(a) Except as provided by this section, the department may not charge a fee that exceeds the cost to the state to support, maintain, and treat a patient.(b) The executive commissioner may use the projected cost of providing inpatient services to establish by rule the maximum fee that may be charged to a payer.(c) The executive commissioner by rule may establish the maximum fee according to one or a combination of the following: (1) a statewide per capita;(2) an individual facility per capita; or(3) the type of service provided.(d) Notwithstanding Subsection (b), the executive commissioner by rule may establish a fee in excess of the department's projected cost of providing inpatient services that may be charged to a payer: (1) who is not an individual; and(2) whose method of determining the rate of reimbursement to a provider results in the excess.Tex. Health and Safety Code § 552.016
Amended by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 1,Sec. 3.1338, eff. 4/2/2015.Added by Acts 1991, 72nd Leg., ch. 76, Sec. 1, eff. 9/1/1991.