TX HB2747

Health care entities must submit written notice to the attorney general at least 90 days before any material change transaction takes effect, including mergers, acquisitions, sales, joint ventures, or transfers of control involving health care providers, facilities, insurers, or pharmacy benefit managers

Material change transactions subject to notification include mergers of health care entities, acquisitions of ownership or control, formation of management services organizations or accountable care organizations, and real estate transactions involving material health care assets

Exemptions apply to clinical trial affiliations, graduate medical education programs, hiring of a single physician, and transactions where the largest party had less than $5 million in gross annual revenue the prior year

Civil penalties up to $10,000 per violation may be imposed for failure to provide required notice, with the attorney general authorized to seek injunctions; penalties fund the attorney general's antitrust division

The attorney general may conduct market studies on health care market conditions, concentration levels, competitive forces, pricing trends, and impacts of completed transactions, with entities required to provide requested information within 30 days or face administrative penalties of up to $1,000 per day