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.
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.
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.
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
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.