Monitoring the Session

HB 3269

Guillen’s bill creating a kidney disease resource center

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Ryan GuillenRHouse 31

Initial review · graded Oct 22, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the Rita Littlefield Chronic Kidney Disease Centralized Resource Center established within the Health and Human Services Commission.

Caption from analyzed text · version H.

Summary

One-stop info on screenings, transplants and trials, in English and Spanish.

The bill creates the Rita Littlefield Chronic Kidney Disease Centralized Resource Center inside the Health and Human Services Commission. The center is a one-stop source of information on kidney disease, screenings, treatment, transplants, financial help and clinical trials, offered in English and Spanish. It also includes a registry where patients and families can sign up for trial information, a commission website, and permission to accept gifts and grants, starting September 1, 2025.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 1876 (Died in committee) and this bill (Did not pass). Checked against 88R only.DO-OVER. Reworked text of a bill filed before that died: 88R HB 1876 (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.STALLED AFTER COMMITTEE. Voted out of the House Public Health committee 8-4 on Apr 28, 2025. Placed on the General State Calendar on May 13, 2025. The bill died.

Receipt

The receipt

89R-HB3269 · 2025-02-25

SOLD BY

ITEM

relating to the Rita Littlefield Chronic Kidney Disease Centralized Resource Center established within the Health and Human Services Commission.

WHAT IT DOES

One-stop info on screenings, transplants and trials, in English and Spanish.

The bill creates the Rita Littlefield Chronic Kidney Disease Centralized Resource Center inside the Health and Human Services Commission. The center is a one-stop source of information on kidney disease, screenings, treatment, transplants, financial help and clinical trials, offered in English and Spanish. It also includes a registry where patients and families can sign up for trial information, a commission website, and permission to accept gifts and grants, starting September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

Net to General Revenue · FY 2026($2,955,826)

LBB estimate, flow · fiscal note version H · ( ) = negative · source

Sources

Fiscal note · version H · May 2, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for HB3269, Committee Report 1st House, Substituted: a negative impact of ($3,660,850) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

First year · FY 2026 · ($2,955,826)

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

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 Dis Prev & Women's & Children's Health by Speaker
  4. Scheduled for public hearing in s/c on . . .
  5. Considered by s/c in public hearing
  6. Committee substitute considered in s/c
  7. Testimony taken/registration(s) recorded in subcommittee
  8. Left pending in subcommittee
  9. Recalled from subcommittee
  10. Considered in public hearing
  11. Committee substitute considered in committee
  12. Reported favorably as substituted
  13. Comte report filed with Committee Coordinator
  14. Committee report distributed
  15. Committee report sent to Calendars
  16. Considered in Calendars
  17. Placed on General State Calendar
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 · Jul 1, 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.

Frontera Texas PAC$160,007.97

Frontera Texas PAC

$160,007.97

Cash
$0.00
Paid by others
$160,007.97
Total
$160,007.97
Other filed descriptions $73,500.00mail $40,000.00mailing $19,429.94texting $18,144.37digital $8,211.55printing $722.11

Also funds 3 other sitting lawmakers.

Derived recipient stock · Nov 5, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Dec 30, 2025 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.

Report IDs: 101033369, 101062168, 101070155, 101073001.

Texas Sands PAC$120,875.00

Texas Sands PAC

$120,875.00

Cash
$113,500.00
Paid by others
$7,375.00
Total
$120,875.00
polling $7,375.00

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 14, 2024 to Sep 25, 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: 100989191, 101033369, 101062168, 101073001.

Associated Republicans of Texas Campaign Fund$22,795.90

Associated Republicans of Texas Campaign Fund

$22,795.90

Cash
$0.00
Paid by others
$22,795.90
Total
$22,795.90
polling $15,000.00Other filed descriptions $7,352.14texting $443.76

Also funds 20 other sitting lawmakers.

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

TEC account match.

Team
Sources

Derived itemized flow · Dec 15, 2025 to Sep 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: 101033369, 101070155.

Money

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

×

Frontera Texas PAC

$160,007.97

Cash
$0.00
Paid by others
$160,007.97
Total
$160,007.97
Other filed descriptions $73,500.00mail $40,000.00mailing $19,429.94texting $18,144.37digital $8,211.55printing $722.11

Also funds 3 other sitting lawmakers.

Derived recipient stock · Nov 5, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Dec 30, 2025 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.

Report IDs: 101033369, 101062168, 101070155, 101073001.

×

Texas Sands PAC

$120,875.00

Cash
$113,500.00
Paid by others
$7,375.00
Total
$120,875.00
polling $7,375.00

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 14, 2024 to Sep 25, 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: 100989191, 101033369, 101062168, 101073001.

×

Associated Republicans of Texas Campaign Fund

$22,795.90

Cash
$0.00
Paid by others
$22,795.90
Total
$22,795.90
polling $15,000.00Other filed descriptions $7,352.14texting $443.76

Also funds 20 other sitting lawmakers.

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

TEC account match.

Team
Sources

Derived itemized flow · Dec 15, 2025 to Sep 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: 101033369, 101070155.

Votes

No floor vote loaded for this bill.

Witnesses11
For
9
Against
0
On
2
Names

For

  • American Kidney Fund1 registration
  • Donate Life Texas1 registration
  • Self3 registrations
  • Self; Texas renal coalition1 registration
  • Texas Chapter American College of Physicians1 registration
  • Texas Medical Association1 registration
  • University Health1 registration

On

  • Health and Human Services Commission1 registration
  • Self; Uthsa1 registration
Sources

11 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.

Fiscal
Net to General Revenue · FY 2026($2,955,826)

LBB estimate, flow · fiscal note version H · ( ) = negative · source

Sources

Fiscal note · version H · May 2, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for HB3269, Committee Report 1st House, Substituted: a negative impact of ($3,660,850) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

First year · FY 2026 · ($2,955,826)

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version H by claude-opus-5-5, Oct 22, 2026, against the published rubric.

FILED BEFORE

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

88R HB 1876

by Rep. Guillen, same lead author · Died in committee · reworked

Introduced text

Last action, May 4, 2023: Referred to Health & Human Services

Relating to the Rita Littlefield Chronic Kidney Disease Centralized Resource Center established within the Health and Human Services Commission.

Caption, 88R bill history

Sources

Texas House · Filed Feb 25, 2025

05/13/2025 H Placed on General State Calendar

Texas Legislature Online · Introduced · House Committee Report

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

House committee · Public Health · Committee vote 8 aye, 4 nay, 1 absent · Out of committee

Companion

SB 2089 by Miles (identical)

Subjects

Health--Other Diseases & Medical Conditions

State Agencies, Boards & Commissions--Newly Proposed

State Finances--Management & Control

INTERNET

CHRONIC KIDNEY DISEASE TASK FORCE

HEALTH & HUMAN SERVICES COMMISSION

RITA LITTLEFIELD CHRONIC KIDNEY DISEASE CENTRALIZED RESOURCE CENTER (VS2Q4)

Text

The text as introduced · 676 words

By: Guillen
H.B. No. 3269

A BILL TO BE ENTITLED

AN ACT

relating to the Rita Littlefield Chronic Kidney Disease Centralized

Resource Center established within the Health and Human Services

Commission.

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

SECTION 1. Subtitle D, Title 2, Health and Safety Code, is

amended by adding Chapter 83A to read as follows:

CHAPTER 83A. RITA LITTLEFIELD CHRONIC KIDNEY DISEASE CENTRALIZED

RESOURCE CENTER

Sec. 83A.001. DEFINITION. In this chapter, "resource

center" means the Rita Littlefield Chronic Kidney Disease

Centralized Resource Center established under this chapter.

Sec. 83A.002. ESTABLISHMENT OF RESOURCE CENTER. The Rita

Littlefield Chronic Kidney Disease Centralized Resource Center is

established within the commission to serve as a centralized system

through which persons may:

(1) obtain information on:

(A) chronic kidney disease and related

illnesses, including each clinical stage of kidney disease and end

stage renal disease; and

(2) receive information on clinical trials and

clinical trial opportunities for chronic kidney disease and related

illnesses.

Sec. 83A.003. ADMINISTRATION OF RESOURCE CENTER. (a) The

commission shall administer the resource center in accordance with

this chapter.

(b) The commission shall:

(1) structure and operate the resource center in a

manner that provides a comprehensive approach for readily accessing

information on and resources for chronic kidney disease and related

illnesses, including for each clinical stage of kidney disease and

end stage renal disease; and

(2) establish, and the resource center shall maintain,

a kidney health clinical trials registry through which patients and

family members of those patients may register to receive

educational information on clinical trials and clinical trial

opportunities based on the clinical stage of a patient's chronic

kidney disease or end stage renal disease.

(c) The comprehensive approach described by Subsection

(b)(1) must allow individuals to obtain or to directly access

aggregated information on:

(1) chronic kidney disease awareness, prevention, and

professional education opportunities, including:

(A) awareness campaigns for chronic kidney

disease and related illnesses;

(B) information on accessing free screenings for

chronic kidney disease and related illnesses;

(C) professional resources and continuing

education opportunities for health care providers who treat

patients with chronic kidney disease or related illnesses;

(D) for individuals who register for inclusion in

the kidney health clinical trials registry established under

Subsection (b)(2), information on clinical trials and clinical

trial opportunities for chronic kidney disease and related

illnesses; and

(E) information on chronic kidney disease

partners, including chronic kidney disease patient advocates,

dialysis professionals, health care providers, researchers,

manufacturers, and other appropriate persons;

(2) patient and family resources, including:

(A) educational resources containing general and

specific chronic kidney disease information;

(B) resources containing information on chronic

kidney disease prevention and early detection of chronic kidney

disease and related illnesses;

(C) nutritional and metabolism information for

individuals with chronic kidney disease and related illnesses; and

(D) directories for physicians who specialize in

kidney health;

(3) resources on chronic kidney disease treatment

options and modalities, including:

(A) kidney donations and kidney transplantation

initiatives;

(B) deceased and living organ donation programs

and initiatives;

(C) organ recipient registries;

(D) treatment options for chronic kidney disease

and end stage renal disease;

(E) financial assistance for obtaining treatment

for chronic kidney disease or related illnesses.

(d) The commission shall ensure information provided by the

resource center is available in both English and Spanish.

Sec. 83A.004. INTERNET WEBSITE. In collaboration with the

Chronic Kidney Disease Task Force established under Chapter 83, the

commission shall add and maintain information and resources of the

resource center on the commission's Internet website.

Sec. 83A.005. GIFTS, GRANTS, AND DONATIONS. The commission

may solicit and accept gifts, grants, and donations from any source

to implement this chapter.

SECTION 2. The Health and Human Services Commission is

required to implement a provision of this Act only if the

legislature appropriates money specifically for that purpose. If

the legislature does not appropriate money specifically for that

purpose, the commission may, but is not required to, implement a

provision of this Act using other appropriations available for that

purpose.

SECTION 3. This Act takes effect September 1, 2025.