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TX HB985

Bill

Status

Introduced

11/12/2024

Primary Sponsor

Brian Harrison

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • 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

  • 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

  • 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

  • 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

  • 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

Committee Referrals

Human Services3/6/2025

Full Bill Text

No bill text available