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HB 4145

Relating to the timely billing of health care services related to a personal injury claim.

89th Legislature (2025) Introduced by Paul Dyson and 1 co-sponsor

Texas law requiring healthcare providers to bill personal injury claims within defined timelines, effective September 1, 2025, to improve transparency and reduce billing disputes.

Effective on 9/1/25
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Bill Summary · HB 4145

Legislative bill overview

HB 4145 establishes requirements for timely billing of health care services related to personal injury claims in Texas. The bill sets standards for how healthcare providers must bill patients and insurers when medical services are provided in connection with injury litigation or settlement claims. It became effective September 1, 2025, after being signed by the Governor in June.

Why is this important

This legislation affects how medical debt is handled in personal injury cases, which impacts hundreds of thousands of Texans involved in accident claims annually. Clear billing timelines can prevent disputes between providers, patients, and insurance companies, potentially reducing litigation costs and improving transparency in personal injury settlements where medical bills are a major component.

Potential points of contention

  • Provider revenue impact: Healthcare providers may face cash flow challenges if required to wait longer before billing or if billing windows are restricted, potentially shifting costs to patients
  • Insurance company interests: Insurers may benefit from delayed billing or billing restrictions that reduce their claim payouts, raising fairness questions for injured parties
  • Definition and scope ambiguity: The bill's specific requirements and which services qualify as "related to" a personal injury claim may create interpretation disputes and inconsistent application

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

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