SB 392
bill bans facility fees for telehealth visits
Died in committee
Verdict: No flags
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 prohibited facility fees for telehealth and telemedicine medical services; providing an administrative penalty.
Caption from analyzed text · version I.
Summary
A facility fee for a video call? Not anymore.
This bill bans health care providers from charging a separate facility fee for telehealth or telemedicine visits. It covers any provider that bills for health care, explicitly including hospital systems, hospitals, hospital-based facilities, freestanding emergency rooms and urgent care clinics. The Health and Human Services Commission must fine a violating provider up to $1,000, but patients get no right to sue.
Labels
Labels: NEVER GOT A HEARING. Filed Nov 19, 2024 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.
Receipt
The receipt
89R-SB392 · 2024-11-19
SOLD BY
ITEM
relating to prohibited facility fees for telehealth and telemedicine medical services; providing an administrative penalty.
WHAT IT DOES
A facility fee for a video call? Not anymore.
This bill bans health care providers from charging a separate facility fee for telehealth or telemedicine visits. It covers any provider that bills for health care, explicitly including hospital systems, hospitals, hospital-based facilities, freestanding emergency rooms and urgent care clinics. The Health and Human Services Commission must fine a violating provider up to $1,000, but patients get no right to sue.
CHARGES
[ ] NONE FOUND
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
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 · Jul 25, 2024 to Oct 23, 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$60,000.00
Texans for Lawsuit Reform PAC
$60,000.00
- Cash
- $60,000.00
- Paid by others
- $0.00
- Total
- $60,000.00
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.
TeamSources
Derived itemized flow · Oct 15, 2024 to Oct 23, 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.
Report IDs: 101012623, 101029380, 101072732.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$60,000.00
- Cash
- $60,000.00
- Paid by others
- $0.00
- Total
- $60,000.00
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.
TeamSources
Derived itemized flow · Oct 15, 2024 to Oct 23, 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.
Report IDs: 101012623, 101029380, 101072732.
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 Nov 19, 2024
02/03/2025 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
Companion
HB 2631 by Harris Davila (identical)
Subjects
Health Care Providers
Hospitals
TELEMEDICINE
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 390 words
89R4690 AB-D By: Sparks S.B. No. 392 A BILL TO BE ENTITLED AN ACT relating to prohibited facility fees for telehealth and telemedicine medical services; providing an administrative penalty. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subtitle G, Title 4, Health and Safety Code, is amended by adding Chapter 328 to read as follows: CHAPTER 328. PROHIBITED FACILITY FEES FOR TELEHEALTH AND TELEMEDICINE MEDICAL SERVICES Sec. 328.001. DEFINITIONS. In this chapter: (1) "Commission" means the Health and Human Services Commission. (2) "Executive commissioner" means the executive commissioner of the commission. (3) "Facility fee" means a fee a health care provider charges that is: (A) intended to compensate the health care provider for operational expenses; and (B) separate from a fee a health care provider charges for professional medical services provided to a patient. (4) "Freestanding emergency medical care facility" has the meaning assigned by Section 254.001. (5) "Health care provider" means an individual, entity, corporation, person, or organization, whether for profit or nonprofit, that provides or bills for the provision of health care services in the normal course of business. The term includes a hospital system, hospital, hospital-based facility, freestanding emergency medical care facility, and urgent care clinic. (6) "Hospital" has the meaning assigned by Section 241.003. (7) "Hospital-based facility" means a facility a hospital owns or operates, wholly or partly, at which hospital or professional medical services are provided. (8) "Telehealth service" and "telemedicine medical service" have the meanings assigned by Section 111.001, Occupations Code. Sec. 328.002. PROHIBITED FACILITY FEES. A health care provider may not charge a facility fee for telehealth services or telemedicine medical services. Sec. 328.003. ENFORCEMENT. (a) The commission shall assess an administrative penalty in an amount not to exceed $1,000 against a health care provider that violates this chapter or a rule adopted under this chapter. (b) This section does not create a private cause of action against a provider for legal or equitable relief. Sec. 328.004. RULES. The executive commissioner may adopt rules to implement this chapter. 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.