The Texas Division of Workers’ Compensation (DWC) is accepting public comments on a proposal to repeal portions of the Administrative Code related to medical billing.

The impacted areas are 28 Texas Administrative Code Sections:

• 133.309 – Alternate Medical Necessity Dispute Resolution by Case Review Doctor
• 133.4 – Written Notification to Health Care Providers of Contractual Agreements for Informal and Voluntary Networks
• 133.5 – Informal Network and Voluntary Network Reporting Requirements to the Division

The DWC states that sections 133.4 and 133.5 must be repealed because they originally expired on January 1, 2011, and that 133.309 must be repealed because the Court of Appeals of Texas, Austin, declared it invalid in 2008.

Written comments on the proposed appeal must be sent to RuleComments@tdi.texas.gov by 5:00 PM Central time, on November 10, 2025.