Tex.
Health & Safety Code Section 324.051
Department Website
(a)
The department shall make available on the department’s Internet website a consumer guide to health care. The department shall include information in the guide concerning facility pricing practices and the correlation between a facility’s average charge for an inpatient admission or outpatient surgical procedure and the actual, billed charge for the admission or procedure, including notice that the average charge for a particular inpatient admission or outpatient surgical procedure will vary from the actual, billed charge for the admission or procedure based on:(1)
the person’s medical condition;(2)
any unknown medical conditions of the person;(3)
the person’s diagnosis and recommended treatment protocols ordered by the physician providing care to the person; and(4)
other factors associated with the inpatient admission or outpatient surgical procedure.(b)
The department shall include information in the guide to advise consumers that:(1)
the average charge for an inpatient admission or outpatient surgical procedure may vary between facilities depending on a facility’s cost structure, the range and frequency of the services provided, intensity of care, and payor mix;(2)
the average charge by a facility for an inpatient admission or outpatient surgical procedure will vary from the facility’s costs or the amount that the facility may be reimbursed by a health benefit plan for the admission or surgical procedure;(3)
the consumer may be personally liable for payment for an inpatient admission, outpatient surgical procedure, or health care service or supply depending on the consumer’s health benefit plan coverage;(4)
the consumer should contact the consumer’s health benefit plan for accurate information regarding the plan structure, benefit coverage, deductibles, copayments, coinsurance, and other plan provisions that may impact the consumer’s liability for payment for an inpatient admission, outpatient surgical procedure, or health care service or supply; and(5)
the consumer, if uninsured, may be eligible for a discount on facility charges based on a sliding fee scale or a written charity care policy established by the facility.(c)
The department shall include on the consumer guide to health care website:(1)
an Internet link for consumers to access quality of care data, including:(A)
the Texas Health Care Information Collection website;(B)
the Hospital Compare website within the United States Department of Health and Human Services website;(C)
the Joint Commission on Accreditation of Healthcare Organizations website; and(D)
the Texas Hospital Association’s Texas PricePoint website; and(2)
a disclaimer noting the websites that are not provided by this state or an agency of this state.(d)
The department may accept gifts and grants to fund the consumer guide to health care. On the department’s Internet website, the department may not identify, recognize, or acknowledge in any format the donors or grantors to the consumer guide to health care.
Source:
Section 324.051 — Department Website, https://statutes.capitol.texas.gov/Docs/HS/htm/HS.324.htm#324.051 (accessed Jun. 5, 2024).
