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Texas Department of Insurance
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Preauthorization Exemptions

Also known as "goldcards," preauthorization exemptions were first required under House Bill 3459, 87th Legislature, 2021.The requirements were updated by House Bill 3812, 89th Legislature, 2025.

Rules

TDI first adopted rules related to preauthorization requirements in 2022. These rules will be updated to implement HB 3812.

2022 rules:

Guidance

See TDI's FAQ on preauthorization exemptions.

For more information, contact: LHLMgmt@tdi.texas.gov

Last updated: 9/2/2025