Relating to consumer protections against certain medical and health care billing by emergency medical services providers.
Impact
If enacted, HB 4054 will reinforce regulations within the healthcare landscape, specifically targeting the billing practices of emergency medical services. The proposed law aims to deter misconduct by allowing the Department of Health to revoke or suspend the license of a provider found to have intentionally submitted incorrect billing information or engaged in a pattern of violations. This shift is significant as it emphasizes accountability among EMS providers and is intended to safeguard consumer interests by promoting fair practices in medical billing.
Summary
House Bill 4054 focuses on enhancing consumer protections related to medical and healthcare billing practices by emergency medical services (EMS) providers in Texas. The bill introduces amendments to various sections of the Health and Safety Code and the Insurance Code, addressing issues such as the accuracy of information submitted by EMS providers for billing purposes. By imposing stricter penalties for intentional misinformation and recurring violations, the bill aims to create a more transparent billing environment for consumers who utilize emergency medical services.
Contention
While the bill generally seeks to enhance consumer protections, there may be points of contention regarding the implementation of these regulations. Stakeholders, such as emergency service providers and local politicians, may express concerns about the financial implications of increased regulatory scrutiny, fearing that stringent controls could lead to higher operational costs. Additionally, there may be debates around how these new regulations will interact with existing state and federal laws regulating healthcare practices and insurance.
Texas Constitutional Statutes Affected
Health And Safety Code
Chapter 773. Emergency Medical Services
Section: 061
Insurance Code
Chapter 38. Data Collection And Reports
Section: 006
Chapter 1271. Benefits Provided By Health Maintenance Organizations; Evidence Of Coverage; Charges
Section: 159
Chapter 1275. Balance Billing Prohibitions And Out-of-network Claim Dispute Resolution For Certain Plans
Section: 054
Chapter 1301. Preferred Provider Benefit Plans
Section: 166
Chapter 1551. Texas Employees Group Benefits Act
Section: 231
Chapter 1575. Texas Public School Employees Group Benefits Program
Section: 174
Chapter 1579. Texas School Employees Uniform Group Health Coverage
Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.