The bill requires health care providers and other covered entities to post detailed instructions on their websites and at their facilities. The instructions must tell patients how to request their own health records, how to reach the entity's licensing or disciplinary authority, and how to file a consumer complaint. Starting September 1, 2025, patients should find these steps posted wherever the entity operates.
Labels
Labels: ACROSS THE AISLE. Joint authors: 1 Republican, 1 Democrat. Party as the Legislative Reference Library lists it for the 89th Legislature.QUICK READ: 130 WORDS. The bill as filed runs 130 words, counting the existing law it amends and the text it strikes. The median 89R bill as filed runs 441 words (derived, 8,702 graded bills, snapshot Oct 19, 2026).
relating to information regarding consumer access to health care
records.
WHAT IT DOES
Plus how to file a consumer complaint.
The bill requires health care providers and other covered entities to post detailed instructions on their websites and at their facilities. The instructions must tell patients how to request their own health records, how to reach the entity's licensing or disciplinary authority, and how to file a consumer complaint. Starting September 1, 2025, patients should find these steps posted wherever the entity operates.
CHARGES
[ ] NONE FOUND
TOTAL
No significant fiscal implication to the State is anticipated.
Names were not printed. No individual positions are inferred.
The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records final passage. Repeated tallies belong to separate votes.
Sources
HB 4224 (Kolkhorst) Relating to information regarding consumer access to health care records. (viva voce vote) (31-0) (31-0)
Published stock of positions for this vote, except where marked derived.
Yea: 31 (published)
Nay: 0 (published)
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed
Senate journal. Source snapshot 2026-10-19, Central time.
Names were not printed. No individual positions are inferred.
The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records suspension of the three-day rule. Repeated tallies belong to separate votes.
Sources
HB 4224 (Kolkhorst) Relating to information regarding consumer access to health care records. (viva voce vote) (31-0) (31-0)
Published stock of positions for this vote, except where marked derived.
Yea: 31 (published)
Nay: 0 (published)
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed
Senate journal. Source snapshot 2026-10-19, Central time.
Names were not printed. No individual positions are inferred.
The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records passage to third reading. Repeated tallies belong to separate votes.
Voice vote. No numeric tally or individual yeas are inferred.
Sources
HB 4224 (Kolkhorst) Relating to information regarding consumer access to health care records. (viva voce vote) (31-0) (31-0)
Published stock of positions for this vote, except where marked derived.
Yea: Not printed
Nay: Not printed
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed
Senate journal. Source snapshot 2026-10-19, Central time.
House committee · Public Health · Committee vote 12 aye, 0 nay, 1 absent · Out of committee
Senate committee · Health & Human Services · Committee vote 8 aye, 0 nay, 1 absent · Out of committee
Subjects
Consumer Protection
Electronic Information Systems
Health Care Providers
Health--General
Hospitals
Open Records
MEDICAL RECORDS
Text
The text as introduced · 130 words
89R15859 LRM-D
By: Hull
H.B. No. 4224
A BILL TO BE ENTITLED
AN ACT
relating to information regarding consumer access to health care
records.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter C, Chapter 181, Health and Safety
Code, is amended by adding Section 181.105 to read as follows:
Sec. 181.105. REQUIRED INFORMATION REGARDING CONSUMER
ACCESS TO HEALTH RECORDS AND COMPLAINTS. A covered entity shall
prominently post on the entity's Internet website and at any entity
facility detailed instructions for a consumer to:
(1) request the consumer's health care records from
the entity;
(2) contact the disciplinary or licensing authority
for the covered entity; and
(3) file a consumer complaint as described by Section
181.103.
SECTION 2. This Act takes effect September 1, 2025.
Monitoring 
