All Roll Calls
Yes: 149 • No: 0
TexasSB 133089th Legislature Regular SessionSenateWALLET
Relating to billing and reimbursement for certain medical equipment, devices, and supplies provided to Medicare enrollees; creating a criminal offense.
Sponsored By: Hancock, Dennis Paul
Signed by Governor
Business & Commerce--Trade PracticesCrimes--MiscellaneousHealth Care ProvidersInsurance--Life, Health & AccidentMEDICAREORTHOTICS & ORTHOTISTSPROSTHETISTS & PROSTHETICS
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
New limits on Medicare equipment bills
For covered items sold beginning September 1, 2025, Texas limits bills from nonparticipating Medicare suppliers without written assignment. Assignment means agreeing to accept Medicare’s approved amount as payment. The rules cover durable medical equipment, orthotic devices and supplies, and prosthetic devices and supplies. Suppliers generally cannot charge more than 115% of Medicare’s approved amount. Higher charges require your written agreement before billing. Before receiving the item, you must also enter a rental payment plan or pay the excess in full. The agreement must state that Medicare reimburses 80% of its approved amount. It must also state that supplement plans need not cover charges above 115%. Violations are deceptive trade practices under Texas law. Intentional violations are misdemeanors carrying a $500 to $1,000 fine. Prosecution is allowed in Travis County or another county authorized by criminal procedure law.
Medicare supplement coverage has equipment limits
Beginning September 1, 2025, Medicare supplement plans need not reimburse equipment charges above 115% of Medicare’s allowed amount. This applies to payments to enrollees or nonparticipating suppliers for covered durable medical equipment, orthotic devices and supplies, and prosthetic devices and supplies. Plans and suppliers can still negotiate the amount and type of reimbursement. Enrollees may have to pay some or all of the charges above that limit.
Sponsors & Cosponsors
Sponsors
Hancock
Affiliation unavailable
Dennis Paul
House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 5/24/2025
Record vote
Yes: 133 • No: 0
Senate vote • 4/1/2025
Record vote
Yes: 0 • No: 0
Senate vote • 4/1/2025
Record vote
Yes: 0 • No: 0
House vote • Unknown
Committee vote: Insurance
Yes: 8 • No: 0
Senate vote • Unknown
Committee vote: Health & Human Services
Yes: 8 • No: 0
Actions Timeline
Effective on 9/1/25
6/20/2025HouseSigned by the Governor
6/20/2025HouseSent to the Governor
5/27/2025HouseSigned in the House
5/27/2025HouseSigned in the Senate
5/26/2025SenateReported enrolled
5/26/2025SenateHouse passage reported
5/25/2025SenateStatement(s) of vote recorded in Journal
5/24/2025HouseRecord vote (RV#3449)
5/24/2025HousePassed
5/24/2025HouseRead 3rd time
5/24/2025HousePassed to 3rd reading
5/23/2025HouseRead 2nd time
5/23/2025HousePlaced on General State Calendar
5/22/2025HouseConsidered in Calendars
5/20/2025HouseCommittee report sent to Calendars
4/30/2025HouseCommittee report distributed
4/29/2025HouseComte report filed with Committee Coordinator
4/29/2025HouseReported favorably w/o amendment(s)
4/24/2025HouseConsidered in formal meeting
4/24/2025HouseReferred to Insurance
4/17/2025HouseRead first time
4/17/2025HouseReceived from the Senate
4/2/2025HouseReported engrossed
4/1/2025SenateRecord vote
4/1/2025Senate
Bill Text
Engrossed
Enrolled
House Committee Report
Introduced
Senate Committee Report
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