TX HB4500

Defines charging unconscionable prices for health care services as a "false, misleading, or deceptive act or practice" under Texas consumer protection law, allowing the attorney general's consumer protection division to take enforcement action

Sets a threshold requiring prices to exceed 200% of the average charge for the same or substantially similar services by comparable providers in the same or nearest county before the consumer protection division can bring an action

Requires use of charge data collected by the Department of State Health Services, with the attorney general authorized to designate alternative data sources if that data is unavailable

Prohibits using urgent care or physician practice pricing data when evaluating emergency care prices at emergency facilities

Does not create a private cause of action for individuals; only the consumer protection division may bring enforcement actions and recover attorney's fees, court costs, and investigation expenses