Monitoring the SessionHB 4168
Died in committee
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
relating to requirements for the renewal of a physician's registration permit.
Caption from analyzed text · version I.
Covers delegation to non-physician providers too.
The bill makes a doctor who supervises or delegates medical tasks to non-physician providers state on the permit renewal form that the supervision and delegation were done properly. It touches physicians who work with nurses, physician assistants and other non-physician providers, and the Texas Medical Board, which must write a rule by December 1, 2025 on how doctors sign that statement electronically. Starting with renewals filed on or after January 1, 2026, these doctors must make this attestation, both in general and specifically for nurses or physician assistants under prescriptive authority agreements.
Labels: ZOMBIE BILL. Died 2 times: 88R HB 3228 by Rep. Allison (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 3228 by Rep. Allison (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 10, 2025 and referred to the House Public Health committee. No public hearing. The bill died.
89R-HB4168 · 2025-03-10
relating to requirements for the renewal of a physician's registration permit.
Covers delegation to non-physician providers too.
The bill makes a doctor who supervises or delegates medical tasks to non-physician providers state on the permit renewal form that the supervision and delegation were done properly. It touches physicians who work with nurses, physician assistants and other non-physician providers, and the Texas Medical Board, which must write a rule by December 1, 2025 on how doctors sign that statement electronically. Starting with renewals filed on or after January 1, 2026, these doctors must make this attestation, both in general and specifically for nurses or physician assistants under prescriptive authority agreements.
[ ] NONE FOUND
No fiscal note in the loaded record.
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
Not tied to this bill.
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Oct 28, 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.
$58,000.00
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.
TeamDerived itemized flow · Jan 30, 2026 to Sep 29, 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: 101041279, 101072570.
$54,000.00
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.
TeamDerived itemized flow · Nov 19, 2024 to Aug 21, 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: 100987685, 101012359, 101033794, 101036103, 101041279, 101069980.
$26,223.56
Also funds 118 other sitting lawmakers.
Derived recipient stock · Aug 12, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Dec 6, 2024 to Mar 2, 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: 100987685, 101012359, 101041279, 101062186.
Missing data does not establish zero giving. Display amounts are rounded.
$58,000.00
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.
TeamDerived itemized flow · Jan 30, 2026 to Sep 29, 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: 101041279, 101072570.
$54,000.00
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.
TeamDerived itemized flow · Nov 19, 2024 to Aug 21, 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: 100987685, 101012359, 101033794, 101036103, 101041279, 101069980.
$26,223.56
Also funds 118 other sitting lawmakers.
Derived recipient stock · Aug 12, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Dec 6, 2024 to Mar 2, 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: 100987685, 101012359, 101041279, 101062186.
No floor vote loaded for this bill.
No fiscal note in the loaded record.
Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.
Filed 2 times: 88R and 89R. Checked against 88R only.
by Rep. Allison, different lead author · Died in committee · same text
Introduced textLast action, Mar 15, 2023: Referred to Public Health
Relating to requirements for the renewal of a physician's registration permit.
Caption, 88R bill history
Texas House · Filed Mar 10, 2025
03/31/2025 H Referred to Public Health: Mar 31 2025 4:34PM
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
Occupational Regulation--Health Occupations
PHYSICIANS
MEDICAL BOARD, TEXAS
The text as introduced · 211 words
89R14593 GP-F By: Campos H.B. No. 4168 A BILL TO BE ENTITLED AN ACT relating to requirements for the renewal of a physician's registration permit. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 156.001, Occupations Code, is amended by adding Subsection (d-1) to read as follows: (d-1) If the license holder supervises or delegates medical acts to any non-physician health care provider, the license holder shall state on the registration renewal application that the license holder has provided proper supervision and has properly delegated medical acts: (1) generally, for any non-physician health care provider; and (2) specifically, for any advanced practice registered nurse or physician assistant with whom the license holder has entered into a prescriptive authority agreement under Section 157.0512. SECTION 2. Not later than December 1, 2025, the Texas Medical Board by rule shall prescribe the method by which a physician who renews the physician's registration permit may make and electronically sign the statement required by Section 156.001(d-1), Occupations Code, as added by this Act. SECTION 3. Section 156.001(d-1), Occupations Code, as added by this Act, applies only to an application for renewal of a registration permit submitted on or after January 1, 2026. SECTION 4. This Act takes effect September 1, 2025.