Tex.
Health & Safety Code Section 552.016
Fees
(a)
Except as provided by this section, the department may not charge a fee that exceeds the cost to the state to support, maintain, and treat a patient.(b)
The executive commissioner may use the projected cost of providing inpatient services to establish by rule the maximum fee that may be charged to a payer.(c)
The executive commissioner by rule may establish the maximum fee according to one or a combination of the following:(1)
a statewide per capita;(2)
an individual facility per capita; or(3)
the type of service provided.(d)
Notwithstanding Subsection (b), the executive commissioner by rule may establish a fee in excess of the department’s projected cost of providing inpatient services that may be charged to a payer:(1)
who is not an individual; and(2)
whose method of determining the rate of reimbursement to a provider results in the excess.
Source:
Section 552.016 — Fees, https://statutes.capitol.texas.gov/Docs/HS/htm/HS.552.htm#552.016 (accessed Jun. 5, 2024).
