Shown verbatim: the complete text as captured from the official page posted by the Texas Legislature, fetched 2026-08-29. Where this bill amends existing law, language marked for deletion in the official page appears here in brackets. This is the enrolled version. The official bill page.
S.B. No. 916 AN ACT relating to consumer protections against certain medical and health care billing by emergency medical services providers. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 773.061, Health and Safety Code, is amended by adding Subsection (a-1) to read as follows: (a-1) In addition to other permissible actions or penalties and regardless of whether an emergency medical services provider is directly operated by a governmental entity, the department may revoke, suspend, or refuse to renew a license or certificate of the provider if the department confirms that the provider has: (1) intentionally submitted incorrect information required under Section 38.006, Insurance Code; or (2) engaged in a pattern of violations of Section 1271.159, 1275.054, 1301.166, 1551.231, 1575.174, or 1579.112, Insurance Code. SECTION 2. Section 38.006(b), Insurance Code, is amended to read as follows: (b) This section expires September 1, 2027 [2025]. SECTION 3. Sections 1271.159(c) and (g), Insurance Code, are amended to read as follows: (c) A political subdivision may annually [health maintenance organization shall] adjust a rate submitted under Section 38.006 [payment required by Subsection (b)(1) each plan year] by not more than [increasing the payment by] the lesser of: (1) the Medicare Ambulance Inflation Factor; [Index] or (2) 10 percent of the provider's previous calendar year rates. (g) This section expires September 1, 2027 [2025]. SECTION 4. Sections 1275.054(c) and (f), Insurance Code, are amended to read as follows: (c) A political subdivision may annually [The administrator shall] adjust a rate submitted under Section 38.006 [payment required by Subsection (b)(1) each plan year] by not more than [increasing the payment by] the lesser of: (1) the Medicare Ambulance Inflation Factor; [Index] or (2) 10 percent of the provider's previous calendar year rates. (f) This section expires September 1, 2027 [2025]. SECTION 5. Sections 1301.166(c) and (g), Insurance Code, are amended to read as follows: (c) A political subdivision may annually [An insurer shall] adjust a rate submitted under Section 38.006 [payment required by Subsection (b)(1) each plan year] by not more than [increasing the payment by] the lesser of: (1) the Medicare Ambulance Inflation Factor; [Index] or (2) 10 percent of the provider's previous calendar year rates. (g) This section expires September 1, 2027 [2025]. SECTION 6. Sections 1551.231(c) and (f), Insurance Code, are amended to read as follows: (c) A political subdivision may annually [The administrator shall] adjust a rate submitted under Section 38.006 [payment required by Subsection (b)(1) each plan year] by not more than [increasing the payment by] the lesser of: (1) the Medicare Ambulance Inflation Factor; [Index] or (2) 10 percent of the provider's previous calendar year rates. (f) This section expires September 1, 2027 [2025]. SECTION 7. Sections 1575.174(c) and (f), Insurance Code, are amended to read as follows: (c) A political subdivision may annually [The administrator shall] adjust a rate submitted under Section 38.006 [payment required by Subsection (b)(1) each plan year] by not more than [increasing the payment by] the lesser of: (1) the Medicare Ambulance Inflation Factor; [Index] or (2) 10 percent of the provider's previous calendar year rates. (f) This section expires September 1, 2027 [2025]. SECTION 8. Sections 1579.112(c) and (f), Insurance Code, are amended to read as follows: (c) A political subdivision may annually [The administrator shall] adjust a rate submitted under Section 38.006 [payment required by Subsection (b)(1) each plan year] by not more than [increasing the payment by] the lesser of: (1) the Medicare Ambulance Inflation Factor; [Index] or (2) 10 percent of the provider's previous calendar year rates. (f) This section expires September 1, 2027 [2025]. SECTION 9. The changes in law made by this Act apply only to emergency medical services provided on or after the effective date of this Act. Emergency medical services provided before the effective date of this Act are governed by the law in effect immediately before the effective date of this Act, and that law is continued in effect for that purpose. SECTION 10. This Act takes effect September 1, 2025. ______________________________ ______________________________ President of the Senate Speaker of the House I hereby certify that S.B. No. 916 passed the Senate on March 27, 2025, by the following vote: Yeas 30, Nays 0. ______________________________ Secretary of the Senate I hereby certify that S.B. No. 916 passed the House on May 22, 2025, by the following vote: Yeas 144, Nays 0, two present not voting. ______________________________ Chief Clerk of the House Approved: ______________________________ Date ______________________________ Governor
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