1 | 1 | | 85R12745 LED-F |
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2 | 2 | | By: Paul H.B. No. 3099 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to health care information provided by certain |
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8 | 8 | | freestanding emergency medical care facilities. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Section 241.252, Health and Safety Code, is |
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11 | 11 | | amended by amending Subsection (b) and adding Subsection (b-1) to |
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12 | 12 | | read as follows: |
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13 | 13 | | (b) A facility described by Section 241.251 shall post |
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14 | 14 | | notice that states: |
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15 | 15 | | (1) that the facility is a freestanding emergency |
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16 | 16 | | medical care facility and not an urgent care center; |
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17 | 17 | | (2) that the facility charges rates comparable to a |
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18 | 18 | | hospital emergency room [and may charge a facility fee]; |
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19 | 19 | | (3) [that a facility or a physician providing medical |
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20 | 20 | | care at the facility may not be a participating provider in the |
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21 | 21 | | patient's health benefit plan provider network; and |
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22 | 22 | | [(4)] that a physician providing medical care at the |
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23 | 23 | | facility may bill separately from the facility for the medical care |
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24 | 24 | | provided to a patient; |
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25 | 25 | | (4) any facility fee charged by the facility, |
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26 | 26 | | including the minimum and maximum facility fee amounts charged per |
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27 | 27 | | visit; and |
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28 | 28 | | (5) either: |
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29 | 29 | | (A) that the facility does not participate in a |
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30 | 30 | | provider network; or |
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31 | 31 | | (B) that the facility participates in a provider |
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32 | 32 | | network. |
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33 | 33 | | (b-1) The notice required under Subsection (b)(5)(B) must: |
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34 | 34 | | (1) identify the provider network; |
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35 | 35 | | (2) identify each physician providing medical care at |
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36 | 36 | | the facility who is excluded from the provider network; and |
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37 | 37 | | (3) for each physician described by Subdivision (2): |
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38 | 38 | | (A) state that the physician may bill separately |
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39 | 39 | | from the facility for the medical care provided to a patient; and |
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40 | 40 | | (B) provide the minimum and maximum amounts the |
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41 | 41 | | physician charges for each patient visit. |
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42 | 42 | | SECTION 2. Section 254.155, Health and Safety Code, is |
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43 | 43 | | amended by amending Subsection (a) and adding Subsection (a-1) to |
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44 | 44 | | read as follows: |
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45 | 45 | | (a) A facility shall post notice that states: |
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46 | 46 | | (1) that the facility is a freestanding emergency |
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47 | 47 | | medical care facility and not an urgent care center; |
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48 | 48 | | (2) that the facility charges rates comparable to a |
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49 | 49 | | hospital emergency room [and may charge a facility fee]; |
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50 | 50 | | (3) [that a facility or a physician providing medical |
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51 | 51 | | care at the facility may not be a participating provider in the |
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52 | 52 | | patient's health benefit plan provider network; and |
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53 | 53 | | [(4)] that a physician providing medical care at the |
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54 | 54 | | facility may bill separately from the facility for the medical care |
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55 | 55 | | provided to a patient; |
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56 | 56 | | (4) any facility fee charged by the facility, |
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57 | 57 | | including the minimum and maximum facility fee amounts charged per |
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58 | 58 | | visit; and |
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59 | 59 | | (5) either: |
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60 | 60 | | (A) that the facility does not participate in a |
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61 | 61 | | provider network; or |
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62 | 62 | | (B) that the facility participates in a provider |
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63 | 63 | | network. |
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64 | 64 | | (a-1) The notice required under Subsection (a)(5)(B) must: |
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65 | 65 | | (1) identify the provider network; |
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66 | 66 | | (2) identify each physician providing medical care at |
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67 | 67 | | the facility who is excluded from the provider network; and |
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68 | 68 | | (3) for each physician described by Subdivision (2): |
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69 | 69 | | (A) state that the physician may bill separately |
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70 | 70 | | from the facility for the medical care provided to a patient; and |
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71 | 71 | | (B) provide the minimum and maximum amounts the |
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72 | 72 | | physician charges for each patient visit. |
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73 | 73 | | SECTION 3. Notwithstanding Sections 241.252 and 254.155, |
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74 | 74 | | Health and Safety Code, as amended by this Act, a freestanding |
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75 | 75 | | emergency medical care facility is not required to comply with |
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76 | 76 | | those provisions until January 1, 2018. |
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77 | 77 | | SECTION 4. This Act takes effect September 1, 2017. |
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