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Bill

SB 916

Relating to consumer protections against certain medical and health care billing by emergency medical services providers.

89th Legislature (2025) Introduced by Kelly Hancock and 2 co-sponsors

Texas law establishes consumer protections requiring EMS providers to implement transparent billing practices and dispute resolution processes, effective September 2025.

Effective on 9/1/25
#ambulances(s0527) #consumerprotection(i0080) #healthcareproviders(i0387) #health--emergencyservices&personnel(i0384) #insurance--health&accident(i0422) #statehealthservices #departmentof(v0463)
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Bill Summary · SB 916

Legislative bill overview

SB 916 establishes consumer protections governing how emergency medical services (EMS) providers bill patients for emergency care. The bill creates requirements around billing practices, transparency, and dispute resolution mechanisms to prevent unexpected or excessive charges for EMS services. It became effective September 1, 2025, after receiving bipartisan support and gubernatorial approval.

Why is this important

Emergency medical services are often involuntary—patients cannot shop around or negotiate rates when experiencing a medical crisis. Without protections, patients frequently face substantial out-of-network bills or surprise charges, which can create severe financial hardship. This legislation addresses a common consumer complaint by establishing baseline standards for how EMS providers must handle billing and communicate costs to patients.

Potential points of contention

  • Scope and enforcement: The bill's specific requirements (billing transparency standards, dispute processes, rate limitations) determine whether protections are meaningful or merely procedural
  • Provider financial impact: EMS providers—particularly rural, volunteer, or financially struggling services—may face compliance costs that could affect service availability or quality
  • Coverage gaps: The bill may not address all billing scenarios (air ambulances, inter-facility transfers, private vs. municipal services) equally, leaving some patients unprotected

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

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