Sec. 254.155. NOTICE OF FEES.
(a) A facility shall post notice that:
(1) states:
(A) the facility is a freestanding emergency medical care facility;
(B) the facility charges rates comparable to a hospital emergency room and may charge a facility fee;
(C) a facility or a physician providing medical care at the facility may be an out-of-network provider for the patient's health benefit plan provider network; and
(D) a physician providing medical care at the facility may bill separately from the facility for the medical care provided to a patient; and
(2) either:
(A) lists the health benefit plans in which the facility is an in-network provider in the health benefit plan's provider network; or
(B) states the facility is an out-of-network provider for all health benefit plans.
(b) The notice required by this section must be posted prominently and conspicuously:
(1) at the primary entrance to the facility;
(2) in each patient treatment room;
(3) at each location within the facility at which a person pays for health care services; and
(4) on the home page of the facility's Internet website or on a different page available through a hyperlink that is:
(A) entitled "Insurance Information"; and
(B) located prominently on the home page.
(c) The notice required by Subsections (b)(1), (2), and (3) must be in legible print on a sign with dimensions of at least 8.5 inches by 11 inches.
(d) Notwithstanding Subsection (b), a facility that is an in-network provider in one or more health benefit plan provider networks complies with Subsection (a)(2) if the facility:
(1) provides notice on the facility's Internet website listing the health benefit plans in which the facility is an in-network provider in the health benefit plan's provider network; and
(2) provides to a patient written confirmation of whether the facility is an in-network provider in the patient's health benefit plan's provider network.
(e) A facility may not add to or alter the language of a notice required by this section.
Added by Acts 2015, 84th Leg., R.S., Ch. 185 (S.B. 425), Sec. 3, eff. September 1, 2015.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 175 (H.B. 3276), Sec. 2, eff. September 1, 2017.
Acts 2019, 86th Leg., R.S., Ch. 1093 (H.B. 2041), Sec. 5, eff. September 1, 2019.
Structure Texas Statutes
Subtitle B - Licensing of Health Facilities
Chapter 254 - Freestanding Emergency Medical Care Facilities
Subchapter D. Regulation of Facilities
Section 254.151. Minimum Standards
Section 254.153. Facility Care Requirements
Section 254.155. Notice of Fees
Section 254.1555. Certain Fees Prohibited
Section 254.1556. Disclosure of Certain Prices and Fees During Declared Disaster; Construction
Section 254.156. Disclosure Statement Required
Section 254.157. Certain Advertising Prohibited
Section 254.158. Removal of Signs
Section 254.160. Prohibited Pricing Practices During Declared State of Disaster