78R13687 DLF-F


By:  Capelo                                                       H.B. No. 3310

Substitute the following for H.B. No. 3310:                                   

By:  Truitt                                                   C.S.H.B. No. 3310


A BILL TO BE ENTITLED
AN ACT
relating to subrogation for certain costs of services provided by a public hospital or hospital district; providing penalties. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter C, Chapter 61, Health and Safety Code, is amended by adding Section 61.067 to read as follows: Sec. 61.067. SUBROGATION. (a) The filing of an application for or receipt of services constitutes an assignment of the applicant's or recipient's right of recovery from: (1) personal insurance; (2) other sources; or (3) another person for personal injury caused by the other person's negligence or wrong. (b) A person who applies for or receives services shall inform the public hospital or hospital district, at the time of application or at any time during eligibility, of any unsettled tort claim that may affect health care needs and of any private accident or health insurance coverage or similar coverage that is or may become available. An applicant or eligible resident shall inform the public hospital or hospital district of any injury that is caused by the act or failure to act of some other person. An applicant or eligible resident shall inform the public hospital or hospital district as required by this subsection not later than the 10th day after the date the person learns of the person's insurance coverage, tort claim, or potential cause of action. (c) A claim for damages for personal injury does not constitute grounds for denying or discontinuing services under this chapter. (d) A separate and distinct cause of action in favor of the public hospital, the hospital district, or a physician with staff privileges at the public hospital or an appropriate hospital within the hospital district is created under this section, and the public hospital, hospital district, or physician may, without written consent, take direct civil action in any court of competent jurisdiction. A suit brought under this section need not be ancillary to or dependent on any other action. (e) The public hospital's or hospital district's right of recovery is limited to the amount of the cost of services paid by the public hospital or hospital district. Other subrogation rights granted under this section are limited to the cost of the services provided, including those services provided by a physician. (f) An applicant or eligible resident who knowingly and intentionally fails to disclose the information required by Subsection (b) commits a Class C misdemeanor. (g) An applicant or eligible resident who knowingly and intentionally fails to disclose the information required by Subsection (b) is subject to denial of services under this chapter following an administrative hearing. (h) Procedures established by a public hospital or hospital district for administrative hearings under this section must provide for appropriate due process, including procedures for appeals. SECTION 2. This Act applies only to the filing of an application for services or receipt of services as described by Section 61.067, Health and Safety Code, as added by this Act, on or after the effective date of this Act. SECTION 3. This Act takes effect September 1, 2003.