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Bill

HB 4094

Relating to the provision of health care services by a freestanding emergency medical care facility and the collection of fees for providing those services.

89th Legislature (2025) Introduced by Alan Schoolcraft

HB 4094 adjusts Texas regulations for freestanding emergency facilities' service delivery and fee collection, affecting patient costs and market competition in emergency care access.

Referred to Public Health
#health--emergencyservices&personnel(i0384) #health--general(i0385) #insurance--health&accident(i0422) #medicalcarefacilities(s0455) #occupationalregulation--healthoccupations(i0540)
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Bill Summary · HB 4094

Legislative bill overview

HB 4094 modifies regulations governing freestanding emergency medical care facilities (standalone ERs not attached to hospitals) in Texas, specifically addressing how these facilities can provide services and collect fees. The bill appears to adjust licensing, operational standards, or reimbursement mechanisms for these independent emergency care providers.

Why is this important

Freestanding ERs have grown significantly in Texas as an alternative to hospital-based emergency departments, affecting patient access, healthcare costs, and competition in emergency care markets. Changes to how these facilities operate and bill patients could impact affordability, insurance coverage, facility viability, and whether patients receive care at appropriate settings.

Potential points of contention

  • Patient billing protections: Whether the bill adequately protects uninsured or underinsured patients from surprise bills or excessive charges, or if it allows facilities greater flexibility to bill aggressively
  • Insurance network participation: Questions about whether facilities can operate outside insurance networks and how this affects patients' out-of-pocket costs versus traditional hospital ERs
  • Quality and safety standards: Concerns about whether reduced regulations could compromise patient safety or if standards appropriately match the complexity of cases these facilities handle versus full-service hospital ERs

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

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