Monitoring the Session

HB 2299

Lalani Bill’s $200M Clinic Grants Need A 4 Million Neighbor

Died in committee

Verdict: Smells

SmellsInitial review
Rep. Suleman LalaniDHouse 76
Why it's charged
Bracket bill

THE TEXT

“is located in a county with a population of 800,000 or more, adjacent to a county with a population of 4 million or more; and”…

Bill text, introduced version (I)

The caption names a general clinic grant program, but this clause lets a clinic apply only if it sits in a county of 800,000 or more that borders a county of 4 million or more. Clinics everywhere else cannot apply, even if they serve medically underserved areas.

Bracket bill

Initial review · graded Oct 21, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to a community health clinic grant program.

Caption from analyzed text · version I.

Summary

Only clinics in a county of 800,000 or more next to 4 million can apply.

The bill tells the Health and Human Services Commission to set up a grant program that pays nonprofit community health clinics to expand preventive care, screening and treatment for chronic conditions such as diabetes, hypertension and obesity. Only a clinic in a county of 800,000 or more people that sits next to a county of 4 million or more people can apply, and it must serve a medically underserved area or population in that county. The commission must allocate $200 million each fiscal biennium from money appropriated for the purpose, rules are due by January 1, 2026, and the law takes effect September 1, 2025.

Labels

Labels: NEVER GOT A HEARING. Filed Jan 31, 2025 and referred to the House Public Health subcommittee on Disease Prevention & Women's & Children's Health. No public hearing. The bill died.

Receipt

The receipt

89R-HB2299 · 2025-01-31

SOLD BY

ITEM

relating to a community health clinic grant program.

WHAT IT DOES

Only clinics in a county of 800,000 or more next to 4 million can apply.

The bill tells the Health and Human Services Commission to set up a grant program that pays nonprofit community health clinics to expand preventive care, screening and treatment for chronic conditions such as diabetes, hypertension and obesity. Only a clinic in a county of 800,000 or more people that sits next to a county of 4 million or more people can apply, and it must serve a medically underserved area or population in that county. The commission must allocate $200 million each fiscal biennium from money appropriated for the purpose, rules are due by January 1, 2026, and the law takes effect September 1, 2025.

CHARGES

[x] BRACKET BILLanalysis confidence 85%

THE TEXT

“is located in a county with a population of 800,000 or more, adjacent to a county with a population of 4 million or more; and”…

Bill text, introduced version (I)

The caption names a general clinic grant program, but this clause lets a clinic apply only if it sits in a county of 800,000 or more that borders a county of 4 million or more. Clinics everywhere else cannot apply, even if they serve medically underserved areas.

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
FILED UNDER

TAXPAYER-FUNDED NGOS

THE TEXT

…“the commission shall allocate $200 million each fiscal biennium to award grants under this subchapter.”

Bill text, introduced version (I)

The bill directs the commission to allocate $200 million each fiscal biennium in grants to nonprofit community health clinics as defined in the subchapter.

Smells

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

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 28, 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.

Texas Trial Lawyers Association PAC$37,500.00

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

Texas House Democratic Campaign Committee$11,569.08

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 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: 101040256, 101061992.

TSA PAC$10,000.00

TSA PAC

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Sep 23, 2025 to Oct 10, 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: 101030846, 101072241.

Money

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

×

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

×

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 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: 101040256, 101061992.

×

TSA PAC

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Sep 23, 2025 to Oct 10, 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: 101030846, 101072241.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Adversarial review by claude-opus-5-5 at high effort: Smells.

Analysis of text version I by claude-opus-5-5, Oct 21, 2026, against the published rubric.

Sources

Texas House · Filed Jan 31, 2025

03/14/2025 H Referred to s/c on Dis Prev & Women's & Children's Health by Speaker: Mar 14 2025 2:36PM

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

Subjects

Health--Other Diseases & Medical Conditions

Health--Rural

State Finances--Management & Control

MEDICAL CARE FACILITIES

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 511 words

89R8674 LRM-D

By: Lalani
H.B. No. 2299

A BILL TO BE ENTITLED

AN ACT

relating to a community health clinic grant program.

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

SECTION 1. Chapter 64, Health and Safety Code, is amended by

designating Section 64.001 as Subchapter A and adding a subchapter

heading to read as follows:

SUBCHAPTER A. TEACHING HOSPITAL ACCOUNT

SECTION 2. Chapter 64, Health and Safety Code, is amended by

adding Subchapter B to read as follows:

SUBCHAPTER B. COMMUNITY HEALTH CLINIC GRANT PROGRAM

Sec. 64.051. DEFINITIONS. In this subchapter:

(1) "Community health clinic" means a

community-driven, nonprofit health clinic located in a medically

underserved area or serving populations that are medically

underserved. The term includes a community health center and a

federally qualified health center, as defined by 42 U.S.C. Section

1396d(l)(2)(B).

(2) "Grant program" means the community health clinic

grant program established under this subchapter.

Sec. 64.052. ESTABLISHMENT AND ADMINISTRATION OF GRANT

PROGRAM. The executive commissioner by rule shall establish and

the commission shall administer a community health clinic grant

program to increase access to health care, improve health outcomes,

reduce health disparities, and achieve health equity in medically

underserved areas of this state by:

(1) improving the provision of preventative care,

screening, and treatment for chronic health conditions, including

diabetes, hypertension, and obesity; and

(2) strengthening the availability and capacity of

community health clinics to provide affordable, high-quality

health care services to medically underserved individuals.

Sec. 64.053. APPLICATION. A community health clinic may

apply to the commission to receive money under the grant program if

the clinic:

(1) is located in a county with a population of 800,000

or more, adjacent to a county with a population of 4 million or

more; and

(2) either:

(A) operates in a medically underserved area of

the county; or

(B) serves a medically underserved population in

the county.

Sec. 64.054. AWARD OF GRANTS. (a) The executive

commissioner by rule shall establish eligibility criteria and a

scoring system for the commission to award grants under the grant

program.

(b) The commission may award grants under the grant program

to eligible applicants.

Sec. 64.055. USE OF GRANT MONEY. A grant recipient may use

money awarded under the grant program only for the purposes

described by Section 64.052. The executive commissioner shall

adopt rules governing the use of money awarded under the grant

program.

Sec. 64.056. FUNDING. (a) The commission shall award

grants as provided by this subchapter using money appropriated to

the commission for that purpose.

(b) Out of money appropriated to the commission that is

available for the purpose, the commission shall allocate $200

million each fiscal biennium to award grants under this subchapter.

Sec. 64.057. RULES. The executive commissioner shall adopt

rules necessary to implement and administer this subchapter.

SECTION 3. Not later than January 1, 2026, the executive

commissioner of the Health and Human Services Commission shall

adopt the rules necessary to implement Subchapter B, Chapter 64,

Health and Safety Code, as added by this Act.

SECTION 4. This Act takes effect September 1, 2025.