Texas HB985 mandates equal Medicaid reimbursement rates for outpatient services between hospital-owned and independent facilities.

Texas HB985 amends the Health and Safety Code to require hospitals to notify the Health and Human Services Commission and the Attorney General's office when acquiring outpatient facilities. The bill also mandates that Medicaid reimbursement rates for outpatient services provided by hospital-owned facilities match those of independent, physician-owned practices, unless specific conditions are met. Additionally, the Texas Department of Insurance must study the feasibility of extending this policy to commercial health benefit plan issuers, with a report due by September 1, 2026.

Texas HB985 mandates equal Medicaid reimbursement rates for outpatient services between hospital-owned and independent facilities.

Texas HB985 amends the Health and Safety Code to require hospitals to notify the Health and Human Services Commission and the Attorney General's office when acquiring outpatient facilities. The bill also mandates that Medicaid reimbursement rates for outpatient services provided by hospital-owned facilities match those of independent, physician-owned practices, unless specific conditions are met. Additionally, the Texas Department of Insurance must study the feasibility of extending this policy to commercial health benefit plan issuers, with a report due by September 1, 2026.