Monitoring the Session

HB 607

Flores Bill Pulls State Money From Providers Who Refuse Patients

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Lulu FloresDHouse 51

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 prohibited discrimination by health care providers based on an individual's age, race, disability, immigration status, sex, sexual orientation, or gender identity or expression.

Caption from analyzed text · version I.

Summary

Refuse a patient solely over race, age, immigration status or gender identity? No Medicaid or CHIP money.

The bill bars health care providers from refusing to treat or contract with a patient solely because of the patient's age, race, disability, immigration status, sex, sexual orientation, or gender identity or expression. It covers health care providers and their patients, and it defines gender identity or expression broadly. A provider that breaks the rule loses eligibility for state money for patient services, including Medicaid and CHIP payments, starting September 1, 2025, unless an agency delays the change while it waits on a federal waiver.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 4884 (Died in committee) and this bill (Died in committee). Checked against 88R only.DO-OVER. Reworked text of a bill filed before that died: 88R HB 4884 (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.NEVER GOT A HEARING. Filed Nov 12, 2024 and referred to the House Public Health committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB607 · 2024-11-12

SOLD BY

+ 4 coauthors

ITEM

relating to prohibited discrimination by health care providers based on an individual's age, race, disability, immigration status, sex, sexual orientation, or gender identity or expression.

WHAT IT DOES

Refuse a patient solely over race, age, immigration status or gender identity? No Medicaid or CHIP money.

The bill bars health care providers from refusing to treat or contract with a patient solely because of the patient's age, race, disability, immigration status, sex, sexual orientation, or gender identity or expression. It covers health care providers and their patients, and it defines gender identity or expression broadly. A provider that breaks the rule loses eligibility for state money for patient services, including Medicaid and CHIP payments, starting September 1, 2025, unless an agency delays the change while it waits on a federal waiver.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Public Health
FILED UNDER

GIBS

THE TEXT

…“patient's age, race, disability, immigration status, sex, sexual”…

Bill text, introduced version (I)

The bill bars providers from refusing care based on immigration status, so state-funded providers must serve non-citizens regardless of status or lose state money.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Texas Trial Lawyers Assocation PAC$23KMichael Brickman$15,000Johann Moonesinghe$10,000

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 · Aug 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 Assocation PAC$22,500.00

Texas Trial Lawyers Assocation PAC

$22,500.00

Cash
$22,500.00
Paid by others
$0.00
Total
$22,500.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 20, 2024 to Jun 22, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · Sep 20, 2024 to Jun 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.

Report IDs: 100985004, 101007867, 101059825.

Michael Brickman$15,000.00
Johann Moonesinghe$10,000.00
Money

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

×

Texas Trial Lawyers Assocation PAC

$22,500.00

Cash
$22,500.00
Paid by others
$0.00
Total
$22,500.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 20, 2024 to Jun 22, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · Sep 20, 2024 to Jun 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.

Report IDs: 100985004, 101007867, 101059825.

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.

FILED BEFORE

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

88R HB 4884

by Rep. Flores, same lead author · Died in committee · reworked

Introduced text

Last action, Mar 23, 2023: Referred to Public Health

Relating to prohibited discrimination by health care providers based on an individual's age, race, disability, immigration status, sex, sexual orientation, or gender identity or expression.

Caption, 88R bill history

Sources

Texas House · Filed Nov 12, 2024

03/04/2025 H Referred to Public Health: Mar 4 2025 3:37PM

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

Coauthors

House committee · Public Health · Final status: Died in committee

Subjects

Health Care Providers

Health--General

Human Relations

Human Services--Medical Assistance

Occupational Regulation--Health Occupations

DISCRIMINATION

Text

The text as introduced · 305 words

89R2523 SCF-D

By: Flores
H.B. No. 607

A BILL TO BE ENTITLED

AN ACT

relating to prohibited discrimination by health care providers

based on an individual's age, race, disability, immigration status,

sex, sexual orientation, or gender identity or expression.

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

SECTION 1. Subchapter E, Chapter 545, Government Code, as

effective April 1, 2025, is amended by adding Section 545.0206 to

read as follows:

Sec. 545.0206. DISCRIMINATION BY HEALTH CARE PROVIDER BASED

ON GENDER IDENTITY OR EXPRESSION PROHIBITED. (a) In this section:

(1) "Disability" has the meaning assigned by Section

21.002, Labor Code.

(2) "Gender identity or expression" means having or

being perceived as having a gender-related identity, appearance,

expression, or behavior, regardless of whether that identity,

appearance, expression, or behavior is different from that commonly

associated with the individual's actual or perceived sex.

(b) A health care provider may not refuse to provide health

care services to a patient or enter into a contract for the

provision of health care services to a patient solely because of a

patient's age, race, disability, immigration status, sex, sexual

orientation, or gender identity or expression.

(c) A health care provider that violates this section is not

eligible to receive money from this state for services provided to

patients, including through the medical assistance program under

Chapter 32, Human Resources Code, or through the child health plan

program under Chapter 62, Health and Safety Code.

SECTION 2. If before implementing any provision of this Act

a state agency determines that a waiver or authorization from a

federal agency is necessary for implementation of that provision,

the agency affected by the provision shall request the waiver or

authorization and may delay implementing that provision until the

waiver or authorization is granted.

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