Texas Civil Practice and Remedies Code

§ 146.002 — TIMELY BILLING REQUIRED

CP § 146.002Title 6. MISCELLANEOUS PROVISIONS · Ch. 146. CERTAIN CLAIMS BY HEALTH CARE SERVICE PROVIDERS BARRED

Statute text

(a)Except as provided by Subsection (b) or (c) and subject to Subsection (c-1), a health care service provider shall bill a patient or other responsible person for services provided to the patient not later than the first day of the 11th month after the date the services are provided.

(b)If the health care service provider is required or authorized to directly bill the issuer of a health benefit plan for services provided to a patient, the health care service provider shall bill the issuer of the plan not later than:

(1)the date required under any contract between the health care service provider and the issuer of the health benefit plan; or

(2)if there is no contract between the health care service provider and the issuer of the health benefit plan, the first day of the 11th month after the date the services are provided.

(c)If the health care service provider is required or authorized to directly bill a third party payor operating under federal or state law, including Medicare and the state Medicaid program, the health care service provider shall bill the third party payor not later than:

(1)the date required under any contract between the health care service provider and the third party payor or the date required by federal regulation or state rule, as applicable; or

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Legislative history

Acts 2025, 89th Leg., R.S., Ch. 1092 (H.B. 4145), Sec. 1, eff. September 1, 2025.