HB 1700: bill standardizing telehealth patient records

Caption

relating to certain records of a health professional providing a telemedicine medical service, teledentistry dental service, or telehealth service.

Caption from analyzed text · version I.

Summary

Licensing agencies write the rules for remote providers.

The bill orders each state licensing agency that oversees health professionals offering telemedicine, teledentistry, or telehealth to write rules standardizing how patient consent records are formatted and kept. It touches doctors, dentists, and other licensed providers who treat patients remotely, along with the agencies that regulate them. Agencies must set consent-record rules covering treatment, data collection, and data sharing, including how to document consent given over audio-only calls, starting September 1, 2025.

Labels

Labels: ACROSS THE AISLE. Joint authors: 3 Republicans, 2 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-HB1700 · 2024-12-20

SOLD BY

Rep. Caroline FairlyRHouse 87

Rep. Matt ShaheenRHouse 66

Rep. James FrankRHouse 69

+ 2 more authors

ITEM

relating to certain records of a health professional providing a telemedicine medical service, teledentistry dental service, or telehealth service.

WHAT IT DOES

Licensing agencies write the rules for remote providers.

The bill orders each state licensing agency that oversees health professionals offering telemedicine, teledentistry, or telehealth to write rules standardizing how patient consent records are formatted and kept. It touches doctors, dentists, and other licensed providers who treat patients remotely, along with the agencies that regulate them. Agencies must set consent-record rules covering treatment, data collection, and data sharing, including how to document consent given over audio-only calls, starting September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 13, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

Dec 20, 2024Filed
Mar 12, 2025Read first time
Mar 12, 2025Referred to Public Health
Mar 24, 2025Scheduled for public hearing on . . .
Mar 24, 2025Considered in public hearing
Mar 24, 2025Committee substitute considered in committee
Mar 24, 2025Testimony taken/registration(s) recorded in committee
Mar 24, 2025Left pending in committee
Mar 31, 2025Considered in public hearing
Mar 31, 2025Committee substitute considered in committee
Mar 31, 2025Reported favorably as substituted
Apr 8, 2025Comte report filed with Committee Coordinator
Apr 8, 2025Committee report distributed
Apr 8, 2025Committee report sent to Calendars
Apr 14, 2025Considered in Calendars
Apr 16, 2025Placed on General State Calendar
Apr 17, 2025Read 2nd time
Apr 17, 2025Passed to engrossment
Apr 17, 2025Read 3rd time
Apr 17, 2025Passed
Apr 17, 2025Record vote RV#313
Apr 17, 2025Reported engrossed
Apr 22, 2025Received from the House
Apr 23, 2025Read first time
Apr 23, 2025Referred to Health & Human Services
May 14, 2025Scheduled for public hearing on . . .
May 14, 2025Considered in public hearing
May 14, 2025Left pending in committee
May 15, 2025Considered in public hearing
May 15, 2025Vote taken in committee
May 19, 2025Reported favorably w/o amendments
May 19, 2025Recommended for local & uncontested calendar
May 19, 2025Committee report printed and distributed
May 21, 2025Placed on intent calendar
May 21, 2025Rules suspended-Regular order of business
May 21, 2025Read 2nd time & passed to 3rd reading
May 21, 2025Vote recorded in Journal
May 21, 2025Three day rule suspended
May 21, 2025Record vote
May 21, 2025Read 3rd time
May 21, 2025Passed
May 21, 2025Record vote
May 21, 2025Senate passage reported
May 22, 2025Reported enrolled
May 23, 2025Signed in the House
May 23, 2025Signed in the Senate
May 23, 2025Sent to the Governor
Jun 20, 2025Signed by the Governor
Jun 20, 2025Effective on 9/1/25

FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 144 yea · 1 nay

Senate · 31 yea · 0 nay

Sources

House: Final passage · Apr 17, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · May 21, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

Caroline Fairly

Donors

OccuNet LLC$30K Republican Party of Texas$16KDixon Gillis$15,626

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Oct 27, 2024 to Oct 21, 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.

OccuNet LLC$30,280.32

OccuNet LLC

$30,280.32

Cash: $0.00
Paid by others: $30,280.32
Total: $30,280.32

fundraiser $28,327.40Other filed descriptions $1,952.92

Also funds 0 other sitting lawmakers.

Derived recipient stock · Nov 18, 2025 to Oct 2, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · Nov 18, 2025 to Oct 2, 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: 101032922, 101061983, 101070115, 101072872.

Republican Party of Texas$16,250.00

Republican Party of Texas

$16,250.00

Cash: $0.00
Paid by others: $16,250.00
Total: $16,250.00

media $16,250.00

Also funds 12 other sitting lawmakers.

Derived recipient stock · Oct 31, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · on Oct 21, 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: 101072872.

Dixon Gillis$15,625.63

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

OccuNet LLC

$30,280.32

Cash: $0.00
Paid by others: $30,280.32
Total: $30,280.32

fundraiser $28,327.40Other filed descriptions $1,952.92

Also funds 0 other sitting lawmakers.

Derived recipient stock · Nov 18, 2025 to Oct 2, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · Nov 18, 2025 to Oct 2, 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: 101032922, 101061983, 101070115, 101072872.

×

Republican Party of Texas

$16,250.00

Cash: $0.00
Paid by others: $16,250.00
Total: $16,250.00

media $16,250.00

Also funds 12 other sitting lawmakers.

Derived recipient stock · Oct 31, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · on Oct 21, 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: 101072872.

Votes4

Senate May 21, 2025

Yea: 31
Nay: 0
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Names

Senate journal

Names were not printed. No individual positions are inferred.

Sources

Senator Sparks moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 1700 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 31, Nays 0. The bill was read third time and was passed by the following vote: Yeas 31, Nays 0.

Published stock of positions for this vote, except where marked derived.

Yea: 31 (published)
Nay: 0 (published)
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 21, 2025

Yea: 31
Nay: 0
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Names

Senate journal

Names were not printed. No individual positions are inferred.

Sources

Senator Sparks moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 1700 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 31, Nays 0.

Published stock of positions for this vote, except where marked derived.

Yea: 31 (published)
Nay: 0 (published)
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 21, 2025

Yea: Not printed
Nay: Not printed
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Names

Senate journal

Names were not printed. No individual positions are inferred.

Voice vote. No numeric tally or individual yeas are inferred.

Sources

The bill was read second time and was passed to third reading by a viva voce vote.

Published stock of positions for this vote, except where marked derived.

Yea: Not printed
Nay: Not printed
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

House Apr 17, 2025

Yea: 144
Nay: 1
Present, not voting: 2
Absent: 1
Excused: 2

Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 313

HB 1700 was passed by (Record 313): 144 Yeas, 1 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

Yea: 144 (published)
Nay: 1 (published)
Present, not voting: 2 (published)
Absent: 1 (derived from named list)
Excused: 2 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Witnesses16

For: 12
Against: 2
On: 2

Names

For

City of Houston1 registration
Self1 registration
Texas Association of Community Health Centers1 registration
Texas Catholic Conference of Bishops1 registration
Texas Council of Community Centers2 registrations
Texas e-Health Alliance2 registrations
Texas Medical Association1 registration
Texas Women's Healthcare Coalition1 registration
Texas Women’s Healthcare Coalition1 registration
The Texas Catholic Conference of Bishops1 registration

Against

Self2 registrations

On

Self1 registration
Texas Department of Licensing and Regulation1 registration

Sources

16 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Senate witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 13, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

Sources

Texas House · Filed Dec 20, 2024

06/20/2025 E Effective on 9/1/25

Texas Legislature Online · Introduced · House Committee Report · Engrossed · Senate Committee Report · Enrolled

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

Companion

SB 397 by Sparks (similar)

Subjects

Health Care Providers

Occupational Regulation--Health Occupations

DENTAL SERVICES

RECORDS MANAGEMENT

TELEMEDICINE

Text

The text as introduced · 164 words

By: Fairly
H.B. No. 1700

A BILL TO BE ENTITLED

AN ACT

relating to certain records of a health professional providing a

telemedicine medical service, teledentistry dental service, or

telehealth service.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 111.004, Occupations Code, is amended by

adding Subsections (c) and (d) to read as follows:

(c) Each agency with regulatory authority over a health

professional providing a telemedicine medical service,

teledentistry dental service, or telehealth service shall adopt

rules necessary to standardize formats for and retention of records

related to a patient's consent to:

(1) treatment;

(2) data collection; and

(3) data sharing.

(d) Rules adopted under Subsection (c) must:

(1) as applicable, address the specific consent

documentation required for:

(A) telemedicine medical services;

(B) teledentistry dental services; or

(C) telehealth services; and

(2) include provisions, based on the appropriate

standard of care, for consent documentation in an audio-only

format.

SECTION 2. This Act takes effect September 1, 2025.

Verdict: No flags

The receipt

SOLD BY

ITEM

WHAT IT DOES

CHARGES

TOTAL

HISTORY

SIGNED FOR BY

Donors

OccuNet LLC

Republican Party of Texas

OccuNet LLC

Republican Party of Texas

Senate May 21, 2025

Senate May 21, 2025

Senate May 21, 2025

House Apr 17, 2025

For

Against

On

Companion