HB 5289
bill requiring 60 days’ notice before medical debt collection
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 notice provided by a health care provider before initiating debt collection against a patient.
Caption from analyzed text · version I.
Summary
Providers send written notice first. Then the collectors.
The bill requires a health care provider to send a patient written notice at least 60 days before it starts debt collection over a health care service or supply. It touches doctors, hospitals and other providers that bill patients, and the patients who owe them. Starting with collections begun on or after September 1, 2025, patients get a two-month written warning before a provider moves to collect.
Labels
Labels: QUICK READ: 144 WORDS. The bill as filed runs 144 words, counting the existing law it amends and the text it strikes. The median 89R bill as filed runs 441 words (derived, 8,702 graded bills, snapshot Oct 19, 2026).NEVER GOT A HEARING. Filed Mar 14, 2025 and referred to the House Public Health committee. No public hearing. The bill died.
Receipt
The receipt
89R-HB5289 · 2025-03-14
SOLD BY
+ 1 coauthor
ITEM
relating to notice provided by a health care provider before initiating debt collection against a patient.
WHAT IT DOES
Providers send written notice first. Then the collectors.
The bill requires a health care provider to send a patient written notice at least 60 days before it starts debt collection over a health care service or supply. It touches doctors, hospitals and other providers that bill patients, and the patients who owe them. Starting with collections begun on or after September 1, 2025, patients get a two-month written warning before a provider moves to collect.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
- Read first time
- Referred to Public Health
FILED UNDER
No verified beat found.
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 27, 2024 to Oct 24, 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$960,552.08
Texans for Lawsuit Reform PAC
$960,552.08
- Cash
- $85,000.00
- Paid by others
- $875,552.08
- Total
- $960,552.08
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 23, 2025 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: 101008087, 101031516, 101035818, 101040655, 101057099, 101067933, 101070037.
Texas Conservative Majority PAC$739,102.00
Texas Conservative Majority PAC
$739,102.00
- Cash
- $200,000.00
- Paid by others
- $539,102.00
- Total
- $739,102.00
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.
TeamSources
Derived itemized flow · Sep 8, 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: 101067933, 101070037.
Court Reform Action for Familes Texas PAC$75,000.00
Court Reform Action for Familes Texas PAC
$75,000.00
- Cash
- $75,000.00
- Paid by others
- $0.00
- Total
- $75,000.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Oct 6, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Oct 6, 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: 101070037.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$960,552.08
- Cash
- $85,000.00
- Paid by others
- $875,552.08
- Total
- $960,552.08
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 23, 2025 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: 101008087, 101031516, 101035818, 101040655, 101057099, 101067933, 101070037.
Texas Conservative Majority PAC
$739,102.00
- Cash
- $200,000.00
- Paid by others
- $539,102.00
- Total
- $739,102.00
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.
TeamSources
Derived itemized flow · Sep 8, 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: 101067933, 101070037.
Court Reform Action for Familes Texas PAC
$75,000.00
- Cash
- $75,000.00
- Paid by others
- $0.00
- Total
- $75,000.00
Also funds 0 other sitting lawmakers.
Derived recipient stock · on Oct 6, 2026. State data as of Nov 4, 2026.
Name match, not a verified identity: normalized filed name and state.
Sources
Derived itemized flow · on Oct 6, 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: 101070037.
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 14, 2025
04/07/2025 H Referred to Public Health: Apr 7 2025 5:28PM
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Public Health · Final status: Died in committee
Companion
SB 1784 by Parker (identical)
Subjects
Health Care Providers
Hospitals
DEBT
Text
The text as introduced · 144 words
89R15256 AB-D By: Harris Davila H.B. No. 5289 A BILL TO BE ENTITLED AN ACT relating to notice provided by a health care provider before initiating debt collection against a patient. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 185, Health and Safety Code, is amended by adding Section 185.004 to read as follows: Sec. 185.004. REQUIRED NOTICE OF DEBT COLLECTION. A health care provider that intends to pursue debt collection for a health care service or supply provided to a patient shall provide written notice to the patient at least 60 days before the date the provider initiates debt collection. SECTION 2. Section 185.004, Health and Safety Code, as added by this Act, applies only to debt collection initiated on or after the effective date of this Act. SECTION 3. This Act takes effect September 1, 2025.