87R8987 SRA-D
 
  By: Menéndez S.B. No. 2038
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to fees and prices charged by freestanding emergency
  medical care facilities; providing administrative penalties.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter D, Chapter 254, Health and Safety
  Code, is amended by adding Section 254.1555 to read as follows:
         Sec. 254.1555.  CERTAIN FEES PROHIBITED. A facility that
  provides a health care service, including testing and vaccination,
  to an individual accessing the service from the individual's
  vehicle may only charge the individual or a third-party payor a fee
  for administering the provided service and any related laboratory
  fees. The facility may not charge the individual or payor any
  additional fees, including a facility fee, observation fee, or
  provider fee.
         SECTION 2.  Subchapter D, Chapter 254, Health and Safety
  Code, is amended by adding Section 254.160 to read as follows:
         Sec. 254.160.  PROHIBITED PRICING PRACTICES DURING DECLARED
  STATE OF DISASTER. (a) In this section, "unconscionable price"
  means a price that is more than 200 percent of the average price for
  the same or a substantially similar product or service provided to
  other individuals by health care facilities located in the same
  county or nearest county to the county in which the freestanding
  emergency medical care facility is located, as applicable,
  according to data collected by the department under Chapter 108.
         (b)  A facility, during a state of disaster declared under
  Chapter 418, Government Code, may not:
               (1)  charge an individual an unconscionable price for a
  product or service provided at the facility; or
               (2)  knowingly or intentionally charge a third-party
  payor, including a health benefit plan insurer, a price higher than
  the price charged to an individual for the same product or service
  based on the payor's liability for payment or partial payment of the
  product or service.
         SECTION 3.  Subchapter E, Chapter 254, Health and Safety
  Code, is amended by adding Section 254.207 to read as follows:
         Sec. 254.207.  MANDATORY ENFORCEMENT. Notwithstanding any
  conflicting provision in this subchapter and except for good cause
  shown, the Health and Human Services Commission shall impose the
  following on a person licensed under this chapter who violates
  Section 254.160 or a rule adopted under that section:
               (1)  for the first violation, an administrative penalty
  in an amount equal to $10,000;
               (2)  for the second violation:
                     (A)  an administrative penalty in an amount equal
  to $50,000; and
                     (B)  a suspension of the person's license for 30
  days; and
               (3)  for the third violation, a permanent revocation of
  the person's license.
         SECTION 4.  This Act takes effect September 1, 2021.