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Bill would require centralized reporting of 'gold card' prior-authorization exemptions; insurers warn of duplicate reporting costs
Summary
Sen. Menendez introduced SB 547 to require plans to notify the Texas Department of Insurance of physician gold-card status to create a centralized database. Supporters said the change would reduce delays and confusion; payers flagged potential duplicative reporting costs and administrative burdens.
Sen. Menendez laid out Senate Bill 5-47, which would require health plans to notify the Texas Department of Insurance (TDI) within 10 days of a change to a physician’s prior-authorization exemption (the "gold card" status), and would direct TDI to create and maintain a centralized database and publish an annual report summarizing exemptions and insurer behavior.
"The Gold Card Act passed in 2021, but the results by almost any standard have been underwhelming," Menendez said. He told the committee that only about 3 percent of…
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