1 | 1 | | 81R27077 NC-F |
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2 | 2 | | By: Thompson, et al. H.B. No. 2279 |
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3 | 3 | | Substitute the following for H.B. No. 2279: |
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4 | 4 | | By: McReynolds C.S.H.B. No. 2279 |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to the provision of and billing for certain diagnostic |
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10 | 10 | | imaging services. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Subtitle A, Title 3, Occupations Code, is |
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13 | 13 | | amended by adding Chapter 116 to read as follows: |
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14 | 14 | | CHAPTER 116. DIRECT BILLING OF DIAGNOSTIC IMAGING SERVICES |
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15 | 15 | | Sec. 116.001. DEFINITIONS. In this chapter: |
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16 | 16 | | (1) "Diagnostic imaging services" means magnetic |
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17 | 17 | | resonance imaging, computed tomography, positron emission |
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18 | 18 | | tomography, and any hybrid technology that combines any of those or |
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19 | 19 | | other imaging modalities. |
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20 | 20 | | (2) "Health care provider" means any person licensed |
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21 | 21 | | as a health care professional or authorized to practice health care |
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22 | 22 | | under Subtitle B, C, or E. |
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23 | 23 | | (3) "Licensing authority" means a department, board, |
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24 | 24 | | office, or other agency of this state that licenses or otherwise |
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25 | 25 | | regulates a health care provider who is subject to this chapter. |
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26 | 26 | | (4) "Patient" means a person who receives a physical |
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27 | 27 | | examination, evaluation, diagnosis, or treatment by a health care |
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28 | 28 | | provider. |
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29 | 29 | | (5) "Professional component of diagnostic imaging |
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30 | 30 | | services" means the component of a medical imaging procedure that |
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31 | 31 | | involves an interpretation to be performed by a health care |
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32 | 32 | | provider, including the interpretation of a radiograph or the |
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33 | 33 | | images produced by diagnostic imaging services. The term also |
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34 | 34 | | includes valuation for the work performed by a health care |
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35 | 35 | | provider, practice expenses, and medical liability associated with |
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36 | 36 | | the interpretation of a diagnostic imaging service. |
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37 | 37 | | Sec. 116.002. PROHIBITED ACTS REGARDING DIAGNOSTIC IMAGING |
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38 | 38 | | SERVICES. Notwithstanding any other law, a health care provider |
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39 | 39 | | violates this chapter and is subject to disciplinary action and |
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40 | 40 | | penalties under Subtitle B, C, or E, as appropriate, if the health |
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41 | 41 | | care provider: |
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42 | 42 | | (1) does not directly supervise or perform the |
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43 | 43 | | professional component of a diagnostic imaging service for a |
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44 | 44 | | patient; and |
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45 | 45 | | (2) fails to disclose in the bill presented to the |
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46 | 46 | | patient or the insurer or other third party payor, or in an itemized |
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47 | 47 | | statement to the patient: |
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48 | 48 | | (A) the name and address of the health care |
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49 | 49 | | provider that provided the professional component of the diagnostic |
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50 | 50 | | imaging service; and |
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51 | 51 | | (B) the net amount paid or to be paid for each |
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52 | 52 | | professional component of the diagnostic imaging service provided |
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53 | 53 | | to the patient by the health care provider. |
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54 | 54 | | Sec. 116.003. DISCIPLINARY ACTION. A licensing authority |
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55 | 55 | | with jurisdiction over a health care provider who may request or |
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56 | 56 | | provide diagnostic imaging services may revoke, suspend, or refuse |
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57 | 57 | | to renew the license or other authorization of a health care |
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58 | 58 | | provider who violates this chapter. |
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59 | 59 | | Sec. 116.004. RULES. The governing body of a licensing |
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60 | 60 | | authority may adopt rules as necessary to implement this chapter. |
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61 | 61 | | SECTION 2. Section 116.002, Occupations Code, as added by |
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62 | 62 | | this Act, applies only to conduct that occurs on or after the |
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63 | 63 | | effective date of this Act. Conduct that occurs before the |
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64 | 64 | | effective date of this Act is governed by the law as it existed |
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65 | 65 | | immediately before the effective date of this Act, and that law is |
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66 | 66 | | continued in effect for that purpose. |
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67 | 67 | | SECTION 3. This Act takes effect September 1, 2009. |
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