Monitoring the Session

HB 208

bill spells out how providers hand over itemized bills

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Caroline Harris DavilaRHouse 52

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

Caption

relating to provision to a patient of an itemized bill for health care services and supplies.

Caption from analyzed text · version I.

Summary

Portal, mail, or a paper copy at the office.

The bill changes the state law on itemized medical bills to spell out how a health care provider may hand one over: electronically or through a patient portal, by mail or carrier, or as a paper copy picked up at the provider's office. It touches health care providers and their patients. Patients gain a right to get their itemized bill on request at any time after it is first issued, and to get it through the delivery method they choose from that list.

Labels

Labels: NEVER GOT A HEARING. Filed Nov 12, 2024 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB208 · 2024-11-12

SOLD BY

Rep. Caroline Harris DavilaRHouse 52

ITEM

relating to provision to a patient of an itemized bill for health care services and supplies.

WHAT IT DOES

Portal, mail, or a paper copy at the office.

The bill changes the state law on itemized medical bills to spell out how a health care provider may hand one over: electronically or through a patient portal, by mail or carrier, or as a paper copy picked up at the provider's office. It touches health care providers and their patients. Patients gain a right to get their itemized bill on request at any time after it is first issued, and to get it through the delivery method they choose from that list.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Caroline Harris Davila

Donors

Texans for Lawsuit Reform PAC$961KTexas Conservative Majority PAC$739KCourt Reform Action for Familes Texas PAC$75K

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 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.

Texans for Lawsuit Reform PAC$960,552.08

Texans for Lawsuit Reform PAC

$960,552.08

Cash
$85,000.00
Paid by others
$875,552.08
Total
$960,552.08
advertising $595,238.00mail $237,770.40polling $42,460.35fundraiser $83.33

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 23, 2025 to Oct 23, 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: 101008087, 101031516, 101035818, 101040655, 101057099, 101067933, 101070037.

Texas Conservative Majority PAC$739,102.00

Texas Conservative Majority PAC

$739,102.00

Cash
$200,000.00
Paid by others
$539,102.00
Total
$739,102.00
canvassing $430,352.00advertising $100,000.00polling $8,750.00

Also funds 42 other sitting lawmakers.

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

TEC account match.

Team
Sources

Derived itemized flow · Sep 8, 2026 to Oct 23, 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: 101067933, 101070037.

Court Reform Action for Familes Texas PAC$75,000.00

Court Reform Action for Familes Texas PAC

$75,000.00

Cash
$75,000.00
Paid by others
$0.00
Total
$75,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Oct 6, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Oct 6, 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: 101070037.

Money

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

×

Texans for Lawsuit Reform PAC

$960,552.08

Cash
$85,000.00
Paid by others
$875,552.08
Total
$960,552.08
advertising $595,238.00mail $237,770.40polling $42,460.35fundraiser $83.33

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 23, 2025 to Oct 23, 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: 101008087, 101031516, 101035818, 101040655, 101057099, 101067933, 101070037.

×

Texas Conservative Majority PAC

$739,102.00

Cash
$200,000.00
Paid by others
$539,102.00
Total
$739,102.00
canvassing $430,352.00advertising $100,000.00polling $8,750.00

Also funds 42 other sitting lawmakers.

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

TEC account match.

Team
Sources

Derived itemized flow · Sep 8, 2026 to Oct 23, 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: 101067933, 101070037.

×

Court Reform Action for Familes Texas PAC

$75,000.00

Cash
$75,000.00
Paid by others
$0.00
Total
$75,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Oct 6, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Oct 6, 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: 101070037.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

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 Nov 12, 2024

02/27/2025 H Referred to Public Health: Feb 27 2025 11:13AM

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

Companion

SB 1269 by Hughes (identical)

Subjects

Consumer Protection

Health Care Providers

Text

The text as introduced · 171 words

89R3034 AB-D

By: Harris Davila
H.B. No. 208

A BILL TO BE ENTITLED

AN ACT

relating to provision to a patient of an itemized bill for health

care services and supplies.

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

SECTION 1. Sections 185.002(c) and (d), Health and Safety

Code, are amended to read as follows:

(c) A health care provider may issue the itemized bill :

(1) electronically, including through a patient

portal on the provider's Internet website ;

(2) through a hard copy delivered by mail or a common

carrier; or

(3) through a hard copy the patient or the patient's

designee obtains at the provider's place of business .

(d) A patient is entitled to obtain from the health care

provider an itemized bill :

(1) on request at any time after the itemized bill is

initially issued under Subsection (a) ; and

(2) through the patient's chosen method of issuance in

accordance with Subsection (c) .

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