LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 17, 2025 TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB216 by Harris Davila (Relating to itemized billing for health care services and supplies provided by health care providers.), As Introduced The fiscal implications of the bill cannot be determined due to uncertainty in the amount of enforcement actions taken as a result of implementing the provisions of the bill. The bill would amend the Health and Safety Code to require a healthcare provider to check if a patient has a patient portal profile before issuing an itemized bill through a patient portal, and if not, the provider must mail the itemized bill to the patient. The bill would require the appropriate licensing authority to take disciplinary action against a healthcare provider if they fail to do so. Based on analysis provided by the Texas Medical Board, the potential impact of implementing the provisions of the bill could create an increase in complaints and investigations to the extent of requiring additional resources. Given the uncertainty of the number and complexity of these complaints, the fiscal impact cannot be determined. Based on analysis provided by the Health and Human Services Commission, any additional workload as a result of implementing the provisions of the bill could be accomplished by utilizing existing resources. The bill would take effect September 1, 2025. Local Government ImpactNo fiscal implication to units of local government is anticipated. Source Agencies: b > td > 503 Texas Medical Board, 529 Health and Human Services Commission LBB Staff: b > td > JMc, NPe, GDZ, BFa
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION
April 17, 2025
TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB216 by Harris Davila (Relating to itemized billing for health care services and supplies provided by health care providers.), As Introduced
TO: Honorable Gary VanDeaver, Chair, House Committee on Public Health
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: HB216 by Harris Davila (Relating to itemized billing for health care services and supplies provided by health care providers.), As Introduced
Honorable Gary VanDeaver, Chair, House Committee on Public Health
Honorable Gary VanDeaver, Chair, House Committee on Public Health
Jerry McGinty, Director, Legislative Budget Board
Jerry McGinty, Director, Legislative Budget Board
HB216 by Harris Davila (Relating to itemized billing for health care services and supplies provided by health care providers.), As Introduced
HB216 by Harris Davila (Relating to itemized billing for health care services and supplies provided by health care providers.), As Introduced
The fiscal implications of the bill cannot be determined due to uncertainty in the amount of enforcement actions taken as a result of implementing the provisions of the bill.
The fiscal implications of the bill cannot be determined due to uncertainty in the amount of enforcement actions taken as a result of implementing the provisions of the bill.
The bill would amend the Health and Safety Code to require a healthcare provider to check if a patient has a patient portal profile before issuing an itemized bill through a patient portal, and if not, the provider must mail the itemized bill to the patient. The bill would require the appropriate licensing authority to take disciplinary action against a healthcare provider if they fail to do so. Based on analysis provided by the Texas Medical Board, the potential impact of implementing the provisions of the bill could create an increase in complaints and investigations to the extent of requiring additional resources. Given the uncertainty of the number and complexity of these complaints, the fiscal impact cannot be determined. Based on analysis provided by the Health and Human Services Commission, any additional workload as a result of implementing the provisions of the bill could be accomplished by utilizing existing resources. The bill would take effect September 1, 2025.
Based on analysis provided by the Texas Medical Board, the potential impact of implementing the provisions of the bill could create an increase in complaints and investigations to the extent of requiring additional resources. Given the uncertainty of the number and complexity of these complaints, the fiscal impact cannot be determined.
Based on analysis provided by the Health and Human Services Commission, any additional workload as a result of implementing the provisions of the bill could be accomplished by utilizing existing resources. The bill would take effect September 1, 2025.
The bill would take effect September 1, 2025.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 503 Texas Medical Board, 529 Health and Human Services Commission
503 Texas Medical Board, 529 Health and Human Services Commission
LBB Staff: b > td > JMc, NPe, GDZ, BFa
JMc, NPe, GDZ, BFa