Monitoring the Session

HB 147

$200M Clinic Grant Program Only Fits A Few Counties

Filed

Verdict: Certified scam

Certified scamReviewed
Rep. Suleman LalaniDHouse 76
Both charges, and why
Rider: Bracket bill

THE CAPTION

“relating to a community health clinic grant program.”

Caption, introduced version (I)

THE RIDER

…“or more, adjacent to a county with a population of 4 million or”…

Bill text, introduced version (I)

Eligibility is limited to clinics in a county of 800,000 or more that borders a county of 4 million or more, a numeric descriptor that fits only a handful of places, likely one or two counties. The caption describes a general grant program and never says the money is aimed at those places.

Rider: Bracket bill
New fee, fund, board or appointees

THE TEXT

…“commission shall allocate $200 million each fiscal biennium for”…

Bill text, introduced version (I)

The bill locks a $200 million biennial set-aside into a new grant program. The caption does name the program, so this is a mild instance.

New fee, fund, board or appointees

On Nov 9, 2026 the editor checked these charges against the bill text and certified it.

Reviewed · Nov 9, 2026 · How we grade

Caption

relating to a community health clinic grant program.

Caption from analyzed text · version I.

Summary

Caption: a grant program. Bill: $200M per biennium for counties of 800,000 bordering 4 million!

The bill creates a state grant program, run by the Health and Human Services Commission, that pays nonprofit and community health clinics for preventive care, screening and treatment of conditions like diabetes, hypertension and obesity. Only clinics in a county of 800,000 or more people that sits next to a county of 4 million or more can apply, and grants can reach $5 million each, with multiple grants per clinic allowed. The commission must set aside $200 million of appropriated money each two-year budget for these grants, so a program that reads as statewide sends its money to the few places that fit the population test.

Labels

Labels: DO-OVER. Reworked text of a bill filed before that died: 89R HB 2299 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 2. Filed in 2 sessions: 89R and 90R. Checked against 88R and 89R only.

Receipt

The receipt

90R-HB147 · 2026-11-09

SOLD BY

ITEM

relating to a community health clinic grant program.

WHAT IT DOES

Caption: a grant program. Bill: $200M per biennium for counties of 800,000 bordering 4 million!

The bill creates a state grant program, run by the Health and Human Services Commission, that pays nonprofit and community health clinics for preventive care, screening and treatment of conditions like diabetes, hypertension and obesity. Only clinics in a county of 800,000 or more people that sits next to a county of 4 million or more can apply, and grants can reach $5 million each, with multiple grants per clinic allowed. The commission must set aside $200 million of appropriated money each two-year budget for these grants, so a program that reads as statewide sends its money to the few places that fit the population test.

CERTIFIED SCAM CHARGES

[x] RIDER: BRACKET BILLanalysis confidence 85%

THE CAPTION

“relating to a community health clinic grant program.”

Caption, introduced version (I)

THE RIDER

…“or more, adjacent to a county with a population of 4 million or”…

Bill text, introduced version (I)

Eligibility is limited to clinics in a county of 800,000 or more that borders a county of 4 million or more, a numeric descriptor that fits only a handful of places, likely one or two counties. The caption describes a general grant program and never says the money is aimed at those places.

[x] NEW FEE, FUND, BOARD OR APPOINTEESanalysis confidence 40%

THE TEXT

…“commission shall allocate $200 million each fiscal biennium for”…

Bill text, introduced version (I)

The bill locks a $200 million biennial set-aside into a new grant program. The caption does name the program, so this is a mild instance.

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
FILED UNDER

TAXPAYER-FUNDED NGOS

THE TEXT

…“commission shall allocate $200 million each fiscal biennium for”…

Bill text, introduced version (I)

The bill routes $200 million in state money every two years to nonprofit and community clinics through grants of up to $5 million each.

Certified scam

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 Oct 24, 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.

Texas Trial Lawyers Association PAC$37,500.00

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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 · Dec 10, 2024 to Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

Texas House Democratic Campaign Committee$11,569.08

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 2, 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: 101040256, 101061992.

TSA PAC$10,000.00

TSA PAC

$10,000.00

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

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Sep 23, 2025 to Oct 10, 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: 101030846, 101072241.

Money

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

×

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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 · Dec 10, 2024 to Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

×

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 2, 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: 101040256, 101061992.

×

TSA PAC

$10,000.00

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

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Sep 23, 2025 to Oct 10, 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: 101030846, 101072241.

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 a super-expensive superintelligence, Nov 9, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 89R and now. Checked against 88R and 89R only.

89R HB 2299

by Rep. Lalani, same lead author · Died in committee · reworked

Introduced text

Last action, Mar 14, 2025: Referred to s/c on Dis Prev & Women's & Children's Health by Speaker

Relating to a community health clinic grant program.

Caption, 89R bill history

Sources

Texas House · Filed Nov 9, 2026

11/09/2026 H Filed

Texas Legislature Online · Introduced

Data snapshot Nov 10, 2026 at 2:31 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Charitable & Nonprofit Organizations

Health--Other Diseases & Medical Conditions

Health--Rural

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 646 words

90R3834 LRM-D

By: Lalani
H.B. No. 147

A BILL TO BE ENTITLED

AN ACT

relating to a community health clinic grant program.

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

SECTION 1. Chapter 64, Health and Safety Code, is amended by

designating Section 64.001 as Subchapter A and adding a subchapter

heading to read as follows:

SUBCHAPTER A. TEACHING HOSPITAL ACCOUNT

SECTION 2. Chapter 64, Health and Safety Code, is amended by

adding Subchapter B to read as follows:

SUBCHAPTER B. COMMUNITY HEALTH CLINIC GRANT PROGRAM

Sec. 64.051. DEFINITIONS. In this subchapter:

(1) "Charitable clinic" means a private, nonprofit,

community-based organization that provides health care services to

low-income, underinsured, or uninsured individuals at nominal or no

cost through the use of volunteer health care professionals and

health care professional partnerships.

(2) "Community health clinic" means a

community-driven, nonprofit health clinic located in a medically

underserved area or serving populations that are medically

underserved. The term includes:

(A) a community health center;

(B) a federally qualified health center, as

defined by 42 U.S.C. Section 1396d(l)(2)(B);

(C) a rural health clinic; and

(D) a charitable clinic.

(3) "Grant program" means the community health clinic

grant program established under this subchapter.

Sec. 64.052. ESTABLISHMENT AND ADMINISTRATION OF GRANT

PROGRAM. The executive commissioner by rule shall establish and

the commission shall administer a community health clinic grant

program to increase access to health care, improve health outcomes,

reduce health disparities, and achieve health equity in medically

underserved areas of this state by:

(1) improving the provision of preventative care,

screening, and treatment for chronic health conditions, including

diabetes, hypertension, and obesity; and

(2) strengthening the availability and capacity of

community health clinics to provide affordable, high-quality

health care services to medically underserved individuals.

Sec. 64.053. APPLICATION. (a) A community health clinic

may apply to the commission to receive money under the grant program

if the clinic:

(1) is located in a county with a population of 800,000

or more, adjacent to a county with a population of 4 million or

more; and

(2) either:

(A) operates in a medically underserved area of

the county; or

(B) serves a medically underserved population in

the county.

(b) An application submitted under this section must

identify the specific purpose for which the grant is requested,

such as preventative care, screening, or treatment for diabetes,

hypertension, or obesity.

Sec. 64.054. AWARD OF GRANTS. (a) The executive

commissioner, by rule, shall establish eligibility criteria for the

commission to award grants under the grant program.

(b) The commission may award a grant under the grant program

to an eligible applicant for the specific purpose identified in the

application under Section 64.053(b).

(c) The amount of a grant awarded under this section for a

specific purpose identified in the application under Section

64.053(b) may not exceed $5 million.

(d) A community health clinic may apply for and be awarded

multiple grants, provided each grant is awarded for a specific

purpose identified in the application.

Sec. 64.055. USE OF GRANT MONEY. A grant recipient may use

money awarded under the grant program only for the specific purpose

identified in the application under Section 64.053(b). The

executive commissioner shall adopt rules governing the use of money

awarded under the grant program.

Sec. 64.056. FUNDING. The commission shall award grants as

provided by this subchapter using money appropriated to the

commission for that purpose. Out of the appropriated money, the

commission shall allocate $200 million each fiscal biennium for

grant awards under this subchapter.

Sec. 64.057. RULES. The executive commissioner shall adopt

rules necessary to implement and administer this subchapter.

SECTION 3. Not later than January 1, 2028, the executive

commissioner of the Health and Human Services Commission shall

adopt the rules necessary to implement Subchapter B, Chapter 64,

Health and Safety Code, as added by this Act.

SECTION 4. This Act takes effect September 1, 2027.