Bill Text: TX SB2240 | 2017-2018 | 85th Legislature | Comm Sub
Bill Title: Relating to notice of health benefit plan provider network status provided by certain freestanding emergency medical care facilities.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2017-04-27 - Not again placed on intent calendar [SB2240 Detail]
Download: Texas-2017-SB2240-Comm_Sub.html
By: Taylor of Galveston | S.B. No. 2240 | |
(In the Senate - Filed March 10, 2017; March 29, 2017, read | ||
first time and referred to Committee on Business & Commerce; | ||
April 24, 2017, reported adversely, with favorable Committee | ||
Substitute by the following vote: Yeas 9, Nays 0; April 24, 2017, | ||
sent to printer.) | ||
COMMITTEE SUBSTITUTE FOR S.B. No. 2240 | By: Taylor of Galveston |
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relating to notice of health benefit plan provider network status | ||
provided by certain freestanding emergency medical care | ||
facilities. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 241.252, Health and Safety Code, is | ||
amended by amending Subsection (b) and adding Subsections (e) and | ||
(f) to read as follows: | ||
(b) A facility described by Section 241.251 shall post | ||
notice that: | ||
(1) states: | ||
(A) [ |
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emergency medical care facility; | ||
(B) [ |
||
comparable to a hospital emergency room and may charge a facility | ||
fee; | ||
(C) [ |
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providing medical care at the facility may not be a participating | ||
provider in the patient's health benefit plan provider network; and | ||
(D) [ |
||
care at the facility may bill separately from the facility for the | ||
medical care provided to a patient; and | ||
(2) either: | ||
(A) lists the health benefit plans in which the | ||
facility is a participating provider in the health benefit plan's | ||
provider network; or | ||
(B) states the facility is not a participating | ||
provider in any health benefit plan provider network. | ||
(e) Notwithstanding Subsection (c), a facility that is a | ||
participating provider in one or more health benefit plan provider | ||
networks complies with Subsection (b)(2) if the facility: | ||
(1) provides notice on the facility's Internet website | ||
listing the health benefit plans in which the facility is a | ||
participating provider in the health benefit plan's provider | ||
network; and | ||
(2) provides to a patient written confirmation of | ||
whether the facility is a participating provider in the patient's | ||
health benefit plan's provider network. | ||
(f) A facility described by Section 241.251 may not include | ||
in any of the facility's signage or marketing materials the logo or | ||
name of any insurer, health maintenance organization, health | ||
benefit plan, or health benefit plan network in which the facility | ||
does not participate. | ||
SECTION 2. Section 254.155, Health and Safety Code, is | ||
amended by amending Subsection (a) and adding Subsections (d) and | ||
(e) to read as follows: | ||
(a) A facility shall post notice that: | ||
(1) states: | ||
(A) [ |
||
emergency medical care facility; | ||
(B) [ |
||
comparable to a hospital emergency room and may charge a facility | ||
fee; | ||
(C) [ |
||
providing medical care at the facility may not be a participating | ||
provider in the patient's health benefit plan provider network; and | ||
(D) [ |
||
care at the facility may bill separately from the facility for the | ||
medical care provided to a patient; and | ||
(2) either: | ||
(A) lists the health benefit plans in which the | ||
facility is a participating provider in the health benefit plan's | ||
provider network; or | ||
(B) states the facility is not a participating | ||
provider in any health benefit plan provider network. | ||
(d) Notwithstanding Subsection (b), a facility that is a | ||
participating provider in one or more health benefit plan provider | ||
networks complies with Subsection (a)(2) if the facility: | ||
(1) provides notice on the facility's Internet website | ||
listing the health benefit plans in which the facility is a | ||
participating provider in the health benefit plan's provider | ||
network; and | ||
(2) provides to a patient written confirmation of | ||
whether the facility is a participating provider in the patient's | ||
health benefit plan's provider network. | ||
(e) A facility may not include in any of the facility's | ||
signage or marketing materials the logo or name of any insurer, | ||
health maintenance organization, health benefit plan, or health | ||
benefit plan network in which the facility does not participate. | ||
SECTION 3. This Act takes effect September 1, 2017. | ||
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