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TX HB985
Bill
Status
11/12/2024
Primary Sponsor
Brian Harrison
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AI Summary
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Requires hospitals that acquire outpatient health care facilities to provide written notice of the acquisition to the Texas Attorney General's office and the Health and Human Services Commission
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Establishes site-neutral Medicaid reimbursement rates, requiring hospital-owned outpatient facilities to be reimbursed at the same rate as independent, physician-owned practices for outpatient services that don't require specialized facility technology
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Directs the Texas Department of Insurance to study the feasibility of expanding site-neutral payment policies to commercial health insurance plans, with a report due to the legislature by September 1, 2026
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Requires the study report to include estimated cost savings for Texas health care consumers if commercial insurers adopted site-neutral payment policies for outpatient services
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Health and Human Services Commission must adopt rules to implement the Medicaid site-neutral reimbursement requirements by January 1, 2026, with the Act taking effect September 1, 2025
Legislative Description
Relating to hospital-owned outpatient facilities, including site-neutral reimbursement rates under Medicaid.
MEDICAID
Last Action
Referred to Human Services
3/6/2025