Loading chat...

TX HB4273

Bill

Status

Engrossed

5/6/2025

Primary Sponsor

Tom Oliverson

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Amends Section 36.002 of the Human Resources Code to expand requirements for health care program claims, requiring providers to indicate both the type of license held by the provider who actually provided the service and their identification number

  • Makes it an unlawful act to knowingly fail to disclose the license type of the health care provider who rendered services when submitting claims under a health care program

  • Maintains existing prohibitions against false statements, concealment of information, improper benefit conversion, fraudulent facility certifications, unauthorized payments, and claims for unlicensed or substandard services

  • Applies only to unlawful acts committed on or after September 1, 2025

  • Allows state agencies to delay implementation if federal waiver or authorization is required

Legislative Description

Relating to fraud prevention and verifying eligibility for benefits under Medicaid.

Crimes

Last Action

Returned from the House for further action

5/23/2025

Committee Referrals

Health & Human Services5/7/2025
Human Services4/1/2025

Full Bill Text

No bill text available