End date moves from December 31, 2025 to December 31, 2027.
This bill extends the Harris County Hospital District's authority to run its health care provider participation program by two years, moving the end date from December 31, 2025 to December 31, 2027. It touches the Harris County Hospital District and the health care providers that take part in the program under that chapter of law. On the ground, the existing program keeps running two years longer instead of ending at the close of 2025.
Labels
Labels: CROSS-PARTY HANDOFF. Lead author Borris Miles (D) in the Senate. Lead sponsor Sam Harless (R) in the House. Party as the Legislative Reference Library lists it for the 89th Legislature.QUICK READ: 145 WORDS. The bill as filed runs 145 words, counting the existing law it amends and the text it strikes. The median 89R bill as filed runs 441 words (derived, 8,702 graded bills, snapshot Oct 19, 2026).
relating to the continuation of a health care provider
participation program by the Harris County Hospital District.
WHAT IT DOES
End date moves from December 31, 2025 to December 31, 2027.
This bill extends the Harris County Hospital District's authority to run its health care provider participation program by two years, moving the end date from December 31, 2025 to December 31, 2027. It touches the Harris County Hospital District and the health care providers that take part in the program under that chapter of law. On the ground, the existing program keeps running two years longer instead of ending at the close of 2025.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal implication to the State is anticipated.
Names were not printed for yea. Only the named positions are included in member records.
The journal row lists three votes in order: passage to engrossment, suspension of the three-day rule, and final passage. This entry records final passage. Repeated tallies belong to separate votes.
Sources
SB 375 (Miles) Relating to the continuation of a health care provider participation program by the Harris County Hospital District. (viva voce vote) (29-2) "Nays" Hughes, Sparks (29-2) "Nays" Hughes, Sparks
Published stock of positions for this vote, except where marked derived.
Yea: 29 (published)
Nay: 2 (published)
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed
Senate journal. Source snapshot 2026-10-19, Central time.
Names were not printed for yea. Only the named positions are included in member records.
The journal row lists three votes in order: passage to engrossment, suspension of the three-day rule, and final passage. This entry records suspension of the three-day rule. Repeated tallies belong to separate votes.
Sources
SB 375 (Miles) Relating to the continuation of a health care provider participation program by the Harris County Hospital District. (viva voce vote) (29-2) "Nays" Hughes, Sparks (29-2) "Nays" Hughes, Sparks
Published stock of positions for this vote, except where marked derived.
Yea: 29 (published)
Nay: 2 (published)
Present, not voting: Not printed
Absent: Not printed
Excused: Not printed
Senate journal. Source snapshot 2026-10-19, Central time.
Names were not printed. No individual positions are inferred.
The journal row lists three votes in order: passage to engrossment, suspension of the three-day rule, and final passage. This entry records passage to engrossment. Repeated tallies belong to separate votes.
Voice vote. No numeric tally or individual yeas are inferred.
Sources
SB 375 (Miles) Relating to the continuation of a health care provider participation program by the Harris County Hospital District. (viva voce vote) (29-2) "Nays" Hughes, Sparks (29-2) "Nays" Hughes, Sparks
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.
Witnesses10
For
10
Against
0
On
0
Names
For
Children's Hospital Association of Texas1 registration
County Judges and Commissioners Association of Texas1 registration
Harris County Commissioners Court1 registration
HCA Healthcare1 registration
MHHS1 registration
Self1 registration
St. Luke’s Healthcare System1 registration
Teaching Hospitals of Texas1 registration
Texas Children’s Hospital1 registration
Texas Hospital Association1 registration
Sources
10 parsed registrations across the loaded witness lists.
Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.
89R4551 MPF-F
By: Miles
S.B. No. 375
A BILL TO BE ENTITLED
AN ACT
relating to the continuation of a health care provider
participation program by the Harris County Hospital District.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 299.004, Health and Safety Code, is
amended to read as follows:
Sec. 299.004. EXPIRATION. (a) Subject to Section
299.153(d), the authority of the district to administer and operate
a program under this chapter expires December 31, 2027 [ 2025 ].
(b) This chapter expires December 31, 2027 [ 2025 ].
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.
Monitoring 
