Texas 2023 - 88th Regular

Texas Senate Bill SB2476

Filed
3/10/23  
Out of Senate Committee
4/26/23  
Voted on by Senate
5/2/23  
Out of House Committee
5/15/23  
Voted on by House
5/19/23  
Governor Action
6/18/23  

Caption

Relating to consumer protections against certain medical and health care billing by emergency medical services providers.

Impact

The bill has a significant implication for state laws governing healthcare billing. By enforcing limitations on the amounts that can be billed for emergency services based on regulated rates or set percentages of Medicare rates, SB2476 attempts to standardize costs and minimize unexpected financial burdens on patients. This aligns with other efforts in the state to mitigate surprise medical billing, ensuring that consumers are more informed and protected when they require immediate medical assistance, especially in emergency situations.

Summary

Senate Bill 2476 aims to enhance consumer protections against certain medical and healthcare billing practices, particularly those associated with emergency medical services (EMS) providers. Specifically, the legislation addresses 'balance billing', a situation where patients inadvertently receive high bills from out-of-network providers after receiving emergency medical care. By creating a publicly accessible database to which political subdivisions can submit regulated rates for EMS services, the bill seeks to ensure that patients are charged only a specified amount, thereby preventing exorbitant costs associated with out-of-network ambulance services.

Sentiment

The sentiment surrounding Senate Bill 2476 is predominantly positive. Legislators and various advocacy groups have expressed support for the bill, highlighting its potential to alleviate the financial stress experienced by patients who unexpectedly receive high bills from EMS providers. This support reflects a growing recognition of the importance of consumer protection in healthcare, particularly regarding emergency services, which are often utilized without prior ability to consider costs.

Contention

Despite the general support for SB2476, there are points of contention, particularly concerning how the legislation might affect out-of-network EMS providers and their reimbursement. Some stakeholders fear that the regulation of rates could impact the viability of certain emergency medical services, especially those that rely on out-of-network billing to sustain operations. Additionally, the phase-out provisions of the bill, set to expire in 2025, have raised questions about long-term sustainability and protections once the bill's provisions are no longer in effect.

Texas Constitutional Statutes Affected

Insurance Code

  • Chapter 38. Data Collection And Reports
    • Section: 006
    • Section: 006
    • Section: 006
    • Section: 006
  • Chapter 1271. Benefits Provided By Health Maintenance Organizations; Evidence Of Coverage; Charges
    • Section: 008
    • Section: 159
    • Section: 159
    • Section: 008
    • Section: 159
    • Section: 008
    • Section: New Section
  • Chapter 1301. Preferred Provider Benefit Plans
    • Section: 010
    • Section: 166
    • Section: 166
    • Section: 166
    • Section: 166
    • Section: 0045
    • Section: New Section
  • Chapter 1551. Texas Employees Group Benefits Act
    • Section: 015
    • Section: 231
    • Section: 231
    • Section: 231
    • Section: 231
    • Section: 015
    • Section: New Section
  • Chapter 1575. Texas Public School Employees Group Benefits Program
    • Section: 009
    • Section: 174
    • Section: 174
    • Section: 174
    • Section: 174
    • Section: 009
    • Section: New Section
  • Chapter 1579. Texas School Employees Uniform Group Health Coverage
    • Section: 009
    • Section: 112
    • Section: 112
    • Section: 112
    • Section: 112
  • Chapter 1275. Balance Billing Prohibitions And Out-of-network Claim Dispute Resolution For Certain Plans
    • Section: 054
    • Section: 054
    • Section: 054
    • Section: 003
    • Section: New Section
  • Chapter 1467. Out-of-network Claim Dispute Resolution
    • Section: 001
    • Section: New Section

Companion Bills

No companion bills found.

Similar Bills

TX SB999

Relating to consumer protections against and county and municipal authority regarding certain medical and health care billing by ambulance service providers.

TX SB1264

Relating to consumer protections against certain medical and health care billing by certain out-of-network providers.

TX HB1566

Relating to mediation of the settlement of certain out-of-network health benefit claims involving balance billing.

TX SB507

Relating to mediation of the settlement of certain out-of-network health benefit claims involving balance billing.

TX HB3933

Relating to consumer protections against billing and limitations on information reported by consumer reporting agencies.