Monitoring the Session

HB 2655

nonprofits can run small employer health programs

Became law, effective Sep 1, 2025

Verdict: No flags

No flagsInitial review
Rep. Tom OliversonRHouse 130

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 operation by certain nonprofit organizations of certain regional health care programs for employees of small employers.

Caption from analyzed text · version I.

Summary

No commissioners court needed, as long as it just helps pay premiums.

The bill lets a community-based nonprofit set up or join a regional health care program for small employers and their workers without the county commissioners court taking part, as long as the program only helps pay premiums and does not itself offer health services or benefits. It touches community-based nonprofits, small employers and their employees, and county commissioners courts, which lose their gatekeeping role for this kind of program. On the ground, a nonprofit can run a premium assistance program in any county where it operates, with the nonprofit governing it instead of elected county officials, starting September 1, 2025.

Labels

Labels: CROSS-PARTY HANDOFF. Lead author Tom Oliverson (R) in the House. Lead sponsor Juan "Chuy" Hinojosa (D) in the Senate. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-HB2655 · 2025-02-11

SOLD BY

+ 1 coauthor

ITEM

relating to operation by certain nonprofit organizations of certain regional health care programs for employees of small employers.

WHAT IT DOES

No commissioners court needed, as long as it just helps pay premiums.

The bill lets a community-based nonprofit set up or join a regional health care program for small employers and their workers without the county commissioners court taking part, as long as the program only helps pay premiums and does not itself offer health services or benefits. It touches community-based nonprofits, small employers and their employees, and county commissioners courts, which lose their gatekeeping role for this kind of program. On the ground, a nonprofit can run a premium assistance program in any county where it operates, with the nonprofit governing it instead of elected county officials, starting September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 23, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to s/c on County & Regional Government by Speaker
  4. Scheduled for public hearing in s/c on . . .
  5. Considered by s/c in public hearing
  6. Testimony taken/registration(s) recorded in subcommittee
  7. Left pending in subcommittee
  8. Recalled from subcommittee
  9. Considered in formal meeting
  10. Reported favorably w/o amendment(s)
  11. Comte report filed with Committee Coordinator
  12. Committee report distributed
  13. Committee report sent to Calendars
  14. Considered in Calendars
  15. Placed on General State Calendar
  16. Read 2nd time
  17. Passed to engrossment
  18. Record vote RV#2717
  19. Statement(s) of vote recorded in Journal
  20. Read 3rd time
  21. Passed
  22. Record vote RV#2836
  23. Statement(s) of vote recorded in Journal
  24. Reported engrossed
  25. Received from the House
  26. Read first time
  27. Referred to Health & Human Services
  28. Posting rule suspended
  29. Scheduled for public hearing on . . .
  30. Considered in public hearing
  31. Left pending in committee
  32. Considered in public hearing
  33. Vote taken in committee
  34. Reported favorably w/o amendments
  35. Committee report printed and distributed
  36. Placed on intent calendar
  37. Rules suspended-Regular order of business
  38. Read 2nd time & passed to 3rd reading
  39. Vote recorded in Journal
  40. Three day rule suspended
  41. Record vote
  42. Read 3rd time
  43. Passed
  44. Record vote
  45. Senate passage reported
  46. Reported enrolled
  47. Signed in the House
  48. Signed in the Senate
  49. Sent to the Governor
  50. Signed by the Governor
  51. Effective on 9/1/25
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 127 yea · 0 nay

Senate · 31 yea · 0 nay

Sources

House: Final passage · May 16, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · May 28, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Donors report through Friends of Tom Oliverson.

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.

Money

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

Votes5

Senate May 28, 2025

Yea
31
Nay
0
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

Sources

The bill was read third time and was passed by the following vote: Yeas 31, Nays 0.

Published stock of positions for this vote, except where marked derived.

  • Yea: 31 (published)
  • Nay: 0 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 28, 2025

Yea
30
Nay
1
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

Sources

Senator J. Hinojosa moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 2655 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 30, Nays 1.

Published stock of positions for this vote, except where marked derived.

  • Yea: 30 (published)
  • Nay: 1 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 28, 2025

Yea
Not printed
Nay
Not printed
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

Voice vote. No numeric tally or individual yeas are inferred.

Sources

Senator J. Hinojosa moved to suspend the regular order of business to take up for consideration HB 2655 at this time on its second reading: HB 2655, Relating to operation by certain nonprofit organizations of certain regional health care programs for employees of small employers. The motion prevailed. Senator Miles asked to be recorded as voting "Nay" on suspension of the regular order of business. The bill was read second time and was passed to third reading by a viva voce vote.

Published stock of positions for this vote, except where marked derived.

  • Yea: Not printed
  • Nay: Not printed
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

House May 16, 2025

Yea
127
Nay
0
Present, not voting
2
Absent
6
Excused
15
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 2836

HB 2655 was passed by (Record 2836): 127 Yeas, 0 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 127 (published)
  • Nay: 0 (published)
  • Present, not voting: 2 (published)
  • Absent: 6 (derived from named list)
  • Excused: 15 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

House May 15, 2025

Yea
123
Nay
0
Present, not voting
2
Absent
9
Excused
16
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 2717

HB 2655 was passed to engrossment by (Record 2717): 123 Yeas, 0 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 123 (published)
  • Nay: 0 (published)
  • Present, not voting: 2 (published)
  • Absent: 9 (derived from named list)
  • Excused: 16 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Witnesses4
For
3
Against
0
On
1
Names

For

  • NFIB1 registration
  • Self; Texhealth1 registration
  • TexHealth1 registration

On

  • Texas Department of Insurance1 registration
Sources

4 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Senate witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 23, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

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

06/20/2025 E Effective on 9/1/25

Texas Legislature Online · Introduced · House Committee Report · Engrossed · Senate Committee Report · Enrolled

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

Coauthors
Sponsors

House committee · Intergovernmental Affairs · Committee vote 9 aye, 1 nay, 1 absent · Out of committee

Senate committee · Health & Human Services · Committee vote 8 aye, 0 nay, 1 absent · Out of committee

Subjects

Business & Commerce--Small Business & Minority Business

Charitable & Nonprofit Organizations

Insurance--Health & Accident

Text

The text as introduced · 511 words

89R5801 SCL-D

By: Oliverson
H.B. No. 2655

A BILL TO BE ENTITLED

AN ACT

relating to operation by certain nonprofit organizations of certain

regional health care programs for employees of small employers.

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

SECTION 1. Section 75.051, Health and Safety Code, is

amended by adding Subsection (c) to read as follows:

(c) A community-based nonprofit organization may establish

or participate in a regional health care program under this

subchapter without the participation of the commissioners court of

a county if the program is a premium assistance program not offering

health care services or health care benefits.

SECTION 2. Section 75.052(a), Health and Safety Code, is

amended to read as follows:

(a) A regional health care program may be operated subject

to the direct governance of the commissioners courts of the

participating counties or, for a program operating under Section

75.051(c), a nonprofit organization . A local health care program

may be operated subject to the direct governance of the

commissioners court of the participating county. A regional or

local health care program may be operated by a joint council,

tax-exempt nonprofit entity, or other entity that:

(1) operates the program under a contract with the

commissioners court or courts, as applicable; [ or ]

(2) is an entity in which the county or counties

participate or that is established or designated by the

commissioners court or courts, as applicable, to operate the

program ; or

(3) for a program operating under Section 75.051(c),

is a participating nonprofit organization .

SECTION 3. Section 75.101, Health and Safety Code, is

amended to read as follows:

Sec. 75.101. ALTERNATIVE PROGRAMS AUTHORIZED; PROGRAM

OBJECTIVES. In developing a regional or local health care program,

a governing body may provide health care services or benefits as

described by this subchapter or may develop another type of program

to accomplish the purposes of this chapter. A regional or local

health care program must be developed, to the extent practicable,

to:

(1) reduce the number of individuals without health

benefit plan coverage within the boundaries of the participating

county or counties or, for a program operating under Section

75.051(c), in a county in which a participating nonprofit

organization operates ;

(2) address rising health care costs and reduce the

cost of health care services or health benefit plan coverage for

small employers and their employees within the boundaries of the

participating county or counties or, for a program operating under

Section 75.051(c), in a county in which a participating nonprofit

organization operates ;

(3) promote preventive care and reduce the incidence

of preventable health conditions, such as heart disease, cancer,

and diabetes and low birth weight in infants;

(4) promote efficient and collaborative delivery of

health care services;

(5) serve as a model for the innovative use of health

information technology to promote efficient delivery of health care

services, reduce health care costs, and improve the health of the

community; and

(6) provide fair payment rates for health care

providers.

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