Monitoring the Session

HB 4801

grant program for Nueces County Hospital District doctors

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Denise VillalobosRHouse 34

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

  1. Filed
  2. Read first time
  3. Referred to s/c on County & Regional Government by Speaker
  4. Scheduled for public hearing in s/c on . . .
  5. Considered by s/c in public hearing
  6. Committee substitute considered in s/c
  7. Testimony taken/registration(s) recorded in subcommittee
  8. Left pending in subcommittee
  9. Recalled from subcommittee
  10. Considered in formal meeting
  11. Committee substitute considered in committee
  12. Reported favorably as substituted
  13. Considered in formal meeting
  14. Vote reconsidered in committee
  15. Committee substitute considered in committee
  16. Reported favorably as substituted
  17. Comte report filed with Committee Coordinator
  18. Committee report distributed
  19. Committee report sent to Calendars
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 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
advertising $422,488.50mail $75,707.02polling $21,210.35fundraiser $523.00

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 · 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
canvassing $190,000.00advertising $98,870.00polling $16,700.00

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 · 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
television $225,050.00radio $44,200.00mailer $22,600.00polling $16,700.00Other filed descriptions $10,750.00digital $7,500.00

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.

Team
Sources

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.

Money

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
advertising $422,488.50mail $75,707.02polling $21,210.35fundraiser $523.00

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 · 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
canvassing $190,000.00advertising $98,870.00polling $16,700.00

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 · 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
television $225,050.00radio $44,200.00mailer $22,600.00polling $16,700.00Other filed descriptions $10,750.00digital $7,500.00

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.

Team
Sources

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.