Monitoring the Session

SB 1270

no portal profile means a paper bill

Died in committee

Verdict: No flags

No flagsInitial review
Sen. Bryan HughesRSenate 1

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

  1. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to Health & Human Services
  5. Scheduled for public hearing on . . .
  6. Considered in public hearing
  7. Testimony taken in committee
  8. Left pending in committee
FILED UNDER

No verified beat found.

No flags

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.

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 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.