Texas 2011 - 82nd Regular

Texas House Bill HB2576 Compare Versions

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Old	New	Differences
1	1	82R20325 YDB-D
2	2	By: Truitt H.B. No. 2576
3	3	Substitute the following for H.B. No. 2576:
4	4	By: Kolkhorst C.S.H.B. No. 2576
5	5
6	6
7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to a disclosure statement on the out-of-pocket costs
10	10	incurred for health care services and supplies provided to
11	11	consumers receiving outpatient care at a hospital outpatient
12	12	clinic.
13	13	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
14	14	SECTION 1. Section 324.101(a), Health and Safety Code, is
15	15	amended to read as follows:
16	16	(a) Each facility shall develop, implement, and enforce
17	17	written policies for the billing of facility health care services
18	18	and supplies. The policies must address:
19	19	(1) any discounting of facility charges to an
20	20	uninsured consumer, subject to Chapter 552, Insurance Code;
21	21	(2) any discounting of facility charges provided to a
22	22	financially or medically indigent consumer who qualifies for
23	23	indigent services based on a sliding fee scale or a written charity
24	24	care policy established by the facility and the documented income
25	25	and other resources of the consumer;
26	26	(3) the providing of an itemized statement required by
27	27	Subsection (e);
28	28	(4) whether interest will be applied to any billed
29	29	service not covered by a third-party payor and the rate of any
30	30	interest charged;
31	31	(5) the procedure for handling complaints;
32	32	(6) the providing of a conspicuous written disclosure
33	33	to a consumer at the time the consumer is first admitted to the
34	34	facility or first receives services at the facility that:
35	35	(A) provides confirmation whether the facility
36	36	is a participating provider under the consumer's third-party payor
37	37	coverage on the date services are to be rendered based on the
38	38	information received from the consumer at the time the confirmation
39	39	is provided;
40	40	(B) informs consumers that a facility-based
41	41	physician who may provide services to the consumer while the
42	42	consumer is in the facility may not be a participating provider with
43	43	the same third-party payors as the facility;
44	44	(C) informs consumers that the consumer may
45	45	receive a bill for medical services from a facility-based physician
46	46	for the amount unpaid by the consumer's health benefit plan;
47	47	(D) informs consumers that the consumer may
48	48	request a listing of facility-based physicians who have been
49	49	granted medical staff privileges to provide medical services at
50	50	the facility; and
51	51	(E) informs consumers that the consumer may
52	52	request information from a facility-based physician on whether the
53	53	physician has a contract with the consumer's health benefit plan
54	54	and under what circumstances the consumer may be responsible for
55	55	payment of any amounts not paid by the consumer's health benefit
56	56	plan;
57	57	(7) the requirement that a facility provide a list, on
58	58	request, to a consumer to be admitted to, or who is expected to
59	59	receive services from, the facility, that contains the name and
60	60	contact information for each facility-based physician or
61	61	facility-based physician group that has been granted medical staff
62	62	privileges to provide medical services at the facility; [and]
63	63	(8) if the facility operates a website that includes a
64	64	listing of physicians who have been granted medical staff
65	65	privileges to provide medical services at the facility, the posting
66	66	on the facility's website of a list that contains the name and
67	67	contact information for each facility-based physician or
68	68	facility-based physician group that has been granted medical staff
69	69	privileges to provide medical services at the facility and the
70	70	updating of the list in any calendar quarter in which there are any
71	71	changes to the list; and
72	72	(9) for a health care service or supply provided on an
73	73	outpatient basis at a hospital outpatient clinic, the providing of
74	74	a conspicuous written disclosure statement to a consumer at the
75	75	time the consumer seeks outpatient care at the clinic that states:
76	76	"DEPENDING ON YOUR INSURANCE COVERAGE, YOU MAY INCUR MORE
77	77	OUT-OF-POCKET COSTS FOR A HEALTH CARE SERVICE OR SUPPLY PROVIDED AT
78	78	THIS CLINIC THAN YOU MIGHT OTHERWISE INCUR IF YOU RECEIVED THE
79	79	HEALTH CARE SERVICE OR SUPPLY AT A PHYSICIAN'S OFFICE."
80	80	SECTION 2. Section 324.101, Health and Safety Code, as
81	81	amended by this Act, applies only to a health care service or supply
82	82	provided at a hospital outpatient clinic on or after the effective
83	83	date of this Act.
84	84	SECTION 3. This Act takes effect September 1, 2011.