SB 1270
no portal profile means a paper bill
Died in committee
Verdict: No flags
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 itemized billing for health care services and supplies provided by health care providers.
Caption from analyzed text · version I.
Summary
Providers must check if the patient ever set one up.
The bill says a health care provider that sends an itemized bill through an online patient portal must check whether the patient has actually set up a portal profile, and if not, must mail a paper copy. It touches health care providers who bill patients and the patients who never logged into a portal. Licensing boards must discipline providers that break the itemized-billing chapter, and the new mailing rule applies to bills issued on or after September 1, 2025.
Receipt
The receipt
89R-SB1270 · 2025-02-13
SOLD BY
ITEM
relating to itemized billing for health care services and supplies provided by health care providers.
WHAT IT DOES
Providers must check if the patient ever set one up.
The bill says a health care provider that sends an itemized bill through an online patient portal must check whether the patient has actually set up a portal profile, and if not, must mail a paper copy. It touches health care providers who bill patients and the patients who never logged into a portal. Licensing boards must discipline providers that break the itemized-billing chapter, and the new mailing rule applies to bills issued on or after September 1, 2025.
CHARGES
[ ] NONE FOUND
TOTAL
No first-year general revenue figure available here.
LBB estimate · fiscal note version I · source
Sources
Fiscal note · version I · March 31, 2025
The fiscal implications of the bill cannot be determined due to uncertainty in the amount of enforcement actions taken as a result of implementing the provisions of the bill.
LBB published estimates · flow over the stated periods.
Source snapshot 2026-10-19, Central time.
HISTORY
- Received by the Secretary of the Senate
- Filed
- Read first time
- Referred to Health & Human Services
- Scheduled for public hearing on . . .
- Considered in public hearing
- Testimony taken in committee
- Left pending in committee
FILED UNDER
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
CAMPAIGN PAID FOR BY
Donors
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.
TeamSources
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.
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.
TeamSources
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 first-year general revenue figure available here.
LBB estimate · fiscal note version I · source
Sources
Fiscal note · version I · March 31, 2025
The fiscal implications of the bill cannot be determined due to uncertainty in the amount of enforcement actions taken as a result of implementing the provisions of the bill.
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 Senate · Filed Feb 13, 2025
04/01/2025 S Left pending in committee
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 216 by Harris Davila (identical)
Subjects
Consumer Protection
Electronic Information Systems
Health Care Providers
Text
The text as introduced · 284 words
89R2961 AB-D By: Hughes S.B. No. 1270 A BILL TO BE ENTITLED AN ACT relating to itemized billing for health care services and supplies provided by health care providers. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 185.002, Health and Safety Code, is amended by amending Subsection (c) and adding Subsection (c-1) to read as follows: (c) Except as provided by Subsection (c-1), a [ A ] health care provider may issue the itemized bill electronically, including through a patient portal on the provider's Internet website. (c-1) A health care provider that issues an itemized bill to a patient electronically through a patient portal under Subsection (c) shall: (1) determine whether the patient has created a patient profile on the portal; and (2) if the health care provider determines that the patient has not created a patient portal, mail a copy of the itemized bill to the patient. SECTION 2. Section 185.003, Health and Safety Code, is amended to read as follows: Sec. 185.003. DISCIPLINARY ACTION BY LICENSING AUTHORITY. The appropriate licensing authority shall take disciplinary action against a health care [ the ] provider that violates this chapter [ for the violation ] as if the provider violated an applicable licensing law. SECTION 3. Section 185.002, Health and Safety Code, as amended by this Act, applies only to an itemized bill issued on or after the effective date of this Act. An itemized bill issued before the effective date of this Act is governed by the law in effect on the date the itemized bill was issued, and the former law is continued in effect for that purpose. SECTION 4. This Act takes effect September 1, 2025.