H.B. No. 4054 aims to enhance consumer protections regarding medical and health care billing practices by emergency medical services (EMS) providers in Texas. The bill introduces new provisions that allow the department to revoke, suspend, or refuse to renew the license or certificate of an EMS provider if it is confirmed that the provider has intentionally submitted incorrect information or has engaged in a pattern of violations of specific sections of the Insurance Code. Additionally, the bill amends various sections of the Insurance Code to clarify that political subdivisions may adjust rates submitted under Section 38.006, with adjustments limited to the lesser of the Medicare Ambulance Inflation Factor or 10 percent of the provider's previous calendar year rates.

The bill also extends the expiration date for certain sections of the Insurance Code from September 1, 2025, to September 1, 2027. This change applies to the adjustments made by political subdivisions regarding EMS billing rates. The provisions of this Act will only apply to emergency medical services provided on or after its effective date, which is set for September 1, 2025, ensuring that services rendered prior to this date will be governed by the existing law.

Statutes affected:
Introduced: Health and Safety Code 773.061, Insurance Code 38.006, Insurance Code 1271.159, Insurance Code 1275.054, Insurance Code 1301.166, Insurance Code 1551.231, Insurance Code 1575.174, Insurance Code 1579.112 (Insurance Code 1551, Insurance Code 1301, Insurance Code 1579, Insurance Code 38, Insurance Code 1575, Insurance Code 1271, Insurance Code 1275, Health and Safety Code 773)