Advocacy Update: TDI Proposed Rules to Implement HB 1592 and SB 2476

New Surprise Billing Rules: TDI has proposed rules to implement:

  • HB 1592, which allows self-funded and self-insured ERISA plans to opt in to state balance billing laws, and
  • SB 2476, which prohibits surprise bills for all ground ambulance services and establishes a payment methodology instead of requiring the state IDR processes.

Due Dates: Written comments must be submitted to TDI ( by 5:00 p.m. on October 2, 2023. TDI has also scheduled a public hearing on the proposal at 2:00 p.m. on September 26, 2023 (Room 2.029 of the Barbara Jordan State Office Building, 1601 Congress Avenue).

Read the full advocacy update.

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