Regular Session
Government Affairs & Regulatory Compliance Analysis
HB3348 immediately authorizes Denton County to impose a mandatory assessment of up to 6% of net patient revenue on all nonpublic hospitals to fund the non-federal share of Medicaid supplemental payments. Affected institutions must prepare for significant upfront cash outflows and strictly adhere to the statutory prohibition against passing this cost to patients as a surcharge.
Rep. Jared Patterson·House Bill·Regular Session
This legislation has regulatory implications for the following Texas businesses and organizations:
Significant regulatory changes (effective 2025-06-20). Review with your legal and compliance teams to understand implications.
Affected business types:
highSignificant operational investment may be required.
JD Key Consulting provides government affairs and regulatory strategy services. We help businesses navigate Texas agencies, understand legislative impacts, and advocate for their interests.
JD Key Consulting provides strategic guidance on Texas regulatory compliance and legislative impact for your business.
Key implementation requirements and action items for compliance with this legislation
JD Key Consulting specializes in Texas regulatory compliance strategy. Work directly with James Dickey—former Chairman of the Republican Party of Texas—to understand this bill's impact on your operations and develop an actionable compliance plan.
Schedule a ConsultationInformation presented is for general knowledge only and is provided without warranty, express or implied. Consult qualified government affairs professionals and legal counsel before making compliance decisions.
This bill's path through the Texas Legislature
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Common questions about HB3348
HB3348 immediately authorizes Denton County to impose a mandatory assessment of up to 6% of net patient revenue on all nonpublic hospitals to fund the non-federal share of Medicaid supplemental payments. Affected institutions must prepare for significant upfront cash outflows and strictly adhere to the statutory prohibition against passing this cost to patients as a surcharge.
HB3348 was authored by Texas Representative Jared Patterson during the Regular Session.
HB3348 was signed into law by Governor Greg Abbott on June 20, 2025.
HB3348 is enforced by County Commissioners Court (Primary Administrator) and Texas Health and Human Services Commission (Oversight/Federal Interface).
The regulatory priority for HB3348 is rated as "critical". Businesses and organizations should review the legislation to understand potential impacts.
The cost impact of HB3348 is estimated as "high". This may vary based on industry and implementation requirements.
HB3348 addresses topics including county government, county government--finance, health care providers, special districts & authorities and special districts & authorities--hospital.
Key dates for HB3348: Effective date is 2025-06-20. Rulemaking: Adopt rules regarding administration, collection of payments, expenditures, and audits. (Discretionary/Upon Program Authorization); May adopt rules regarding county reporting requirements to the state. (Discretionary). Consult with legal counsel regarding applicability.
HB3348 establishes the following penalties: administrative penalty of Variable (capped at maximum authorized for other delinquent county payments) for Failure to pay the mandatory assessment within 30 days of notice.. Consult with legal counsel for specific applicability to your situation.
HB3348 primarily affects healthcare providers and medical facilities. These businesses should review the legislation with their legal and compliance teams to understand potential impacts.
JD Key Consulting is an Austin, Texas-based government affairs firm led by James Dickey, former Chairman of the Republican Party of Texas. We specialize in Texas regulatory compliance and legislative strategy for data centers, energy, banking, and manufacturing.
