89R4690 AB-D By: Harris Davila H.B. No. 2631 A BILL TO BE ENTITLED AN ACT relating to prohibited facility fees for telehealth and telemedicine medical services; providing an administrative penalty. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subtitle G, Title 4, Health and Safety Code, is amended by adding Chapter 328 to read as follows: CHAPTER 328. PROHIBITED FACILITY FEES FOR TELEHEALTH AND TELEMEDICINE MEDICAL SERVICES Sec. 328.001. DEFINITIONS. In this chapter: (1) "Commission" means the Health and Human Services Commission. (2) "Executive commissioner" means the executive commissioner of the commission. (3) "Facility fee" means a fee a health care provider charges that is: (A) intended to compensate the health care provider for operational expenses; and (B) separate from a fee a health care provider charges for professional medical services provided to a patient. (4) "Freestanding emergency medical care facility" has the meaning assigned by Section 254.001. (5) "Health care provider" means an individual, entity, corporation, person, or organization, whether for profit or nonprofit, that provides or bills for the provision of health care services in the normal course of business. The term includes a hospital system, hospital, hospital-based facility, freestanding emergency medical care facility, and urgent care clinic. (6) "Hospital" has the meaning assigned by Section 241.003. (7) "Hospital-based facility" means a facility a hospital owns or operates, wholly or partly, at which hospital or professional medical services are provided. (8) "Telehealth service" and "telemedicine medical service" have the meanings assigned by Section 111.001, Occupations Code. Sec. 328.002. PROHIBITED FACILITY FEES. A health care provider may not charge a facility fee for telehealth services or telemedicine medical services. Sec. 328.003. ENFORCEMENT. (a) The commission shall assess an administrative penalty in an amount not to exceed $1,000 against a health care provider that violates this chapter or a rule adopted under this chapter. (b) This section does not create a private cause of action against a provider for legal or equitable relief. Sec. 328.004. RULES. The executive commissioner may adopt rules to implement this chapter. SECTION 2. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2025.