Texas 2009 - 81st Regular

Texas Senate Bill SB1170 Compare Versions

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11 81R8682 ALB-F
22 By: Nichols S.B. No. 1170
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55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to health care services provided or paid by a hospital
88 district or public hospital.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Section 61.066, Health and Safety Code, is
1111 amended by adding Subsection (c) to read as follows:
1212 (c) A hospital district may recover an amount equal to the
1313 value of any fraudulently obtained health care services provided to
1414 a person disqualified under this section.
1515 SECTION 2. Subchapter C, Chapter 61, Health and Safety
1616 Code, is amended by adding Section 61.067 to read as follows:
1717 Sec. 61.067. SUBROGATION. (a) The filing of an
1818 application for or receipt of health care services provided or paid
1919 for by a hospital district or public hospital constitutes an
2020 assignment of the applicant's or recipient's right of recovery
2121 from:
2222 (1) personal insurance;
2323 (2) other sources; or
2424 (3) another person for personal injury caused by the
2525 other person's negligence or wrong.
2626 (b) A person who applies for or receives health care
2727 services shall inform the hospital district or public hospital, at
2828 the time of application or at any time during eligibility for
2929 services, of:
3030 (1) any unsettled tort claim that may affect medical
3131 needs;
3232 (2) any private accident or health insurance coverage
3333 that is or may become available; and
3434 (3) any injury that is caused by the act or failure to
3535 act of some other person.
3636 (c) An applicant or eligible resident shall inform the
3737 hospital district or public hospital of information required by
3838 Subsection (b) within 10 days of the date the person learns of the
3939 person's insurance coverage, tort claim, or potential cause of
4040 action.
4141 (d) A claim for damages for personal injury does not
4242 constitute grounds for denying or discontinuing services under this
4343 chapter.
4444 (e) A separate and distinct cause of action is created in
4545 favor of the hospital district or public hospital, and the hospital
4646 district or public hospital may, with the approval of the board of
4747 directors or managers, take direct civil action in any court of
4848 competent jurisdiction. A suit brought under this section does not
4949 need to be ancillary to or dependent on any other action.
5050 (f) The hospital district's or public hospital's right of
5151 recovery under this section is limited to the amount of the cost of
5252 services paid by the hospital district or public hospital. Other
5353 subrogation rights granted under this section are limited to the
5454 cost of the services provided by the hospital district or public
5555 hospital.
5656 (g) An applicant or eligible resident who knowingly and
5757 intentionally fails to disclose the information required by
5858 Subsection (b) is subject to denial of services under Section
5959 61.066 following an administrative hearing.
6060 (h) Procedures established by a hospital district or public
6161 hospital for administrative hearings under this section shall
6262 provide for appropriate due process, including procedures for
6363 appeals.
6464 SECTION 3. This Act applies only to the filing of an
6565 application for services or receipt of services as described by
6666 Section 61.067, Health and Safety Code, as added by this Act, on or
6767 after the effective date of this Act. The filing of an application
6868 for services or receipt of services before the effective date of
6969 this Act is governed by the law in effect on the date of filing or
7070 receipt of services, and the prior law is continued in effect for
7171 that purpose.
7272 SECTION 4. This Act takes effect September 1, 2009.