Relating to charity care provided by certain nonprofit hospitals and hospital systems and the calculation of net patient revenue for purposes of determining the charity care provided by those entities; authorizing an administrative penalty.

HB 3708 requires nonprofit hospitals in Texas to screen all patients for charity care eligibility *before* sending bills or pursuing debt collection. Hospitals must apply qualifying charity care discounts upfront, include clear notices about financial assistance on billing statements (with contact details and policy links), and refund patients if eligibility was incorrectly denied. The Health and Human Services Commission can impose escalating penalties: a corrective plan for first violations, $250,000 fines for second violations, and potential tax exemption revocation for third violations. This bill directly affects nonprofit hospitals by changing their billing practices and adding compliance requirements.