89R14952 AJA-F
By: Paxton S.B. No. 2418
A BILL TO BE ENTITLED
AN ACT
relating to timely billing requirements for health care service
providers.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Sections 146.002(a), (b), and (c), Civil
Practice and Remedies Code, are amended to read as follows:
(a) Except as provided by Subsection (b) or (c), a health
care service provider shall bill a patient or other responsible
person for services provided to the patient not later than the 90th
day [first day of the 11th month] after the date the services are
provided.
(b) If the health care service provider is required or
authorized to directly bill the issuer of a health benefit plan for
services provided to a patient, the health care service provider
shall bill the issuer of the plan not later than:
(1) the date required under any contract between the
health care service provider and the issuer of the health benefit
plan; or
(2) if there is no contract between the health care
service provider and the issuer of the health benefit plan, the 90th
day [first day of the 11th month] after the date the services are
provided.
(c) If the health care service provider is required or
authorized to directly bill a third party payor operating under
federal or state law, including Medicare and the state Medicaid
program, the health care service provider shall bill the third
party payor not later than:
(1) the date required under any contract between the
health care service provider and the third party payor or the date
required by federal regulation or state rule, as applicable; or
(2) if there is no contract between the health care
service provider and the third party payor and there is no
applicable federal regulation or state rule, the 90th day [first
day of the 11th month] after the date the services are provided.
SECTION 2. The change in law made by this Act applies only
to health care services provided on or after the effective date of
this Act. Health care services provided before the effective date
of this Act are governed by the law as it existed immediately before
the effective date of this Act, and that law is continued in effect
for that purpose.
SECTION 3. 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.