HB 4106

bill requiring medication histories for high-risk hospital patients

Died in committee

Verdict: No flags

No flagsInitial review

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 duties of a pharmacist regarding medication profiles for high-risk patients in certain hospitals.

Caption from analyzed text · version I.

Summary

Hospitals over 100 beds. The hospital decides who’s high-risk.

The bill requires a pharmacist at a licensed hospital with more than 100 beds to get an accurate medication history for each high-risk patient admitted, with the hospital deciding who counts as high-risk. Trained pharmacist-interns or pharmacy technicians may do the work instead, and the hospital's pharmacist-in-charge must write policies and set deadlines for finishing the profiles. The state pharmacy board must write rules on what goes in a profile and what training the interns and technicians need, starting September 1, 2025.

Labels

Labels: NEVER GOT A HEARING. Filed Mar 7, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB4106 · 2025-03-07

SOLD BY

Rep. Ann JohnsonDHouse 134

ITEM

relating to the duties of a pharmacist regarding medication profiles for high-risk patients in certain hospitals.

WHAT IT DOES

Hospitals over 100 beds. The hospital decides who’s high-risk.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

Mar 7, 2025Filed
Mar 27, 2025Read first time
Mar 27, 2025Referred to Public Health

FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

Ann Johnson

Donors

Texas Trial Lawyers Association PAC$73K Texans for Truth and Liberty PAC$65K Agave Democratic Infrastructure Fund$55K

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.

Texas Trial Lawyers Association PAC$72,500.00

Texas Trial Lawyers Association PAC

$72,500.00

Cash: $72,500.00
Paid by others: $0.00
Total: $72,500.00

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 · Dec 10, 2024 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: 100987008, 101008094, 101030169, 101058089, 101072095.

Texans for Truth and Liberty PAC$65,000.00

Texans for Truth and Liberty PAC

$65,000.00

Cash: $65,000.00
Paid by others: $0.00
Total: $65,000.00

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 26, 2025 to Oct 15, 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: 101008094, 101072095.

Agave Democratic Infrastructure Fund$54,875.00

Agave Democratic Infrastructure Fund

$54,875.00

Cash: $25,000.00
Paid by others: $29,875.00
Total: $54,875.00

consulting $29,875.00

Also funds 5 other sitting lawmakers.

Derived recipient stock · Nov 22, 2024 to Oct 12, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Nov 22, 2024 to Oct 12, 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: 100987008, 101058089, 101068643, 101072095.

Money

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

Texas Trial Lawyers Association PAC

$72,500.00

Cash: $72,500.00
Paid by others: $0.00
Total: $72,500.00

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 · Dec 10, 2024 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: 100987008, 101008094, 101030169, 101058089, 101072095.

Texans for Truth and Liberty PAC

$65,000.00

Cash: $65,000.00
Paid by others: $0.00
Total: $65,000.00

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 26, 2025 to Oct 15, 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: 101008094, 101072095.

Agave Democratic Infrastructure Fund

$54,875.00

Cash: $25,000.00
Paid by others: $29,875.00
Total: $54,875.00

consulting $29,875.00

Also funds 5 other sitting lawmakers.

Derived recipient stock · Nov 22, 2024 to Oct 12, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Nov 22, 2024 to Oct 12, 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: 100987008, 101058089, 101068643, 101072095.

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 Mar 7, 2025

03/27/2025 H Referred to Public Health: Mar 27 2025 11:57AM

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 1675 by Menéndez (identical)

Subjects

Hospitals

Occupational Regulation--Health Occupations

PHARMACIES & PHARMACISTS

PHARMACY, TEXAS STATE BOARD OF

Text

The text as introduced · 234 words

89R12747 RAL-D

By: Johnson
H.B. No. 4106

A BILL TO BE ENTITLED

AN ACT

relating to the duties of a pharmacist regarding medication

profiles for high-risk patients in certain hospitals.

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

SECTION 1. Subchapter C, Chapter 562, Occupations Code, is

amended by adding Section 562.1012 to read as follows:

Sec. 562.1012. MEDICATION PROFILE FOR HIGH-RISK PATIENTS IN

CERTAIN HOSPITALS. (a) This section applies only with respect to a

licensed hospital with more than 100 beds.

(b) Except as provided by Subsection (c), a hospital

pharmacist shall obtain an accurate medication profile for each

high-risk patient, as determined by hospital policy, admitted to

the hospital.

(c) A pharmacist-intern or pharmacy technician may obtain

the medication profile described by Subsection (b) if the

pharmacist-intern or pharmacy technician meets the training

requirements provided by board rule.

(d) The pharmacist-in-charge of an institutional pharmacy

in a hospital shall develop and implement policies and procedures

consistent with board rules for obtaining a medication profile

under this section including determining the timeframe by which a

patient medication profile must be completed.

(e) The board shall adopt rules to implement this section,

including rules specifying:

(1) the contents of a patient medication profile

required under Subsection (b); and

(2) the training requirements for a pharmacist-intern

or pharmacy technician obtaining a medication profile.

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