89R13794 SCR-D
 
  By: Shaheen H.B. No. 4500
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to unconscionable prices charged by health care providers
  for health care services.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter E, Chapter 17, Business & Commerce
  Code, is amended by adding Section 17.465 to read as follows:
         Sec. 17.465.  UNCONSCIONABLE PRICE FOR HEALTH CARE
  SERVICES.  (a) In this section:
               (1)  "Emergency care" and "emergency facility" have the
  meanings assigned by Section 17.464, as that section existed before
  September 1, 2025.
               (2)  "Health care provider" means an individual or
  facility licensed, certified, or otherwise authorized to provide
  health care services in the ordinary course of business or
  professional practice and includes a physician.
               (3)  "Health care services" includes emergency care
  provided in an emergency facility, as those terms are defined by
  Section 17.464, as that section existed before September 1, 2025.
         (b)  For purposes of Section 17.46(a), the term "false,
  misleading, or deceptive acts or practices" includes a health care
  provider that:
               (1)  provides health care services at an unconscionable
  price; or
               (2)  demands or charges an unconscionable price for or
  in connection with health care services provided by the health care
  provider.
         (c)  The consumer protection division may not bring an action
  under Section 17.47 for an act or practice described by Subsection
  (b) if the price alleged to be unconscionable is less than 200
  percent of the average charge for the same or substantially similar
  health care services provided to other individuals by similar
  health care providers located in the same county or nearest county
  in which the health care provider is located, as applicable,
  according to data collected by the Department of State Health
  Services under Chapter 108, Health and Safety Code, and made
  available to the division, except as provided by Subsection (d).  If
  the health care services are emergency care provided in an
  emergency facility, the consumer protection division may not use
  data that includes prices for care provided in an urgent care
  setting or physician practice to establish the division's authority
  to investigate and pursue an action under this subchapter.
         (d)  If the attorney general determines that the consumer
  protection division is unable to obtain the charge data described
  by Subsection (c), the attorney general may adopt rules designating
  another source of charge data for use by the division in
  establishing the average charge for health care services provided
  by health care providers for purposes of Subsection (c).
         (e)  In an action brought under Section 17.47 to enforce this
  section, the consumer protection division may request, and the
  trier of fact may award the recovery of:
               (1)  reasonable attorney's fees and court costs; and
               (2)  the reasonable expenses incurred by the division
  in obtaining any remedy available under Section 17.47, including
  the cost of investigation, witness fees, and deposition expenses.
         (f)  This section does not create a private cause of action
  for a false, misleading, or deceptive act or practice described by
  Subsection (b).
         SECTION 2.  Section 17.464, Business & Commerce Code, is
  repealed.
         SECTION 3.  The changes in law made by this Act apply only to
  health care services provided on or after the effective date of this
  Act. Health care services provided before the effective date of
  this Act are governed by the law as it existed immediately before
  the effective date of this Act, and that law is continued in effect
  for that purpose.
         SECTION 4.  This Act takes effect September 1, 2025.