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TX HB4054

TX HB4054
Relating to consumer protections against certain medical and health care billing by emergency medical services providers.


summary

Introduced
03/07/2025
In Committee
03/27/2025
Crossed Over
Passed
Dead
06/02/2025

Introduced Session

89th Legislature Regular Session

Bill Summary

AN ACT relating to consumer protections against certain medical and health care billing by emergency medical services providers.

AI Summary

This bill introduces several consumer protection measures related to emergency medical services (EMS) billing in Texas. The legislation empowers the state department to revoke, suspend, or refuse to renew an EMS provider's license if the provider intentionally submits incorrect information or repeatedly violates specific insurance code sections. The bill modifies multiple sections of the Insurance Code to allow political subdivisions (like local governments) to annually adjust medical service rates by no more than the lesser of the Medicare Ambulance Inflation Factor or 10 percent of the previous year's rates, replacing previous language that required automatic rate increases by various administrators. The expiration date for several sections of the law is extended from September 1, 2025, to September 1, 2027, giving the regulations a longer effective period. These changes are designed to provide more flexibility in rate-setting and create stronger accountability for EMS providers, with the new provisions applying only to emergency medical services provided on or after the bill's effective date of September 1, 2025. The bill aims to balance consumer protection with reasonable rate adjustments for emergency medical service providers.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Referred to Insurance (on 03/27/2025)

bill text


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