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Bill > SB1264

TX SB1264

TX SB1264
Relating to consumer protections against certain medical and health care billing by certain out-of-network providers.

summary

Introduced
02/28/2019
In Committee
05/16/2019
Crossed Over
04/16/2019
Passed
05/24/2019
Dead
Signed/Enacted/Adopted
06/14/2019

Introduced Session

86th Legislature Regular Session

Bill Summary

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

AI Summary

This bill establishes consumer protections against certain out-of-network medical and healthcare billing. Key provisions include: - Allowing the Texas Attorney General to seek injunctions against individuals or entities that intentionally violate laws prohibiting balance billing of insured/enrolled individuals above their applicable copayment, coinsurance, and deductible. - Requiring health maintenance organizations, insurers, and administrators to provide written notice to enrollees and providers about balance billing prohibitions and the amounts enrollees may be billed. - Placing restrictions on how much out-of-network providers can bill enrollees for emergency care, facility-based services, and certain diagnostic imaging and laboratory services. - Establishing mandatory mediation for disputes over out-of-network facility claims and mandatory binding arbitration for disputes over other out-of-network claims. - Requiring the Texas Department of Insurance to conduct a biennial study on the impacts of the bill's balance billing prohibitions.

Committee Categories

Business and Industry

Sponsors (83)

Greg Bonnen (R)*,  Kelly Hancock (R)*,  Eddie Lucio (D)*,  Trey Martinez Fischer (D)*,  Tom Oliverson (R)*,  John Zerwas (R)*,  Steve Allison (R),  Doc Anderson (R),  Trent Ashby (R),  Cecil Bell (R),  Keith Bell (R),  Paul Bettencourt (R),  César Blanco (D),  Dwayne Bohac (R),  Brad Buckley (R),  John Bucy (D),  DeWayne Burns (R),  Angie Button (R),  Briscoe Cain (R),  Giovanni Capriglione (R),  Philip Cortez (D),  John Cyrier (R),  Sarah Davis (R),  Jay Dean (R),  Dan Flynn (R),  James Frank (R),  John Frullo (R),  Craig Goldman (R),  Mary González (D),  Bobby Guerra (D),  Cole Hefner (R),  Chuy Hinojosa (D),  Gina Hinojosa (D),  Donna Howard (D),  Dan Huberty (R),  Todd Hunter (R),  Julie Johnson (D),  Tracy King (D),  Stephanie Klick (R),  John Kuempel (R),  Stan Lambert (R),  Brooks Landgraf (R),  Mike Lang (R),  Lyle Larson (R),  Ben Leman (R),  Ray Lopez (D),  J.M. Lozano (R),  Eddie Lucio (D),  Will Metcalf (R),  Mayes Middleton (R),  Rick Miller (R),  Ina Minjarez (D),  Joe Moody (D),  Jim Murphy (R),  Andy Murr (R),  Poncho Nevárez (D),  Candy Noble (R),  Tan Parker (R),  Jared Patterson (R),  Dennis Paul (R),  Four Price (R),  John Raney (R),  Eddie Rodriguez (D),  Toni Rose (D),  Jon Rosenthal (D),  Scott Sanford (R),  J.D. Sheffield (R),  Hugh Shine (R),  John Smithee (R),  Drew Springer (R),  Phil Stephenson (R),  Valoree Swanson (R),  James Talarico (D),  Shawn Thierry (R),  Ed Thompson (R),  Steve Toth (R),  Hubert Vo (D),  James White (R),  John Whitmire (D),  John Wray (R),  Gene Wu (D),  Bill Zedler (R),  Erin Zwiener (D), 

Last Action

Effective on 9/1/19 (on 06/14/2019)
(1 Companion Bills)

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