(a) If hospitals execute a transfer agreement that is consistent with the requirements of this section, all patient transfers between the hospitals are governed by the agreement.
(b) The hospitals shall submit the agreement to the department for review for compliance with the requirements of this section. The department shall complete the review of the agreement within 30 days after the date the agreement is submitted by the hospitals.

(c) At a minimum, a transfer agreement must provide that:
(1) transfers be accomplished in a medically appropriate manner and comply with Sections 241.027(b)(2) through (5) and § 241.027(c);
(2) the transfer or receipt of patients in need of emergency care not be based on the individual’s inability to pay for the services rendered by the transferring or receiving hospital;
(3) multiple transfer agreements be entered into by a hospital based on the type or level of medical services available at other hospitals;
(4) the hospitals recognize the right of an individual to request transfer to the care of a physician and hospital of the individual’s choice;
(5) the hospitals recognize and comply with the requirements of Chapter 61 (Indigent Health Care and Treatment Act) relating to the transfer of patients to mandated providers; and
(6) consideration be given to availability of appropriate facilities, services, and staff for providing care to the patient.
(d) If a hospital transfers a patient in violation of Subsection (c)(1), (2), (4), (5), or (6), relating to required provisions for a transfer agreement, the violation is a violation of this chapter.