Monitoring the Session

HB 550

Relating to disclosure and documentation of increased fall risk information for certain prescription drugs prescribed to patients 65 years of age and older.

Filed

Verdict: No flags

No flagsInitial review
Rep. Suleman LalaniDHouse 76

Initial review · graded Nov 9, 2026 · How we grade

Caption

relating to disclosure and documentation of increased fall risk information for certain prescription drugs prescribed to patients 65 years of age and older.

Caption from analyzed text · version I.

Summary

The bill requires any Texas doctor or other licensed prescriber who prescribes a drug that raises fall risk to a patient 65 or older to tell the patient or guardian about that risk and to note it in the medical record. It touches prescribers, older patients, and the Health and Human Services Commission, which must write the rules and post a yearly list of fall-risk drugs. Starting September 1, 2027, prescribers who skip the warning or the record note can face discipline from their licensing board.

Receipt

The receipt

90R-HB550 · 2026-11-09

SOLD BY

ITEM

relating to disclosure and documentation of increased fall risk information for certain prescription drugs prescribed to patients 65 years of age and older.

WHAT IT DOES

The bill requires any Texas doctor or other licensed prescriber who prescribes a drug that raises fall risk to a patient 65 or older to tell the patient or guardian about that risk and to note it in the medical record. It touches prescribers, older patients, and the Health and Human Services Commission, which must write the rules and post a yearly list of fall-risk drugs. Starting September 1, 2027, prescribers who skip the warning or the record note can face discipline from their licensing board.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
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 · 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.

Sources

Texas House · Filed Nov 9, 2026

11/09/2026 H Filed

Texas Legislature Online · Introduced

Data snapshot Nov 10, 2026 at 2:34 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Health Care Providers

Occupational Regulation--Health Occupations

Text

The text as introduced · 465 words

90R3186 AB-D

By: Lalani
H.B. No. 550

A BILL TO BE ENTITLED

AN ACT

relating to disclosure and documentation of increased fall risk

information for certain prescription drugs prescribed to patients

65 years of age and older.

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

SECTION 1. Subtitle I, Title 2, Health and Safety Code, is

amended by adding Chapter 184 to read as follows:

CHAPTER 184. DISCLOSURE AND DOCUMENTATION OF INCREASED FALL RISK

INFORMATION FOR CERTAIN PRESCRIPTION DRUGS

Sec. 184.001. DEFINITION. In this chapter, "fall risk

increasing drug" means a prescription drug posing a substantial

risk to a patient's balance, stability, or alertness.

Sec. 184.002. REQUIRED DISCLOSURE AND DOCUMENTATION. (a)

Each physician and health care practitioner licensed to practice in

this state who prescribes a fall risk increasing drug to a patient

who is 65 years of age or older shall disclose to the patient or the

patient's legal guardian information on the increased fall risk

associated with use of the drug.

(b) A physician or health care practitioner who prescribes a

fall risk increasing drug to a patient 65 years of age or older

shall document in the patient's medical record that the physician

or practitioner provided to the patient the information required by

Subsection (a).

(c) The disclosure and documentation required under this

section must be in the form and manner prescribed by the executive

commissioner and comply with any applicable rules adopted by the

state licensing agency with regulatory authority over the physician

or health care practitioner.

Sec. 184.003. LIST OF FALL RISK INCREASING DRUGS. (a) The

executive commissioner shall develop a list of prescription drugs

considered to be a fall risk increasing drug and shall annually post

the list on the commission's Internet website.

(b) In developing the list required under Subsection (a),

the executive commissioner may consider for inclusion on the list

prescription drugs:

(1) identified as increasing the risk of falls under

the most current edition of the Beers Criteria for Potentially

Inappropriate Medication Use in Older Adults published by the

American Geriatrics Society; or

(2) designated as a fall risk increasing drug by a

pharmacy care initiative administered by the federal Centers for

Disease Control and Prevention.

Sec. 184.004. DISCIPLINARY ACTION. A physician or health

care practitioner who holds a license issued by a state licensing

agency is subject to review and disciplinary action by the agency

for a violation of this chapter as if the physician or practitioner

violated the applicable licensing law.

SECTION 2. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall adopt any rules necessary to implement

Chapter 184, Health and Safety Code, as added by this Act.

SECTION 3. This Act takes effect September 1, 2027.