SB 669

relating to itemized billing for health care services and supplies
provided by health care providers.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 185.001(2), Health and Safety Code, is
(2)  "Health care provider" means an individual or [a]
facility licensed, certified, or otherwise authorized to provide
health care services or supplies in this state in the ordinary
course of business, including a physician, nurse practitioner,
physician assistant, or hospital [, except the term does not
include a federally-qualified health center, as defined by 42
U.S.C. Section 1396d(l)(2)(B)].
SECTION 2.  Section 185.002, Health and Safety Code, is
amended by amending Subsections (c) and (d) and adding Subsection
(c)  Except as provided by Subsection (c-1), a [A] health
care provider may issue the itemized bill:
(1)  electronically, including through a patient
portal on the provider's Internet website;
(2)  through a hard copy delivered by mail or a common
(3)  through a hard copy the patient or the patient's
designee obtains at the provider's place of business.
(c-1)  A health care provider that issues an itemized bill to
a patient electronically through a patient portal under Subsection
(1)  determine whether the patient has created a
patient profile on the portal; and
(2)  if the health care provider determines that the
patient has not created a patient profile, mail a copy of the
itemized bill to the patient as described by Subsection (c)(2).
(d)  A patient is entitled to obtain from the health care
(1)  on request at any time after the itemized bill is
initially issued under Subsection (a); and
(2)  through the patient's chosen method of issuance in
accordance with Subsection (c).
SECTION 3.  Section 185.003, Health and Safety Code, is
Sec. 185.003.  DISCIPLINARY ACTION BY LICENSING
AUTHORITY.  The appropriate licensing authority shall take
disciplinary action against a health care [the] provider that
violates this chapter [for the violation] as if the provider
violated an applicable licensing law.
SECTION 4.  Notwithstanding Section 185.001, Health and
Safety Code, as amended by this Act, a health care provider, as
defined by that section, that was not subject to the requirements of
Chapter 185, Health and Safety Code, before the effective date of
this Act is not required to comply with the requirements of that
chapter before January 1, 2026.
SECTION 5.  Section 185.002, Health and Safety Code, as
amended by this Act, applies only to an itemized bill issued on or
after the effective date of this Act. An itemized bill issued before
the effective date of this Act is governed by the law in effect on
the date the itemized bill was issued, and the former law is
continued in effect for that purpose.
SECTION 6.  This Act takes effect September 1, 2025.