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TexasSB 91689th Legislature Regular SessionSenateWALLET

Relating to consumer protections against certain medical and health care billing by emergency medical services providers.

Sponsored By: David Spiller, Judith Zaffirini (Democratic)

Signed by Governor

Consumer ProtectionHealth Care ProvidersHealth--Emergency Services & PersonnelInsurance--Health & AccidentAMBULANCESSTATE HEALTH SERVICES, DEPARTMENT OF

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Bill Overview

Analyzed Economic Effects

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

Stronger oversight of Texas ambulance billing

For services provided beginning September 1, 2025, Texas gives its Department of State Health Services stronger ambulance billing enforcement powers. The department can suspend, revoke, or refuse to renew an emergency medical services provider’s license or certificate. Grounds include intentionally submitting incorrect information required under Insurance Code Section 38.006 or a confirmed pattern of specified insurance-law violations. Government-run providers are also covered. This licensing authority has no expiration date.

Texas limits ambulance rate increases

Beginning September 1, 2025, Texas limits local governments’ annual increases to ambulance rates submitted under Insurance Code Section 38.006. Increases cannot exceed the lower of the Medicare Ambulance Inflation Factor or 10% of the provider’s previous calendar-year rate. The law also extends related ambulance billing and insurance protections for two years, until September 1, 2027. The rate limits expire that same day. Changes apply only to services provided on or after September 1, 2025; earlier services remain under prior law.

Sponsors & Cosponsors

Sponsors

  • David Spiller

    House

  • Judith Zaffirini

    Democratic • Senate

Cosponsors

  • Hancock

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 362 • No: 0

House vote • 5/22/2025

Record vote

Yes: 144 • No: 0

House vote • 5/21/2025

Record vote

Yes: 142 • No: 0

Senate vote • 3/27/2025

Record vote

Yes: 30 • No: 0

Senate vote • 3/27/2025

Record vote

Yes: 30 • 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

  1. Effective on 9/1/25

    6/20/2025House

  2. Signed by the Governor

    6/20/2025House

  3. Sent to the Governor

    5/27/2025House

  4. Signed in the House

    5/26/2025House

  5. Signed in the Senate

    5/26/2025Senate

  6. Reported enrolled

    5/23/2025Senate

  7. House passage reported

    5/23/2025Senate

  8. Statement(s) of vote recorded in Journal

    5/22/2025House

  9. Record vote (RV#3205)

    5/22/2025House

  10. Passed

    5/22/2025House

  11. Read 3rd time

    5/22/2025House

  12. Statement(s) of vote recorded in Journal

    5/21/2025House

  13. Record vote (RV#3174)

    5/21/2025House

  14. Passed to 3rd reading

    5/21/2025House

  15. Read 2nd time

    5/21/2025House

  16. Placed on General State Calendar

    5/21/2025House

  17. Considered in Calendars

    5/19/2025House

  18. Committee report sent to Calendars

    4/29/2025House

  19. Committee report distributed

    4/29/2025House

  20. Comte report filed with Committee Coordinator

    4/29/2025House

  21. Reported favorably w/o amendment(s)

    4/23/2025House

  22. Considered in public hearing

    4/23/2025House

  23. Left pending in committee

    4/17/2025House

  24. Testimony taken/registration(s) recorded in committee

    4/17/2025House

  25. Considered in public hearing

    4/17/2025House

Bill Text

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