1 | 1 | | 81R13377 TJS-F |
---|
2 | 2 | | By: Farrar H.B. No. 4251 |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | A BILL TO BE ENTITLED |
---|
6 | 6 | | AN ACT |
---|
7 | 7 | | relating to claims and liens by certain health care providers. |
---|
8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
9 | 9 | | SECTION 1. Section 146.001(2), Civil Practice and Remedies |
---|
10 | 10 | | Code, is amended to read as follows: |
---|
11 | 11 | | (2) "Health care service provider" means a person who, |
---|
12 | 12 | | under a license or other grant of authority issued by this state, |
---|
13 | 13 | | provides health care services the costs of which may be paid for or |
---|
14 | 14 | | reimbursed under a health benefit plan. The term includes a |
---|
15 | 15 | | hospital or other organization or entity that provides health care |
---|
16 | 16 | | the costs of which may be paid for or reimbursed under a health |
---|
17 | 17 | | benefit plan. |
---|
18 | 18 | | SECTION 2. Section 146.003(a), Civil Practice and Remedies |
---|
19 | 19 | | Code, is amended to read as follows: |
---|
20 | 20 | | (a) Notwithstanding Chapter 55, Property Code, a [A] health |
---|
21 | 21 | | care service provider who violates Section 146.002 may not recover |
---|
22 | 22 | | from the patient directly or by way of a lien, assignment, or other |
---|
23 | 23 | | method from the proceeds of a patient's third-party tort judgment, |
---|
24 | 24 | | uninsured or underinsured motorist insurance, personal injury |
---|
25 | 25 | | protection insurance, or any amount that the patient would have |
---|
26 | 26 | | been entitled to receive as payment or reimbursement under a health |
---|
27 | 27 | | benefit plan or that the patient would not otherwise have been |
---|
28 | 28 | | obligated to pay had the provider complied with Section 146.002. A |
---|
29 | 29 | | lien filed under Chapter 55, Property Code, is subject to this |
---|
30 | 30 | | section. |
---|
31 | 31 | | SECTION 3. Section 55.002, Property Code, is amended by |
---|
32 | 32 | | adding Subsections (d) and (e) to read as follows: |
---|
33 | 33 | | (d) A hospital or emergency medical services provider must |
---|
34 | 34 | | bill the applicable health insurance, including Medicaid, |
---|
35 | 35 | | Medicare, a compensation to victims of crime fund or a compensation |
---|
36 | 36 | | to victims of crime auxiliary fund, workers' compensation, or other |
---|
37 | 37 | | public or private health insurance not later than the date provided |
---|
38 | 38 | | by the insurer or by applicable law. A hospital or emergency |
---|
39 | 39 | | medical services provider that violates this section or Section |
---|
40 | 40 | | 146.002, Civil Practice and Remedies Code, may not recover from the |
---|
41 | 41 | | patient directly or by way of a lien, assignment, or other method |
---|
42 | 42 | | from the proceeds of a patient's third-party tort judgment, |
---|
43 | 43 | | uninsured or underinsured motorist insurance, personal injury |
---|
44 | 44 | | protection insurance, or any amount that the patient would have |
---|
45 | 45 | | been entitled to receive as payment or reimbursement under a health |
---|
46 | 46 | | benefit plan or that the patient would not otherwise have been |
---|
47 | 47 | | obligated to pay had the provider complied with this section or |
---|
48 | 48 | | Section 146.002, Civil Practice and Remedies Code. |
---|
49 | 49 | | (e) A patient's obligation to a hospital or emergency |
---|
50 | 50 | | medical services provider may not be assigned to an automobile |
---|
51 | 51 | | insurance coverage, including uninsured or underinsured motorist |
---|
52 | 52 | | coverage, personal injury protection coverage, or medical payments |
---|
53 | 53 | | coverage. A patient's obligation to a hospital or emergency |
---|
54 | 54 | | medical services provider may be assigned to the patient's health |
---|
55 | 55 | | insurance or employee welfare benefit plan. |
---|
56 | 56 | | SECTION 4. The change in law made by this Act applies only |
---|
57 | 57 | | to an action that accrues on or after the effective date of this |
---|
58 | 58 | | Act. An action that accrues before the effective date of this Act |
---|
59 | 59 | | is governed by the law as it existed immediately before that date, |
---|
60 | 60 | | and that law is continued in effect for that purpose. |
---|
61 | 61 | | SECTION 5. This Act takes effect immediately if it receives |
---|
62 | 62 | | a vote of two-thirds of all the members elected to each house, as |
---|
63 | 63 | | provided by Section 39, Article III, Texas Constitution. If this |
---|
64 | 64 | | Act does not receive the vote necessary for immediate effect, this |
---|
65 | 65 | | Act takes effect September 1, 2009. |
---|