Texas 2011 - 82nd Regular

Texas Senate Bill SB848

Filed
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to ambulatory surgical centers and to the provision of services at those centers by certain designated physician groups.

Impact

If enacted, SB848 would have significant implications for how ambulatory surgical centers operate in Texas. Specifically, it would allow for a more collaborative working relationship between ASCs and physician groups, potentially increasing the availability of surgical services to patients. However, the bill also stipulates strict compliance measures, including the requirement for ASCs to maintain responsibility for the services provided under these agreements and to regularly report their affiliations to the State Department of Health. This aims to maintain quality oversight amid the changes in operational structure.

Summary

SB848 aims to amend the Health and Safety Code in Texas by modifying the regulations surrounding ambulatory surgical centers (ASCs) and their ability to enter into agreements with designated physician groups. The bill seeks to clarify the definitions of both the surgical centers and the physician entities, thereby expanding the operational framework for these facilities. The objective is to allow physician groups to provide services at these centers on a part-time basis under a structured use agreement, meaning that they can share the resources of an ASC while ensuring compliance with state regulations. Additionally, this entails that ASCs will retain the responsibility for the services rendered by the affiliated physician groups.

Contention

The discussions surrounding SB848 highlight some points of contention, particularly around patient notification and financial relationships. The bill mandates that physician groups inform patients about their financial ties to the surgical centers, signaling a move towards greater transparency. However, critics have raised concerns about the potential for conflicts of interest and the impact on patient care when financial incentives might influence medical decisions. Proponents counter that the bill is designed to enhance healthcare service accessibility without compromising quality or oversight.

Notable_points

Another notable aspect of SB848 is its exclusion of Medicare and Medicaid transactions from the scope of the new use agreements, raising questions about the implications for these programs. Additionally, the bill emphasizes that all agreements must comply with existing federal laws, which could create further complexities for ASCs and physician groups. While the bill intends to modernize the operations of surgical centers, the balance between expanding capabilities and maintaining strict regulatory standards remains a critical focus.

Companion Bills

TX HB2392

Identical Relating to ambulatory surgical centers and to the provision of services at those centers by certain designated physician groups.

Previously Filed As

TX HB593

Relating to the provision of direct patient care by physicians and health care practitioners.

TX HB2982

Relating to the authorization of certain agreements between management services organizations and physicians.

TX HB3550

Relating to standards for and services provided by prescribed pediatric extended care centers, including Medicaid reimbursement for those services.

TX SB160

Relating to the furnishing by pharmacists and dispensing by physicians of certain medications.

TX HB4365

Relating to the adoption and implementation of a surgical smoke evacuation system policy at certain health care facilities.

TX SB707

Relating to the adoption and implementation of a surgical smoke evacuation system policy at certain health care facilities.

TX HB3139

Relating to the enforceability of covenants not to compete against physicians.

TX HB446

Relating to the terminology used in statute to refer to intellectual disability and certain references to abolished health and human services agencies.

TX SB332

Relating to the terminology used in statute to refer to intellectual disability and certain references to abolished health and human services agencies.

TX HB4611

Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.

Similar Bills

TX HB2712

Relating to ambulatory surgical centers and to the provision of services at those centers by certain designated physician groups.

TX SB2151

Relating to ambulatory surgical centers and to the provision of services at those centers by certain designated physician groups.

TX HB2392

Relating to ambulatory surgical centers and to the provision of services at those centers by certain designated physician groups.

IL HB2895

RN ANESTHETIST-COLLAB AGREE

HI HB799

Relating To Health Care.

HI SB829

Relating To Health Care.

HI HB817

Relating To Health Care.

IL SB3653

ASTC-ANESTHESIA SERVICES