Monitoring the Session

HB 4036

Pierson Bill Ties Malpractice Damage Caps To Inflation Since 2003

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Katrina PiersonRHouse 33

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 liability limits in a health care liability claim.

Caption from analyzed text · version I.

Summary

Caps move with the consumer price index up to judgment or settlement. New claims only.

The bill ties the state's caps on noneconomic damages in medical malpractice lawsuits to inflation, measured from September 1, 2003. It touches patients who sue doctors and hospitals, and the health care providers and insurers who pay those claims. Once in effect, the caps would rise or fall with the consumer price index up to the date of judgment or settlement, but only for claims that arise after the bill takes effect.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 536 by Rep. Wu (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 536 by Rep. Wu (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 Mar 7, 2025 and referred to the House Judiciary & Civil Jurisprudence committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB4036 · 2025-03-07

SOLD BY

+ 1 coauthor

ITEM

relating to liability limits in a health care liability claim.

WHAT IT DOES

Caps move with the consumer price index up to judgment or settlement. New claims only.

The bill ties the state's caps on noneconomic damages in medical malpractice lawsuits to inflation, measured from September 1, 2003. It touches patients who sue doctors and hospitals, and the health care providers and insurers who pay those claims. Once in effect, the caps would rise or fall with the consumer price index up to the date of judgment or settlement, but only for claims that arise after the bill takes effect.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Judiciary & Civil Jurisprudence
FILED UNDER

SPEECH AND LAWFARE

THE TEXT

…“the liability limits prescribed by this section shall be increased or decreased, as applicable, by a sum equal to the amount of such limit multiplied by the percentage increase or decrease”…

Bill text, introduced version (I)

The bill adjusts the lawsuit damage caps that shield health care providers by indexing them to inflation since 2003.

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 6, 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 Truth and Liberty PAC$90,000.00

Texans for Truth and Liberty PAC

$90,000.00

Cash
$90,000.00
Paid by others
$0.00
Total
$90,000.00

Also funds 44 other sitting lawmakers.

Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 25, 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: 101006727, 101058404, 101071824.

Texas Trial Lawyers Association PAC$32,500.00

Texas Trial Lawyers Association PAC

$32,500.00

Cash
$32,500.00
Paid by others
$0.00
Total
$32,500.00

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 · Sep 23, 2024 to Oct 13, 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: 100983941, 101006727, 101028341, 101058404, 101071824.

Texans for Lawsuit Reform PAC$30,000.00

Texans for Lawsuit Reform PAC

$30,000.00

Cash
$30,000.00
Paid by others
$0.00
Total
$30,000.00

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 · Jul 29, 2024 to Sep 7, 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: 100983941, 101068368.

Money

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

×

Texans for Truth and Liberty PAC

$90,000.00

Cash
$90,000.00
Paid by others
$0.00
Total
$90,000.00

Also funds 44 other sitting lawmakers.

Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 25, 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: 101006727, 101058404, 101071824.

×

Texas Trial Lawyers Association PAC

$32,500.00

Cash
$32,500.00
Paid by others
$0.00
Total
$32,500.00

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 · Sep 23, 2024 to Oct 13, 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: 100983941, 101006727, 101028341, 101058404, 101071824.

×

Texans for Lawsuit Reform PAC

$30,000.00

Cash
$30,000.00
Paid by others
$0.00
Total
$30,000.00

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 · Jul 29, 2024 to Sep 7, 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: 100983941, 101068368.

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 536

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

Introduced text

Last action, Feb 23, 2023: Referred to Judiciary & Civil Jurisprudence

Relating to liability limits in a health care liability claim.

Caption, 88R bill history

Sources

Texas House · Filed Mar 7, 2025

03/27/2025 H Referred to Judiciary & Civil Jurisprudence: Mar 27 2025 11:57AM

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

Coauthors

House committee · Judiciary & Civil Jurisprudence · Final status: Died in committee

Subjects

Civil Remedies & Liabilities

Insurance--General

Text

The text as introduced · 408 words

By: Pierson
H.B. No. 4036

A BILL TO BE ENTITLED

AN ACT

relating to liability limits in a health care liability claim.

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

SECTION 1. Section 74.301, Civil Practice and Remedies

Code, is amended by adding Subsection (d) to read as follows:

(d) When there is an increase or decrease in the consumer

price index with respect to the amount of that index on September 1,

2003, the liability limits prescribed by this section shall be

increased or decreased, as applicable, by a sum equal to the amount

of such limit multiplied by the percentage increase or decrease in

the consumer price index, as published by the Bureau of Labor

Statistics of the United States Department of Labor, that measures

the average changes in prices of goods and services purchased by

urban wage earners and clerical workers' families (CPI-W:

Seasonally Adjusted U.S. City Average--All Items), between

September 1, 2003, and the time at which damages subject to such

limits are awarded by final judgment or settlement.

SECTION 2. Section 74.302, Civil Practice and Remedies

Code, is amended by adding Subsection (f) to read as follows:

(f) When there is an increase or decrease in the consumer

price index with respect to the amount of that index on September 1,

2003, the liability limits and financial responsibility amounts

prescribed by this section shall be increased or decreased, as

applicable, by a sum equal to the amount of such limit multiplied by

the percentage increase or decrease in the consumer price index, as

published by the Bureau of Labor Statistics of the United States

Department of Labor, that measures the average changes in prices of

goods and services purchased by urban wage earners and clerical

workers' families (CPI-W: Seasonally Adjusted U.S. City

Average--All Items), between September 1, 2003, and the time at

which damages subject to such limits are awarded by final judgment

or settlement.

SECTION 3. Sections 74.301(d) and 74.302(f), Civil Practice

and Remedies Code, as added by this Act, apply only to a health care

liability claim that accrues on or after the effective date of this

Act.

SECTION 4. 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.