Monitoring the Session

HB 5611

bill letting emergency services districts offer preventive care

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Tom OliversonRHouse 130

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 the authority of an emergency services district to provide preventive health care services.

Caption from analyzed text · version I.

Summary

Shots, screenings and checkups from your ambulance district.

The bill lets an emergency services district that runs or contracts for ambulance or first responder service also offer preventive health care, such as shots, screenings, checkups and patient counseling, outside a hospital. It touches emergency services districts, the people they serve, and the state and local governments the districts can contract with to deliver this care. On the ground, districts can expand from 9-1-1 response into routine care, and the bill counts that care as 'emergency services' throughout the chapter, though districts in counties under 60,000 people need county commissioners court approval first.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 4922 (Died in committee) and this bill (Did not pass). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R HB 4922 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.STALLED AFTER COMMITTEE. Voted out of the House Intergovernmental Affairs committee 11-0 on Apr 30, 2025. Placed on the General State Calendar on May 12, 2025. The bill died.

Receipt

The receipt

89R-HB5611 · 2025-03-14

SOLD BY

Rep. Tom OliversonRHouse 130

ITEM

relating to the authority of an emergency services district to provide preventive health care services.

WHAT IT DOES

Shots, screenings and checkups from your ambulance district.

The bill lets an emergency services district that runs or contracts for ambulance or first responder service also offer preventive health care, such as shots, screenings, checkups and patient counseling, outside a hospital. It touches emergency services districts, the people they serve, and the state and local governments the districts can contract with to deliver this care. On the ground, districts can expand from 9-1-1 response into routine care, and the bill counts that care as 'emergency services' throughout the chapter, though districts in counties under 60,000 people need county commissioners court approval first.

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 25, 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 s/c on County & Regional Government by Speaker
  4. Scheduled for public hearing in s/c on . . .
  5. Considered by s/c in public hearing
  6. Testimony taken/registration(s) recorded in subcommittee
  7. Left pending in subcommittee
  8. Recalled from subcommittee
  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
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Tom Oliverson

Donors

Donors report through Friends of Tom Oliverson.

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.

Money

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

Votes

No floor vote loaded for this bill.

Witnesses6
For
5
Against
1
On
0
Names

For

  • Every Texan1 registration
  • SAFE-D, the Texas State Association of Fire and Emergency Districts1 registration
  • Self; Travis county esd no. 21 registration
  • Teaching Hospitals of Texas1 registration
  • Texas State Association of Fire and Emergency Districts1 registration

Against

  • Self1 registration
Sources

6 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 25, 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.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 4922

by Rep. Oliverson, same lead author · Died in committee · same text

Introduced text

Last action, May 15, 2023: Referred to Local Government

Relating to the authority of an emergency services district to provide preventive health care services.

Caption, 88R bill history

Sources

Texas House · Filed Mar 14, 2025

05/12/2025 H Placed on General State Calendar

Texas Legislature Online · Introduced · House Committee Report

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

House committee · Intergovernmental Affairs · Committee vote 11 aye, 0 nay · Out of committee

Subjects

Health--Emergency Services & Personnel

Health--General

Special Districts & Authorities--Miscellaneous

Text

The text as introduced · 281 words

By: Oliverson
H.B. No. 5611

A BILL TO BE ENTITLED

AN ACT

relating to the authority of an emergency services district to

provide preventive health care services.

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

SECTION 1. Subchapter C, Chapter 775, Health and Safety

Code, is amended by adding Section 775.0311 to read as follows:

Sec. 775.0311. PREVENTIVE HEALTH CARE SERVICES. (a) This

section applies to a district that is licensed as or contracts with:

(1) an emergency medical services provider under

Chapter 773; or

(2) a first responder organization under Chapter 773.

(b) In this section, "preventive health care services"

means out-of-hospital routine health care services, including

immunizations, screenings, checkups, and patient counseling,

provided for the purpose of preventing illness, disease, or other

health problems.

(c) A district may provide preventive health care services

to reduce reliance on 9-1-1 transports and systems for routine

health care and contract with the state or a local government, as

provided by Section 775.0366, to provide those services.

(d) A reference in this chapter to the district providing

emergency services includes preventive health care services.

(e) A district may make necessary improvements and adopt

rules and regulations for the purposes of this section.

(f) A district in a county with a population of less than

60,000 must obtain approval from the county commissioners court

prior to providing services under this section.

SECTION 2. 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.