SB 1270 amends the Texas Health and Safety Code to add specific requirements for itemized billing by healthcare providers. If a healthcare provider issues an itemized bill through a patient portal, they must first confirm whether the patient has created a profile on that portal. If the patient has not, the provider is required to mail a physical copy of the itemized bill to the patient. Additionally, HB 216 mandates disciplinary action by the provider's licensing authority if the provider fails to comply with these billing requirements. This bill takes effect on September 1, 2025​.