LEGISLATIVE BUDGET BOARD

Austin, Texas

FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION

March 31, 2025

TO:	Honorable Lois W. Kolkhorst, Chair, Senate Committee on Health & Human Services
FROM:	Jerry McGinty, Director, Legislative Budget Board
IN RE:	SB1270 by Hughes (Relating to itemized billing for health care services and supplies provided by health care providers.), As Introduced

The fiscal implications of the bill cannot be determined due to uncertainty in the amount of enforcement actions taken as a result of implementing the provisions of the bill. 

The bill would amend the Health and Safety Code to require a healthcare provider to check if a patient has a patient portal profile before issuing an itemized bill through a patient portal, and if not, the provider must mail the itemized bill to the patient. The bill would require the appropriate licensing authority to take disciplinary action against a healthcare provider if they fail to do so. 

Based on analysis provided by the Texas Medical Board, the potential impact of implementing the provisions of the bill could create an increase in complaints and investigations to the extent of requiring additional resources. Given the uncertainty of the number and complexity of these complaints, the fiscal impact cannot be determined. 

Based on analysis provided by the Health and Human Services Commission, any additional workload as a result of implementing the provisions of the bill could be accomplished by utilizing existing resources. 

The bill would take effect September 1, 2025. 

Local Government Impact

No fiscal implication to units of local government is anticipated.

Source Agencies:

503 Texas Medical Board, 529 Health and Human Services Commission

LBB Staff:

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