Monitoring the Session

HB 2475

Simmons Bill Makes Implicit Bias Hours Required For Medical Degrees

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Lauren Ashley SimmonsDHouse 146

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 medical education coursework in cultural competence and implicit bias.

Caption from analyzed text · version I.

Summary

Students enrolling from January 1, 2026, get no medical degree without the required hours.

The bill requires every Texas medical school to offer state-approved coursework in cultural competence and implicit bias, and it bars awarding an M.D. or D.O. degree to any student who has not completed the required hours. It touches medical schools, medical students who enroll on or after January 1, 2026, the Texas Higher Education Coordinating Board, and the Texas Medical Board, which must approve the coursework. The coursework must cover medical decisions tied to race, ethnicity, nationality, language, sex, gender, ability and income, and both boards must write the rules by December 1, 2025.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 1165 by Rep. Thierry (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 1165 by Rep. Thierry (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 Feb 5, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB2475 · 2025-02-05

SOLD BY

ITEM

relating to medical education coursework in cultural competence and implicit bias.

WHAT IT DOES

Students enrolling from January 1, 2026, get no medical degree without the required hours.

The bill requires every Texas medical school to offer state-approved coursework in cultural competence and implicit bias, and it bars awarding an M.D. or D.O. degree to any student who has not completed the required hours. It touches medical schools, medical students who enroll on or after January 1, 2026, the Texas Higher Education Coordinating Board, and the Texas Medical Board, which must approve the coursework. The coursework must cover medical decisions tied to race, ethnicity, nationality, language, sex, gender, ability and income, and both boards must write the rules by December 1, 2025.

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

DEI BY ANOTHER NAME

THE TEXT

“designed to address medical decisions and treatment relating to a person's race, ethnicity, nationality, language, sex, gender, physical and mental ability, and socioeconomic status”

Bill text, introduced version (I)

The bill makes diversity-style training on race, sex, gender and related traits, labeled "cultural competence and implicit bias," a condition of earning a Texas medical degree.

No flags

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 27, 2024 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.

Texas Organizing Project Political Action Committee$17,454.66

Texas Organizing Project Political Action Committee

$17,454.66

Cash
$0.00
Paid by others
$17,454.66
Total
$17,454.66
printing $10,819.39Other filed descriptions $6,635.27

Also funds 4 other sitting lawmakers.

Derived recipient stock · Sep 30, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Oct 2, 2026 to Oct 22, 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: 101072739.

Texas Trial Lawyers Association PAC$15,000.00

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 16, 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: 100986942, 101031959, 101060742, 101072739.

Texas Sands PAC$12,000.00

Texas Sands PAC

$12,000.00

Cash
$12,000.00
Paid by others
$0.00
Total
$12,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 20, 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: 100986942, 101060742, 101072739.

Money

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

×

Texas Organizing Project Political Action Committee

$17,454.66

Cash
$0.00
Paid by others
$17,454.66
Total
$17,454.66
printing $10,819.39Other filed descriptions $6,635.27

Also funds 4 other sitting lawmakers.

Derived recipient stock · Sep 30, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Oct 2, 2026 to Oct 22, 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: 101072739.

×

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 16, 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: 100986942, 101031959, 101060742, 101072739.

×

Texas Sands PAC

$12,000.00

Cash
$12,000.00
Paid by others
$0.00
Total
$12,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 20, 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: 100986942, 101060742, 101072739.

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.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 1165

by Rep. Thierry, different lead author · Died in committee · same text

Introduced text

Last action, Mar 2, 2023: Referred to Public Health

Relating to medical education coursework in cultural competence and implicit bias.

Caption, 88R bill history

Sources

Texas House · Filed Feb 5, 2025

03/17/2025 H Referred to Public Health: Mar 17 2025 2:32PM

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

Education--Higher--Health Institutions

Human Relations

HIGHER EDUCATION COORDINATING BOARD, TEXAS

MEDICAL BOARD, TEXAS

Text

The text as introduced · 478 words

89R9350 DNC-D

By: Simmons
H.B. No. 2475

A BILL TO BE ENTITLED

AN ACT

relating to medical education coursework in cultural competence and

implicit bias.

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

SECTION 1. Subchapter F, Chapter 51, Education Code, is

amended by adding Section 51.310 to read as follows:

Sec. 51.310. CULTURAL COMPETENCE AND IMPLICIT BIAS MEDICAL

EDUCATION COURSEWORK. (a) In this section:

(1) "Coordinating board" means the Texas Higher

Education Coordinating Board.

(2) "Cultural competence" and "implicit bias" have the

meanings assigned by Section 153.017, Occupations Code.

(3) "Medical school" has the meaning assigned by

Section 61.501.

(b) The coordinating board by rule shall require a medical

school to offer coursework in cultural competence and implicit bias

approved by the Texas Medical Board under Section 153.017(b),

Occupations Code.

(c) A medical school may not award a student a doctor of

medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree

unless the student has successfully completed the number of hours

of coursework in cultural competence and implicit bias required by

coordinating board rule.

SECTION 2. Subchapter A, Chapter 153, Occupations Code, is

amended by adding Section 153.017 to read as follows:

Sec. 153.017. COURSEWORK IN CULTURAL COMPETENCE AND

IMPLICIT BIAS. (a) In this section:

(1) "Cultural competence" means, with respect to

health care, the ability to effectively address the health issues

of individuals from diverse backgrounds by applying knowledge,

empathy, and insight into the views on health that those

backgrounds present.

(2) "Implicit bias" means:

(A) bias in judgment or behavior that results

from subtle cognitive processes, including implicit attitudes and

stereotypes, that often operate at a level below conscious

awareness and without intentional control; or

(B) implicit attitudes and stereotypes that

result in beliefs or simple associations that a person makes

between an object and its evaluation that are automatically

activated by the mere presence, actual or symbolic, of the attitude

object.

(b) The board by rule shall approve coursework in cultural

competence and implicit bias for purposes of Section 51.310,

Education Code.

(c) Coursework approved under Subsection (b) must be:

(1) designed to address medical decisions and

treatment relating to a person's race, ethnicity, nationality,

language, sex, gender, physical and mental ability, and

socioeconomic status; and

(2) developed in consultation with:

(A) the Texas Higher Education Coordinating

Board; and

(B) the Association of American Medical Colleges

or another nationally recognized organization that reviews medical

school curricula.

SECTION 3. Not later than December 1, 2025, the Texas Higher

Education Coordinating Board and the Texas Medical Board shall

adopt the rules necessary to implement this Act.

SECTION 4. Section 51.310(c), Education Code, as added by

this Act, applies only to a student who enrolls in a doctor of

medicine (M.D.) or doctor of osteopathic medicine (D.O.) degree

program on or after January 1, 2026.

SECTION 5. This Act takes effect September 1, 2025.