Monitoring the Session

HB 4922

freestanding emergency rooms get the willful and wanton standard

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Sergio Muñoz Jr.DHouse 36

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 standard of proof in certain health care liability claims arising out of the provision of emergency medical care.

Caption from analyzed text · version I.

Summary

Suing over care there? Ordinary negligence won’t cut it.

The bill extends the higher "willful and wanton negligence" proof standard for emergency-care malpractice suits to freestanding emergency rooms licensed under Chapter 254 of the Health and Safety Code. It affects patients and families who sue over emergency care at stand-alone ERs, and the physicians and providers working there. Starting September 1, 2025, a patient suing over care at a freestanding ER, or in surgery right after treatment there, must prove willful and wanton negligence instead of ordinary negligence.

Labels

Labels: PENDING FOREVER. Heard by the House Judiciary & Civil Jurisprudence committee on Apr 30, 2025 and left pending. Never voted out. The bill died.

Receipt

The receipt

89R-HB4922 · 2025-03-13

SOLD BY

ITEM

relating to the standard of proof in certain health care liability claims arising out of the provision of emergency medical care.

WHAT IT DOES

Suing over care there? Ordinary negligence won’t cut it.

The bill extends the higher "willful and wanton negligence" proof standard for emergency-care malpractice suits to freestanding emergency rooms licensed under Chapter 254 of the Health and Safety Code. It affects patients and families who sue over emergency care at stand-alone ERs, and the physicians and providers working there. Starting September 1, 2025, a patient suing over care at a freestanding ER, or in surgery right after treatment there, must prove willful and wanton negligence instead of ordinary negligence.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 28, 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 Judiciary & Civil Jurisprudence
  4. Scheduled for public hearing on . . .
  5. Considered in public hearing
  6. Testimony taken/registration(s) recorded in committee
  7. Left pending in committee
ALSO NOTED · NOT CHARGED (1)

CARVE-OUT · analysis confidence 45%

THE TEXT

…“means a facility licensed under Chapter 254, Health and Safety”…

Bill text, introduced version (I)

The bill's only change is to bring one license class, freestanding emergency facilities, under an existing lawsuit shield. The caption talks generally about emergency care and does not name these facilities.

FILED UNDER

SPEECH AND LAWFARE

THE TEXT

…“physician or health care provider, with willful and wanton”…

Bill text, introduced version (I)

The bill widens a lawsuit shield so patients hurt at freestanding ERs must meet a higher willful and wanton negligence bar to win a malpractice claim.

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 · Jul 24, 2024 to May 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.

Texas Sands PAC$8,000.00

Texas Sands PAC

$8,000.00

Cash
$8,000.00
Paid by others
$0.00
Total
$8,000.00

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 · Oct 1, 2024 to May 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: 100988555, 101060827.

Texas Trial Lawyers Association PAC$7,500.00

Texas Trial Lawyers Association PAC

$7,500.00

Cash
$7,500.00
Paid by others
$0.00
Total
$7,500.00

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 · Jul 24, 2024 to Nov 18, 2025. 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: 100988555, 101031482.

Oncor Texas State Political Action Committee of Oncor Electric Delivery Administration Corp.$3,000.00

Oncor Texas State Political Action Committee of Oncor Electric Delivery Administration Corp.

$3,000.00

Cash
$3,000.00
Paid by others
$0.00
Total
$3,000.00

Also funds 113 other sitting lawmakers.

Derived recipient stock · Sep 27, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 1, 2024 to May 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: 100988555, 101060827.

Money

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

×

Texas Sands PAC

$8,000.00

Cash
$8,000.00
Paid by others
$0.00
Total
$8,000.00

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 · Oct 1, 2024 to May 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: 100988555, 101060827.

×

Texas Trial Lawyers Association PAC

$7,500.00

Cash
$7,500.00
Paid by others
$0.00
Total
$7,500.00

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 · Jul 24, 2024 to Nov 18, 2025. 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: 100988555, 101031482.

×

Oncor Texas State Political Action Committee of Oncor Electric Delivery Administration Corp.

$3,000.00

Cash
$3,000.00
Paid by others
$0.00
Total
$3,000.00

Also funds 113 other sitting lawmakers.

Derived recipient stock · Sep 27, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 1, 2024 to May 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: 100988555, 101060827.

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 28, 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

04/30/2025 H Left pending in committee

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

House committee · Judiciary & Civil Jurisprudence · Final status: Died in committee

Subjects

Civil Remedies & Liabilities

Health Care Providers

MEDICAL CARE FACILITIES

Text

The text as introduced · 267 words

By: Muñoz
H.B. No. 4922

A BILL TO BE ENTITLED

AN ACT

relating to the standard of proof in certain health care liability

claims arising out of the provision of emergency medical care.

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

SECTION 1. Section 74.001, Civil Practice and Remedies

Code, is amended by adding Subdivision (8-a) to read as follows:

(8-a) "Freestanding emergency medical care facility"

means a facility licensed under Chapter 254, Health and Safety

Code.

SECTION 2. Section 74.153(a), Civil Practice and Remedies

Code, is amended to read as follows:

(a) Except as provided by Subsection (b), in a suit

involving a health care liability claim against a physician or

health care provider for injury to or death of a patient arising out

of the provision of emergency medical care in a hospital emergency

department, in a freestanding emergency medical care facility, in

an obstetrical unit, or in a surgical suite immediately following

the evaluation or treatment of a patient in a hospital emergency

department or freestanding emergency medical care facility , the

claimant bringing the suit may prove that the treatment or lack of

treatment by the physician or health care provider departed from

accepted standards of medical care or health care only if the

claimant shows by a preponderance of the evidence that the

physician or health care provider, with willful and wanton

negligence, deviated from the degree of care and skill that is

reasonably expected of an ordinarily prudent physician or health

care provider in the same or similar circumstances.

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