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HB 208Introduced; filed Nov. 9, 202690th Regular Session (2027)

Your insurer would pay the emergency room first and collect your deductible instead of billing you at the door

What it does

HB 208 would require your health plan to pay the provider the full amount due for covered emergency care, including the deductible, copay, and coinsurance you normally owe. The plan would take on the job of collecting that cost sharing from you, and on your request it would have to collect it in installments across the plan year. Insurers could not cancel your plan for failing to collect, could not hold back money from the provider, and could not use the added cost to raise your premiums. The bill takes effect September 1, 2027 and applies to health plans delivered, issued, or renewed on or after January 1, 2028.

What it means for your community

This matters most when you are treated in an emergency room that is outside your plan's network, where surprise bills are common. What you owe does not change: your deductible, copay, and coinsurance are still yours, but the insurer collects them and can spread them across the year instead of asking for one lump sum. Your hospital and doctor also gain, since they get paid in full and would not have to give extra discounts to cover the gap, and the state Medicaid program is not covered by this bill.

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Read the full bill on Texas Legislature Online

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