Texas § LA.413.002 - MEDICAL REVIEW

Full text of Texas The Texas Constitution § LA.413.002 — MEDICAL REVIEW, with citation guidance and answers to common questions.

§ LA.413.002. MEDICAL REVIEW

MEDICAL REVIEW. (a) The division shall monitor health care providers, insurance carriers, independent review organizations, and workers' compensation claimants who receive medical services to ensure the compliance of those persons with rules adopted by the commissioner relating to health care, including medical policies and fee guidelines. (b) In monitoring health care providers who serve as designated doctors under Chapter 408 and independent review organizations who provide services described by this chapter, the division shall evaluate: (1) compliance with this subtitle and with rules adopted by the commissioner relating to medical policies, fee guidelines, treatment guidelines, return-to-work guidelines, and impairment ratings; and (2) the quality and timeliness of decisions made under Section 408.0041 , 408.122 , 408.151 , or 413.031 . (c) The division shall report the results of the monitoring of independent review organizations under Subsection (b) to the department on at least a quarterly basis. (d) If the commissioner determines that an independent review organization is in violation of this chapter, rules adopted by the commissioner under this chapter, applicable provisions of this code or rules adopted under this code, or applicable provisions of the Insurance Code or rules adopted under that code, the commissioner or a designated representative shall notify the independent review organization of the alleged violation and may compel the production of any documents or other information as necessary to determine whether the violation occurred. Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993. Amended by Acts 1995, 74th Leg., ch. 980, Sec. 1.42, eff. Sept. 1, 1995. Amended by: Acts 2005, 79th Leg., Ch. 265 (H.B. 7 ), Sec. 3.227, eff. September 1, 2005.

Frequently Asked Questions About Texas § LA.413.002

What does The Texas Constitution § LA.413.002 cover?

Section LA.413.002 ("MEDICAL REVIEW") 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 § LA.413.002?

A common citation format is "The Texas Constitution § LA.413.002" (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 § LA.413.002 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.