HB 5098
Curry Bill Creates Health Records Loans Capped At 1 Percent
Did not pass
Verdict: No flags
Initial review · graded Oct 22, 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 an interoperable care coordination solution loan program for certain health care facilities.
Caption from analyzed text · version H.
Summary
Nursing homes qualify, hospitals don’t. Loans cover up to 80 percent of the cost.
This bill tells the Health and Human Services Commission to set up a loan program that helps certain health care facilities buy and run electronic health record and care coordination systems. It covers places like nursing homes, assisted living facilities, continuing care facilities and mental health facilities, but leaves out hospitals, abortion providers, labs and imaging centers, boarding homes and independent living centers. Eligible facilities can borrow at no more than 1 percent interest for up to 10 years, covering up to 80 percent of the cost if they serve rural, underserved or Medicaid patients and up to 50 percent otherwise, with money from appropriations or donations.
Labels
Labels: STALLED AFTER COMMITTEE. Voted out of the House Public Health committee 11-0 on May 8, 2025. Placed on the General State Calendar on May 15, 2025. The bill died.
Receipt
The receipt
89R-HB5098 · 2025-03-13
SOLD BY
ITEM
relating to the establishment of an interoperable care coordination solution loan program for certain health care facilities.
WHAT IT DOES
Nursing homes qualify, hospitals don’t. Loans cover up to 80 percent of the cost.
This bill tells the Health and Human Services Commission to set up a loan program that helps certain health care facilities buy and run electronic health record and care coordination systems. It covers places like nursing homes, assisted living facilities, continuing care facilities and mental health facilities, but leaves out hospitals, abortion providers, labs and imaging centers, boarding homes and independent living centers. Eligible facilities can borrow at no more than 1 percent interest for up to 10 years, covering up to 80 percent of the cost if they serve rural, underserved or Medicaid patients and up to 50 percent otherwise, with money from appropriations or donations.
CHARGES
[ ] NONE FOUND
TOTAL
LBB estimate, flow · fiscal note version H · ( ) = negative · source
Sources
Fiscal note · version H · May 10, 2025
Estimated Two-year Net Impact to General Revenue Related Funds for HB5098, Committee Report 1st House, Substituted: a negative impact of ($1,334,897) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
First year · FY 2026 · ($689,942)
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
LBB published estimates · flow over the stated periods.
Source snapshot 2026-10-19, Central time.
HISTORY
- Filed
- Read first time
- Referred to Public Health
- Scheduled for public hearing on . . .
- Considered in public hearing
- Committee substitute considered in committee
- Testimony taken/registration(s) recorded in committee
- Left pending in committee
- Considered in formal meeting
- Committee substitute considered in committee
- Reported favorably as substituted
- Comte report filed with Committee Coordinator
- Committee report distributed
- Committee report sent to Calendars
- Considered in Calendars
- Placed on General State Calendar
FILED UNDER
THE TEXT
“must bear an interest rate not to exceed one percent and be made for a term not to exceed 10 years”
Bill text, House committee report version (H)
The bill gives low-interest state loans to private long-term care and mental health facilities to pay for record systems.
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 31, 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$192,192.00
Texans for Lawsuit Reform PAC
$192,192.00
- Cash
- $65,000.00
- Paid by others
- $127,192.00
- Total
- $192,192.00
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.
TeamSources
Derived itemized flow · Jun 24, 2025 to Sep 17, 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: 101010834, 101033425, 101040992, 101069649.
Texas Sands PAC$37,000.00
Texas Sands PAC
$37,000.00
- Cash
- $37,000.00
- Paid by others
- $0.00
- Total
- $37,000.00
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.
TeamSources
Derived itemized flow · Dec 9, 2024 to Oct 12, 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: 101012342, 101040992, 101072660.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$192,192.00
- Cash
- $65,000.00
- Paid by others
- $127,192.00
- Total
- $192,192.00
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.
TeamSources
Derived itemized flow · Jun 24, 2025 to Sep 17, 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: 101010834, 101033425, 101040992, 101069649.
Texas Sands PAC
$37,000.00
- Cash
- $37,000.00
- Paid by others
- $0.00
- Total
- $37,000.00
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.
TeamSources
Derived itemized flow · Dec 9, 2024 to Oct 12, 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: 101012342, 101040992, 101072660.
Votes
No floor vote loaded for this bill.
Witnesses17
- For
- 14
- Against
- 2
- On
- 1
Names
For
- AARP TX2 registrations
- HMG Healthcare, LLC1 registration
- Nursing Home Coalition1 registration
- Point Click Care1 registration
- Teaching hospitals of texas1 registration
- Texas Assisted Living Association1 registration
- Texas Association of Behavioral Health Systems1 registration
- Texas Association of Health Plans1 registration
- Texas Council of Community Centers1 registration
- Texas e-Health Alliance1 registration
- Texas Health Care Association1 registration
- Texas Hospital Association1 registration
- Texas Medical Association1 registration
Against
- Self2 registrations
On
- Health and Human Services Commission1 registration
Sources
17 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
LBB estimate, flow · fiscal note version H · ( ) = negative · source
Sources
Fiscal note · version H · May 10, 2025
Estimated Two-year Net Impact to General Revenue Related Funds for HB5098, Committee Report 1st House, Substituted: a negative impact of ($1,334,897) through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
First year · FY 2026 · ($689,942)
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
LBB published estimates · flow over the stated periods.
Source snapshot 2026-10-19, Central time.
How this was graded
Analysis of text version H by claude-opus-5-5, Oct 22, 2026, against the published rubric.
Sources
Texas House · Filed Mar 13, 2025
05/15/2025 H Placed on General State Calendar
Texas Legislature Online · Introduced · House Committee Report
Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Public Health · Committee vote 11 aye, 0 nay, 2 absent · Out of committee
Companion
SB 2358 by Perry (identical)
Subjects
Electronic Information Systems
Health Care Providers
Health--Rural
Hospitals
Human Services--Medical Assistance
Science & Technology
State Finances--Management & Control
LOANS
MEDICAID
MEDICAL CARE FACILITIES
MEDICAL RECORDS
COMPTROLLER OF PUBLIC ACCOUNTS
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 536 words
89R8514 LRM-D By: Curry H.B. No. 5098 A BILL TO BE ENTITLED AN ACT relating to the establishment of an electronic health record loan program for certain health care facilities. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subtitle I, Title 2, Health and Safety Code, is amended by adding Chapter 183 to read as follows: CHAPTER 183. ELECTRONIC HEALTH RECORD LOAN PROGRAM FOR CERTAIN HEALTH CARE FACILITIES Sec. 183.001. DEFINITIONS. In this chapter: (1) "Health care facility" means a facility licensed to provide health care services. The term includes a nursing facility licensed under Chapter 242, a continuing care facility regulated under Chapter 246, an assisted living facility licensed under Chapter 247, and a mental hospital or other mental health facility licensed under Chapter 577. The term does not include an abortion provider or a diagnostic, laboratory, or imaging center. (2) "Loan program" and "program" mean the loan program established under this chapter. Sec. 183.002. LOAN PROGRAM. (a) The executive commissioner by rule shall, in coordination with the comptroller, establish a loan program to provide loans to health care facilities to purchase and implement electronic health record systems to ensure streamlined communication between health care facilities regarding patient health records. (b) The executive commissioner by rule shall establish: (1) eligibility criteria for health care facilities to receive a loan under this chapter; (2) loan application procedures; (3) guidelines relating to loan amounts, terms, and repayment schedules; (4) procedures for evaluating loan applications; and (5) procedures for monitoring the use of a loan awarded under the loan program and ensuring compliance with any conditions of the loan. (c) The rules adopted under Subsection (b) must include a preference for granting loans to health care facilities that: (1) provide services in medically underserved or rural areas; or (2) provide services to Medicaid recipients. (d) The commission may solicit and accept gifts, grants, and donations from public and private entities to use for the purposes of this chapter. (e) The commission may make a loan under this chapter using money appropriated to the commission for that purpose or gifts, grants, and donations received under Subsection (d). Sec. 183.003. ADMINISTRATION OF LOAN PROGRAM. A loan made by the commission under the loan program: (1) must bear an interest rate not to exceed one percent and be made for a term not to exceed 10 years; and (2) may be awarded in an amount necessary to assist a health care facility purchase and implement an electronic health record system, not to exceed: (A) 80 percent of the cost of purchasing and implementing an electronic health record system for a health care facility described by Section 183.002(c); or (B) 50 percent of the cost of purchasing and implementing an electronic health record system for a health care facility not described by Section 183.002(c). Sec. 183.004. RULEMAKING. The executive commissioner shall adopt rules necessary to administer this chapter. SECTION 2. As soon as practicable after the effective date of this Act, the executive commissioner of the Health and Human Services Commission shall adopt rules necessary to implement Chapter 183, Health and Safety Code, as added by this Act. SECTION 3. This Act takes effect September 1, 2025.