Monitoring the SessionHB 1869
Died in committee
Initial 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 an alternate board certification to signify accreditation within a given specialty in this state and medical care provided at certain health care facilities by physicians with an alternate board certification.
Caption from analyzed text · version I.
Every normal requirement, minus training for procedures unlawful in Texas.
The bill tells the Texas Medical Board to allow an alternate board certification for doctors that meets every normal requirement except training or certification for any treatment or procedure that is unlawful in Texas. It reaches physicians who hold that alternate certification and every health care facility licensed by the Health and Human Services Commission. Licensed facilities could not refuse the alternate certification or treat those doctors differently in hiring or privileges, and the commission must revoke the license of any facility that does.
Labels: ZOMBIE BILL. Died 2 times: 88R HB 3251 (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 3251 (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 Jan 15, 2025 and referred to the House Public Health committee. No public hearing. The bill died.
89R-HB1869 · 2025-01-15
relating to an alternate board certification to signify accreditation within a given specialty in this state and medical care provided at certain health care facilities by physicians with an alternate board certification.
Every normal requirement, minus training for procedures unlawful in Texas.
The bill tells the Texas Medical Board to allow an alternate board certification for doctors that meets every normal requirement except training or certification for any treatment or procedure that is unlawful in Texas. It reaches physicians who hold that alternate certification and every health care facility licensed by the Health and Human Services Commission. Licensed facilities could not refuse the alternate certification or treat those doctors differently in hiring or privileges, and the commission must revoke the license of any facility that does.
[ ] NONE FOUND
No fiscal note in the loaded record.
No verified beat found.
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Derived itemized flow · Oct 27, 2024 to Oct 24, 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.
MoneyMissing data does not establish zero giving. Display amounts are rounded.
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. Oliverson, same lead author · Died in committee · same text
Introduced textLast action, Mar 15, 2023: Referred to Public Health
Relating to an alternate board certification to signify accreditation within a given specialty in this state and medical care provided at certain health care facilities by physicians with an alternate board certification.
Caption, 88R bill history
Texas House · Filed Jan 15, 2025
03/14/2025 H Referred to Public Health: Mar 14 2025 2:36PM
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Public Health · Final status: Died in committee
SB 902 by Sparks (very similar)
Health Care Providers
Occupational Regulation--Health Occupations
PHYSICIANS
HEALTH & HUMAN SERVICES COMMISSION
MEDICAL BOARD, TEXAS
The text as introduced · 441 words
By: Oliverson H.B. No. 1869 A BILL TO BE ENTITLED AN ACT relating to an alternate board certification to signify accreditation within a given specialty in this state and medical care provided at certain health care facilities by physicians with an alternate board certification. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 222, Health and Safety Code, is amended by adding Subchapter D to read as follows: SUBCHAPTER D. MEDICAL CARE PROVIDED BY PHYSICIANS WITH ALTERNATE BOARD CERTIFICATIONS AT CERTAIN HEALTH CARE FACILITIES Sec. 222.101. DEFINITIONS. In this chapter: (1) "Commission" means the Health and Human Services Commission. (2) "Executive commissioner" means the executive commissioner of the commission. (3) "Health care facility" means a health care facility licensed by the commission. Sec. 222.102. MEDICAL CARE PROVIDED BY PHYSICIANS WITH ALTERNATE BOARD CERTIFICATION TO PRACTICE MEDICINE; FACILITY LICENSE REVOCATION. (a) A health care facility may not refuse to accept for board certification purposes a physician's alternate board certification to practice medicine issued under Section 155.012, Occupations Code, in employing or granting practice or admitting privileges to the physician for providing medical care to patients at the facility or otherwise discriminate against the physician in making an employment or privilege decision based on the physician's alternate board certification. (b) The commission shall revoke the license of a health care facility that violates this section. (c) The executive commissioner shall adopt rules to implement this section. SECTION 2. Subchapter A, Chapter 155, Occupations Code, is amended by adding Section 155.012 to read as follows: Sec. 155.012. ALTERNATE BOARD CERTIFICATION FOR CERTAIN APPLICANTS. (a) The board shall allow alternate board certifications to practice medicine in this state that: (1) requires an applicant to satisfy each applicable eligibility requirement for a board certification under this chapter except as provided by Subdivision (2); and (2) does not require an applicant to complete courses or training on or to satisfy any other requirement, including obtaining certification, for: (a) providing a medical treatment or procedure that is unlawful in the State of Texas. (b) The board shall adopt rules to implement this section. SECTION 3. As soon as practicable after the effective date of this Act: (1) the executive commissioner of the Health and Human Services Commission shall adopt the rules necessary to implement Subchapter D, Chapter 222, Health and Safety Code, as added by this Act; and (2) the Texas Medical Board shall adopt rules to implement the alternate board certification to signify accreditation within a given specialty in this state as required by Section 155.012, Occupations Code, as added by this Act. SECTION 4. This Act takes effect September 1, 2025.