Texas 2025 - 89th Regular

Texas Senate Bill SB916

Filed
1/24/25  
Out of Senate Committee
3/24/25  
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to consumer protections against certain medical and health care billing by emergency medical services providers.

Impact

If enacted, SB916 will amend several sections of the Texas Health and Safety Code and the Insurance Code to create stricter regulations on how EMS providers can bill for their services. It aims to minimize the likelihood of unexpected medical bills that can burden consumers, especially considering the nature of emergency medical services where patients are often incapacitated. The adjustments made by the bill are designed to ensure that billing practices are not only transparent but also equitable, potentially leading to financial relief for many Texans who may otherwise face overwhelming medical debts.

Summary

Senate Bill 916 seeks to enhance consumer protections regarding medical and healthcare billing practices by emergency medical services (EMS) providers in Texas. The bill mandates that EMS providers must comply with accurate billing practices and allows for penalties, including revocation or suspension of licenses, if they submit incorrect information or repeatedly engage in violations. This legislation is positioned as a response to concerns about transparency and fairness in medical billing, particularly in emergency situations where patients have little to no choice regarding their care.

Sentiment

The general sentiment surrounding SB916 appears to be supportive among consumer advocacy groups and the public, who view the measures as necessary for protecting patients from predatory billing practices. However, there are also concerns from some EMS providers and industry representatives who argue that overly stringent regulations could impact their operational viability. As a result, discussions highlight the need for a balanced approach that safeguards consumers while ensuring that emergency service providers can maintain their financial health.

Contention

Notable points of contention include the implications of allowing governmental authorities to revoke licenses based on billing violations, which some argue could lead to disproportionately harsh penalties against providers. Furthermore, the proposed adjustments to price regulations raise questions about their potential impact on the economics of operating EMS services, especially in underserved areas. Overall, the debate reflects broader issues of consumer rights in healthcare and the challenges of regulating an inherently complex and often high-stakes industry.

Texas Constitutional Statutes Affected

Health And Safety Code

  • Chapter 773. Emergency Medical Services
    • Section: 061
    • Section: 061
    • Section: 061
    • Section: 061

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: 159
    • Section: 159
    • Section: 159
    • Section: 159
  • Chapter 1275. Balance Billing Prohibitions And Out-of-network Claim Dispute Resolution For Certain Plans
    • Section: 054
    • Section: 054
    • Section: 054
    • Section: 054
  • Chapter 1301. Preferred Provider Benefit Plans
    • Section: 166
    • Section: 166
    • Section: 166
    • Section: 166
  • Chapter 1551. Texas Employees Group Benefits Act
    • Section: 231
    • Section: 231
    • Section: 231
    • Section: 231
  • Chapter 1575. Texas Public School Employees Group Benefits Program
    • Section: 174
    • Section: 174
    • Section: 174
    • Section: 174
  • Chapter 1579. Texas School Employees Uniform Group Health Coverage
    • Section: 112
    • Section: 112
    • Section: 112
    • Section: 112

Companion Bills

TX HB4054

Identical Relating to consumer protections against certain medical and health care billing by emergency medical services providers.

Similar Bills

No similar bills found.