Monitoring the Session

SB 2919

bill raising dialysis backup power to 72 hours

Did not pass

Verdict: No flags

No flagsInitial review
Sen. Borris MilesDSenate 13

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 power duration requirements in emergency contingency plans adopted by end stage renal disease facilities.

Caption from analyzed text · version I.

Summary

Up from 24 hours of generator fuel. Batteries count too.

The bill raises the backup power requirement in emergency plans for kidney dialysis facilities from 24 hours of generator fuel to 72 hours. It also lets a facility meet the rule with an on-site battery-powered generator that can run the facility for 72 hours instead of fuel storage. Dialysis facilities must update their emergency plans by December 1, 2025, and the law takes effect September 1, 2025.

Labels

Labels: ACROSS THE AISLE. Joint authors: 1 Republican, 1 Democrat. Party as the Legislative Reference Library lists it for the 89th Legislature.STALLED AFTER COMMITTEE. Voted out of the Senate Health & Human Services committee 7-1 on May 8, 2025. Placed on the intent calendar on May 22, 2025. The bill died.

Receipt

The receipt

89R-SB2919 · 2025-03-14

SOLD BY

ITEM

relating to power duration requirements in emergency contingency plans adopted by end stage renal disease facilities.

WHAT IT DOES

Up from 24 hours of generator fuel. Batteries count too.

The bill raises the backup power requirement in emergency plans for kidney dialysis facilities from 24 hours of generator fuel to 72 hours. It also lets a facility meet the rule with an on-site battery-powered generator that can run the facility for 72 hours instead of fuel storage. Dialysis facilities must update their emergency plans by December 1, 2025, and the law takes effect September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version S · source

Sources

Fiscal note · version S · May 11, 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

  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. Left pending in committee
  8. Considered in public hearing
  9. Vote taken in committee
  10. Reported favorably as substituted
  11. Committee report printed and distributed
  12. Placed on intent calendar
  13. Not again placed on intent calendar
  14. Placed on intent calendar
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 · Sep 4, 2024 to Nov 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.

Texas Trial Lawyers Association PAC$15,000.00

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 25, 2024 to Nov 3, 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: 100990780, 101043817.

HillCo PAC$10,000.00

HillCo PAC

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 131 other sitting lawmakers.

Derived recipient stock · Jul 8, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Oct 24, 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: 101043817.

ActBlue Texas$8,833.00

ActBlue Texas

$8,833.00

Cash
$8,833.00
Paid by others
$0.00
Total
$8,833.00

Also funds 3 other sitting lawmakers.

Derived recipient stock · Sep 1, 2024 to Sep 4, 2025. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · on Nov 1, 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: 100990780.

Money

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

×

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 25, 2024 to Nov 3, 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: 100990780, 101043817.

×

HillCo PAC

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 131 other sitting lawmakers.

Derived recipient stock · Jul 8, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Oct 24, 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: 101043817.

×

ActBlue Texas

$8,833.00

Cash
$8,833.00
Paid by others
$0.00
Total
$8,833.00

Also funds 3 other sitting lawmakers.

Derived recipient stock · Sep 1, 2024 to Sep 4, 2025. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · on Nov 1, 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: 100990780.

Votes

No floor vote loaded for this bill.

Witnesses8
For
4
Against
2
On
2
Names

For

  • City of Corpus Christi1 registration
  • City of Houston1 registration
  • City of San Antonio1 registration
  • Self1 registration

Against

  • DaVita1 registration
  • U.S. Renal Care1 registration

On

  • Fresenius Medical Care1 registration
  • Health and Human Services Commission1 registration
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.

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

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version S · source

Sources

Fiscal note · version S · May 11, 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 Mar 14, 2025

05/22/2025 S Placed on intent calendar

Texas Legislature Online · Introduced · Senate Committee Report

Data snapshot Oct 26, 2026 at 6:51 AM CDT. Grades, charges, quotes and corrections follow the published record.

Senate committee · Health & Human Services · Committee vote 7 aye, 1 nay, 1 absent · Out of committee

Subjects

Disaster Preparedness & Relief

Health Care Providers

Health--Other Diseases & Medical Conditions

Utilities--Electric

Text

The text as introduced · 332 words

89R7856 LRM-D

By: Miles, Hancock
S.B. No. 2919

A BILL TO BE ENTITLED

AN ACT

relating to power duration requirements in emergency contingency

plans adopted by end stage renal disease facilities.

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

SECTION 1. Section 251.017(b), Health and Safety Code, is

amended to read as follows:

(b) Unless the facility adopts a plan described by

Subsection (d) or (e), an end stage renal disease facility must

adopt an emergency contingency plan as required by Subsection (a)

under which the facility is required:

(1) to have an on-site emergency generator that:

(A) has a type 2 essential electrical

distribution system in accordance with the National Fire Protection

Association 99, Section 4.5, and the National Fire Protection

Association 110;

(B) is installed, tested, and maintained in

accordance with the National Fire Protection Association 99,

Section 4.5.4, and the National Fire Protection Association 110;

and

(C) is kept at all times not less than 10 feet

from the electrical transformer;

(2) except as provided by Subsection (c), to maintain :

(A) an on-site fuel source with sufficient [ that

contains enough ] fuel capacity to power the on-site generator for

not less than 72 [ 24 ] hours, as determined by the electrical load

demand on the emergency generator for that period; or

(B) an on-site battery-powered generator with

sufficient electrical capacity to power the facility for not less

than 72 hours;

(3) to maintain a sufficient quantity of potable water

on-site to operate the facility's water treatment system for not

less than 24 hours; and

(4) to maintain a water valve connection that allows

an outside vendor to provide potable water to operate the

facility's water treatment system.

SECTION 2. Not later than December 1, 2025, each end stage

renal disease facility shall modify the facility's emergency

contingency plan as necessary to comply with Section 251.017(b),

Health and Safety Code, as amended by this Act.

SECTION 3. This Act takes effect September 1, 2025.