2021 Bill Tracker

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Air Medical

SB 183 – Sen. PerryThe bill would create an air medical reciprocity program in Texas.

HB 1460 – Rep. OliversonThe bill would require air medical ambulances that sell memberships to make certain disclosures on their websites and marketing material.

SB 790 and HB 4037 – Sen. Zaffirini and Rep. HowardThe bill relates to Travis County’s local rates and would give air medical the ability to charge less than the set rates.

ESDs & 911 Districts

HB 553 – Rep. Ed ThompsonThe bill relates to the approval by commissioners courts of the annual budgets for ESDs.

HB 639 and SB 1337 – Rep. White and Sen. SchwertnerThe bill relates to the authority of an ESD to provide public health services beyond 911 services.

SB 446 and HB 1228 – Sen. Kolkhorst and Rep. LehmanThe bill addresses a 911 district located within their district.

HB 1819 – Rep. MartinezThe bill relates to the powers of board members in certain ESDs.

SB 774 and HB 2494 – Sen. Nichols and Rep. Metcalf – The bill relates to the election of emergency services commissioners in certain ESDs.

HB 2323 and SB 1473 – Rep. Schofield and Sen. Miles – The bill would require a board to remove territory from a district on request of a municipality only if the municipality has secured an alternative EMS provider.

SB 1189 – Sen. BuckinghamThe bill relates to the authority of a municipality to remove territory from an emergency services district following annexation.

Commercial Health Insurance

HB 571 – Rep. GatesThe bill would create bundled payments for state employee health plans.

HB 573 and SB 1271 – Rep. Oliverson and Sen. SchwertnerThe bill relates to health sharing ministry health plans.

HB 620 – Rep. Julie JohnsonThe bill would require health plans to label all insurance cards with an HMO or PPO designation.

SB 124 and HB 578 – Sen. Johnson and Rep. TurnerThe bill relates to health literacy programs in the state of Texas.

SB 519 – Sen. SchwertnerThe bill would prohibit HMOs from using extrapolation to complete an audit of a participating provider.

SB 436 – Sen. BlancoThe bill would prohibit plans regulated by the state from defining Covid-19 as a pre-existing condition.

HB 1369 – Rep. JettonThe bill relates to the regulation of health care cost-sharing ministries.

SB 749, HB 1529, and HB 1541 – Sen. Johnson, Rep. Martinez Fischer, and Rep. JohnsonThe bill would establish comprehensive preexisting condition protections in Texas statute to mirror the federal protections of the Affordable Care Act.

HB 2276 – Rep. Lucio IIIThe bill relates to the consent to electronic delivery of information.

HB 2389 – Rep. MoodyThe bill would require HMOs to provide additional explanation as to why they terminated a physician from the network. Information would include an economic profile.

HB 2600 – Rep. PaulThe bill would direct the state to study the fiscal impact of commercial insurance mandates.

HB 2636 – Rep. LopezThe bill would require commercial health plans to cover certain at-home monitoring devices for chronic disease related to patients of a certain age.

HB 2929 – Rep. BonnenThe bill would add additional “teeth” to the state’s current law related to the unlawful termination of a physician from a health plan’s network.

HB 3558 – Rep. MunozThe bill would prohibit a health plan from downgrading a payment if the suspected emergency is no longer determined to be an emergency following the fact.

SB 1296 – Sen. Nathan JohnsonThe bill would give the TDI commissioner the ability to review and disapprove certain rate increases.

SB 1442 – Sen. CampbellThe bill relates to regulation of health care sharing ministries; providing civil penalties.

HB 3947 – Rep. MunozThe bill would add additional cost estimate requirements that health plans must provide to insureds.

SB 2124 – Sen. BlancoThe bill relates to the authority of a health benefit plan sponsor to consent to electronic delivery of certain communications on behalf of a party enrolled in the plan.

Commercial Insurance – Anti-Competition

HB 4051 – Rep. FrankThe bill would add new standards to the state’s statute that prevents anti-competitive behavior between providers and insurance plans.

Commercial Health Insurance – Bundled Payments

HB 1527 – Rep. GatesThe bill would created bundled payment programs for the state’s employee health plans: ERS and TRS.

Commercial Health Insurance – Coverage

HB 3752 – Rep. FrankThe bill relates to the provision of health benefits coverage through the creation of the Texas Mutual Health Coverage Plan.

HB 3924 and SB 1973 –  Rep. Oliverson and Sen. SpringerThe bill would create a new insurance plan that avoids some of the Affordable Care Act requirements through the Texas Farm Bureau.

Commercial Health Insurance – EMS

SB 999 and HB 4115 – Sen. Hancock and Rep. OliversonThe bill would prohibit ground EMS from balance billing for out-of-network emergency services. The bill would create an exception for non-emergent transport if the patient is provided with certain disclosures prior to the service.

Commercial Health Insurance – Emergency Care

HB 2241 and SB 1037 – Rep. Oliverson and Sen. WhitmireThe bill would update the state’s “prudent layperson” law to ensure that commercial health plans cannot deny a payment due to a non-emergent diagnosis following a surgery.

HB 2035 – Rep. Julie JohnsonThe bill relates to the utilization review of emergency care claims under health plans.

Commercial Health Insurance – Price Transparency

HB 1907 and SB 1135 – Rep. Walle and Sen. Kolkhorst – The bill, which is pushed by the Texas Academy of Family Physicians, would create an all payor claims database for the state of Texas.

HB 2090 – Rep. BurrowsThe bill relates to health care cost disclosures by third party administrators.

SB 914 and HB 2487 and SB 1137 – Sen. Hancock and Rep. Oliverson and Sen. Kolkhorst – The bill would require hospitals to disclose a certain set of standard charges and other prices.

SB 1845 – Sen. SchwertnerThe bill relates to itemized billing for health care services and supplies provided by health care providers.

SB 2122 – Sen. HughesThe bill relates to itemized billing for health care services and supplies provided by health care providers.

Commercial Insurance – Prior Authorization

Numerous bills related to prior authorization have been filed by Rep. Julie Johnson and other lawmakers. Due to the fact that they do not relate to EMS, they are not included in our bill tracker.

Commercial Health Insurance – Personal Injury/Auto Accidents

SB 207 and HB 1617 – Sens. Schwertner, Buckingham, and Campbell and Rep. Bonnen – The bill would make physicians’ commercial insurance rates available for the purposes of determining medical expenses in personal injury cases.

HB 621 – Rep. Julie Johnson – Per the bill’s author, the bill “proposes that health insurance companies may not delay or deny payment of a claim based on secondary coverage to third party liability. After a car wreck, the last thing that an individual should worry about is a denial or delay of payment of a health insurance claim when they thought they had coverage. Unfortunately, many doctors refuse to see patients who have been involved in a car wreck out of previous bad experiences with insurance companies who refuse to reimburse them for services rendered based on secondary coverage to third-party liability This bill will eliminate this issue.”

Commercial Health Insurance – Risk Pool

SB 745 – Sen. JohnsonThe bill would create a high-risk pool for the state of Texas.

HB 2176 and SB 874 – Rep. Oliverson and Sen. HancockThe bill would extend the state’s temporary high-risk pool.

Commercial Insurance – Sunset

HB 1860 – Rep. CyrierThe bill would push the Texas Department of Insurance’s Sunset review from 2023 to 2025.

Covid-19 Funding

SB 809 – Sen. KolkhorstThe bill would require health care “providers” that receive federal funding related to Covid-19 (CARES Act, etc.) to compile a written report related to the funding’s use, and the report would be provided to Texas officials.

EMS – General

SB 664 – Sen. PowellThe bill would create procedures for EMS personnel and peace officers who reply to 911 calls related to strangulation.

HB 2914 – Rep. Chris TurnerThe bill relates to a fire department’s billing in the DFW area. Specifically, it would allow Grand Prairie to attach an EMS fee to the water bill.

HB 3266 – Rep. RaymondThe bill relates to personal contact information submitted by certain local officials to the Texas Division of Emergency Management and local health departments.

HB 3582 – Rep. GuerraThe bill relates to awarding of grants to initiate, expand, maintain, and improve emergency medical services and to support medical systems and facilities that provide trauma care.

HB 3581 – Rep. GuerraThe bill relates to establishing a coordinated system for the dispatch, triage, transport, and transfer of patients in certain trauma service area regional advisory councils; providing rulemaking authority.

HB 3605 and SB 1763 – Rep. John Turner and Sen. SpringerThe bill would add a representative from the ambulatory surgery center industry to the state’s GETAC advisory council.

SB 1056 – Sen. HuffmanThe bill relates to criminal liability for reporting false information to draw an emergency response; creating an offense.

SB 1386 – Sen. CreightonThe bill would regulate body cameras worn by EMS professionals.

EMS Personnel

SB 44 and HB 1345 – Sen. Zaffirini and Rep. LeachThe bill relates to leave for state employees who are volunteers of certain disaster relief organizations.

HB 318 – Rep. VanDeaver – The bill would create new employment discrimination provisions related to volunteer first responders.

HB 582 – Rep. ColeThe bill would eliminate some tuition fees for paramedics.

HB 792 – Rep. Burns The bill relates to the eligibility of certain municipalities to use an alternate work schedule for police dispatchers.

HB 788 – Rep. GerenThe bill relates to the eligibility of emergency service dispatchers to participate in a public safety employees treatment court program. In short, it would allow them to participate in substance abuse programs.

HB 805 – Rep. HubertyThe bill relates to firefighter benefits in the Houston area.

HB 1341 – Rep. LeachThe bill relates to entrance fee waivers for first responders at state parks.

HB 1442 – Rep. LopezThe bill would require peace officers to complete an additional level of trauma training related to veterans.

HB 2171 and SB 786 – Rep. Metcalf and Sen. Creighton – The bill would ensure certain retirement benefits for EMS professionals and firefighters in Rep. Metcalf’s district.

SB 818 – Sen. PowellThe bill relates to unemployment compensation eligibility and chargebacks regarding certain persons separated from employment due to being called to military service.

HB 2484 – Rep. HerreroThe bill relates to jury duty exemptions for police officers and firefighters.

HB 3644 – Rep. AshbyThe bill would create a memorial monument dedicated to emergency medical services personnel in the State Cemetery.

HB 3735 – Rep. HowardThe bill would require a licensing agency that receives a complaint for a physician or other clinician to forward it immediately to the correct licensing agency.

HB 4012 – Rep. RodriguezThe bill relates to civil service status for EMS personnel in Austin.

SB 1759 – Sen. ZaffiriniThe bill relates to a study on potential improvements to training provided to 9-1-1 emergency service call takers and dispatchers.

EMS Personnel – Tuition

SB 384 and HB 1310 – Sen. Powell and Rep. GuillenThe bill relates to the exemption of tuition and lab fees for certain paramedics.

SB 32 and HB 1205 – Sen. Zaffirini and Rep. GuillenThe bill would create a student loan repayment program for some frontline workers, such as EMS professionals, as a result of work related to Covid-19.

EMS Personnel & Survivorship

SB 107, HB 637 and HB 1498 – Sen. Powell, Rep. Canales, and Rep. Martinez – The bill relates to the survivors of certain public safety employees.

SB 300 – Sen. HinojosaThe bill relates to property taxes of the surviving spouse for certain first responders.

SB 463  and SB 527 – Sen. Lucio and Sen. SpringerThe bill relates to survivorship of certain public safety employees.

EMS Personnel & Covid-19

HB 34 – Rep. CanalesThe bill relates to presumptive coverage for first responders who contract Covid-19. It would serve as an addition to the other respiratory illness presumption in 607 of the Government Code.

SB 107, HB 310 and HB 637 – Sen. Powell, Rep. Springer and Rep. CanalesThe bill relates to benefits for first responders and detention officers related to Covid-19 and would clarify that a disease under 607 of the Government Code is not an ordinary disease of life if the disease is the basis for a disaster declaration by the government.

SB 22 – Sen. SpringerThe bill is the same as HB 4301, SB 463 and SB 527.

HB 541 – Rep. PattersonThe bill would add the following language to the state’s Workers’ Comp statute: “CORONAVIRUS DISEASE (COVID-19). A public safety employee who suffers from coronavirus disease (COVID-19) resulting in disability or death is presumed to have contracted the disease during the course and scope of employment as a public safety employee.”

SB 433, HB 396 and SB 439 – Sen. Zaffirini, Rep. Moody and Sen. BlancoThe bill relates to nurses’ Workers’ Compensation eligibility for nurses related to Covid-19.

HB 1376 – Rep. RoseThe bill would create a new “high injury risk” definition for employees in state-supported living centers.

HB 2242 – Rep. PattersonThe bill relates to injury or illness leaves of absence for county and municipal firefighters and police officers.

SB 1401 and HB 2703 – Sen. Springer and Rep. BurrowsThe bill relates to quarantine leave for fire fighters, peace officers, and emergency medical technicians employed by, appointed by, or elected for a political subdivision.

EMS Personnel – Guns

HB 1069 and SB 737 – Rep. Cody Harris & Sen. Birdwell The bill would allow first responders to carry guns if they have completed a course and met other requirements. In addition, it would require government-based first responder agencies to allow employees who have met these requirements to concealed carry, carry on a holster, or store the gun. It would only apply to governmental agencies.

HB 1499 – Rep. James WhiteThe bill is similar to HB 1069.

EMS Personnel – Workers’ Comp

HB 1635- Rep. Patterson – The bill would direct TDI-DWC to study first responder issues in Workers’ Comp, specifically related to medical costs, return-to-work outcomes, access and utilization of care, satisfaction with care, and health-related functional outcomes.

HB 2598 – Rep. PattersonThe bill relates to PTSD and first responders.

HB 3623 – Rep. Chris Turner – The bill relates to the eligibility of certain health care providers for workers’ compensation benefits for post-traumatic stress disorder arising from events in the course of employment during a public health disaster.

HB 4385 – Rep. PattersonThe bill relates to a first responder whose injuries occur as a result of the job.

SB 1864 – Sen. PowellThe bill relates to the eligibility of certain telecommunicators for workers’ compensation and other benefits.

EMS Telemedicine

HB 2792 – Rep. DarbyThe bill would create an EMS telemedicine pilot project through Texas Tech.

Governmental – Counties

SB 326 – Sen. West – and HB 362 – Rep. ShermanThe bill would allow counties to accept electronic submissions for bids.

Facilities

HB 326 – Rep. HowardThe bill relates to workplace violence prevention in certain health care facilities.

HB 813 – Rep. ShaheenThe bill would create a criminal offense for the harassment of obstructing access to a hospital.

HB 472 – Rep. James WhiteThe bill would allow freestanding emergency medical centers to provide additional services, such as imaging, laboratory, immunization, and other non-emergent services in exchange for not charging a facility fee.

HB 1491 – Rep. DeanThe bill would expand the tort claims cap of $100,000 to rural and community hospitals (even if they are not governmental).

HB 1089 – Rep. ReynoldsThe bill would raise the cap on lawsuits related to governmental hospitals from $100,000 to $250,000. It would also allow for punitive damages and make insurance policies discoverable.

HB 3661 – Rep. DeanThe bill would require board members of rural hospitals located in counties with a population of 60,000 to complete training based on requirements and standards determined by the Center for Optimizing Rural Health of the Texas A&M Rural and Community Health Insitute or a successor organization.

SB 1195 – Sen. PaxtonThe bill relates to the right of certain hospital patients to designate an essential caregiver for in-person visitation.

SB 2038 – Sen. MenendezThe bill relates to fees and prices charged by freestanding emergency medical care facilities; providing administrative penalties.

Fire

HB 1561 – Rep. Gervin-HawkinsThe bill would add additional five additional examination points to beginning fire and police applicants in San Antonio.

HB 1563 – Rep. Gervin-HawkinsThe bill would require a department to disclose to the fire fighter or a police officer if a member of the public requests the personnel file.

SB 803 – Sen. CreightonThe bill relates to a firefighter’s retirement in certain municipalities.

HB 2496 – Rep. BuckleyThe bill relates to the issuance of specialty license plates for certain volunteer firefighters and fire protection personnel.

HB 2869 – Rep. LongoriaThe bill relates to firefighter and police officer collective bargaining.

HB 3375 – Rep. DavisThe bill relates to certain benefits payable by the public retirement systems for police and fire fighters in certain municipalities.

SB 1223 – Sen. SpringerThe bill relates to fee waivers for certain hunting and fishing licenses for certain volunteer firefighters.

SB 1324 – Sen. HinojosaThe bill relates to the investigation of municipal fire fighters.

HB 4068 – Rep. ParkerThe bill relates to the eligibility of certain public retirement systems for police and fire fighters to participate in the Texas Municipal Retirement System.

SB 1805 – Sen. Nathan JohnsonThe bill relates to municipal civil service for fire fighters and police officers.

Hospital Districts

HB 977 and SB 1384 – Rep. Metcalf and Sen. CreightonThe bill relates to the board of directors of the Montgomery County Hospital District.

SB 385 – Sen. PowellThe bill relates to the Tarrant County Hospital District’s ownership of certain technology.

HB 1618 – Rep. LemanThe bill relates to the number of signatures required on a petition filed in connection with an election to create certain hospital districts.

HB 2314 – Rep. ClardyThe bill relates to the Nacogdoches Hospital District board.

SB 1212 and HB 2768 – Sen. Seliger and Rep. Ken King – The bill relates to the composition of the board of directors of the Booker Hospital District.

HB 4501 – Rep. HinojosaThe bill relates to permissible uses of funds by a hospital district that receives a mandatory payment under Chapter 298E, Health & Safety Code.

SB 2031 – Sen. EckhardtThe bill relates to permissible uses of funds by a hospital district that receives a mandatory payment under Chapter 298E, Health & Safety Code (Travis County).

Medicaid

HB 1427 – Rep. ShaheenThe bill would allow the Legislature to review contracts that are negotiated with the state (Medicaid, state employee plans, etc.).

HB 648 – Rep. Raymond – The bill relates to the duties of HHSC’s office of inspector general.

HB 2603 – Rep. ShaheenThe bill would create a direct primary care pilot for Medicaid.

Medicaid – ET3 for EMS

SB 2028 – Sen. KolkhorstThe bill would created Medicare’s ET3 program for ambulances in Texas’ Medicaid program. The bill would direct Texas Medicaid to pay for treatment in place and alternate destination transport.

Medicaid – 1115 Waivers

SB 273 – Sen. HinojosaThe bill relates to the Nueces County Hospital District’s provider participation program.

SB 392 and HB 1338 – Sen. Miles and Rep. ColemanThe bill relates to Harris  County’s provider participation program for increased Medicaid payments.

SB 1073 – Sen. HughesThe bill relates to Medicaid draw-down programs in Texas regions and the assessments levied on all hospitals in that region.

SB 1328 – Sen. HinojosaThe bill relates to Medicaid draw-down programs in Texas for hospitals.

Medicaid – Expansion

Numerous bills related to Medicaid expansion have been introduced.

Medical Billing

HB 3031 – Rep. KlickThe bill would update the state’s egregious billing law for physicians and hospitals by adding the following language: “flagrantly overcharge a patient or third party payor for a treatment provided to the patient.”

HB 2797 – Rep. DeanThe bill targets freestanding ERs and would penalize them for charging “high prices” for testing during a pandemic.

HB 4045 and SB 1684 – Rep. Martinez and Sen. PowellThe bill would prohibit providers from reporting bad patient debt.

SB 2122 – Sen. HughesThe bill would require physicians and other providers that are submitting medical bills to debt collection provide an itemized copy.

Medical Disclosure Panel

HB 2853 – Rep. Julie JohnsonThe bill would update the makeup of the state’s Medical Disclosure Panel. Specifically, at least one of the lawyers on the panel would be required to represent patients in his or her practice.

Medical Imaging

HB 2541 – Rep. MezaThe bill would create a right-to-repair policy related to medical equipment, including advanced imaging.

Mental Health

HB 78 – Rep. ReynoldsThe bill would create a mental health diversion program in Fort Bend County.

HB 377 – Rep. SmithThe bill would add individuals suffering a mental health crisis to the list of individuals eligible for Amber alerts.

HB 1050 – Rep. Romero and SB 539 – Sen. Blanco – The bill would create a study on employing mental health professionals to assist to a behavioral-related emergency call.

SB 454 – Sen. KolkhorstThe bill relates to mental health services development plans as updated by mental health authority groups.

HB 3621 – Rep. CortezThe bill would create a mental health jail diversion pilot project in Bexar County.

HB 3655 – Rep. WhiteThe bill relates to the authority of certain facilities to temporarily detain a person with mental illness.

HB 3977 – Rep. MoodyThe bill relates to emergency detention of certain persons with a mental illness or cognitive disability and the scope of an order for psychoactive medication for certain patients under court-ordered mental health services.

Military Medical

HB 2365 – Rep. LopezThe bill relates to the participation and reimbursement of Texas military medical facilities in relation to Medicaid.

Peace Officers

HB 2452 – Rep. CamposThe bill relates to law enforcement policies prohibiting a peace officer from making a motor vehicle stop on the shoulder of certain highways.

Pharmacy – Physician Dispensing

HB 456 – Rep. ShaheenThe bill would allow physicians to dispense drugs.

HB 1778 and SB 1503 – Rep. Oliverson and Sen. Buckingham – According to the author, “the goal of the bill is to permit physicians to dispense drugs from their offices. This bill seeks to improve access to prescription medications through removing a barrier to care. It requires physicians to comply with state and federal laws relating to labeling, storage, packaging, and record keeping and to notify the Texas State Board of Pharmacy that they are dispensing drugs from their office. Interested parties contend that these regulations will prevent pharmaceutical abuse. Stakeholders assert that H.B. 1778 will provide patients with an option to access prescription drugs more quickly and conveniently.”

Pharmacy – PBMs

A number of bills related to PBMs have been filed.

Physician & Provider Licensing Licensing

SB 284 – Sen. Seliger – The bill would direct the Texas Medical Board to study the number and geographic disbursement of out-of-state physicians who practiced in Texas during the pandemic.

HB 457 – Rep. ShaheenThe bill would seek a property tax exemption for physicians who provide Medicaid care.

HB 471 – Rep. ShaheenThe bill would direct the Texas Medical Board to recognize medical licenses offered in other states under certain circumstances.

HB 548 and SB 1909 – Rep. Frank and Sen. BlancoThe bill would direct the Texas Medical Board to recognize the license of certain military physicians for the purpose of practicing in underserved areas.

HB 651 – Rep. RaymondThe bill relates to the regulation of hyperbaric medical treatment in a physician’s office.

SB 145 – Sen. PowellThe bill relates to the licensing of military personnel and spouses.

HB 194 – Rep. ThierryThe bill would require physicians who practice in primary care to complete CME in implicit bias.

HB 197 – Rep. Thierry – Similar to HB 194, the bill would require medical school students to have coursework in implicit bias.

HB 1424 – Rep. Oliverson – Current law allows physicians and providers to opt out of providing an abortion service if it conflicts with their religious or moral thinking. The bill would add “other medical services” to the exemption.

SB 1103 – Sen. SeligerThe bill relates to the regulation of nurse aides; requiring an occupational registration.

HB 4048 – Rep. AllisonThe bill relates to the authority of an advanced practice registered nurse or physician assistant regarding death certificates.

SB 1502 – Sen. BuckinghamThe bill would direct the Texas Medical Board to list a physician’s specialty as it is based on the physician’s initial specialty qualification and not on maintenance of certification.

SB 1674 – Sen. HallThe bill relates to protection of individuals from participation in a health care service for reasons of conscience; providing a civil remedy; authorizing disciplinary action.

SB 1705 – Sen. BlancoThe bill would update the state’s human trafficking education requirement for physicians.

SB 1708 – Sen. BlancoThe bill relates to the entitlement of certain military veterans to obtain a nursing license by examination.

SB 1752 – Sen. Nathan JohnsonThe bill relates to the authority of an advanced practice registered nurse or physician assistant, or physician, regarding death certificates and certain do-not-resuscitate orders.

SB 1857 – Sen. PowellThe bill relates to the issuance of temporary licenses for certain out-of-state health care practitioners for a charitable purpose.

HB 3735 and SB 2115 – Rep. Howard and Sen. Lucio – The bill would require a licensing agency that receives a complaint for a physician or other clinician to forward it immediately to the correct licensing agency.

Prescription Drugs

HB 1033 and SB 875 – Rep. Oliverson and Sen. Hancock The bill addresses a 2019 law that creates disclosure requirements for drug companies that increase drug costs. This “clean-up bill” would add enforcement measure for cases in which a drug company fails to provide disclosure related to price increases.

HB 1584 – Rep. Lucio IIIThe bill would define the term “redispense” as it relates to compound drugs.

HB 1586 – Rep. Lucio IIIThe bill would require health plans to allow a patient to secure a specialty drug from a physician’s office or hospital outpatient infusion center.

HB 2185 – Rep. ParkerThe bill would add protections for physicians for the off-label use of certain drugs.

SB 844 – Sen. SchwertnerThe bill would repeal certain aspects of ERISA as they relate to  pharmacy benefits.

SB 1820 – Sen. BettencourtThe bill relates to the promotion of off-label uses of certain drugs, biological products, and devices.

HB 18 and HB 2981 – Rep. OliversonThe bill relates to the establishment of the prescription drug savings program for certain uninsured individuals.

Prescription Drugs – Opioids

HB 847 – Rep. ThierryThe bill would require pharmacists to place a warning label on opioid prescriptions.

HB 848 – Rep. ThierryThe bill would require distinctive packaging for opioids.

HB 849 – Rep. ThierryThe bill would require the state of Texas to create a brochure about the risks of opioids and require pharmacists to secure an acknowledgement from the patient.

HB 1524 – Rep. Lucio IIIThe bill would give Schedule II authority to PAs and NPs.

HB 2117 – Rep. PriceThe bill would create an informed consent mandate for physicians to prescribe opioids.

HB 3365 – Rep. KlickThe bill would create an opioid council to determine the distribution of the funds related to the attorney general’s settlement with opioid manufacturers.

HB 4284 – Rep. HollandThe bill would create the state’s opioid abatement account based on the attorney general’s settlement with opioid manufacturers.

HB 4408 – Rep. PriceThe bill would allow a pharmacist to provide an opioid antagonist under certain circumstances to a patient who has been prescribed an opioid.

SB 1827 – Sen. HuffmanThe bill relates to the creation of the opioid abatement account.

Professional Liability Insurance

HB 501 – Rep. WuThe bill would immediately raise the state’s cap on non-economic damages from $250,000 to $342,265. In addition, it would include an index for inflation to raise the cap in the future.

SB 232 – Sen. JohnsonThe bill would allow plaintiffs to file a motion in personal injury cases to determine if the expert under Chapter 74 is required.

SB 493 – Sen. JohnsonThe bill would require nursing homes to carry a minimum of $300,000/$1 million liability policy. Nursing homes that are owned and operated by governmental units would be required to maintain insurance coverage for the cap amounts specified by the Texas Tort Claims Act.

HB 2406 and SB 1106 – Rep. Davis and Sen. Hughes – The bill relates to the casual relationship under Texas Rules of Evidence as it relates to expert witnesses in physician and chiropractor cases.

HB 3747 – Rep. SmithThe bill relates to the liability of health care providers for certain claims arising during a disaster or emergency.

HB 3748 – Rep. SmithThe bill relates to the liability of health care providers for certain claims arising during a pandemic.

HB 3984 – Rep. DavisThe bill relates to service of expert reports for health care liability claims.

Professional Liability – Lawsuits – Covid-19

SB 6 – Sen. Hancock – The bill would create Covid-19 liability protections.

HB 4481 – Rep. OliversonThe bill relates to civil liability arising from Covid-19.

Public Health

SB 42 – Sen. ZaffiriniThe bill relates to the use of wireless communication while driving.

SB 199 – Sen. NelsonThe bill would extend Good Samaritan laws related to AEDs to any individual regardless of whether or not the individual received training if the AED is owned by an entity for which a physician oversees the AED’s compliance.

SB 223 and HB 54 – Sen. Whitmire and Rep. TalaricoThe bill would prohibit law enforcement agencies from contracting with reality television shows.

HB 786 – Rep. OliversonThe bill relates to cardiopulmonary resuscitation training for certain telecommunicators.

SB 375 and HB 786 – Sen. Perry and Rep. OliversonThe bill would require telecommunicators who provide dispatch services to complete cardiopulmonary resuscitation training.

SB 443 and HB 1843 – Sen. Hughes and Rep. Hefner – The bill relates to the emergency possession of certain abandoned children by designated emergency infant care providers by adding police departments to the locations. It would add an alarm so that the baby is not simply dropped off at the door.

HB 2385 – Rep. ShermanThe bill relates to testing discharged or released inmates for communicable diseases.

HB 2400 – Rep. OrtegaThe bill relates to public health lab testing capabilities in counties along the border.

SB 816 – Sen. BuckinghamThe bill would add Covid-19 vaccines to the list of vaccines in nursing homes.

SB 826 and HB 3486 – Sen. Hughes and Rep. Senfronia ThompsonThe bill relates to the contract of a private entity to create message signs for certain statewide alert systems.

SB 865 – Sen. CreightonThe bill relates to a statewide emergency alert system.

SB 864 – Sen. PaxtonThe bill relates to the notice of a modification to the medical certification information on a death certificate.

HB 2499 – Rep. StuckyThe bill would create a criminal offense related to the wearing of a floatable device while being towed behind a boat.

HB 2605 – Rep. RosenthalThe bill would require student athletes to sign a sudden cardiac arrest acknowledgment form.

HB 2861 – Rep. BucyThe bill would prohibit the state from shedding electrical load on circuits that include dialysis facilities.

HB 2876 – Rep. HowardThe bill relates to “requiring public schools to use the wet bulb globe temperature to determine whether conditions are unsatisfactory for student outdoor activities due to severe heat.”

HB 2911 – Rep. WhiteThe bill relates to “Next Generation 9-1-1 service and certain wireless service provider administrative expense reimbursements and increasing a fee cap.”

HB 2922 – Rep. BuckleyThe bill relates to a statewide alert system for adolescents in danger.

HB 3154 – Rep. BeckleyThe bill relates to the issuance of a wireless emergency alert after a statewide disaster declaration.

HB 3168 – Rep. Crockett – The bill is a duplicate of HB 3154.

HB 3407 – Rep. RaymondThe bill relates to a requirement that the Texas Division of Emergency Management maintain climate-controlled warehouses to store personal protective equipment for rapid delivery in a disaster.

HB 3674 – Rep. CapriglioneThe bill relates to the purchase of personal protective equipment made in the United States by certain governmental entities.

SB 1397 – Sen. HinojosaThe bill would establish a coordinated system for the dispatch, triage, transport, and transfer of patients in certain trauma service area regional advisory councils; providing rulemaking authority.

HB 3721 – Rep. EllzeyThe bill relates to the inclusion of information for reporting suspicious activity to the Department of Public Safety on certain human trafficking signs or notices.

Public Health – Advance Directives

HB 936 – Rep. RaymondThe bill would extend liability protections to physicians and providers related to following an advanced directive if they were not aware of questions related to the validity of the directive.

SB 917 and HB 2609 – Sen. Hughes and Rep. ParkerThe bill relates to advance directives.

HB 2943 – Rep. FrankThe bill relates to DNR orders in hospitals.

HB 3099 – Rep. ColemanThe bill relates to advance directives.

SB 1381 – Sen. CreightonThe bill relates to advance directives.

HB 2810 and SB 1934 – Rep. Moody and Sen. HughesThe bill relates to the authority granted under and form of a medical power of attorney.

Public Health – Disaster Declarations

HB 665 – Rep. LandgrafThe bill relates to emergency rules in which at least 75 percent of the state’s counties are declared to be in a state of emergency.

HJR 15 – Sen. Springer – The proposed constitutional amendment would require the governor to call the legislature into special session following certain emergencies and disasters.

HB 906 – Rep. Krause – The bill relates to declarations regarding a definition of essential and non-essential services.

HJR 60 and SJR 20 – Rep. Anchia and Sen. Johnson – The proposed constitutional amendment relates to disaster declarations.

SB 422 – Sen. SpringerThe bill would create the Emergency Powers Board.

HB 1406 – Rep. SchaeferThe bill relates to a judicial review of certain orders regarding a declared state of disaster.

SB 1592 and SB 1616 – Sen. Bettencourt – The bill relates to powers and duties of governmental entities during a public health disaster; providing civil penalties.

SB 1673 – Sen. HallThe bill relates to limitations on public health directives issued during a state of disaster or outbreak of a communicable disease.

SB 1880 – Sen. BettencourtThe bill relates to the renewal of local disaster declarations.

Public Health – Disaster Preparedness

HB 655 – Rep. RaymondThe bill would create a study on a statewide disaster alert system.

HB 671 – Rep. MartinezThe bill would establish a disaster identification system for a declared state of disaster.

SB 435 and HB 1922 – Sen. Blanco and Rep. Thierry – The bill would direct the comptroller to study local and state supply chain disruptions due to Covid-19.

SB 464 – Sen. LucioThe bill relates to reports on deaths from reportable and other communicable diseases to county authorities and health departments.

HB 1409 – Rep. GuillenThe bill relates to the distribution of emergency health resources in Texas.

SB 437, HB 2270 & HB 1989  – Sen. Blanco, Rep. Turner & Rep. ThierryThe bill relates to the state’s supply of PPE.

SB 966 – Sen. KolkhorstThe bill relates to legislative oversight during a public health disaster, including the establishment of a legislative public health oversight board.

SB 967 – Sen. KolkhorstThe bill relates to the expiration and extension of certain public health orders issued by a health authority.

SB 968 – Sen. KolkhorstThe bill relates to public health disaster and public health emergency preparedness and response; providing a civil penalty.

SB 969 – Sen. KolkhorstThe bill relates to reporting procedures for and information concerning public health disasters and to certain public health studies; creating the office of the chief state epidemiologist; providing a civil penalty.

SB 984 – Sen. SchwertnerThe bill relates to public health disaster and public health emergency preparedness and response, including the operation of the Task Force on Infectious Disease Preparedness and Response.

HB 3711 – Rep. BucyThe bill would establish a registry of medically fragile individuals for wellness checks during certain emergencies.

HB 3722 – Rep. ZwienerThe bill relates to training materials for contact tracers and case investigators for public health disasters and other public health emergencies.

HB 3739 – Rep. Lucio IIIThe bill relates to outreach campaigns conducted by the Department of State Health Services during certain public health disasters.

HB 3838 – Rep. DominguezThe bill relates to the display of emergency and other notices by a governmental entity on the entity’s Internet website.

HB 4230 – Rep. RaymondThe bill relates to the emergency coordination of advanced communications service.

HB 4450 – Rep. RaymondThe bill relates to training on emergency management for members of the emergency management council and state emergency response commission.

SB 1788 – Sen. GutierrezThe bill relates to the distribution of emergency health resources by the state.

SB 1876 and HB 3965 – Sen. Miles and Rep. Oliverson – The bill relates to requiring an emergency operation plan for continued treatment of patients in an end stage renal disease facility in the event of a disaster and the prioritization of power restoration for those facilities during certain disasters.

Public Health – Border Health

SB 115 and HB 728 – Sen. Lucio and Rep. Lucio IIIThe bill would require HHSC to create a report related to laboratory testing along the Texas-Mexico border.

SB 114 and HB 729 – Sen. Lucio and Rep. Lucio III – The bill would create a border public health response team.

SB 116 and HB 727 – Sen. Lucio and Rep. Lucio IIIThe bill would create a border public health initiative by DSHS.

HB 881 – Rep. GuerraThe bill relates to laboratory testing support of vector-borne infectious diseases in border counties.

SB 1050 – Sen. LucioThe bill relates to health professional continuing education to address communicable and other diseases in border counties.

Public Health – Communicable Diseases

SB 79 – Sen. MilesThe bill would require a school authority to report to various agencies the infection of a student with a communicable disease if it is currently recognized as a public health emergency.

HB 888 – Rep. PattersonThe bill relates to contact tracing for communicable diseases.

HB 1222 – Rep. CamposThe bill would direct DSHS to compile additional data related to communicable diseases.

SB 435 – Sen. BlancoThe bill relates to a state plan for responding to pandemics.

SB 437 – Sen. BlancoThe bill would create an advisory committee to address the storage of PPE. However, EMS has been left out of the initial draft.

SB 636 – Sen. SeligerThe bill relates to requirements for and the transparency of epidemiological reports and certain immunization exemption information and reports.

SB 882 – Sen. KolkhorstThe bill relates to communicable disease reporting by nursing homes.

SB 930 – Sen. ZaffiriniThe bill relates to communicable disease reporting by nursing homes.

HB 2527 – Rep. ThierryThe bill relates to a highly contagious communicable disease health and safety plan prepared by a school district.

HB 2538 – Rep. TurnerThe bill relates to the Task Force on Infectious Disease Preparedness and Response.

HB 3233 and SB 2130 – Rep. Moody and Sen. Blanco – The bill relates to the establishment by certain counties and hospital districts of disease control pilot programs to reduce the risk of certain infectious and communicable diseases; authorizing fees.

HB 3365 – Rep. Klick – The bill relates to authorizing the electronic transmission of certain communications related to the prevention of communicable diseases.

HB 3562 – Rep. CortezThe bill would create the Texas Public Health Crisis and Pandemic Council.

SB 1489 – Sen. HallThe bill relates to the provision of information regarding COVID-19 prevention and treatment to individuals receiving a COVID-19 viral test.

HB 4342 – Rep. RoseThe bill relates to the establishment by certain counties and hospital districts of disease control pilot programs to reduce the risk of certain infectious and communicable diseases; authorizing fees.

SB 1780 – Sen. CreightonThe bill relates to the establishment of the Texas Epidemic Public Health Institute.

Public Health – Rural Broadband

HB 5 – Rep. Ashby – The bill serves as the House’s priority rural broadband bill

SB 5 – Sen. Nichols – The bill would set up the broadband framework for future federal grants.

SB 618 – Sen. GutierrezThe bill would create the Texas Telecommunications Infrastructure Board.

SB 632 and HB 1715 – Sen. Buckingham and Rep. BuckleyThe bill relates to the provision of broadband infrastructure and connectivity of the Lower Colorado River Authority.

HB 2531 – Rep. Anderson – The bill relates to rural broadband.

HB 3853 and SB 1615 – Rep. Anderson and Sen. PerryThe bill relates to middle mile broadband service provided by an electric utility.

Scope of Practice

HB 2029 and SB 915 – Rep. Klick and Sen. HancockThe bill would give full practice authority to APRNs and remove the need for physician supervision.

HB 2049 – Rep. HowardThe bill would give pharmacists the ability to prescribe certain medications following a positive flu test if the pharmacist is working under a physician’s supervision.

HB 2340 – Rep. KlickThe bill would give optometrists the ability to perform surgery and manage glaucoma in Texas.

HB 2596 – Rep. PattersonThe bill would define “urgent care clinic” under Texas law and add it to the list of facilities that would require clinicians to wear name badges that clearly identify their professions: physician, nurse, etc.

Taxes

SB 438 – Sen. Blanco – The bill would exempt disinfectant and certain face masks and disposable gloves from sales tax for a limited period of time.

HB 741 – Rep. AllisonThe bill addresses the state’s 2019 law regarding voter approval for tax increases.

The bill’s proposed text includes: “If a county or municipality adopts a budget in which the amount of money allocated to provide for a public safety service is less than the amount allocated to provide for that service in the preceding fiscal year by more than five percent, the registered voters of the county or municipality, as applicable, at an election held for that purposes, must determine whether to approve the amount allocated.”

HB 1445 and SB 775 – Rep. Oliverson and Sen. Nichols – The bill would repeal the state’s tax on outsourced medical billing.

HB 1195 and SB 372 – Rep. Geren and Sen. HancockThe bill would remove the state’s franchise tax on PPP loans.

HB 1389 – Rep. GuillenThe bill relates to prepayment tax amounts related to credit card payments.

HB 1360 – Rep. LandgrafThe bill would require proposed tax increases to be posted in newspapers.

HB 1421 – Rep. CainThe bill relates to the temporary exemption from ad valorem taxation of a portion of the appraised value of certain property damaged by a disaster.

SB 873 – Sen. HancockThe bill relates to the disclosure by the comptroller to the purchaser of a business of the amount of tax due.

HB 2704 – Rep. MorrisonThe bill relates to the treatment of certain LLCs as passive entities for purposes of the franchise tax.

SB 1203 and HB 3364 – Sen. Hancock and Rep. Chris TurnerThe bill relates to LLCs and partnerships.

HB 4052 – Rep. Jetton – The bill relates to voter approval of a county or municipal budget that reduces by a certain percentage the amount allocated to train and compensate individuals who provide a fire protection, law enforcement or emergency medical service.

SB 1853 – Sen. PowellThe bill relates to a temporary exemption from sales and use taxes for certain personal protective equipment.

Telemedicine

HB 4 – Rep. Price – The bill is the House’s telemedicine priority bill. The bill is the same as HB 974 and SB 412.

HB 280 – Rep. CortezThe bill relates to an action plan to expand telemedicine medical services and telehealth services and increase access to critical medical care and health care services in this state.

SB 228, HB 980 and HB 522 – Sen. Blanco, Rep. Fiero and Rep. Julie Johnson – The bill relates to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services and telehealth services

HB 745 – Rep. GuerraThe bill relates to the establishment of telehealth programs by public schools.

HB 887 – Rep. ShaheenThe bill relates to telemedicine medical services and telehealth services covered by certain health benefit plans or provided by a pharmacist.

HB 974 and SB 412 – Rep. Price and Sen. BuckinghamThe bill would extend telemedicine for certain Medicaid services.

HB 3499 and SB 992 – Rep. Frank and Sen. HancockThe bill would allow a health care provider located outside of Texas to provide telemedicine services to Texans.

Vaccines

HB 677 – Rep. CortezThe bill would make it easier for pharmacists to administer vaccines by changing certain laws, such as allowing a pharmacist to administer a vaccine to a child as young as three years old (existing law sets a seven-year-old threshold).

HB 678 and SB 2136 – Rep. Cortez and Sen. BlancoThe bill is similar to HB 677.

SB 138 – Sen. Johnson – The bill relates to the bacterial meningitis vaccine for public school students.

HB 797 – Rep. HowardThe bill would allow home and hospice agencies to administer certain vaccines.

HB 325 – Rep. Howard and SB 468 – Sen. Zaffirini/SeligerThe bill would create ““a simple way to permanently opt out of the immunization registry: easy in, easy out.” Click here to learn more.

HB 2968 and SB 1310 – Rep. Cason and Sen. HallThe bill relates to informed consent for children and immunizations.

HB 3028 – Rep. MiddletonThe bill relates to vaccine requirements by health plans that provide services to business entities.

HB 3108 – Rep. Lucio IIIThe bill relates to the patients to whom a pharmacist may administer an influenza vaccination.

HB 2856 and SB 1312 – Rep. Swanson and Sen. HallThe bill relates to “provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.”

SB 1353 – Sen. MilesThe bill relates to the biennial legislative report on immunizations issued by the Department of State Health Services.

HB 3726 – Rep. TothThe bill relates to immunization requirements for admission to public schools.

HB 3757 – Rep. LozanoThe bill relates to a recommendation by the COVID-19 Expert Vaccine Allocation Panel to prioritize public school employees in vaccine allocation and distribution.

HB 4272 – Rep. KlickThe bill relates to requirements for information contained in the immunization registry.