.004 - TRAINING FOR CERTAIN PERSONNEL REQUIRED

Full text of Texas The Texas Constitution § IN.1352.004 — TRAINING FOR CERTAIN PERSONNEL REQUIRED, with citation guidance and answers to common questions.

§ IN.1352.004. TRAINING FOR CERTAIN PERSONNEL REQUIRED

TRAINING FOR CERTAIN PERSONNEL REQUIRED. (a) In this section, "preauthorization" means the provision of a reliable representation to a physician or health care provider of whether a health benefit plan issuer will pay the physician or provider for proposed medical or health care services if the physician or provider provides those services to the patient for whom the services are proposed. The term includes precertification, certification, recertification, or any other activity that involves providing a reliable representation by the issuer to a physician or health care provider. (b) The commissioner by rule shall require a health benefit plan issuer to provide adequate training to personnel responsible for preauthorization of coverage or utilization review under the plan. The purpose of the training is to prevent denial of coverage in violation of Section 1352.003 and to avoid confusion of medical benefits with mental health benefits. The commissioner shall prescribe by rule the basic requirements for the training described by this subsection. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2007, 80th Leg., R.S., Ch. 877 (H.B. 1919 ), Sec. 4, eff. September 1, 2007. Acts 2015, 84th Leg., R.S., Ch. 837 (S.B. 200 ), Sec. 3.38, eff. January 1, 2016. Acts 2015, 84th Leg., R.S., Ch. 946 (S.B. 277 ), Sec. 2.35, eff. January 1, 2016.

Source: official Texas text · Last verified 2026-08-27

Frequently Asked Questions About Texas § IN.1352.004

What does The Texas Constitution § IN.1352.004 cover?

Section IN.1352.004 ("TRAINING FOR CERTAIN PERSONNEL REQUIRED") 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.1352.004?

A common citation format is "The Texas Constitution § IN.1352.004" (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.1352.004 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.