Notice of Fees

Sec. 241.252. NOTICE OF FEES. (a) In this section, "provider network" has the meaning assigned by Section 1456.001, Insurance Code. (b) A facility described by Section 241.251 shall post notice that: (1) states: (A) the facility is a freestanding emergency medical care facility; (B) the facility charges rates comparable to a hospital emergency room and may charge a facility fee; (C) a facility or a physician providing medical care at the facility may not be a participating provider in the patient's health benefit plan provider network; and (D) a physician providing medical care at the facility may bill separately from the facility for the medical care provided to a patient; and (2) either: (A) lists the health benefit plans in which the facility is a participating provider in the health benefit plan's provider network; or (B) states the facility is not a participating provider in any health benefit plan provider network. (c) The notice required by this section must be posted prominently and conspicuously: (1) at the primary entrance to the facility; (2) in each patient treatment room; (3) at each location within the facility at which a person pays for health care services; and (4) on the facility's Internet website. (d) The notice required by Subsections (c)(1), (2), and (3) must be in legible print on a sign with dimensions of at least 8.5 inches by 11 inches. (e) Notwithstanding Subsection (c), a facility that is a participating provider in one or more health benefit plan provider networks complies with Subsection (b)(2) if the facility: (1) provides notice on the facility's Internet website listing the health benefit plans in which the facility is a participating provider in the health benefit plan's provider network; and (2) provides to a patient written confirmation of whether the facility is a participating provider in the patient's health benefit plan's provider network. Added by Acts 2015, 84th Leg., R.S., Ch. 185 (S.B. 425), Sec. 1, eff. September 1, 2015. Amended by: Acts 2017, 85th Leg., R.S., Ch. 175 (H.B. 3276), Sec. 1, eff. September 1, 2017. SUBCHAPTER K. LIMITED SERVICES RURAL HOSPITAL