Monitoring the SessionHB 1420
Died in committee
THE TEXT
“Not later than December 1, 2026, the commission shall prepare and submit to the governor and the legislature a written report containing the results of the study and any recommendations for legislative or other action.”
Bill text, introduced version (I)
The bill sets no nurse-to-patient limit. It orders a study and a report due after the 2026 election, and any real action waits for a later legislature.
Study, task force, commission, reportInitial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade
relating to a study on nurse-to-patient ratios for critical care patients in health care facilities.
Caption from analyzed text · version I.
Report due December 1, 2026. Law expires September 1, 2027. No facility gets a limit.
This bill orders the Health and Human Services Commission to study whether limiting how many critical care patients one nurse handles at a time improves outcomes. It touches the commission, hospitals and other health care facilities, and direct care registered nurses, but it puts no duty or limit on any facility. Nothing changes on the ground: the commission reports to the governor and legislature by December 1, 2026, and the law expires September 1, 2027.
Labels: ZOMBIE BILL. Died 2 times: 88R HB 2219 (Died in committee) and this bill (Died in committee). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R HB 2219 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.NEVER GOT A HEARING. Filed Nov 20, 2024 and referred to the House Public Health committee. No public hearing. The bill died.
89R-HB1420 · 2024-11-20
relating to a study on nurse-to-patient ratios for critical care patients in health care facilities.
Report due December 1, 2026. Law expires September 1, 2027. No facility gets a limit.
This bill orders the Health and Human Services Commission to study whether limiting how many critical care patients one nurse handles at a time improves outcomes. It touches the commission, hospitals and other health care facilities, and direct care registered nurses, but it puts no duty or limit on any facility. Nothing changes on the ground: the commission reports to the governor and legislature by December 1, 2026, and the law expires September 1, 2027.
[x] STUDY, TASK FORCE, COMMISSION, REPORTanalysis confidence 90%
THE TEXT
“Not later than December 1, 2026, the commission shall prepare and submit to the governor and the legislature a written report containing the results of the study and any recommendations for legislative or other action.”
Bill text, introduced version (I)
The bill sets no nurse-to-patient limit. It orders a study and a report due after the 2026 election, and any real action waits for a later legislature.
No fiscal note in the loaded record.
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
Not tied to this bill.
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Oct 29, 2024 to Aug 25, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
$25,000.00
Also funds 137 other sitting lawmakers.
Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Nov 19, 2024 to Jan 12, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 100988292, 101010418, 101037041.
$4,000.00
Also funds 64 other sitting lawmakers.
Derived recipient stock · Aug 14, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · on Jul 23, 2025. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101034015.
$3,000.00
Also funds 3 other sitting lawmakers.
Derived recipient stock · Nov 8, 2024 to Jul 30, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Derived itemized flow · on Feb 9, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101040382.
Missing data does not establish zero giving. Display amounts are rounded.
$25,000.00
Also funds 137 other sitting lawmakers.
Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Nov 19, 2024 to Jan 12, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 100988292, 101010418, 101037041.
$4,000.00
Also funds 64 other sitting lawmakers.
Derived recipient stock · Aug 14, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · on Jul 23, 2025. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101034015.
$3,000.00
Also funds 3 other sitting lawmakers.
Derived recipient stock · Nov 8, 2024 to Jul 30, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Derived itemized flow · on Feb 9, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101040382.
No floor vote loaded for this bill.
No fiscal note in the loaded record.
Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.
Filed 2 times: 88R and 89R. Checked against 88R only.
by Rep. Vo, same lead author · Died in committee · same text
Introduced textLast action, Mar 9, 2023: Referred to Public Health
Relating to a study on nurse-to-patient ratios for critical care patients in health care facilities.
Caption, 88R bill history
Texas House · Filed Nov 20, 2024
03/11/2025 H Referred to Public Health: Mar 11 2025 3:26PM
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Public Health · Final status: Died in committee
Health--General
Interim Studies
NURSES & NURSE AIDES
HEALTH & HUMAN SERVICES COMMISSION
The text as introduced · 282 words
89R4964 KRM-D By: Vo H.B. No. 1420 A BILL TO BE ENTITLED AN ACT relating to a study on nurse-to-patient ratios for critical care patients in health care facilities. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. (a) In this section: (1) "Commission" means the Health and Human Services Commission. (2) "Critical care" means medical care for an individual who has a life-threatening injury or illness. (3) "Direct care registered nurse" means a registered nurse licensed by the Texas Board of Nursing to engage in professional nursing under Chapter 301, Occupations Code, who has accepted a direct, hands-on patient care assignment to implement medical and nursing regimens and provide related clinical supervision of patient care. (b) The commission, in consultation with the United States Department of Health and Human Services, shall conduct a study to evaluate the outcomes and efficacy of limiting the number of patients whose severity of illness requires critical care at a health care facility and who are assigned to a direct care registered nurse at any given time. (c) Not later than December 1, 2026, the commission shall prepare and submit to the governor and the legislature a written report containing the results of the study and any recommendations for legislative or other action. The commission shall post the report on the commission's Internet website. SECTION 2. This Act expires September 1, 2027. SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2025.