SB 1375
Paxton Bill Extends One County’s Provider Program To 2030
Died in committee
Verdict: Smells
Why it's charged
Bracket bill
The stacked population tests (a county of one million or more, containing a city of one million or more, next to a county of 2.5 million or more) aim the extension at what reads as a single county. The caption does admit the bill covers only "certain counties."
Bracket billInitial 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 continuation of health care provider participation programs in certain counties.
Caption from analyzed text · version I.
Summary
1M-plus county, 1M-plus city, next to a 2.5M-plus county. Everyone else gets two years.
The bill lets one narrowly described county keep running its local health care provider participation program until September 1, 2030, instead of having that authority expire two years after the county first adopted it. It touches only a county of one million or more people that contains part of a city of one million or more and sits next to a county of 2.5 million or more. Every other local government keeps the existing two-year expiration rule, and the change takes effect right away with a two-thirds vote or on September 1, 2025.
Labels
Labels: PENDING FOREVER. Heard by the Senate Local Government committee on May 5, 2025 and left pending. Never voted out. The bill died.
Receipt
The receipt
89R-SB1375 · 2025-02-18
SOLD BY
ITEM
relating to the continuation of health care provider participation programs in certain counties.
WHAT IT DOES
1M-plus county, 1M-plus city, next to a 2.5M-plus county. Everyone else gets two years.
The bill lets one narrowly described county keep running its local health care provider participation program until September 1, 2030, instead of having that authority expire two years after the county first adopted it. It touches only a county of one million or more people that contains part of a city of one million or more and sits next to a county of 2.5 million or more. Every other local government keeps the existing two-year expiration rule, and the change takes effect right away with a two-thirds vote or on September 1, 2025.
CHARGES
[x] BRACKET BILLanalysis confidence 55%
The stacked population tests (a county of one million or more, containing a city of one million or more, next to a county of 2.5 million or more) aim the extension at what reads as a single county. The caption does admit the bill covers only "certain counties."
TOTAL
No fiscal implication to the State is anticipated.
LBB estimate · fiscal note version I · source
Sources
Fiscal note · version I · May 2, 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
- Received by the Secretary of the Senate
- Filed
- Read first time
- Referred to Local Government
- Scheduled for public hearing on . . .
- Considered in public hearing
- 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 · Oct 27, 2024 to Jun 30, 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.
Texans for Lawsuit Reform PAC$40,000.00
Texans for Lawsuit Reform PAC
$40,000.00
- Cash
- $40,000.00
- Paid by others
- $0.00
- Total
- $40,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Dec 11, 2024 to Jun 30, 2025. 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: 100982305, 101012314.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$40,000.00
- Cash
- $40,000.00
- Paid by others
- $0.00
- Total
- $40,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Dec 11, 2024 to Jun 30, 2025. 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: 100982305, 101012314.
Votes
No floor vote loaded for this bill.
Fiscal
No fiscal implication to the State is anticipated.
LBB estimate · fiscal note version I · source
Sources
Fiscal note · version I · May 2, 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.
Sources
Texas Senate · Filed Feb 18, 2025
05/05/2025 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 · Local Government · Final status: Died in committee
Companion
HB 3305 by Richardson (identical)
Subjects
County Government--Finance
Health Care Providers
Special Districts & Authorities--Hospital
Text
The text as introduced · 248 words
89R3747 SRA-D By: Paxton, Hagenbuch S.B. No. 1375 A BILL TO BE ENTITLED AN ACT relating to the continuation of health care provider participation programs in certain counties. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 300.0155, Health and Safety Code, is amended to read as follows: Sec. 300.0155. EXPIRATION OF AUTHORITY. (a) Except as provided by Subsection (b), the [ The ] authority of a local government to administer and operate a program under this chapter expires on September 1 following the second anniversary of the date the governing body of the local government adopted the order or ordinance authorizing the local government to participate in the program as provided by Section 300.0004. (b) The authority of a local government to which this subsection applies to administer and operate a program under this chapter expires on September 1, 2030. This subsection applies only to a county: (1) with a population of one million or more; (2) in which all or part of a municipality with a population of one million or more is located; and (3) that is located adjacent to a county with a population of 2.5 million or more. 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.