Signed Into Law
Signed June 20, 2025Effective 2025-09-01
SB331

Regular Session

Relating to the disclosure of health care cost information by certain health care facilities; imposing an administrative penalty.

Government Affairs & Regulatory Compliance Analysis

Business Impact

Who SB331 Affects

Regulatory Priority: moderate

Notable regulatory updates (effective 2025-09-01). Consider how these changes may affect your operations.

Estimated Cost Impact

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Compliance Analysis

Key implementation requirements and action items for compliance with this legislation

Immediate Action Plan

Operational Changes Required

Strategic Ambiguities & Considerations

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Information 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.

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Quick Reference

Frequently Asked Questions

Common questions about SB331

Q

What does Texas SB331 do?

SB331 expands Chapter 327 price transparency mandates beyond general hospitals to include Ambulatory Surgical Centers (ASCs), freestanding ERs, birthing centers, and specific specialty facilities with gross revenue exceeding $10 million. While the law grants a four-year safe harbor for data publication, affected entities must immediately prepare for significant IT and revenue cycle overhauls to meet the mandatory public disclosure requirements.

Q

Who authored SB331?

SB331 was authored by Texas Senator Lois Kolkhorst during the Regular Session.

Q

When was SB331 signed into law?

SB331 was signed into law by Governor Greg Abbott on June 20, 2025.

Q

Which agencies enforce SB331?

SB331 is enforced by Health and Human Services Commission (HHSC).

Q

How significant are the changes in SB331?

The regulatory priority for SB331 is rated as "moderate". Businesses and organizations should review the legislation to understand potential impacts.

Q

What is the cost impact of SB331?

The cost impact of SB331 is estimated as "medium". This may vary based on industry and implementation requirements.

Q

What topics does SB331 address?

SB331 addresses topics including health care providers, hospitals, occupational regulation, occupational regulation--health occupations and birthing centers.

Q

What are the key dates for SB331?

Key dates for SB331: Effective date is 2025-09-01. Rulemaking: Fiscal note indicates implementation/ramp-up begins FY 2026; expect agency guidance on reporting formats prior to the 2029 compliance deadline. (None explicitly set in bill). Consult with legal counsel regarding applicability.

Q

What are the penalties under SB331?

SB331 establishes the following penalties: administrative penalty of $100 per violation for Failure to submit or comply with a corrective action plan (Facilities with gross revenue $10M - $100M); administrative penalty of $1,000 per day for Failure to submit or comply with a corrective action plan (Facilities with gross revenue $100M+). Consult with legal counsel for specific applicability to your situation.

Q

Which Texas businesses are affected by SB331?

SB331 primarily affects healthcare providers and medical facilities. These businesses should review the legislation with their legal and compliance teams to understand potential impacts.

Legislative data provided by LegiScanLast updated: January 11, 2026