Monitoring the Session

HB 864

Anchía Bill Drops Medical Examiner Mandate From 2.5 Million To One Million

Filed

Verdict: No flags

No flagsInitial review
Rep. Rafael AnchíaDHouse 103

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

Caption

relating to the establishment of an office of medical examiner in certain counties.

Caption from analyzed text · version I.

Summary

Counties over one million must run a medical examiner’s office, starting September 1, 2027.

The bill lowers the population line at which a Texas county must set up a medical examiner's office, from more than 2.5 million people to more than one million. Counties of more than one million that do not already have such an office would have to create and run one, and smaller counties can still choose to do so. It also says two or more counties of any size may join together to run a shared medical examiner district, starting September 1, 2027.

Labels

Labels: DO-OVER. Reworked text of a bill filed before that died: 89R HB 5131 (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-HB864 · 2026-11-09

SOLD BY

ITEM

relating to the establishment of an office of medical examiner in certain counties.

WHAT IT DOES

Counties over one million must run a medical examiner’s office, starting September 1, 2027.

The bill lowers the population line at which a Texas county must set up a medical examiner's office, from more than 2.5 million people to more than one million. Counties of more than one million that do not already have such an office would have to create and run one, and smaller counties can still choose to do so. It also says two or more counties of any size may join together to run a shared medical examiner district, starting September 1, 2027.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
FILED UNDER

GOVERNMENT GROWTH

THE TEXT

…“establish and maintain an office of medical examiner”

Bill text, introduced version (I)

The bill requires more large counties to create and staff a county medical examiner's office.

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 · Jul 30, 2024 to Oct 20, 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$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 15, 2024 to Oct 16, 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: 100988591, 101033306, 101072783.

Vistra Employee Political Action Committee of Vistra Corp.$13,500.00

Vistra Employee Political Action Committee of Vistra Corp.

$13,500.00

Cash
$13,500.00
Paid by others
$0.00
Total
$13,500.00

Also funds 84 other sitting lawmakers.

Derived recipient stock · Aug 14, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 15, 2024 to Oct 16, 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: 100988591, 101033306, 101072783.

Blackridge$12,000.00

Blackridge

$12,000.00

Cash
$12,000.00
Paid by others
$0.00
Total
$12,000.00

Also funds 86 other sitting lawmakers.

Derived recipient stock · Aug 5, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Oct 13, 2025 to Aug 11, 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: 101033306, 101061466, 101071312.

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 15, 2024 to Oct 16, 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: 100988591, 101033306, 101072783.

×

Vistra Employee Political Action Committee of Vistra Corp.

$13,500.00

Cash
$13,500.00
Paid by others
$0.00
Total
$13,500.00

Also funds 84 other sitting lawmakers.

Derived recipient stock · Aug 14, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 15, 2024 to Oct 16, 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: 100988591, 101033306, 101072783.

×

Blackridge

$12,000.00

Cash
$12,000.00
Paid by others
$0.00
Total
$12,000.00

Also funds 86 other sitting lawmakers.

Derived recipient stock · Aug 5, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

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

Team
Sources

Derived itemized flow · Oct 13, 2025 to Aug 11, 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: 101033306, 101061466, 101071312.

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 5131

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

Introduced text

Last action, Apr 7, 2025: Referred to s/c on County & Regional Government by Speaker

Relating to the establishment of the office of medical examiner in certain counties.

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 2:37 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

County Government--General

Health--General

Text

The text as introduced · 203 words

90R1900 LRM-D

By: Anchía
H.B. No. 864

A BILL TO BE ENTITLED

AN ACT

relating to the establishment of an office of medical examiner in

certain counties.

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

SECTION 1. Article 49A.101, Code of Criminal Procedure, as

effective April 1, 2027, is amended to read as follows:

Art. 49A.101. CREATION OF OFFICE REQUIRED IN CERTAIN

COUNTIES; AUTHORITY TO ESTABLISH OFFICE. The commissioners court

of a county with a population of more than one [ 2.5 ] million shall

establish and maintain an office of medical examiner. The

commissioners court of any other county may establish and maintain

an office of medical examiner.

SECTION 2. Article 49A.102(a), Code of Criminal Procedure,

as effective April 1, 2027, is amended to read as follows:

(a) The commissioners courts of two or more counties ,

regardless of population size, may enter into an agreement to

create a medical examiners district and to jointly operate and

maintain an office of medical examiner of the district. The

district must include the entire area of each county involved. The

counties in the district must, when taken together, form a

continuous area.

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