Monitoring the Session

HB 5147

bill changing rules for investigational stem cell treatment

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Ken KingRHouse 88

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 investigational stem cell treatment.

Caption from analyzed text · version I.

Summary

Adult stem cells only, and some doctors’ outpatient offices can give them.

The bill changes Texas rules for stem cell treatments that are still in clinical trials and not yet approved by the FDA. It requires those treatments to use adult stem cells made under FDA manufacturing standards, and it lets them be given in certain doctors' outpatient offices registered for level II anesthesia, not just hospitals, surgery centers and medical schools. Oversight boards must now report serious bad outcomes to the Texas Medical Board each year, but the rule that their reports be made public is deleted.

Labels

Labels: ACROSS THE AISLE. Joint authors: 2 Republicans, 2 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.GOT HALFWAY. Passed the House on May 7, 2025. Died in the Senate: left pending in the Health & Human Services committee.

Receipt

The receipt

89R-HB5147 · 2025-03-14

SOLD BY

+ 1 more author, 1 coauthor

ITEM

relating to investigational stem cell treatment.

WHAT IT DOES

Adult stem cells only, and some doctors’ outpatient offices can give them.

The bill changes Texas rules for stem cell treatments that are still in clinical trials and not yet approved by the FDA. It requires those treatments to use adult stem cells made under FDA manufacturing standards, and it lets them be given in certain doctors' outpatient offices registered for level II anesthesia, not just hospitals, surgery centers and medical schools. Oversight boards must now report serious bad outcomes to the Texas Medical Board each year, but the rule that their reports be made public is deleted.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 20, 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 Public Health
  4. Posting rule suspended
  5. Scheduled for public hearing on . . .
  6. Considered in public hearing
  7. Testimony taken/registration(s) recorded in committee
  8. Left pending in committee
  9. Considered in formal meeting
  10. Reported favorably w/o amendment(s)
  11. Comte report filed with Committee Coordinator
  12. Committee report distributed
  13. Committee report sent to Calendars
  14. Considered in Calendars
  15. Placed on General State Calendar
  16. Read 2nd time
  17. Passed to engrossment
  18. Record vote RV#1561
  19. Statement(s) of vote recorded in Journal
  20. Read 3rd time
  21. Passed
  22. Record vote RV#1632
  23. Statement(s) of vote recorded in Journal
  24. Reported engrossed
  25. Received from the House
  26. Read first time
  27. Referred to Health & Human Services
  28. Posting rule suspended
  29. Scheduled for public hearing on . . .
  30. Considered in public hearing
  31. Testimony taken in committee
  32. Left pending in committee
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 143 yea · 1 nay

Sources

House: Final passage · May 7, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

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 16, 2024 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.

Defend Rural Texas PAC$203,547.49

Defend Rural Texas PAC

$203,547.49

Cash
$0.00
Paid by others
$203,547.49
Total
$203,547.49
television $165,000.00radio $25,000.00texting $13,547.49

Also funds 1 other sitting lawmakers.

Derived recipient stock · Feb 4, 2026 to Aug 7, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Feb 4, 2026 to Aug 7, 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: 101040115, 101058003, 101068175.

Texas Trial Lawyers Association PAC$175,000.00

Texas Trial Lawyers Association PAC

$175,000.00

Cash
$175,000.00
Paid by others
$0.00
Total
$175,000.00

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 · Sep 17, 2024 to Sep 16, 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: 100983150, 101008206, 101028141, 101035143, 101040115, 101058003, 101068175.

Coalition for Working Families PAC$100,000.00

Coalition for Working Families PAC

$100,000.00

Cash
$100,000.00
Paid by others
$0.00
Total
$100,000.00

Also funds 24 other sitting lawmakers.

Derived recipient stock · Dec 25, 2025 to Oct 15, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Feb 3, 2026 to Feb 20, 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: 101040115.

Money

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

×

Defend Rural Texas PAC

$203,547.49

Cash
$0.00
Paid by others
$203,547.49
Total
$203,547.49
television $165,000.00radio $25,000.00texting $13,547.49

Also funds 1 other sitting lawmakers.

Derived recipient stock · Feb 4, 2026 to Aug 7, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Feb 4, 2026 to Aug 7, 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: 101040115, 101058003, 101068175.

×

Texas Trial Lawyers Association PAC

$175,000.00

Cash
$175,000.00
Paid by others
$0.00
Total
$175,000.00

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 · Sep 17, 2024 to Sep 16, 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: 100983150, 101008206, 101028141, 101035143, 101040115, 101058003, 101068175.

×

Coalition for Working Families PAC

$100,000.00

Cash
$100,000.00
Paid by others
$0.00
Total
$100,000.00

Also funds 24 other sitting lawmakers.

Derived recipient stock · Dec 25, 2025 to Oct 15, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Feb 3, 2026 to Feb 20, 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: 101040115.

Votes2

House May 7, 2025

Yea
143
Nay
1
Present, not voting
2
Absent
2
Excused
2
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 1632

HB 5147 was passed by (Record 1632): 143 Yeas, 1 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 143 (published)
  • Nay: 1 (published)
  • Present, not voting: 2 (published)
  • Absent: 2 (derived from named list)
  • Excused: 2 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

House May 6, 2025

Yea
139
Nay
1
Present, not voting
1
Absent
7
Excused
2
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 1561

HB 5147 was passed to engrossment by (Record 1561): 139 Yeas, 1 Nays, 1 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 139 (published)
  • Nay: 1 (published)
  • Present, not voting: 1 (published)
  • Absent: 7 (derived from named list)
  • Excused: 2 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Witnesses10
For
8
Against
1
On
1
Names

For

  • Make Texans Healthy Again1 registration
  • NHR Holdings, LLC1 registration
  • Self4 registrations
  • Self; KK125 Ovarian Cancer Research Foundation, NHR Holdings, LLC1 registration
  • Texas Alliance for Life1 registration

Against

  • Self1 registration

On

  • Department of State Health Services1 registration
Sources

10 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 significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 20, 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 14, 2025

05/21/2025 S Left pending in committee

Texas Legislature Online · Introduced · House Committee Report · Engrossed

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

Coauthors
Sponsors

House committee · Public Health · Committee vote 11 aye, 0 nay, 2 absent · Out of committee

Senate committee · Health & Human Services · Final status: Died in committee

Companion

SB 1827 by Parker (identical)

Subjects

Health--Other Diseases & Medical Conditions

STEM CELL RESEARCH

MEDICAL BOARD, TEXAS

Text

The text as introduced · 541 words

89R12486 MCF-F

By: King
H.B. No. 5147

A BILL TO BE ENTITLED

AN ACT

relating to investigational stem cell treatment.

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

SECTION 1. Section 1003.051(1), Health and Safety Code, is

amended to read as follows:

(1) "Investigational stem cell treatment" means an

adult stem cell treatment that:

(A) is under investigation in a clinical trial

and being administered to human participants in that trial; [ and ]

(B) has not yet been approved for general use by

the United States Food and Drug Administration ; and

(C) uses only adult stem cells that satisfy

current good manufacturing practices adopted by the United States

Food and Drug Administration .

SECTION 2. Section 1003.054(c), Health and Safety Code, is

amended to read as follows:

(c) The executive commissioner by rule shall adopt a form

for the informed consent under this section. The form must provide

notice that :

(1) the department administers this subchapter ; and

(2) the investigational stem cell treatment has not

been approved for general use by the United States Food and Drug

Administration .

SECTION 3. Sections 1003.055(a) and (d), Health and Safety

Code, are amended to read as follows:

(a) Treatment provided under this subchapter must be:

(1) administered directly by a physician certified

under Subsection (c);

(2) overseen by an institutional review board

described by Subsection (d); and

(3) provided [ at ]:

(A) at a hospital licensed under Chapter 241;

(B) at an ambulatory surgical center licensed

under Chapter 243; [ or ]

(C) at a medical school, as defined by Section

61.501, Education Code ; or

(D) in an outpatient setting, as defined by

Section 162.101, Occupations Code, listed by a physician registered

under Section 162.104, Occupations Code, to provide level II

anesthesia services in that setting .

(d) An institutional review board that oversees

investigational stem cell treatments administered under this

subchapter must meet one of the following conditions:

(1) be affiliated with a medical school, as defined by

Section 61.501, Education Code;

(2) be affiliated with a hospital licensed under

Chapter 241 that has at least 150 beds;

(3) be accredited by the Association for the

Accreditation of Human Research Protection Programs;

(4) be registered by the United States Department of

Health and Human Services, Office for Human Research Protections,

in accordance with 21 C.F.R. Part 56; [ or ]

(5) be accredited by a national accreditation

organization acceptable to the Texas Medical Board ; or

(6) be registered by the United States Department of

Health and Human Services, Office for Human Research Protections,

in accordance with 21 C.F.R. Part 56 .

SECTION 4. Section 1003.059(b), Health and Safety Code, is

amended to read as follows:

(b) Each institutional review board overseeing an

investigational stem cell treatment under this subchapter shall

submit to the Texas Medical Board an annual report on any serious

adverse events related to the treatment and [ to the Texas Medical

Board on ] the review board's findings based on records kept under

Subsection (a). The report may not include any patient identifying

information [ and must be made available to the public in both

written and electronic form ].

SECTION 5. This Act takes effect September 1, 2025.