Texas AG opens probe

Texas Attorney General Ken Paxton launched an investigation into Blue Cross and Blue Shield of Texas for allegedly denying or delaying urgent newborn care transfers

“Blue Cross Blue Shield has a responsibility to put patients before profits and ensure that Texans receive the care they need”

Newborn transfer delay

Administrative denials and improper utilization reviews allegedly delayed approval for a newborn to transfer to a facility providing urgent care

Medical necessity process

Blue Cross requires prior authorization to review medical necessity before approving treatments, but the process allegedly caused delays

Texas law enforcement

Paxton's office will examine if Blue Cross violated Texas law, including the Deceptive Trade Practices Act

Paxton's stance

Paxton stated insurance companies must prioritize patient care over profits, especially for urgent medical needs

“When a newborn baby or any other Texan urgently needs medical treatment, an insurance company's priority should be helping provide that care to the best of its ability, not searching for ways to delay or deny it”