H.B. No. 3321 introduces Chapter 328 to the Health and Safety Code, which establishes new regulations for health care entities regarding transaction fees and payment claims. The bill defines key terms such as "affiliate," "campus," and "facility fee," and prohibits health care entities from charging facility fees for services provided outside their campus or for certain outpatient evaluation and management procedures. It requires health care entities to notify patients in writing about potential facility fees and their costs at the time of appointment scheduling. Additionally, the bill mandates the development of a waiver process for patients seeking reductions in facility fees and requires annual reporting on facility fees charged, including waiver requests and appeals.

The bill also stipulates that health care entities must obtain a unique national provider identifier for each campus and location outside of their campus, which is necessary for license renewal. It mandates that this identifier be included on all bills or claims for reimbursement, and prohibits billing for services rendered outside the campus unless the claims meet these requirements. Enforcement mechanisms are established, allowing for audits and disciplinary actions against non-compliant entities, including administrative penalties and license revocation. The executive commissioner of the Health and Human Services Commission is tasked with adopting rules to implement these provisions by January 1, 2026, with the bill taking effect on September 1, 2025.

Statutes affected:
Introduced: ()