Monitoring the Session

HB 3435

bill requiring objective hospital staff privilege decisions

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Janie LopezRHouse 37

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 the process by which a hospital makes certain determinations regarding medical staff privileges.

Caption from analyzed text · version I.

Summary

Hospitals apply their own criteria to every applicant, consistently.

The bill requires hospitals to use an objective process, applying their own adopted criteria consistently to every applicant, when granting, denying, renewing or changing medical staff privileges. It touches hospitals and the physicians, podiatrists and dentists who seek privileges there. It also clarifies that competency and training documentation requirements can sit in hospital bylaws or any other hospital policy, and it takes effect September 1, 2025.

Labels

Labels: ACROSS THE AISLE. Joint authors: 3 Republicans, 2 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.NEVER GOT A HEARING. Filed Feb 26, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB3435 · 2025-02-26

SOLD BY

Rep. Janie LopezRHouse 37 Rep. Sergio Muñoz Jr.DHouse 36 Rep. Armando "Mando" MartinezDHouse 39

+ 2 more authors

ITEM

relating to the process by which a hospital makes certain determinations regarding medical staff privileges.

WHAT IT DOES

Hospitals apply their own criteria to every applicant, consistently.

The bill requires hospitals to use an objective process, applying their own adopted criteria consistently to every applicant, when granting, denying, renewing or changing medical staff privileges. It touches hospitals and the physicians, podiatrists and dentists who seek privileges there. It also clarifies that competency and training documentation requirements can sit in hospital bylaws or any other hospital policy, and it takes effect September 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

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Janie Lopez

Donors

Texans for Lawsuit Reform PAC$504KAssociated Republicans of Texas Campaign Fund$489KTexas Conservative Majority PAC$487K

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$504,349.82

Texans for Lawsuit Reform PAC

$504,349.82

Cash
$45,000.00
Paid by others
$459,349.82
Total
$504,349.82
advertising $380,541.56mail $48,297.91polling $30,510.35

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 · Oct 31, 2024 to 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: 100977055, 101010818, 101036578, 101036586, 101058662, 101067886, 101070167.

Associated Republicans of Texas Campaign Fund$488,665.88

Associated Republicans of Texas Campaign Fund

$488,665.88

Cash
$0.00
Paid by others
$488,665.88
Total
$488,665.88
television $202,708.00mailers $127,420.46mailer $47,655.97digital $47,523.75canvassing $20,149.00polling $16,200.00Other filed descriptions $10,991.57text $10,252.13radio $5,765.00

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 · Nov 4, 2024 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: 100977055, 101010818, 101035068, 101036578, 101036586, 101067886, 101070167.

Texas Conservative Majority PAC$486,622.50

Texas Conservative Majority PAC

$486,622.50

Cash
$50,000.00
Paid by others
$436,622.50
Total
$486,622.50
advertising $181,100.00canvassing $140,822.50media $100,000.00polling $5,800.00Other filed descriptions $5,000.00texting $3,900.00

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 · Feb 13, 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: 101036586, 101067886, 101070167.

Money

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

×

Texans for Lawsuit Reform PAC

$504,349.82

Cash
$45,000.00
Paid by others
$459,349.82
Total
$504,349.82
advertising $380,541.56mail $48,297.91polling $30,510.35

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 · Oct 31, 2024 to 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: 100977055, 101010818, 101036578, 101036586, 101058662, 101067886, 101070167.

×

Associated Republicans of Texas Campaign Fund

$488,665.88

Cash
$0.00
Paid by others
$488,665.88
Total
$488,665.88
television $202,708.00mailers $127,420.46mailer $47,655.97digital $47,523.75canvassing $20,149.00polling $16,200.00Other filed descriptions $10,991.57text $10,252.13radio $5,765.00

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 · Nov 4, 2024 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: 100977055, 101010818, 101035068, 101036578, 101036586, 101067886, 101070167.

×

Texas Conservative Majority PAC

$486,622.50

Cash
$50,000.00
Paid by others
$436,622.50
Total
$486,622.50
advertising $181,100.00canvassing $140,822.50media $100,000.00polling $5,800.00Other filed descriptions $5,000.00texting $3,900.00

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 · Feb 13, 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: 101036586, 101067886, 101070167.

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 26, 2025

03/21/2025 H Referred to Public Health: Mar 21 2025 9:52AM

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 1373 by Hinojosa, Juan "Chuy" (identical)

Subjects

Health Care Providers

Hospitals

Text

The text as introduced · 183 words

89R8844 MPF-D

By: Lopez of Cameron
H.B. No. 3435

A BILL TO BE ENTITLED

AN ACT

relating to the process by which a hospital makes certain

determinations regarding medical staff privileges.

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

SECTION 1. Section 241.101, Health and Safety Code, is

amended by adding Subsection (c-1) and amending Subsection (g) to

read as follows:

(c-1) The process used to determine whether to grant or deny

medical staff privileges or to renew or modify medical staff

privileges must be an objective process during which criteria

adopted by the hospital for that purpose are applied in a consistent

manner to each person requesting medical staff privileges or the

renewal or modification of medical staff privileges.

(g) A hospital's [ bylaw ] requirements for staff privileges ,

including requirements contained in the hospital's bylaws or any

other hospital policy, may require a physician, podiatrist, or

dentist to document the person's current clinical competency and

professional training and experience in the medical procedures for

which privileges are requested.

SECTION 2. This Act takes effect September 1, 2025.