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TexasHB 131489th Legislature Regular SessionHouseWALLET

Relating to price estimates and billing requirements for certain health care facilities.

Sponsored By: James Frank, Caroline Harris Davila, Hillary Hickland, Bryan Hughes (Republican), Mike Olcott

Signed by Governor

Consumer ProtectionHealth Care ProvidersHealth--Other Diseases & Medical ConditionsHospitalsInsurance--Health & Accident

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Billing dispute protections for Texas patients

For estimate requests made beginning September 1, 2025, Texas facilities must explain the federal billing dispute process in their estimates. This notice covers patients eligible under 45 C.F.R. Section 149.620 whose final charges exceed the estimate by $400 or more. A facility that violates the estimate rules cannot take or help third-party collection actions, report the patient to a credit bureau, or sue the patient. The appropriate licensing agency can also enforce these rules.

Written price estimates for Texas patients

For requests made beginning September 1, 2025, Texas health care facilities must email written estimates within five business days. Patients can request estimates before scheduling elective inpatient admissions, nonemergency outpatient surgery, or other nonemergency elective services. Estimates must show total expected facility charges. Facilities must warn that requesting an estimate may delay scheduling and actual charges may vary with medical condition and other factors. They must explain that billed charges may differ from what patients or insurers pay, and insurance coverage determines personal liability. Patients must be advised to ask their health plan about its structure, coverage, deductibles, copayments, coinsurance, and other payment rules. The law repeals the former price-estimate rules in Subchapter B of Chapter 324. Requests made before September 1, 2025, remain under the old law.

Sponsors & Cosponsors

Sponsors

  • James Frank

    House

  • Caroline Harris Davila

    House

  • Hillary Hickland

    House

  • Bryan Hughes

    Republican • Senate

  • Mike Olcott

    House

Cosponsors

  • César Blanco

    Democratic • Senate

  • Penny Morales Shaw

    House

Roll Call Votes

All Roll Calls

Yes: 294 • No: 0

Senate vote • 5/25/2025

Record vote

Yes: 0 • No: 0

Senate vote • 5/25/2025

Record vote

Yes: 0 • No: 0

House vote • 5/2/2025

Record vote

Yes: 133 • No: 0

House vote • 5/1/2025

Record vote

Yes: 142 • No: 0

Senate vote • Unknown

Committee vote: Health & Human Services

Yes: 8 • No: 0

House vote • Unknown

Committee vote: Public Health

Yes: 11 • No: 0

Actions Timeline

  1. Effective on 9/1/25

    6/20/2025House

  2. Signed by the Governor

    6/20/2025House

  3. Sent to the Governor

    6/2/2025House

  4. Signed in the Senate

    6/1/2025Senate

  5. Signed in the House

    6/1/2025House

  6. Reported enrolled

    5/31/2025House

  7. Senate adopts resolution for tech. correction (HCR 167)

    5/29/2025Senate

  8. House adopts resolution for tech. correction (HCR 167)

    5/28/2025House

  9. Senate passage reported

    5/25/2025House

  10. Record vote

    5/25/2025Senate

  11. Passed

    5/25/2025Senate

  12. Read 3rd time

    5/25/2025Senate

  13. Record vote

    5/25/2025Senate

  14. Three day rule suspended

    5/25/2025Senate

  15. Vote recorded in Journal

    5/25/2025Senate

  16. Read 2nd time & passed to 3rd reading

    5/25/2025Senate

  17. Laid before the Senate

    5/25/2025Senate

  18. Placed on local & uncontested calendar

    5/25/2025Senate

  19. Committee report printed and distributed

    5/15/2025Senate

  20. Recommended for local & uncontested calendar

    5/15/2025Senate

  21. Reported favorably w/o amendments

    5/15/2025Senate

  22. Vote taken in committee

    5/14/2025Senate

  23. Considered in public hearing

    5/14/2025Senate

  24. Co-sponsor authorized

    5/14/2025Senate

  25. Left pending in committee

    5/13/2025Senate

Bill Text

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