SB 2480: Campbell Bill Adds Two Medical Board Surcharges, One Uncapped

Caption

relating the administration of the Texas Physician Health Program; the disciplinary authority of the Texas Medical Board; imposing a surcharge.

Caption from analyzed text · version I.

Summary

A new special account funds the physician health program. Another surcharge pays for data bank checks.

The bill adds two new surcharges that the Texas Medical Board must collect when it issues or renews a registration permit. The first surcharge is capped at $15 and goes into a new special account that can pay only for running the Texas Physician Health Program, not for participants' own monitoring or treatment costs; the second has no stated cap and pays for continuous checks of license holders against the National Practitioner Data Bank. Both surcharges may be collected from all individuals licensed and regulated by the board, including those under its advisory boards and committees, starting immediately or on September 1, 2025.

Labels

Labels: NO AUTOGRAPH. Became law without the governor's signature on Jun 20, 2025.

Receipt

The receipt

89R-SB2480 · 2025-03-13

SOLD BY

Sen. Donna CampbellRSenate 25

ITEM

relating the administration of the Texas Physician Health Program; the disciplinary authority of the Texas Medical Board; imposing a surcharge.

WHAT IT DOES

A new special account funds the physician health program. Another surcharge pays for data bank checks.

The bill adds two new surcharges that the Texas Medical Board must collect when it issues or renews a registration permit. The first surcharge is capped at $15 and goes into a new special account that can pay only for running the Texas Physician Health Program, not for participants' own monitoring or treatment costs; the second has no stated cap and pays for continuous checks of license holders against the National Practitioner Data Bank. Both surcharges may be collected from all individuals licensed and regulated by the board, including those under its advisory boards and committees, starting immediately or on September 1, 2025.

CHARGES

[x] NEW FEE, FUND, BOARD OR APPOINTEESanalysis confidence 80%

THE TEXT

“The Texas physician health program account is a special account in the general revenue fund.”

Bill text, introduced version (I)

The bill creates a new special account in general revenue fed by a new surcharge capped at $15 on first and renewal registration permits. A second surcharge for National Practitioner Data Bank queries is added with no stated dollar cap. The caption discloses that the bill is imposing a surcharge, so the fee is not hidden.

TOTAL

Net to General Revenue · FY 2026$0

LBB estimate, flow · fiscal note version E · ( ) = negative · source

Sources

Fiscal note · version E · May 16, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for SB2480, As Engrossed: an impact of $0 through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

First year · FY 2026 · $0

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

Mar 13, 2025Received by the Secretary of the Senate
Mar 13, 2025Filed
Apr 3, 2025Read first time
Apr 3, 2025Referred to Health & Human Services
Apr 16, 2025Scheduled for public hearing on . . .
Apr 16, 2025Considered in public hearing
Apr 16, 2025Testimony taken in committee
Apr 16, 2025Left pending in committee
Apr 23, 2025Considered in public hearing
Apr 23, 2025Vote taken in committee
Apr 28, 2025Reported favorably as substituted
Apr 28, 2025Recommended for local & uncontested calendar
Apr 28, 2025Committee report printed and distributed
Apr 30, 2025Placed on intent calendar
May 1, 2025Not again placed on intent calendar
May 5, 2025Placed on intent calendar
May 5, 2025Rules suspended-Regular order of business
May 5, 2025Vote recorded in Journal
May 5, 2025Read 2nd time & passed to engrossment
May 5, 2025Vote recorded in Journal
May 5, 2025Three day rule suspended
May 5, 2025Record vote
May 5, 2025Read 3rd time
May 5, 2025Passed
May 5, 2025Record vote
May 5, 2025Reported engrossed
May 5, 2025Received from the Senate
May 6, 2025Read first time
May 6, 2025Referred to Public Health
May 19, 2025Scheduled for public hearing on . . .
May 19, 2025Considered in public hearing
May 19, 2025Testimony taken/registration(s) recorded in committee
May 19, 2025Reported favorably w/o amendment(s)
May 21, 2025Comte report filed with Committee Coordinator
May 21, 2025Committee report distributed
May 22, 2025Committee report sent to Calendars
May 23, 2025Considered in Calendars
May 25, 2025Placed on General State Calendar
May 27, 2025Read 2nd time
May 27, 2025Passed to 3rd reading
May 27, 2025Record vote RV#3799
May 27, 2025Statement(s) of vote recorded in Journal
May 28, 2025Read 3rd time
May 28, 2025Passed
May 28, 2025Record vote RV#3902
May 28, 2025Statement(s) of vote recorded in Journal
May 28, 2025House passage reported
May 29, 2025Reported enrolled
May 31, 2025Signed in the Senate
Jun 1, 2025Signed in the House
Jun 1, 2025Sent to the Governor
Jun 20, 2025Filed without the Governor's signature
Jun 20, 2025Effective on 9/1/25

FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 102 yea · 31 nay

Senate · 30 yea · 1 nay

Sources

House: Final passage · May 28, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · May 5, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

Smells

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

Donna Campbell

Donors

Donors report through Friends of Donna Campbell.

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.

Money

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

Votes5

House May 28, 2025

Yea: 102
Nay: 31
Present, not voting: 3
Absent: 7
Excused: 7

Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 3902

SB 2480 was passed by (Record 3902): 102 Yeas, 31 Nays, 3 Present, not voting.

Published stock of positions for this vote, except where marked derived.

Yea: 102 (published)
Nay: 31 (published)
Present, not voting: 3 (published)
Absent: 7 (derived from named list)
Excused: 7 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

House May 27, 2025

Yea: 129
Nay: 7
Present, not voting: 1
Absent: 10
Excused: 3

Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 3799

SB 2480 was passed to third reading by (Record 3799): 129 Yeas, 7 Nays, 1 Present, not voting.

Published stock of positions for this vote, except where marked derived.

Yea: 129 (published)
Nay: 7 (published)
Present, not voting: 1 (published)
Absent: 10 (derived from named list)
Excused: 3 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Senate May 5, 2025

Yea: 30
Nay: 1
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Names

MiddletonNay

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

Sources

The bill was read third time and was passed by the following vote: Yeas 30, Nays 1. (Same as previous roll call)

Published stock of positions for this vote, except where marked derived.

Yea: 30 (published)
Nay: 1 (published)
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 5, 2025

Yea: 30
Nay: 1
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Names

MiddletonNay

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

Sources

Senator Campbell moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSSB 2480 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 30, Nays 1.

Published stock of positions for this vote, except where marked derived.

Yea: 30 (published)
Nay: 1 (published)
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 5, 2025

Yea: Not printed
Nay: Not printed
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Names

MiddletonNay

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

Voice vote. No numeric tally or individual yeas are inferred.

Sources

Senator Campbell moved to suspend the regular order of business to take up for consideration CSSB 2480 at this time on its second reading: CSSB 2480, Relating to the Texas Physician Health Program and the regulation of certain occupations by the Texas Medical Board; expanding the applicability of surcharges. The motion prevailed. Senator Middleton asked to be recorded as voting "Nay" on suspension of the regular order of business. The bill was read second time and was passed to engrossment by a viva voce vote.

Published stock of positions for this vote, except where marked derived.

Yea: Not printed
Nay: Not printed
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Witnesses8

For: 2
Against: 1
On: 5

Names

For

Texas Chapter American College of Physicians1 registration
Texas Medical Association1 registration

Against

Self1 registration

On

Self1 registration
Texas Medical Board2 registrations
Texas Physician Health Program2 registrations

Sources

8 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Senate witness list. Source snapshot 2026-10-20, Central time.

Fiscal

Net to General Revenue · FY 2026$0

LBB estimate, flow · fiscal note version E · ( ) = negative · source

Sources

Fiscal note · version E · May 16, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for SB2480, As Engrossed: an impact of $0 through the biennium ending August 31, 2027. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

First year · FY 2026 · $0

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Adversarial review by claude-fable-5-1 at high effort: Smells.

Analysis of text version I by claude-fable-5-1, Oct 21, 2026, against the published rubric.

Sources

Texas Senate · Filed Mar 13, 2025

06/20/2025 E Effective on 9/1/25

Texas Legislature Online · Introduced · Senate Committee Report · Engrossed · House Committee Report · Enrolled

Data snapshot Nov 1, 2026 at 6:27 PM CST. Grades, charges, quotes and corrections follow the published record.

Sponsors

Tom OliversonRHouse 130

House committee · Public Health · Committee vote 9 aye, 0 nay, 3 absent · Out of committee

Senate committee · Health & Human Services · Committee vote 9 aye, 0 nay · Out of committee

Subjects

Occupational Regulation--Health Occupations

PHYSICIANS

MEDICAL BOARD, TEXAS

Text

The text as introduced · 421 words

By: Campbell
S.B. No. 2480

AN ACT

relating the administration of the Texas Physician Health Program;

the disciplinary authority of the Texas Medical Board; imposing a

surcharge.

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

SECTION 1. Subchapter B, Chapter 153, Occupations Code, is

amended by adding Section 153.053 to read as follows:

Sec. 153.053. SURCHARGE TO ADMINISTER TEXAS PHYSICIAN

HEALTH PROGRAM. (a) The board shall collect an additional

surcharge not to exceed $15 for each of the following fees:

(1) first registration permit; and

(2) renewal of a registration permit.

(b) The board shall deposit each surcharge collected under

this section to the credit of the Texas physician health program

account. The Texas physician health program account is a special

account in the general revenue fund. Money in the special account

shall be appropriated only to the board to pay for administration of

the Texas Physician Health Program under Chapter 167, including

paying for an initial evaluation by the program's medical director

or the director's designee. Money in the special account may not be

used to pay for program participant costs incurred for monitoring

or for a program participant's own medical costs, including any

further required evaluations, primary treatment, or continuing

care.

(c) The board is authorized to collect the surcharge

established in (a) for all individuals licensed and regulated by

the board including all advisory boards and committees under this

title.

SECTION 2. Subchapter B, Chapter 153, Occupations Code, is

amended by adding Section 153.055 to read as follows:

Sec. 153.055. SURCHARGE FOR CERTAIN SEARCHES RELATED TO

LICENSE STATUS. (a) The board shall set and collect an additional

surcharge to cover the cost of administering a continuous query on

the National Practitioner Data Bank as required by Section

154.006(m). The surcharge shall be collected from each license

holder for:

(1) issuance of a first registration permit; and

(2) renewal of a registration permit.

(b) The board shall deposit each surcharge collected under

this section to the credit of the public assurance account

described by Section 153.0535(b).

(c) The board is authorized to collect the surcharge

established in (a) for all individuals licensed and regulated by

the board including all advisory boards and committees under this

title.

SECTION 3. 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.

Verdict: Smells

The receipt

SOLD BY

ITEM

WHAT IT DOES

CHARGES

TOTAL

HISTORY

SIGNED FOR BY

Donors

House May 28, 2025

House May 27, 2025

Senate May 5, 2025

Senate May 5, 2025

Senate May 5, 2025

For

Against

On