Texas House Bill HB3473

Texas 2009 - 81st Regular

Caption

Relating to charity care.

Impact

The implications of HB 3473 on state laws include significant protections for individuals without sufficient insurance coverage. By limiting the amounts that uninsured and underinsured patients can be charged for medical care, the bill seeks to alleviate the financial burden that often leads to medical bankruptcy. Moreover, it compels hospitals to implement more transparent pricing policies and develop charity care programs, ensuring these options are communicated clearly to potential patients to enhance participation.

Summary

House Bill 3473 aims to address the challenges faced by uninsured and underinsured individuals seeking healthcare services in Texas. The bill mandates that hospitals cannot deny medically necessary health services based on a patient's status as uninsured or underinsured. Additionally, it establishes that the prices charged to these individuals for services cannot exceed 125% of the Medicare reimbursement rate or be based on a discount that is at least 90% of the hospital's average contracted rates. This legislative initiative underscores a commitment to equitable healthcare access, especially for vulnerable populations.

Contention

Notable points of contention surrounding HB 3473 center on concerns about the practicality of enforcing these pricing regulations for hospitals. Critics may highlight the potential for financial strain on healthcare facilities that could arise from mandated charity care programs, particularly smaller hospitals that rely more heavily on patient fees. Moreover, the involvement of the attorney general in investigating compliance with the law raises questions about the balance between enforcing regulations and overstepping operational boundaries that hospitals may require to function effectively.