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Bill

HB 4054

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

89th Legislature (2025) Introduced by Penny Morales Shaw and 1 co-sponsor

Texas bill HB 4054 regulates emergency medical services billing practices to protect consumers from surprise charges and unclear billing for involuntary emergency transport.

Referred to Insurance
#ambulances(s0527) #consumerprotection(i0080) #healthcareproviders(i0387) #health--emergencyservices&personnel(i0384) #insurance--health&accident(i0422) #statehealthservices #departmentof(v0463)
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Bill Summary · HB 4054

Legislative bill overview

HB 4054 establishes consumer protection standards for emergency medical services (EMS) billing practices in Texas. The bill aims to regulate how EMS providers charge patients and present billing information, likely addressing surprise billing and transparency issues that consumers face when receiving emergency services.

Why is this important

Emergency medical services are involuntary purchases where patients have no ability to shop for providers or negotiate prices, making them vulnerable to unexpected high bills. Without protections, patients can face substantial out-of-pocket costs even with insurance, creating financial hardship and deterring people from calling for needed emergency care.

Potential points of contention

  • EMS provider revenue impact: Stricter billing regulations could reduce revenue for ambulance services, potentially affecting their operational capacity, staffing levels, or rural service availability
  • Insurance coordination complexity: Defining how EMS bills interact with insurance coverage and balance billing protections requires clear standards that may be difficult to implement consistently
  • Definition scope: Disagreement may arise over which services qualify as emergency EMS versus non-emergency transport, affecting which billing protections apply

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

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