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Bill

SB 1330

Relating to billing and reimbursement for certain medical equipment, devices, and supplies provided to Medicare enrollees; creating a criminal offense.

89th Legislature (2025) Introduced by Kelly Hancock and 1 co-sponsor

Texas law creates criminal penalties and revises billing rules for Medicare medical equipment/supplies to combat fraud and protect enrollees from improper charges.

Effective on 9/1/25
#business&commerce--tradepractices(i0006) #crimes--miscellaneous(i0200) #healthcareproviders(i0387) #insurance--life #health&accident(i0440) #medicare(s6016) #orthotics&orthotists(s0125) #prosthetists&prosthetics(s0195)
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Bill Summary · SB 1330

Legislative bill overview

SB 1330 modifies how Medicare enrollees in Texas are billed and reimbursed for medical equipment, devices, and supplies, while establishing new criminal penalties for violations. The bill became law on June 20, 2025, and takes effect September 1, 2025. Specific provisions aren't detailed in the bill summary provided, but the legislation addresses billing practices and fraud prevention in medical equipment provision.

Why is this important

Medical equipment billing is a significant healthcare cost affecting both Medicare beneficiaries and the federal program. Fraudulent or improper billing in this sector costs taxpayers millions annually. Clarifying billing rules and creating criminal penalties aims to reduce fraud, protect seniors from unexpected charges, and ensure proper use of Medicare funds.

Potential points of contention

  • Definition clarity: The bill's specific criteria for what constitutes improper billing may be ambiguous, potentially affecting legitimate suppliers unfairly or inconsistently
  • Small business impact: Smaller medical equipment providers may lack compliance infrastructure, creating disproportionate burden compared to larger corporations
  • Criminal threshold: Establishing criminal penalties (rather than civil fines) for billing violations raises questions about proportionality and due process protections for defendants

Compiled from official sources — confirm details with the bill’s official record.

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