Monitoring the Session

HB 4590

bill creating a cardiac arrest registry for Texans under 36

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Philip CortezDHouse 117

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 a cardiac arrest registry for information on the incidence and causes of cardiac arrest among certain persons; providing an administrative penalty.

Caption from analyzed text · version I.

Summary

Physicians report within 60 days, including COVID-19 test history.

The bill orders The University of Texas Southwestern Medical Center to build and run a registry that tracks cardiac arrest deaths among people younger than 36 in Texas. When someone under 36 dies of cardiac arrest, the attending physician must send the center details within 60 days, including age, location, activity, any sports participation, and known COVID-19 test history. Physicians who treat student athletes get access to the aggregated, de-identified data, the legislature gets a report every two years, and the Texas Medical Board can fine a physician up to $500 per violation for failing to report.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 4400 (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 4400 (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 12, 2025 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB4590 · 2025-03-12

SOLD BY

ITEM

relating to a cardiac arrest registry for information on the incidence and causes of cardiac arrest among certain persons; providing an administrative penalty.

WHAT IT DOES

Physicians report within 60 days, including COVID-19 test history.

The bill orders The University of Texas Southwestern Medical Center to build and run a registry that tracks cardiac arrest deaths among people younger than 36 in Texas. When someone under 36 dies of cardiac arrest, the attending physician must send the center details within 60 days, including age, location, activity, any sports participation, and known COVID-19 test history. Physicians who treat student athletes get access to the aggregated, de-identified data, the legislature gets a report every two years, and the Texas Medical Board can fine a physician up to $500 per violation for failing to report.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
FILED UNDER

No verified beat found.

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 · 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.

Texas Trial Lawyers Association PAC$44,000.00

Texas Trial Lawyers Association PAC

$44,000.00

Cash
$44,000.00
Paid by others
$0.00
Total
$44,000.00

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.

Team
Sources

Derived itemized flow · Dec 6, 2024 to Sep 25, 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: 100985407, 101008363, 101026711, 101035640, 101039466, 101052595, 101071633.

Texas Sands PAC$37,000.00

Texas Sands PAC

$37,000.00

Cash
$37,000.00
Paid by others
$0.00
Total
$37,000.00

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.

Team
Sources

Derived itemized flow · Dec 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.

Report IDs: 100985407, 101039466, 101071633.

Physicians for Free Market Healthcare PAC$35,000.00

Physicians for Free Market Healthcare PAC

$35,000.00

Cash
$35,000.00
Paid by others
$0.00
Total
$35,000.00

Also funds 33 other sitting lawmakers.

Derived recipient stock · Jun 30, 2025 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 22, 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: 101026711, 101035640, 101071633.

Money

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

×

Texas Trial Lawyers Association PAC

$44,000.00

Cash
$44,000.00
Paid by others
$0.00
Total
$44,000.00

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.

Team
Sources

Derived itemized flow · Dec 6, 2024 to Sep 25, 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: 100985407, 101008363, 101026711, 101035640, 101039466, 101052595, 101071633.

×

Texas Sands PAC

$37,000.00

Cash
$37,000.00
Paid by others
$0.00
Total
$37,000.00

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.

Team
Sources

Derived itemized flow · Dec 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.

Report IDs: 100985407, 101039466, 101071633.

×

Physicians for Free Market Healthcare PAC

$35,000.00

Cash
$35,000.00
Paid by others
$0.00
Total
$35,000.00

Also funds 33 other sitting lawmakers.

Derived recipient stock · Jun 30, 2025 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Sep 22, 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: 101026711, 101035640, 101071633.

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 4400

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

Introduced text

Last action, Mar 21, 2023: Referred to Public Health

Relating to a cardiac arrest registry for information on the incidence and causes of cardiac arrest among certain persons; providing an administrative penalty.

Caption, 88R bill history

Sources

Texas House · Filed Mar 12, 2025

04/03/2025 H Referred to Public Health: Apr 3 2025 12:38PM

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

Subjects

Electronic Information Systems

Health--Other Diseases & Medical Conditions

PHYSICIANS

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER

MEDICAL BOARD, TEXAS

Text

The text as introduced · 612 words

By: Cortez
H.B. No. 4590

A BILL TO BE ENTITLED

AN ACT

relating to a cardiac arrest registry for information on the

incidence and causes of cardiac arrest among certain persons;

providing an administrative penalty.

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

SECTION 1. Subtitle D, Title 2, Health and Safety Code, is

amended by adding Chapter 93A to read as follows:

CHAPTER 93A. CARDIAC ARREST REGISTRY

Sec. 93A.001. DEFINITIONS. In this chapter:

(1) "Center" means The University of Texas

Southwestern Medical Center.

(2) "Physician" means an individual licensed to

practice medicine in this state.

(3) "Registry" means the cardiac arrest registry

established under this chapter.

Sec. 93A.002. ESTABLISHMENT AND MAINTENANCE OF REGISTRY.

(a) The center shall establish and maintain a cardiac arrest

registry to collect and aggregate information on the incidence and

causes of cardiac arrest among individuals younger than 36 years of

age in this state.

(b) Not later than the 60th day following the date of death

of an individual younger than 36 years of age whose death is caused

by cardiac arrest, the primary physician who attends the

individual's death shall submit to the center for inclusion in the

registry information regarding the individual and the death. The

information must include:

(1) the age of the individual;

(2) the time and date of the individual's death;

(3) a description of the location where and the

circumstances under which the cardiac arrest occurred;

(4) a description of the activity in which the

individual was engaged at the time the cardiac arrest occurred;

(5) a statement on whether the individual was an

athlete and if an athlete, each sport the individual participated

in and the level at which the individual participated in each sport;

(6) if known by the physician or the individual's

family, a statement of whether the individual at any time tested

positive for coronavirus disease (COVID-19); and

(7) any other information the center determines

appropriate.

Sec. 93A.003. PHYSICIAN ACCESS TO REGISTRY; ANNUAL REPORT.

(a) The center shall ensure that information maintained in the

registry is accessible to physicians who provide medical care to

student athletes participating in a sport at any level. The

information must be aggregated and machine-readable in a manner

that allows a physician described by this subsection to easily

navigate the information.

(b) Not later than September 1 of each even-numbered year,

the center shall prepare and submit to the legislature a written

report that summarizes the information submitted to the center for

inclusion in the registry during the preceding two years.

Sec. 93A.004. CONFIDENTIALITY. The center shall ensure

that information accessible to a physician or submitted to the

legislature under Section 93A.003 does not disclose an individual's

personally identifiable information or information that is

confidential under state or federal law.

Sec. 93A.005. ADMINISTRATIVE PENALTY. (a) The Texas

Medical Board may assess an administrative penalty against a

physician who violates Section 93A.002. The administrative penalty

may not exceed $500 for each violation and shall be based on:

(1) the history of previous violations;

(2) the amount necessary to deter a future violation;

(3) the efforts to correct the violation; and

(4) any other matter that justice may require.

(b) The Texas Medical Board by rule shall establish a

procedure to collect the administrative penalty. A proceeding to

impose the administrative penalty is considered a contested case

under Chapter 2001, Government Code.

SECTION 2. As soon as practicable after the effective date

of this Act, The University of Texas Southwestern Medical Center

shall establish the cardiac arrest registry as required by Chapter

93A, Health and Safety Code, as added by this Act.

SECTION 3. This Act takes effect September 1, 2025.