Monitoring the Session

SB 2509

Hinojosa Bill Shields Nonprofit Health Organizations From Doctors’ Mistakes

Died in committee

Verdict: Smells

SmellsInitial review
Sen. Adam HinojosaRSenate 27
Why it's charged
Carve-out

THE TEXT

…“health organization that complies with this subsection is not”…

Bill text, introduced version (I)

The liability shield goes only to one license class, health organizations certified under Section 162.001(b). The vague caption about "certain medical care" does not say who gets the protection.

Carve-out

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 vicarious liability for certain medical care.

Caption from analyzed text · version I.

Summary

Hurt by an employed doctor? Sue the doctor alone. The organization is off the hook.

The bill says a nonprofit health organization certified by the Texas Medical Board is not legally responsible for mistakes made by the doctors it employs, as long as it follows its required independence policies and does not direct the doctors' medical judgment. It touches these certified health organizations, their employed physicians, and patients who are hurt by those physicians' care. Patients who sue over bad care would lose the ability to hold the organization liable for its employed doctor's work and would have to go after the doctor alone.

Labels

Labels: NEVER GOT A HEARING. Filed Mar 13, 2025 and referred to the Senate State Affairs committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB2509 · 2025-03-13

SOLD BY

ITEM

relating to vicarious liability for certain medical care.

WHAT IT DOES

Hurt by an employed doctor? Sue the doctor alone. The organization is off the hook.

The bill says a nonprofit health organization certified by the Texas Medical Board is not legally responsible for mistakes made by the doctors it employs, as long as it follows its required independence policies and does not direct the doctors' medical judgment. It touches these certified health organizations, their employed physicians, and patients who are hurt by those physicians' care. Patients who sue over bad care would lose the ability to hold the organization liable for its employed doctor's work and would have to go after the doctor alone.

CHARGES

[x] CARVE-OUTanalysis confidence 50%

THE TEXT

…“health organization that complies with this subsection is not”…

Bill text, introduced version (I)

The liability shield goes only to one license class, health organizations certified under Section 162.001(b). The vague caption about "certain medical care" does not say who gets the protection.

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to State Affairs
FILED UNDER

SPEECH AND LAWFARE

THE TEXT

…“vicariously liable for medical care provided by an employed”…

Bill text, introduced version (I)

The bill creates a lawsuit shield that protects certified health organizations from liability for the care their employed physicians provide.

Smells

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 28, 2024 to May 5, 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$100,000.00

Texans for Lawsuit Reform PAC

$100,000.00

Cash
$100,000.00
Paid by others
$0.00
Total
$100,000.00

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.

Team
Sources

Derived itemized flow · on Oct 28, 2024. 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: 100989239.

Mayes Middleton$34,596.72
Greg Abbott Campaign$33,489.82

Greg Abbott Campaign

$33,489.82

Cash
$0.00
Paid by others
$33,489.82
Total
$33,489.82
travel $16,942.43text $12,002.83event $4,544.56

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 29, 2024 to Sep 2, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Oct 29, 2024 to Nov 12, 2024. 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: 100989239.

Money

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

×

Texans for Lawsuit Reform PAC

$100,000.00

Cash
$100,000.00
Paid by others
$0.00
Total
$100,000.00

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.

Team
Sources

Derived itemized flow · on Oct 28, 2024. 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: 100989239.

×

Greg Abbott Campaign

$33,489.82

Cash
$0.00
Paid by others
$33,489.82
Total
$33,489.82
travel $16,942.43text $12,002.83event $4,544.56

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 29, 2024 to Sep 2, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Oct 29, 2024 to Nov 12, 2024. 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: 100989239.

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 13, 2025

04/03/2025 S Referred to State Affairs

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 · State Affairs · Final status: Died in committee

Companion

HB 5076 by Leach (identical)

Subjects

Health--General

PHYSICIANS

Text

The text as introduced · 172 words

By: Hinojosa of Nueces
S.B. No. 2509

A BILL TO BE ENTITLED

AN ACT

relating to vicarious liability for certain medical care.

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

SECTION 1. Section 162.0022(a), Occupations Code, is

amended to read as follows:

(a) A health organization certified under Section

162.001(b) shall adopt, maintain, and enforce policies to ensure

that a physician employed by the health organization exercises

independent medical judgment when providing care to patients. A

health organization that complies with this subsection is not

vicariously liable for medical care provided by an employed

physician if the health organization does not interfere with,

control, or otherwise direct the independent medical judgment of

the physician when providing medical care to patients.

SECTION 2. This Act takes effect immediately if it receives

a vote of two-thirds of all 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.