Monitoring the Session

HB 5294

bill setting new rules for Texas medical schools

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Greg BonnenRHouse 24

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 medical school admissions, coursework, academic standards, and employment decisions in this state.

Caption from analyzed text · version S.

Summary

Grading, admissions tests, academic standards, and race or sex preferences.

The bill sets new rules for Texas medical schools on grading, admissions tests, changes to academic standards, and race or sex preferences. It touches every public medical school and any public college department that awards medical degrees, along with their applicants, students, and job seekers. Starting with the fall 2026 class, at least half of required coursework must use letter grades or a four-tier scale, schools must weigh a science-focused standardized test without making it the only factor, schools must notify the Legislature and the Coordinating Board before changing admission or degree standards, and schools may not give preference by race, sex, color, ethnicity, or national origin in admissions or hiring.

Labels

Labels: GOT HALFWAY. Passed the House on May 10, 2025. Died in the Senate: voted out of the Education K-16 committee 9-2, then taken up on the floor on May 28, 2025 and passed to third reading, with no final vote.

Receipt

The receipt

89R-HB5294 · 2025-03-14

SOLD BY

ITEM

relating to medical school admissions, coursework, academic standards, and employment decisions in this state.

WHAT IT DOES

Grading, admissions tests, academic standards, and race or sex preferences.

The bill sets new rules for Texas medical schools on grading, admissions tests, changes to academic standards, and race or sex preferences. It touches every public medical school and any public college department that awards medical degrees, along with their applicants, students, and job seekers. Starting with the fall 2026 class, at least half of required coursework must use letter grades or a four-tier scale, schools must weigh a science-focused standardized test without making it the only factor, schools must notify the Legislature and the Coordinating Board before changing admission or degree standards, and schools may not give preference by race, sex, color, ethnicity, or national origin in admissions or hiring.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version S · source

Sources

Fiscal note · version S · May 26, 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 Higher Education
  4. Scheduled for public hearing on . . .
  5. Considered in public hearing
  6. Testimony taken/registration(s) recorded in committee
  7. Left pending in committee
  8. Considered in formal meeting
  9. Reported favorably w/o amendment(s)
  10. Comte report filed with Committee Coordinator
  11. Committee report distributed
  12. Committee report sent to Calendars
  13. Considered in Calendars
  14. Placed on General State Calendar
  15. Read 2nd time
  16. Passed to engrossment
  17. Record vote RV#1950
  18. Statement(s) of vote recorded in Journal
  19. Read 3rd time
  20. Passed
  21. Record vote RV#2034
  22. Reported engrossed
  23. Received from the House
  24. Read first time
  25. Referred to Education K-16
  26. Scheduled for public hearing on . . .
  27. Considered in public hearing
  28. Testimony taken in committee
  29. Left pending in committee
  30. Considered in public hearing
  31. Vote taken in committee
  32. Reported favorably as substituted
  33. Committee report printed and distributed
  34. Placed on intent calendar
  35. Rules suspended-Regular order of business
  36. Record vote
  37. Read 2nd time & passed to 3rd reading
  38. Record vote
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 82 yea · 48 nay

Sources

House: Final passage · May 10, 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

Donors report through Friends of Dr. Greg Bonnen.

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 1, 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.

Money

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

Votes4

Senate May 28, 2025

Yea
20
Nay
11
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

The bill was read second time and was passed to third reading by the following vote: Yeas 20, Nays 11. (Same as previous roll call)

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

  • Yea: 20 (published)
  • Nay: 11 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

Senate May 28, 2025

Yea
20
Nay
11
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Creighton moved to suspend the regular order of business to take up for consideration CSHB 5294 at this time on its second reading: CSHB 5294, Relating to medical school admissions, coursework, academic standards, and employment decisions in this state. The motion prevailed by the following vote: Yeas 20, Nays 11.

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

  • Yea: 20 (published)
  • Nay: 11 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

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

House May 10, 2025

Yea
82
Nay
48
Present, not voting
2
Absent
2
Excused
16
Names

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

House journal

Sources

Record 2034

HB 5294 was passed by (Record 2034): 82 Yeas, 48 Nays, 2 Present, not voting.

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

  • Yea: 82 (published)
  • Nay: 48 (published)
  • Present, not voting: 2 (published)
  • Absent: 2 (derived from named list)
  • Excused: 16 (derived from named list)

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

House May 9, 2025

Yea
97
Nay
38
Present, not voting
2
Absent
6
Excused
7
Names

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

House journal

Sources

Record 1950

HB 5294 was passed to engrossment by (Record 1950): 97 Yeas, 38 Nays, 2 Present, not voting.

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

  • Yea: 97 (published)
  • Nay: 38 (published)
  • Present, not voting: 2 (published)
  • Absent: 6 (derived from named list)
  • Excused: 7 (derived from named list)

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

Witnesses31
For
2
Against
28
On
1
Names

For

  • Do No Harm Action2 registrations

Against

  • Self26 registrations
  • Self; Texas AFT-AAUP1 registration
  • Texas AFT1 registration

On

  • Texas Higher Education Coordinating Board1 registration
Sources

31 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.

Senate witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version S · source

Sources

Fiscal note · version S · May 26, 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 S by claude-opus-5-5, Oct 22, 2026, against the published rubric.

Sources

Texas House · Filed Mar 14, 2025

05/28/2025 S Read 2nd time & passed to 3rd reading

Texas Legislature Online · Introduced · House Committee Report · Engrossed · Senate Committee Report

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

Sponsors

House committee · Higher Education · Committee vote 8 aye, 2 nay, 1 absent · Out of committee

Senate committee · Education K-16 · Committee vote 9 aye, 2 nay · Out of committee

Subjects

Education--Higher--Admission & Attendance

Education--Higher--Faculty

Education--Higher--General

Education--Higher--Health Institutions

Human Relations

HIGHER EDUCATION COORDINATING BOARD, TEXAS

Text

The text as introduced · 671 words

89R8574 CXP-D

By: Bonnen
H.B. No. 5294

A BILL TO BE ENTITLED

AN ACT

relating to medical school admissions, coursework, academic

standards, and employment decisions in this state.

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

SECTION 1. Subchapter F, Chapter 51, Education Code, is

amended by adding Section 51.3095 to read as follows:

Sec. 51.3095. CERTAIN REQUIREMENTS FOR MEDICAL EDUCATION

COURSEWORK AND ACADEMIC STANDARDS REVISIONS. (a) In this section,

"medical school" means:

(1) a medical school as defined by Section 61.501; or

(2) any other institution of higher education, as

defined by Section 61.003, or school, department, or college of

such an institution, that awards medical degrees.

(b) Each medical school:

(1) shall ensure that any coursework offered in the

curriculum required for a medical degree or certificate assesses a

student's performance on the coursework based on the assignment of

a letter grade from A to F; and

(2) may not offer coursework described by Subdivision

(1), including any assignment or other component of the coursework,

on a pass/fail basis.

(c) Except as required to comply with state or federal law,

a medical school may not revise its academic standards for the award

of a degree or certificate unless the medical school submits to the

legislature and the Texas Higher Education Coordinating Board:

(1) a copy of the proposed standards;

(2) a concise general statement of the reasons for the

proposed standards; and

(3) the date on which the proposed standards would

become effective.

SECTION 2. Subchapter W, Chapter 51, Education Code, is

amended by adding Section 51.8425 to read as follows:

Sec. 51.8425. CERTAIN REQUIREMENTS RELATING TO MEDICAL

SCHOOL ADMISSION. (a) In this section, "medical school" has the

meaning assigned by Section 51.3095.

(b) In making admissions decisions for a medical degree or

certificate program, a medical school shall consider an applicant's

performance on a standardized test appropriate for the program that

focuses on knowledge of and critical thinking applicable to science

and medical practice, except that the applicant's performance on

the standardized test may not be used as the sole criterion for

consideration of the applicant.

(c) Except as required to comply with state or federal law,

a medical school may not revise its academic standards for the

admission of a student to the medical school or to a degree or

certificate program unless the medical school submits to the

legislature and the Texas Higher Education Coordinating Board:

(1) a copy of the proposed standards;

(2) a concise general statement of the reasons for the

proposed standards; and

(3) the date on which the proposed standards would

become effective.

SECTION 3. Subchapter Z, Chapter 51, Education Code, is

amended by adding Section 51.9247 to read as follows:

Sec. 51.9247. CONSIDERATION OF RACE, SEX, COLOR, ETHNICITY,

OR NATIONAL ORIGIN IN MEDICAL SCHOOL ADMISSIONS AND EMPLOYMENT

DECISIONS PROHIBITED. (a) In this section, "medical school" has

the meaning assigned by Section 51.3095.

(b) Notwithstanding any other provision of law, a medical

school may not grant preference on the basis of race, sex, color,

ethnicity, or national origin to an applicant:

(1) for admission to the medical school or to a degree

or certificate program; or

(2) for employment by the medical school.

(c) Nothing in this section may be construed as prohibiting

bona fide qualifications based on sex that are reasonably necessary

to the normal operation of a medical school.

SECTION 4. The changes in law made by this Act to admissions

at medical schools apply beginning with admissions for the 2026

spring semester. Admissions for an academic period preceding that

semester are governed by the law in effect immediately before the

effective date of this Act, and the former law is continued in

effect for that purpose.

SECTION 5. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2025.