Texas Senate Bill SB1747

Texas 2009 - 81st Regular

Caption

Relating to billing practices for certain health care facilities and providers.

Impact

The implications of SB1747 extend beyond mere administrative adjustments; they reflect a significant shift towards consumer protection in healthcare billing. It establishes a framework where consumers have the right to receive itemized statements quickly, specifically within ten business days of request. This builds a stronger foundation for accountability among healthcare providers and ensures that third-party payors can properly assess and process their claims, minimizing potential disputes over billing errors or discrepancies.

Summary

SB1747 seeks to reform billing practices for certain health care facilities and providers by offering clearer guidelines on the responsibilities of facilities and third-party payors regarding billing and payment processes. This bill introduces specific amendments to the Health and Safety Code, particularly focusing on how preferred providers handle billing, the time frames for submitting claims, and the rights of consumers and payors to request itemized statements of charges. By defining terms and providing structured processes, the bill aims to enhance transparency in healthcare billing, making it easier for consumers and payors to navigate their financial responsibilities after receiving medical services.

Contention

Despite its aims at transparency and efficiency, SB1747 has generated discussion regarding the potential burden it may impose on healthcare facilities, particularly smaller providers who might struggle with the increased documentation and administrative requirements. Critics argue that while the intention is to safeguard consumer rights, the practicality of complying with stringent demands for billing statements could lead to unintentional delays in claims processing, ultimately affecting the availability of care and the operational capacities of these facilities.