Monitoring the Session

HB 5402

health insurance mandates get a fiscal impact statement

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Charlie GerenRHouse 99

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 fiscal impact statements for legislation imposing mandates on health benefit plan issuers.

Caption from analyzed text · version I.

Summary

The Legislative Budget Board prices every new coverage mandate.

The bill requires the Legislative Budget Board to write a fiscal impact statement for every bill that makes health insurers cover new benefits, pay providers more, or follow new contract or administrative rules. The statement must estimate how the bill changes insurer spending and the premiums and other costs enrollees pay, and it gets attached right after the regular fiscal note. Starting with bills filed on or after September 1, 2025, lawmakers will see a projected premium cost next to each insurance mandate bill.

Labels

Labels: GOT HALFWAY. Passed the House on May 16, 2025. Died in the Senate: received, never referred to a committee.

Receipt

The receipt

89R-HB5402 · 2025-03-14

SOLD BY

Rep. Charlie GerenRHouse 99

ITEM

relating to fiscal impact statements for legislation imposing mandates on health benefit plan issuers.

WHAT IT DOES

The Legislative Budget Board prices every new coverage mandate.

The bill requires the Legislative Budget Board to write a fiscal impact statement for every bill that makes health insurers cover new benefits, pay providers more, or follow new contract or administrative rules. The statement must estimate how the bill changes insurer spending and the premiums and other costs enrollees pay, and it gets attached right after the regular fiscal note. Starting with bills filed on or after September 1, 2025, lawmakers will see a projected premium cost next to each insurance mandate bill.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 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 State Affairs
  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#2792
  18. Statement(s) of vote recorded in Journal
  19. Read 3rd time
  20. Passed
  21. Record vote RV#2897
  22. Statement(s) of vote recorded in Journal
  23. Reported engrossed
  24. Received from the House
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 116 yea · 7 nay

Sources

House: Final passage · May 16, 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

Charlie Geren

Donors

Texas Trial Lawyers Association PAC$100KJon & Rebecca Brumley$50,000Michael Gallagher$40,000

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 · Nov 5, 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.

Texas Trial Lawyers Association PAC$100,000.00

Texas Trial Lawyers Association PAC

$100,000.00

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

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 · Jun 26, 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: 101004598, 101020024, 101055554, 101067438, 101071413.

Jon & Rebecca Brumley$50,000.00
Michael Gallagher$40,000.00
Money

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

×

Texas Trial Lawyers Association PAC

$100,000.00

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

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 · Jun 26, 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: 101004598, 101020024, 101055554, 101067438, 101071413.

Votes2

House May 16, 2025

Yea
116
Nay
7
Present, not voting
2
Absent
6
Excused
19
Names

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

House journal

Sources

Record 2897

HB 5402 was passed by (Record 2897): 116 Yeas, 7 Nays, 2 Present, not voting.

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

  • Yea: 116 (published)
  • Nay: 7 (published)
  • Present, not voting: 2 (published)
  • Absent: 6 (derived from named list)
  • Excused: 19 (derived from named list)

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

House May 15, 2025

Yea
124
Nay
14
Present, not voting
1
Absent
6
Excused
5
Names

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

House journal

Sources

Record 2792

HB 5402 was passed to engrossment by (Record 2792): 124 Yeas, 14 Nays, 1 Present, not voting.

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

  • Yea: 124 (published)
  • Nay: 14 (published)
  • Present, not voting: 1 (published)
  • Absent: 6 (derived from named list)
  • Excused: 5 (derived from named list)

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

Witnesses9
For
5
Against
4
On
0
Names

For

  • National Federation of Independent Business (NFIB)1 registration
  • Self1 registration
  • Texans for Affordable Healthcare1 registration
  • Texas Association of Business1 registration
  • Texas Association of Health Plans1 registration

Against

  • American Pharmacies1 registration
  • DHR Health1 registration
  • Texas Medical Association1 registration
  • Texas Society of Anesthiologists1 registration
Sources

9 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 I · source

Sources

Fiscal note · version I · April 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 I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

Sources

Texas House · Filed Mar 14, 2025

05/19/2025 S Received from the House

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.

House committee · State Affairs · Committee vote 14 aye, 1 nay · Out of committee

Companion

SB 923 by Hancock (identical)

Subjects

Health Care Providers

Insurance--Health & Accident

Legislature

LEGISLATIVE BUDGET BOARD

Text

The text as introduced · 278 words

89R11141 SCL-D

By: Geren
H.B. No. 5402

A BILL TO BE ENTITLED

AN ACT

relating to fiscal impact statements for legislation imposing

mandates on health benefit plan issuers.

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

SECTION 1. Chapter 314, Government Code, is amended by

adding Section 314.006 to read as follows:

Sec. 314.006. FISCAL IMPACT STATEMENT FOR HEALTH BENEFIT

PLAN MANDATES. (a) In this section:

(1) "Enrollee" means an individual who is enrolled in

a health benefit plan, including a covered dependent.

(2) "Health benefit plan issuer" means an insurer,

health maintenance organization, or other entity authorized to

provide health benefits coverage under the laws of this state.

(3) "Health care provider" means a physician or other

person who is licensed, certified, or otherwise authorized to

provide a health care service in this state.

(b) The board shall prepare a fiscal impact statement for

each bill or joint resolution that requires a health benefit plan

issuer to provide new health benefits, increase payments to health

care providers, or implement new contractual or administrative

requirements.

(c) The fiscal impact statement must estimate the effect of

the bill or joint resolution on health benefit plan issuer

expenditures and on premiums and other costs paid by enrollees.

(d) The fiscal impact statement must be attached to the bill

or joint resolution immediately following:

(1) the fiscal note attached under Section 314.003; or

(2) another statement attached under this chapter.

SECTION 2. Section 314.006, Government Code, as added by

this Act, applies only to a bill or joint resolution filed on or

after the effective date of this Act.

SECTION 3. This Act takes effect September 1, 2025.