Texas Senate Bill SB1219

Texas 2025 - 89th Regular

• Filed: 2/11/25

Caption

Relating to price estimates and billing requirements for certain health care facilities.

Impact

The bill amends previous statutes within the Health and Safety Code to enforce that facilities cannot charge patients more than five percent above the originally provided estimate unless certain conditions apply, such as complications during procedures or changes in diagnosis. This stipulation is expected to reduce unexpected financial burdens on patients and promote better financial planning regarding healthcare expenses. Additionally, if the final charges exceed the estimate, medical facilities are required to provide a written explanation of the discrepancy, further supporting patient understanding and financial transparency.

Summary

SB1219 aims to enhance the transparency of medical billing for patients by establishing clear requirements for price estimates from healthcare facilities prior to nonemergency medical procedures. This legislation mandates that facilities must provide consumers with an estimate of the total cost of services, inclusive of all payment sources, within 24 hours of a request. The bill specifically addresses nonemergency elective services, ensuring that patients are informed of potential financial obligations before undergoing treatment. This proactive measure is designed to empower patients with knowledge about the costs associated with their healthcare, helping them make more informed decisions.

Contention

Notable points of contention surrounding SB1219 may involve the enforcement mechanisms and the potential impact on healthcare facilities' operations. Critics might argue that such stringent requirements could place undue administrative burdens on healthcare providers, particularly in emergency situations where the need for immediate services may not allow for price estimates. Furthermore, some may raise concerns regarding the sufficiency of protections offered to patients if facilities fail to comply with the new standards, emphasizing the need for robust oversight and accountability measures.

Texas Constitutional Statutes Affected

Health And Safety Code

• Chapter 324. Consumer Access To Health Care Information
  • Section: New Section