Texas § HS.311.002 - ITEMIZED STATEMENT OF BILLED SERVICES

§ HS.311.002. ITEMIZED STATEMENT OF BILLED SERVICES

ITEMIZED STATEMENT OF BILLED SERVICES. (a) Each hospital shall develop, implement, and enforce a written policy for the billing of hospital services and supplies. The policy must include: (1) a periodic review of the itemized statements required by Subsection (b); and (2) a procedure for handling complaints relating to billed services. (b) Repealed by Acts 2025, 89th Leg., R.S., Ch. 717 (H.B. 216 ), Sec. 3, eff. September 1, 2025. (c) Repealed by Acts 2025, 89th Leg., R.S., Ch. 717 (H.B. 216 ), Sec. 3, eff. September 1, 2025. (d) Repealed by Acts 2025, 89th Leg., R.S., Ch. 717 (H.B. 216 ), Sec. 3, eff. September 1, 2025. (e) A hospital shall provide an itemized statement of billed services to a third party payor who is actually or potentially responsible for paying all or part of the billed services provided to a patient and who has received a claim for payment of those services. To be entitled to receive a statement, the third party payor must request the statement from the hospital and must have received a claim for payment. The request must be made not later than one year after the date on which the payor received the claim for payment. The hospital shall provide the statement to the payor not later than the 30th day after the date on which the payor requests the statement. If a third party payor receives a claim for payment of part but not all of the billed services, the third party payor may request an itemized statement of only the billed services for which payment is claimed or to which any deduction or copayment applies. (f) If a person, including a third party payor, requests more than two copies of the statement, the hospital may charge a reasonable fee for the third and subsequent copies provided to that person. The fee may not exceed the hospital's cost to copy, process, and deliver the copy to the person. (g) The Department of State Health Services or other appropriate licensing agency may enforce this section by assessing an administrative penalty, obtaining an injunction, or providing any other appropriate remedy, including suspending, revoking, or refusing to renew a hospital's license. (h) In this section, "hospital" includes: (1) a treatment facility licensed under Chapter 464 ; and (2) a mental health facility licensed under Chapter 577 . (i) This section does not apply to a hospital maintained or operated by the federal government. Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989. Amended by Acts 1993, 73rd Leg., ch. 903, Sec. 2.01, eff. Aug. 30, 1993; Acts 1999, 76th Leg., ch. 610, Sec. 2, eff. Sept. 1, 1999. Amended by: Acts 2007, 80th Leg., R.S., Ch. 997 (S.B. 1731 ), Sec. 5, eff. September 1, 2007. Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219 ), Sec. 3.0836, eff. April 2, 2015. Acts 2025, 89th Leg., R.S., Ch. 717 (H.B. 216 ), Sec. 3, eff. September 1, 2025.