Texas Insurance Code

§ 566.051 — LIMITATIONS ON BILLING; NOTICE

IN § 566.051Title 5. PROTECTION OF CONSUMER INTERESTS · Part C. DECEPTIVE, UNFAIR, AND PROHIBITED PRACTICES · Ch. 566. BILLING FOR CERTAIN MEDICAL EQUIPMENT, DEVICES, AND SUPPLIES · Art. B. REGULATION OF CERTAIN BILLING PRACTICES

Statute text

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(a)A nonparticipating supplier may not charge an enrollee more than 115 percent of the Medicare-approved amount for durable medical equipment, orthotic devices or supplies, or prosthetic devices or supplies covered under Medicare for which the supplier has not accepted written assignment unless:

(1)before the enrollee is billed, the enrollee agrees in writing to pay the additional amount; and

(2)before receiving the durable medical equipment, orthotic device or supply, or prosthetic device or supply, the enrollee:

(A)enters into a rental payment plan; or

(B)pays the additional amount in full.

(b)A written agreement between a nonparticipating supplier and enrollee under this section must provide notice to the enrollee that:

…

Legislative history

Added by Acts 2025, 89th Leg., R.S., Ch. 1003 (S.B. 1330), Sec. 1, eff. September 1, 2025.