Relating to consumer protections against certain medical and health care billing by emergency medical services providers.
Impact
The bill has a significant implication for state laws governing healthcare billing. By enforcing limitations on the amounts that can be billed for emergency services based on regulated rates or set percentages of Medicare rates, SB2476 attempts to standardize costs and minimize unexpected financial burdens on patients. This aligns with other efforts in the state to mitigate surprise medical billing, ensuring that consumers are more informed and protected when they require immediate medical assistance, especially in emergency situations.
Summary
Senate Bill 2476 aims to enhance consumer protections against certain medical and healthcare billing practices, particularly those associated with emergency medical services (EMS) providers. Specifically, the legislation addresses 'balance billing', a situation where patients inadvertently receive high bills from out-of-network providers after receiving emergency medical care. By creating a publicly accessible database to which political subdivisions can submit regulated rates for EMS services, the bill seeks to ensure that patients are charged only a specified amount, thereby preventing exorbitant costs associated with out-of-network ambulance services.
Sentiment
The sentiment surrounding Senate Bill 2476 is predominantly positive. Legislators and various advocacy groups have expressed support for the bill, highlighting its potential to alleviate the financial stress experienced by patients who unexpectedly receive high bills from EMS providers. This support reflects a growing recognition of the importance of consumer protection in healthcare, particularly regarding emergency services, which are often utilized without prior ability to consider costs.
Contention
Despite the general support for SB2476, there are points of contention, particularly concerning how the legislation might affect out-of-network EMS providers and their reimbursement. Some stakeholders fear that the regulation of rates could impact the viability of certain emergency medical services, especially those that rely on out-of-network billing to sustain operations. Additionally, the phase-out provisions of the bill, set to expire in 2025, have raised questions about long-term sustainability and protections once the bill's provisions are no longer in effect.
Texas Constitutional Statutes Affected
Insurance Code
Chapter 38. Data Collection And Reports
Section: 006
Section: 006
Section: 006
Section: 006
Chapter 1271. Benefits Provided By Health Maintenance Organizations; Evidence Of Coverage; Charges
Section: 008
Section: 159
Section: 159
Section: 008
Section: 159
Section: 008
Section: New Section
Chapter 1301. Preferred Provider Benefit Plans
Section: 010
Section: 166
Section: 166
Section: 166
Section: 166
Section: 0045
Section: New Section
Chapter 1551. Texas Employees Group Benefits Act
Section: 015
Section: 231
Section: 231
Section: 231
Section: 231
Section: 015
Section: New Section
Chapter 1575. Texas Public School Employees Group Benefits Program
Section: 009
Section: 174
Section: 174
Section: 174
Section: 174
Section: 009
Section: New Section
Chapter 1579. Texas School Employees Uniform Group Health Coverage
Section: 009
Section: 112
Section: 112
Section: 112
Section: 112
Chapter 1275. Balance Billing Prohibitions And Out-of-network Claim Dispute Resolution For Certain Plans
Relating to consumer protections against and county and municipal authority regarding certain medical and health care billing by ambulance service providers.
Relating to consumer protections against and county and municipal authority regarding certain medical and health care billing by ambulance service providers.