title: Tough act to follow.
abstract: In 1997, Texas lawmakers overwhelmingly enacted one of the most sweeping packages of managed care reforms in the country. In fact, those reforms put Texas at the forefront of the patient protection debate with the first-in-the-nation law holding managed care plans liable for their negligent medical-necessity decisions and establishing an independent review process that allows patients to quickly appeal when their managed care organizations deny needed care.
authors.forename: K
authors.initials: K
authors.lastname: Ortolon
mesh_terms: D003657:Decision Making; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence; D016365:Liability, Legal; D008329:Managed Care Programs / Q000331:legislation & jurisprudence*; D010344:Patient Advocacy; D013781:Texas