HB 4801
grant program for Nueces County Hospital District doctors
Did not pass
Verdict: No flags
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 the establishment of a grant program to allow the Nueces County Hospital District to recruit and retain certain medical professionals.
Caption from analyzed text · version I.
Summary
Hospitals get paid to keep doctors and add residency slots.
The bill orders the Nueces County Hospital District board to set up a grant program that pays hospitals in the district to keep current doctors, recruit specialists for the area's most common and critical needs, and add residency slots. It touches the district board, hospitals inside the district, and the local money the district can spend. The board must write application rules, eligibility criteria, and accountability controls so grants serve indigent care and return a benefit to the district, starting September 1, 2025.
Labels
Labels: STALLED AFTER COMMITTEE. Voted out of the House Intergovernmental Affairs committee 9-0 on May 10, 2025. Never placed on a calendar. The bill died.
Receipt
The receipt
89R-HB4801 · 2025-03-13
SOLD BY
ITEM
relating to the establishment of a grant program to allow the Nueces County Hospital District to recruit and retain certain medical professionals.
WHAT IT DOES
Hospitals get paid to keep doctors and add residency slots.
The bill orders the Nueces County Hospital District board to set up a grant program that pays hospitals in the district to keep current doctors, recruit specialists for the area's most common and critical needs, and add residency slots. It touches the district board, hospitals inside the district, and the local money the district can spend. The board must write application rules, eligibility criteria, and accountability controls so grants serve indigent care and return a benefit to the district, starting September 1, 2025.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal implication to the State is anticipated.
LBB estimate · fiscal note version H · source
Sources
Fiscal note · version H · May 14, 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
- Filed
- Read first time
- Referred to s/c on County & Regional Government by Speaker
- Scheduled for public hearing in s/c on . . .
- Considered by s/c in public hearing
- Committee substitute considered in s/c
- Testimony taken/registration(s) recorded in subcommittee
- Left pending in subcommittee
- Recalled from subcommittee
- Considered in formal meeting
- Committee substitute considered in committee
- Reported favorably as substituted
- Considered in formal meeting
- Vote reconsidered in committee
- Committee substitute considered in committee
- Reported favorably as substituted
- Comte report filed with Committee Coordinator
- Committee report distributed
- Committee report sent to Calendars
FILED UNDER
No verified beat found.
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 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.
Texans for Lawsuit Reform PAC$554,928.87
Texans for Lawsuit Reform PAC
$554,928.87
- Cash
- $35,000.00
- Paid by others
- $519,928.87
- Total
- $554,928.87
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.
TeamSources
Derived itemized flow · Jun 23, 2025 to Oct 19, 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: 101011167, 101031617, 101061183, 101069345, 101071979.
Texas Conservative Majority PAC$455,570.00
Texas Conservative Majority PAC
$455,570.00
- Cash
- $150,000.00
- Paid by others
- $305,570.00
- Total
- $455,570.00
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.
TeamSources
Derived itemized flow · Aug 21, 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: 101069345, 101071979.
Associated Republicans of Texas Campaign Fund$326,800.00
Associated Republicans of Texas Campaign Fund
$326,800.00
- Cash
- $0.00
- Paid by others
- $326,800.00
- Total
- $326,800.00
Also funds 20 other sitting lawmakers.
Derived recipient stock · Nov 4, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · May 4, 2026 to Oct 22, 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: 101061183, 101069345, 101071979.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$554,928.87
- Cash
- $35,000.00
- Paid by others
- $519,928.87
- Total
- $554,928.87
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.
TeamSources
Derived itemized flow · Jun 23, 2025 to Oct 19, 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: 101011167, 101031617, 101061183, 101069345, 101071979.
Texas Conservative Majority PAC
$455,570.00
- Cash
- $150,000.00
- Paid by others
- $305,570.00
- Total
- $455,570.00
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.
TeamSources
Derived itemized flow · Aug 21, 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: 101069345, 101071979.
Associated Republicans of Texas Campaign Fund
$326,800.00
- Cash
- $0.00
- Paid by others
- $326,800.00
- Total
- $326,800.00
Also funds 20 other sitting lawmakers.
Derived recipient stock · Nov 4, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · May 4, 2026 to Oct 22, 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: 101061183, 101069345, 101071979.
Votes
No floor vote loaded for this bill.
Witnesses7
- For
- 5
- Against
- 2
- On
- 0
Names
For
- Methodist Healthcare Ministries1 registration
- Nueces County & Nueces County Hospital District1 registration
- Nueces County Hospital District1 registration
- Self1 registration
- Teaching Hospitals of Texas1 registration
Against
- Self2 registrations
Sources
7 parsed registrations across the loaded witness lists.
Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.
House witness list. Source snapshot 2026-10-20, Central time.
Fiscal
No fiscal implication to the State is anticipated.
LBB estimate · fiscal note version H · source
Sources
Fiscal note · version H · May 14, 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 13, 2025
05/24/2025 H Committee report sent to Calendars
Texas Legislature Online · Introduced · House Committee Report
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Intergovernmental Affairs · Committee vote 9 aye, 0 nay, 2 absent · Out of committee
Companion
SB 2666 by Hinojosa, Juan "Chuy" (similar)
Subjects
NUECES COUNTY HOSPITAL DISTRICT
Labor--Workforce Development
Special Districts & Authorities--Hospital
PHYSICIANS
Text
The text as introduced · 403 words
89R15622 MPF-F By: Villalobos H.B. No. 4801 A BILL TO BE ENTITLED AN ACT relating to the establishment of a grant program to allow the Nueces County Hospital District to recruit and retain certain medical professionals. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 281.094(b), Health and Safety Code, is amended to read as follows: (b) The board of the Nueces County Hospital District may use funds made available to the district from any source to fund: (1) indigent health care; [ and ] (2) intergovernmental transfers from the district to the state for use as the nonfederal share of Medicaid supplemental payment program or waiver program payments for eligible health care providers located inside or outside the district's boundaries, including, but not limited to, any payments available through a waiver granted under Section 1115, Social Security Act (42 U.S.C. Section 1315), or other similar payment programs, subject to the limitation prescribed by Subsection (c) ; and (3) the grant program established under Section 281.0941 . SECTION 2. Subchapter E, Chapter 281, Health and Safety Code, is amended by adding Section 281.0941 to read as follows: Sec. 281.0941. NUECES COUNTY HOSPITAL DISTRICT GRANT PROGRAM. (a) The board of the Nueces County Hospital District shall establish and administer a grant program for hospitals located in the hospital district to provide the funding necessary to: (1) allow hospitals in the district to: (A) retain physicians currently practicing at those hospitals; and (B) recruit physicians who practice medicine in a specialty or subspecialty providing treatment for the most common and critical health care needs of the residents of the hospital district to practice at those hospitals; and (2) increase the number of residency positions at hospitals in the district. (b) The board of the hospital district shall: (1) prescribe the manner in which a hospital in the district may apply for a grant under this section; (2) establish eligibility and selection criteria for a hospital to be awarded a grant under this section; and (3) establish accountability controls for hospitals awarded a grant under this section to ensure: (A) the grant is used in a manner that is consistent with the public purpose of providing medical and hospital care for the indigent residents of the district; and (B) the district receives a benefit in return for the award of the grant. SECTION 3. This Act takes effect September 1, 2025.