Tex.
Health & Safety Code Section 241.252
Notice of Fees
(a)
In this section, “provider network” has the meaning assigned by Section 1456.001 (Definitions), Insurance Code.(b)
A facility described by Section 241.251 (Applicability) 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.
Source:
Section 241.252 — Notice of Fees, https://statutes.capitol.texas.gov/Docs/HS/htm/HS.241.htm#241.252 (accessed Apr. 13, 2024).
