Monitoring the Session

HB 2631

bill banning facility fees on telehealth visits

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 prohibited facility fees for telehealth and telemedicine medical services; providing an administrative penalty.

Caption from analyzed text · version I.

Summary

No facility fee for a visit with no facility.

The bill bars any health care provider from charging a separate facility fee for telehealth or telemedicine visits. It covers hospitals, hospital systems, hospital-owned facilities, freestanding emergency rooms, urgent care clinics and any other provider that bills for health care services. The state Health and Human Services Commission must fine a provider that charges such a fee up to $1,000, and patients get no private right to sue.

Labels

Labels: NEVER GOT A HEARING. Filed Feb 11, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB2631 · 2025-02-11

SOLD BY

ITEM

relating to prohibited facility fees for telehealth and telemedicine medical services; providing an administrative penalty.

WHAT IT DOES

No facility fee for a visit with no facility.

The bill bars any health care provider from charging a separate facility fee for telehealth or telemedicine visits. It covers hospitals, hospital systems, hospital-owned facilities, freestanding emergency rooms, urgent care clinics and any other provider that bills for health care services. The state Health and Human Services Commission must fine a provider that charges such a fee up to $1,000, and patients get no private right to sue.

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

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 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 Feb 11, 2025

03/18/2025 H Referred to Public Health: Mar 18 2025 11:56AM

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 392 by Sparks (identical)

Subjects

Health Care Providers

Hospitals

TELEMEDICINE

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 391 words

89R4690 AB-D

By: Harris Davila
H.B. No. 2631

A BILL TO BE ENTITLED

AN ACT

relating to prohibited facility fees for telehealth and

telemedicine medical services; providing an administrative

penalty.

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

SECTION 1. Subtitle G, Title 4, Health and Safety Code, is

amended by adding Chapter 328 to read as follows:

CHAPTER 328. PROHIBITED FACILITY FEES FOR TELEHEALTH AND

TELEMEDICINE MEDICAL SERVICES

Sec. 328.001. DEFINITIONS. In this chapter:

(1) "Commission" means the Health and Human Services

Commission.

(2) "Executive commissioner" means the executive

commissioner of the commission.

(3) "Facility fee" means a fee a health care provider

charges that is:

(A) intended to compensate the health care

provider for operational expenses; and

(B) separate from a fee a health care provider

charges for professional medical services provided to a patient.

(4) "Freestanding emergency medical care facility"

has the meaning assigned by Section 254.001.

(5) "Health care provider" means an individual,

entity, corporation, person, or organization, whether for profit or

nonprofit, that provides or bills for the provision of health care

services in the normal course of business. The term includes a

hospital system, hospital, hospital-based facility, freestanding

emergency medical care facility, and urgent care clinic.

(6) "Hospital" has the meaning assigned by Section

241.003.

(7) "Hospital-based facility" means a facility a

hospital owns or operates, wholly or partly, at which hospital or

professional medical services are provided.

(8) "Telehealth service" and "telemedicine medical

service" have the meanings assigned by Section 111.001, Occupations

Code.

Sec. 328.002. PROHIBITED FACILITY FEES. A health care

provider may not charge a facility fee for telehealth services or

telemedicine medical services.

Sec. 328.003. ENFORCEMENT. (a) The commission shall

assess an administrative penalty in an amount not to exceed $1,000

against a health care provider that violates this chapter or a rule

adopted under this chapter.

(b) This section does not create a private cause of action

against a provider for legal or equitable relief.

Sec. 328.004. RULES. The executive commissioner may adopt

rules to implement this chapter.

SECTION 2. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2025.