Regular Session
Government Affairs & Regulatory Compliance Analysis
SB916 fundamentally alters the risk profile for political subdivision EMS providers by converting administrative billing errors into licensure liabilities. Effective September 1, 2025, the Department of State Health Services (DSHS) is authorized to revoke or suspend operating licenses for intentional data errors or patterns of balance billing violations, while simultaneously capping annual rate increases and shifting the calculation burden to the provider.
Sen. Judith Zaffirini·Senate Bill·Regular Session
Department of State Health Services (DSHS) • Texas Department of Insurance (TDI)
This legislation has regulatory implications for the following Texas businesses and organizations:
Significant regulatory changes (effective 2025-09-01). Review with your legal and compliance teams to understand implications.
Affected business types:
mediumModerate costs expected for implementation.
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 SB916
SB916 fundamentally alters the risk profile for political subdivision EMS providers by converting administrative billing errors into licensure liabilities. Effective September 1, 2025, the Department of State Health Services (DSHS) is authorized to revoke or suspend operating licenses for intentional data errors or patterns of balance billing violations, while simultaneously capping annual rate increases and shifting the calculation burden to the provider.
SB916 was authored by Texas Senator Judith Zaffirini during the Regular Session.
SB916 was signed into law by Governor Greg Abbott on June 20, 2025.
SB916 is enforced by Department of State Health Services (DSHS) and Texas Department of Insurance (TDI).
The regulatory priority for SB916 is rated as "critical". Businesses and organizations should review the legislation to understand potential impacts.
The cost impact of SB916 is estimated as "medium". This may vary based on industry and implementation requirements.
SB916 addresses topics including consumer protection, health care providers, health, health--emergency services & personnel and insurance.
Key dates for SB916: Effective date is 2025-09-01. Consult with legal counsel regarding applicability.
SB916 establishes the following penalties: Administrative (Licensure Action) penalty of Revocation, suspension, or refusal to renew EMS provider license/certificate for Intentionally submitting incorrect rate information to the TDI database (Sec. 38.006) or engaging in a pattern of balance billing violations.. Consult with legal counsel for specific applicability to your situation.
SB916 primarily affects healthcare providers and medical facilities, insurance companies and financial institutions. 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.
