# 28 Tex. Admin. Code § 19.1701: 28 TAC § 19.1701. General Provisions, DIVISION 1. UTILIZATION REVIEWS

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1701

## Section

- **Citation:** 28 Tex. Admin. Code § 19.1701
- **Heading:** 28 TAC § 19.1701. General Provisions, DIVISION 1. UTILIZATION REVIEWS
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 28 INSURANCE / Part 1 TEXAS DEPARTMENT OF INSURANCE / Chapter 19 LICENSING AND REGULATION OF INSURANCE PROFESSIONALS / 28 TAC § 19.1701

## Text

(a) Statutory basis. This subchapter implements Insurance
 Code Chapter 4201, concerning Utilization Review Agents.
(b) Severability. If a court of competent jurisdiction
 holds that any provision of this subchapter or its application to
 any person or circumstance is invalid for any reason, the invalidity
 does not affect other provisions or applications of this subchapter
 that can be given effect without the invalid provision or application,
 and to this end the provisions of this subchapter are severable.
(c) Purpose. The purpose of this subchapter is to:
(1) promote the delivery of quality health care in
 a cost-effective manner, including protection of enrollee safety;
(2) ensure that URAs adhere to reasonable standards
 for conducting utilization reviews;
(3) foster greater coordination and cooperation between
 health care providers and URAs;
(4) improve communications and knowledge of medical
 benefits among all parties concerned before expenses are incurred;
 and
(5) ensure that URAs maintain the confidentiality of
 medical records in accord with applicable law.

## Nearby sections

- [28 Tex. Admin. Code § 19.1701 28 TAC § 19.1701. General Provisions, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1701.md)
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- [28 Tex. Admin. Code § 19.1713 28 TAC § 19.1713. Confidentiality, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1713.md)
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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1701. Check the current official text before relying on it. Not legal advice.