SB 1269

itemized medical bills by portal, mail or pickup

Died in committee

Verdict: No flags

No flagsInitial review

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 provision to a patient of an itemized bill for health care services and supplies.

Caption from analyzed text · version I.

Summary

Patients pick the method, any time after it’s issued.

The bill lets a health care provider send a patient's itemized bill online through a patient portal, by mail or carrier, or as a hard copy picked up at the office. It also says a patient can get that itemized bill on request at any time after it is first issued, using whichever of those methods the patient picks. It touches hospitals, doctors and other providers and their patients, and it starts September 1, 2025.

Labels

Labels: NEVER GOT A HEARING. Filed Feb 13, 2025 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB1269 · 2025-02-13

SOLD BY

Sen. Bryan HughesRSenate 1

ITEM

relating to provision to a patient of an itemized bill for health care services and supplies.

WHAT IT DOES

Patients pick the method, any time after it’s issued.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

Feb 13, 2025Received by the Secretary of the Senate
Feb 13, 2025Filed
Feb 28, 2025Read first time
Feb 28, 2025Referred to Health & Human Services

FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

Bryan Hughes

Donors

GOPAC Election Fund$250K CRAFTPAC (Court Reform Action for Texas Families)$100KCourt Reform Action for Families Texas PAC$100K

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 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.

GOPAC Election Fund$250,000.00

GOPAC Election Fund

$250,000.00

Cash: $250,000.00
Paid by others: $0.00
Total: $250,000.00

Also funds 2 other sitting lawmakers.

Derived recipient stock · Jul 17, 2025 to Oct 15, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Jul 17, 2025 to Oct 15, 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: 101028838, 101071548.

CRAFTPAC (Court Reform Action for Texas Families)$100,000.00

CRAFTPAC (Court Reform Action for Texas Families)

$100,000.00

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

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Sep 4, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Sep 4, 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: 101067724.

Court Reform Action for Families Texas PAC$100,000.00

Court Reform Action for Families Texas PAC

$100,000.00

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

Also funds 32 other sitting lawmakers.

Derived recipient stock · Feb 20, 2026 to Oct 14, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · on Oct 13, 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: 101071548.

Money

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

GOPAC Election Fund

$250,000.00

Cash: $250,000.00
Paid by others: $0.00
Total: $250,000.00

Also funds 2 other sitting lawmakers.

Derived recipient stock · Jul 17, 2025 to Oct 15, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Jul 17, 2025 to Oct 15, 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: 101028838, 101071548.

CRAFTPAC (Court Reform Action for Texas Families)

$100,000.00

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

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Sep 4, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Sep 4, 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: 101067724.

Court Reform Action for Families Texas PAC

$100,000.00

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

Also funds 32 other sitting lawmakers.

Derived recipient stock · Feb 20, 2026 to Oct 14, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · on Oct 13, 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: 101071548.

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 Senate · Filed Feb 13, 2025

02/28/2025 S Referred to Health & Human Services

Texas Legislature Online · Introduced

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

Senate committee · Health & Human Services · Final status: Died in committee

Companion

HB 208 by Harris Davila (identical)

Subjects

Consumer Protection

Health Care Providers

Text

The text as introduced · 170 words

89R3034 AB-D

By: Hughes
S.B. No. 1269

A BILL TO BE ENTITLED

AN ACT

relating to provision to a patient of an itemized bill for health

care services and supplies.

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

SECTION 1. Sections 185.002(c) and (d), Health and Safety

Code, are amended to read as follows:

(c) A health care provider may issue the itemized bill :

(1) electronically, including through a patient

portal on the provider's Internet website ;

(2) through a hard copy delivered by mail or a common

carrier; or

(3) through a hard copy the patient or the patient's

designee obtains at the provider's place of business .

(d) A patient is entitled to obtain from the health care

provider an itemized bill :

(1) on request at any time after the itemized bill is

initially issued under Subsection (a) ; and

(2) through the patient's chosen method of issuance in

accordance with Subsection (c) .

SECTION 2. This Act takes effect September 1, 2025.