Evidence map›Paper›PMID 42164018›Full record

ArticleHealth affairs scholar2026

Freestanding emergency department compliance with consumer protections: evidence from Texas.

Daniel Marthey, Harish Sontam, Oscar Estrada-Gómez, Benjamin Ukert

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Daniel MartheyDepartment of Health Policy and Management, Texas A&M University, College Station, TX 77843-1266, United States.ORCID https://orcid.org/0000-0002-1440-3068
Harish SontamDepartment of Health Policy and Management, Texas A&M University, College Station, TX 77843-1266, United States.ORCID https://orcid.org/0009-0001-0962-1669
Oscar Estrada-GómezDepartment of Health Policy and Management, Texas A&M University, College Station, TX 77843-1266, United States.ORCID https://orcid.org/0000-0001-7832-5567
Benjamin UkertDepartment of Health Policy and Management, Texas A&M University, College Station, TX 77843-1266, United States.ORCID https://orcid.org/0000-0002-2337-9573

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Freestanding emergency departments (FrEDs) are a major source of emergency care in Texas, but pricing and network participation have historically lacked transparency. Texas House Bill (HB) 2041 aimed to strengthen consumer protections by requiring FrEDs to disclose facility status, standard fees, network participation, and prohibited deceptive advertising. We evaluated FrED compliance with HB 2041. Methods: We identified 16 reporting requirements spanning facility disclosure ( Results: FrED compliance with all 16 parameters ranged from 15% to 100%. Average compliance ranged from 64.5% and 44.7% among independent and satellite FrEDs, respectively. Among independent FrEDs, 11.5% complied with all requirements. The lowest compliance was observed for disclosure of facility and observation fees. Compliance was higher with greater emergency department competition. Conclusion: Findings suggest opportunities to enhance enforcement with Texas' consumer protections.

Indexed as

consumer protectionsfreestanding emergency departmentsprice transparency

Identifiers

PMID42164018
PMCPMC13186269

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.