Monitoring the Session

HB 4255

McLaughlin Bill Gives Doctors With Felony Records A Path Back

Died in committee

Verdict: Smells

SmellsReviewed
Rep. Don McLaughlinRHouse 80
Why it's charged
The hole

THE TEXT

“(e) Except as provided in Subsection (f), the [ The ] board”…

Bill text, introduced version (I)

The board's existing duty to revoke the license of a doctor whose license was revoked in another state now yields to the new felony relicensing exception. The bill text does not explain how the two rules fit together.

The hole

On Nov 1, 2026 the editor checked the caption mismatch charge against the bill's caption and removed it.

Corrected Nov 1, 2026

Corrected Nov 1, 2026 · We checked this summary against the bill text and fixed it.

Reviewed · Nov 1, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the regulation of physicians and the disciplinary authority of the Texas Medical Board.

Caption from analyzed text · version I.

Summary

A new relicensing exception limits the board’s duty to revoke licenses after another state’s revocation.

The bill lets the Texas Medical Board give a medical license back to a doctor who was licensed in Texas before being convicted of, or getting deferred adjudication for, a felony, as long as the felony was a nonviolent property felony and the sentence, fines and restitution are done. It touches doctors with past felony records and the patients they would treat. It also makes the board's mandatory refusal or revocation for doctors who lost a license in another state subject to this new exception, and it defines the eligible felonies to include those 'including or similar to' Penal Code Chapters 31 through 35A and 37.

Labels

Labels: PENDING FOREVER. Heard by the House Public Health committee on Apr 28, 2025 and left pending. Never voted out. The bill died.

Receipt

The receipt

89R-HB4255 · 2025-03-10

SOLD BY

ITEM

relating to the regulation of physicians and the disciplinary authority of the Texas Medical Board.

WHAT IT DOES

A new relicensing exception limits the board’s duty to revoke licenses after another state’s revocation.

The bill lets the Texas Medical Board give a medical license back to a doctor who was licensed in Texas before being convicted of, or getting deferred adjudication for, a felony, as long as the felony was a nonviolent property felony and the sentence, fines and restitution are done. It touches doctors with past felony records and the patients they would treat. It also makes the board's mandatory refusal or revocation for doctors who lost a license in another state subject to this new exception, and it defines the eligible felonies to include those 'including or similar to' Penal Code Chapters 31 through 35A and 37.

CHARGES

[x] THE HOLEanalysis confidence 45%

THE TEXT

“(e) Except as provided in Subsection (f), the [ The ] board”…

Bill text, introduced version (I)

The board's existing duty to revoke the license of a doctor whose license was revoked in another state now yields to the new felony relicensing exception. The bill text does not explain how the two rules fit together.

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 25, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
  4. Scheduled for public hearing on . . .
  5. Considered in public hearing
  6. Committee substitute considered in committee
  7. Testimony taken/registration(s) recorded in committee
  8. Left pending in committee
FILED UNDER

No verified beat found.

Smells

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 · Oct 27, 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.

Texans for Lawsuit Reform PAC$588,242.35

Texans for Lawsuit Reform PAC

$588,242.35

Cash
$162,000.00
Paid by others
$426,242.35
Total
$588,242.35
advertising $397,182.00polling $29,060.35

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 29, 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: 100978254, 101012305, 101024467, 101055468, 101070410, 101072400.

Texas Conservative Majority PAC$238,750.00

Texas Conservative Majority PAC

$238,750.00

Cash
$150,000.00
Paid by others
$88,750.00
Total
$238,750.00
canvassing $80,000.00polling $8,750.00

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 · Sep 4, 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: 101070410, 101072400.

Greg Abbott Campaign$38,115.79

Greg Abbott Campaign

$38,115.79

Cash
$0.00
Paid by others
$38,115.79
Total
$38,115.79
canvassing $31,811.05texting $5,739.94travel $564.80

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 29, 2024 to Sep 2, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Oct 29, 2024 to Nov 13, 2024. 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: 100978254.

Money

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

×

Texans for Lawsuit Reform PAC

$588,242.35

Cash
$162,000.00
Paid by others
$426,242.35
Total
$588,242.35
advertising $397,182.00polling $29,060.35

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 29, 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: 100978254, 101012305, 101024467, 101055468, 101070410, 101072400.

×

Texas Conservative Majority PAC

$238,750.00

Cash
$150,000.00
Paid by others
$88,750.00
Total
$238,750.00
canvassing $80,000.00polling $8,750.00

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 · Sep 4, 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: 101070410, 101072400.

×

Greg Abbott Campaign

$38,115.79

Cash
$0.00
Paid by others
$38,115.79
Total
$38,115.79
canvassing $31,811.05texting $5,739.94travel $564.80

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 29, 2024 to Sep 2, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Oct 29, 2024 to Nov 13, 2024. 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: 100978254.

Votes

No floor vote loaded for this bill.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 25, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

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 10, 2025

04/28/2025 H Left pending in committee

Texas Legislature Online · Introduced

Data snapshot Nov 1, 2026 at 6:27 PM CST. Grades, charges, quotes and corrections follow the published record.

House committee · Public Health · Final status: Died in committee

Subjects

Occupational Regulation--Health Occupations

PHYSICIANS

MEDICAL BOARD, TEXAS

Text

The text as introduced · 783 words

By: McLaughlin
H.B. No. 4255

A BILL TO BE ENTITLED

AN ACT

relating to the regulation of physicians and the disciplinary

authority of the Texas Medical Board.

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

SECTION 1. Section 164.051, Occupations Code is amended by

amending Subsection (a) and adding Subsections (f) and (g) to read

as follows:

(a) Except as provided in Subsection (f), the [ The ] board

may refuse to admit a person to its examination or refuse to issue a

license to practice medicine and may take disciplinary action

against a person if the person:

(1) commits an act prohibited under Section 164.052;

(2) is convicted of, or is placed on deferred

adjudication community supervision or deferred disposition for:

(A) a felony; or

(B) a misdemeanor involving moral turpitude;

(3) commits or attempts to commit a direct or indirect

violation of a rule adopted under this subtitle, either as a

principal, accessory, or accomplice;

(4) is unable to practice medicine with reasonable

skill and safety to patients because of:

(A) illness;

(B) drunkenness;

(C) excessive use of drugs, narcotics,

chemicals, or another substance; or

(D) a mental or physical condition;

(5) is found by a court judgment to be of unsound mind;

(6) fails to practice medicine in an acceptable

professional manner consistent with public health and welfare;

(7) is removed, suspended, or is subject to

disciplinary action taken by the person's peers in a local,

regional, state, or national professional medical association or

society, or is disciplined by a licensed hospital or medical staff

of a hospital, including removal, suspension, limitation of

hospital privileges, or other disciplinary action, if the board

finds that the action:

(A) was based on unprofessional conduct or

professional incompetence that was likely to harm the public; and

(B) was appropriate and reasonably supported by

evidence submitted to the board;

(8) is subject to repeated or recurring meritorious

health care liability claims that in the board's opinion evidence

professional incompetence likely to injure the public; or

(9) except as provided by Subsections (d) and (e),

holds a license to practice medicine subject to disciplinary action

by another state, or subject to disciplinary action by the

uniformed services of the United States, based on acts by the person

that are prohibited under Section 164.052 or are similar to acts

described by this subsection.

(b) Action taken by a professional medical association,

society, or hospital medical staff under Subsection (a)(7) does not

constitute state action.

(c) A certified copy of the record of another state that

takes action described by Subsection (a)(9) or (d) is conclusive

evidence of that action.

(d) Except as provided in Subsection (f), the [ The ] board

shall refuse to issue a license under this subtitle if the applicant

held a license to practice medicine in another state that has been

revoked by the licensing authority in that state for a reason that

would be grounds for the board to revoke a license to practice

medicine in this state.

(e) Except as provided in Subsection (f), the [ The ] board

shall revoke a license issued under this subtitle if the license

holder, while holding the license under this subtitle, held a

license to practice medicine in another state that has been revoked

by the licensing authority in that state for a reason that would be

grounds for the board to revoke a license to practice medicine in

this state.

(f) The board may issue a license to practice medicine to a

person convicted of, or placed on deferred adjudication community

supervision or deferred disposition for a felony if:

(1) prior to the conviction, deferred adjudication

community supervision, or deferred disposition, the person was

licensed to practice medicine in this state;

(2) the person has:

(A) served any sentence resulting from the felony

conviction;

(B) completed any deferred adjudication

community service or deferred disposition ordered in connection

with the felony; and

(C) paid any fines applicable, or restitution

ordered by a court, in connection with the sentencing for the

felony;

(3) the felony was a nonviolent property felony; and

(4) the person is otherwise eligible to hold a license

to practice medicine under this subtitle.

(g) In this section, "Nonviolent property felony" means a

felony offense under state law, federal law, or the laws of a

federally recognized Indian tribe that does not have as an element

the intentional or knowing use, attempted use, or threatened use of

force or deadly force against any person, including or similar to a

felony offense under Chapters 31 through 35A, or 37, Penal Code.

SECTION 2. This Act takes effect on the 91st day after the

last day of the legislative session.