HB 5023
hospital district gets an outside audit every five years
Died in committee
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 a periodic comprehensive performance audit of certain operations of hospital districts located in populous counties.
Caption from analyzed text · version I.
Summary
Report goes on the website, if it has one. Then a public hearing.
The bill requires the county commissioners court to hire an independent auditor at least once every five years to do a full performance audit of the hospital district covered by this part of the law. The audit must review the district's management, accounting, financial controls, recordkeeping, legal compliance, and how its vendors perform on their contracts, and check whether management follows national hospital standards. The auditor must give a written report of problems and fixes, the district must post it on its website if it has one, and the commissioners court must hold a public hearing on it.
Labels
Labels: NEVER GOT A HEARING. Filed Mar 13, 2025 and referred to the House Intergovernmental Affairs subcommittee on County & Regional Government. No public hearing. The bill died.
Receipt
The receipt
89R-HB5023 · 2025-03-13
SOLD BY
ITEM
relating to a periodic comprehensive performance audit of certain operations of hospital districts located in populous counties.
WHAT IT DOES
Report goes on the website, if it has one. Then a public hearing.
The bill requires the county commissioners court to hire an independent auditor at least once every five years to do a full performance audit of the hospital district covered by this part of the law. The audit must review the district's management, accounting, financial controls, recordkeeping, legal compliance, and how its vendors perform on their contracts, and check whether management follows national hospital standards. The auditor must give a written report of problems and fixes, the district must post it on its website if it has one, and the commissioners court must hold a public hearing on it.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
- Read first time
- Referred to s/c on County & Regional Government by Speaker
FILED UNDER
GOVERNMENT GROWTH UNDER A CONSERVATIVE BANNER
THE TEXT
“The commissioners court shall contract at least once every five years with an independent auditor for a comprehensive performance audit”…
Bill text, introduced version (I)
The bill requires a recurring paid contract with an outside auditor to review hospital district operations and vendors.
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 May 28, 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.
Teans for Lawsuit Reform PAC$5,000.00
Teans for Lawsuit Reform PAC
$5,000.00
- Cash
- $5,000.00
- Paid by others
- $0.00
- Total
- $5,000.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Jul 3, 2025. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Jul 3, 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: 101033926.
Missing data does not establish zero giving. Display amounts are rounded.
Teans for Lawsuit Reform PAC
$5,000.00
- Cash
- $5,000.00
- Paid by others
- $0.00
- Total
- $5,000.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Jul 3, 2025. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Jul 3, 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: 101033926.
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.
Sources
Texas House · Filed Mar 13, 2025
04/03/2025 H Referred to s/c on County & Regional Government by Speaker: Apr 3 2025 12:38PM
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 · Intergovernmental Affairs · Final status: Died in committee
Subjects
County Government--General
Special Districts & Authorities--Hospital
AUDITS & AUDITORS
Text
The text as introduced · 257 words
89R1083 SRA-F By: Cain H.B. No. 5023 A BILL TO BE ENTITLED AN ACT relating to a periodic comprehensive performance audit of certain operations of hospital districts located in populous counties. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter C, Chapter 281, Health and Safety Code, is amended by adding Section 281.0495 to read as follows: Sec. 281.0495. PERIODIC COMPREHENSIVE PERFORMANCE AUDIT. (a) The commissioners court shall contract at least once every five years with an independent auditor for a comprehensive performance audit of the district's management, accounting practices, financial controls, recordkeeping, and compliance with applicable law. (b) The audit required under this section must include: (1) an evaluation of the performance of: (A) the district in each area described by Subsection (a); and (B) the district's vendors with respect to each contract between the vendor and the district; and (2) a determination whether the district's management adheres to the best practices and national standards applicable to the administration of hospitals and hospital systems. (c) The auditor shall produce and provide to the district and commissioners court a written audit report that describes any deficiencies identified during the audit and includes the auditor's recommendations to address those deficiencies. (d) If the district maintains a publicly accessible Internet website, the district shall post the report described by Subsection (c) in a conspicuous location on the district's website. (e) The commissioners court shall hold a public hearing on the report described by Subsection (c). SECTION 2. This Act takes effect September 1, 2025.