Relating to certain health care entity or system transaction fees and payment claims; providing administrative and civil penalties.

HB 3321 establishes new rules for health care entities (like hospitals, clinics, and urgent care centers) regarding outpatient facility fees and billing practices. It defines "facility fees" as separate charges for operational costs (not professional services) and requires health care systems to follow specific billing rules for payment claims. The bill creates administrative and civil penalties for violations, such as improper fee charging or billing errors. This directly affects hospitals, clinics, insurers, and patients receiving outpatient care in Texas.