11 | 4 | | AN ACT |
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12 | 5 | | relating to notice of health benefit plan provider network status |
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13 | 6 | | provided by certain freestanding emergency medical care |
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14 | 7 | | facilities. |
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15 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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16 | 9 | | SECTION 1. Section 241.252, Health and Safety Code, is |
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17 | 10 | | amended by amending Subsection (b) and adding Subsection (e) to |
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18 | 11 | | read as follows: |
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19 | 12 | | (b) A facility described by Section 241.251 shall post |
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20 | 13 | | notice that: |
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21 | 14 | | (1) states: |
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22 | 15 | | (A) [(1) that] the facility is a freestanding |
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23 | 16 | | emergency medical care facility; |
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24 | 17 | | (B) [(2) that] the facility charges rates |
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25 | 18 | | comparable to a hospital emergency room and may charge a facility |
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26 | 19 | | fee; |
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27 | 20 | | (C) [(3) that] a facility or a physician |
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28 | 21 | | providing medical care at the facility may not be a participating |
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29 | 22 | | provider in the patient's health benefit plan provider network; and |
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30 | 23 | | (D) [(4) that] a physician providing medical |
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31 | 24 | | care at the facility may bill separately from the facility for the |
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32 | 25 | | medical care provided to a patient; and |
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33 | 26 | | (2) either: |
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34 | 27 | | (A) lists the health benefit plans in which the |
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35 | 28 | | facility is a participating provider in the health benefit plan's |
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36 | 29 | | provider network; or |
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37 | 30 | | (B) states the facility is not a participating |
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38 | 31 | | provider in any health benefit plan provider network. |
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39 | 32 | | (e) Notwithstanding Subsection (c), a facility that is a |
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40 | 33 | | participating provider in one or more health benefit plan provider |
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41 | 34 | | networks complies with Subsection (b)(2) if the facility: |
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42 | 35 | | (1) provides notice on the facility's Internet website |
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43 | 36 | | listing the health benefit plans in which the facility is a |
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44 | 37 | | participating provider in the health benefit plan's provider |
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45 | 38 | | network; and |
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46 | 39 | | (2) provides to a patient written confirmation of |
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47 | 40 | | whether the facility is a participating provider in the patient's |
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48 | 41 | | health benefit plan's provider network. |
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49 | 42 | | SECTION 2. Section 254.155, Health and Safety Code, is |
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50 | 43 | | amended by amending Subsection (a) and adding Subsection (d) to |
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51 | 44 | | read as follows: |
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52 | 45 | | (a) A facility shall post notice that: |
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53 | 46 | | (1) states: |
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54 | 47 | | (A) [(1) that] the facility is a freestanding |
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55 | 48 | | emergency medical care facility; |
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56 | 49 | | (B) [(2) that] the facility charges rates |
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57 | 50 | | comparable to a hospital emergency room and may charge a facility |
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58 | 51 | | fee; |
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59 | 52 | | (C) [(3) that] a facility or a physician |
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60 | 53 | | providing medical care at the facility may not be a participating |
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61 | 54 | | provider in the patient's health benefit plan provider network; and |
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62 | 55 | | (D) [(4) that] a physician providing medical |
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63 | 56 | | care at the facility may bill separately from the facility for the |
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64 | 57 | | medical care provided to a patient; and |
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65 | 58 | | (2) either: |
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66 | 59 | | (A) lists the health benefit plans in which the |
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67 | 60 | | facility is a participating provider in the health benefit plan's |
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68 | 61 | | provider network; or |
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69 | 62 | | (B) states the facility is not a participating |
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70 | 63 | | provider in any health benefit plan provider network. |
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71 | 64 | | (d) Notwithstanding Subsection (b), a facility that is a |
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72 | 65 | | participating provider in one or more health benefit plan provider |
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73 | 66 | | networks complies with Subsection (a)(2) if the facility: |
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74 | 67 | | (1) provides notice on the facility's Internet website |
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75 | 68 | | listing the health benefit plans in which the facility is a |
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76 | 69 | | participating provider in the health benefit plan's provider |
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77 | 70 | | network; and |
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78 | 71 | | (2) provides to a patient written confirmation of |
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79 | 72 | | whether the facility is a participating provider in the patient's |
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80 | 73 | | health benefit plan's provider network. |
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81 | 74 | | SECTION 3. This Act takes effect September 1, 2017. |
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82 | | - | * * * * * |
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| 75 | + | ______________________________ ______________________________ |
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| 76 | + | President of the Senate Speaker of the House |
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| 77 | + | I certify that H.B. No. 3276 was passed by the House on May 3, |
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| 78 | + | 2017, by the following vote: Yeas 133, Nays 10, 1 present, not |
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| 79 | + | voting. |
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| 80 | + | ______________________________ |
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| 81 | + | Chief Clerk of the House |
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| 82 | + | I certify that H.B. No. 3276 was passed by the Senate on May |
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| 83 | + | 18, 2017, by the following vote: Yeas 27, Nays 3. |
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| 84 | + | ______________________________ |
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| 85 | + | Secretary of the Senate |
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| 86 | + | APPROVED: _____________________ |
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| 87 | + | Date |
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| 88 | + | _____________________ |
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| 89 | + | Governor |
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