SB 2150
Bettencourt Bill Caps Placement Fees For Out-Of-State Med Students
Died in committee
Verdict: Smells
Why it's charged
Caption mismatch
THE TEXT
“A teaching hospital may not charge to a person who is not a resident of this state a fee for providing a placement in a field-based experience position”…
Bill text, introduced version (I)
The caption speaks only of coordination and preference in placements, but the body also caps what hospitals may charge out-of-state students. That fee rule works against the in-state preference the caption advertises.
Caption mismatchInitial 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 coordination between teaching hospitals and medical schools regarding student field-based experience placements and to preference in those placements.
Caption from analyzed text · version I.
Summary
Locals first, Texas residents next, out-of-state students last. Last in line, but they pay no more.
The bill orders the higher education board and the state health commission to write rules requiring medical schools and their teaching hospitals to sign written agreements on student clerkships and clinical rotations. It touches medical schools, hospitals and medical students, and it bars teaching hospitals from charging out-of-state students more for a placement than in-state students. Hospitals must rank qualified students for these slots in this order: local residents first, then Texas residents, then out-of-state students, starting with the 2026-2027 academic year.
Labels
Labels: NEVER GOT A HEARING. Filed Mar 10, 2025 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.
Receipt
The receipt
89R-SB2150 · 2025-03-10
SOLD BY
ITEM
relating to coordination between teaching hospitals and medical schools regarding student field-based experience placements and to preference in those placements.
WHAT IT DOES
Locals first, Texas residents next, out-of-state students last. Last in line, but they pay no more.
The bill orders the higher education board and the state health commission to write rules requiring medical schools and their teaching hospitals to sign written agreements on student clerkships and clinical rotations. It touches medical schools, hospitals and medical students, and it bars teaching hospitals from charging out-of-state students more for a placement than in-state students. Hospitals must rank qualified students for these slots in this order: local residents first, then Texas residents, then out-of-state students, starting with the 2026-2027 academic year.
CHARGES
[x] CAPTION MISMATCHanalysis confidence 45%
THE TEXT
“A teaching hospital may not charge to a person who is not a resident of this state a fee for providing a placement in a field-based experience position”…
Bill text, introduced version (I)
The caption speaks only of coordination and preference in placements, but the body also caps what hospitals may charge out-of-state students. That fee rule works against the in-state preference the caption advertises.
TOTAL
No fiscal note in the loaded record.
HISTORY
- Received by the Secretary of the Senate
- Filed
- Read first time
- Referred to Health & Human Services
FILED UNDER
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
CAMPAIGN PAID FOR BY
Donors
Donors report through Friends of Paul Bettencourt.
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.
MoneyMissing data does not establish zero giving. Display amounts are rounded.
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 Mar 10, 2025
03/24/2025 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
Subjects
Education--Higher--Health Institutions
Hospitals
HEALTH & HUMAN SERVICES COMMISSION
HIGHER EDUCATION COORDINATING BOARD, TEXAS
Text
The text as introduced · 430 words
89R16427 RDR-D By: Bettencourt S.B. No. 2150 A BILL TO BE ENTITLED AN ACT relating to coordination between teaching hospitals and medical schools regarding student field-based experience placements and to preference in those placements. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter C, Chapter 61, Education Code, is amended by adding Section 61.09097 to read as follows: Sec. 61.09097. COORDINATION OF CLERKSHIPS OR CLINICAL ROTATIONS REQUIRED. (a) In this section: (1) "Hospital" has the meaning assigned by Section 241.003, Health and Safety Code. (2) "Medical school" has the meaning assigned by Section 58A.001. (b) The board by rule shall: (1) require a medical school to coordinate with a hospital that serves as a teaching hospital for the medical school through a written agreement regarding placement of the school's students in required field-based experience positions with the hospital, such as clerkships or clinical rotations; and (2) establish a form for use in entering into a written agreement under Subdivision (1). SECTION 2. Subchapter A, Chapter 241, Health and Safety Code, is amended by adding Section 241.014 to read as follows: Sec. 241.014. PLACEMENT OF STUDENT IN CLERKSHIP OR CLINICAL ROTATION. (a) In this section, "medical school" has the meaning assigned by Section 58A.001, Education Code. (b) A teaching hospital may not charge to a person who is not a resident of this state a fee for providing a placement in a field-based experience position, such as a clerkship or clinical rotation, in an amount that exceeds the amount the hospital charges to a resident of this state for the placement. (c) A hospital shall give priority for placement of a qualified student in a field-based experience position, such as a clerkship or clinical rotation, in the following order: (1) a resident of the hospital's community; (2) a resident of this state; and (3) a student who is not a resident of this state. (d) The executive commissioner by rule shall: (1) require a teaching hospital to coordinate with a medical school through a written agreement regarding placement with the hospital of the school's students in required field-based experience positions, such as clerkships or clinical rotations, in the manner described in Section 61.09097, Education Code; and (2) establish guidelines and procedures for prioritizing students for clerkships or clinical rotations as provided by Subsection (c). SECTION 3. Section 61.09097, Education Code, and Section 241.014, Health and Safety Code, as added by this Act, apply beginning with medical student placements in field-based experience positions for the 2026-2027 academic year. SECTION 4. This Act takes effect September 1, 2025.