TX HB3150

Nonparticipating Medicare suppliers cannot charge enrollees more than 115% of the Medicare-approved amount for durable medical equipment, orthotic devices/supplies, or prosthetic devices/supplies unless the enrollee provides written consent and pays the additional amount in full before receiving the item

Written agreements must notify enrollees that Medicare reimburses 80% of the approved amount and that Medicare supplement plans are not required to cover charges exceeding 115% of the Medicare-approved amount

Medicare supplement benefit plan issuers are not required to reimburse amounts exceeding 115% of the Medicare-allowed amount for covered equipment and devices, though they may negotiate different reimbursement terms with suppliers

Violations constitute deceptive trade practices under the Texas Business & Commerce Code

Intentional violations are classified as a misdemeanor punishable by fines between $500 and $1,000, with prosecution allowed in Travis County or other authorized counties; the law takes effect September 1, 2025