HB 216 Texas House · 89th Legislature (2025)

Relating to itemized billing for health care services and supplies provided by health care providers.

HB 216 requires health care providers in Texas to send patients a written, itemized bill within 30 days after receiving final payment from a third party (like insurance). The bill must list each service or supply provided during the visit and can be delivered electronically via a patient portal (with specific steps to verify portal access), by mail, or as a physical copy at the provider's office. Providers must also honor a patient's preferred delivery method if electronic billing isn't feasible. Violations could lead to disciplinary action by licensing authorities, though good-faith mailings that are returned undeliverable or sent to outdated addresses are exempt. The law became effective September 1, 2025.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Feb 27, 2025 Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 3 edits · Jun 20, 2025
MINOR
HB 216 was finalized as an enrolled bill with minor formatting cleanup and the addition of a digital content accessibility update note. The core legislative text remains substantively unchanged from the engrossed version, maintaining the same requirements for itemized billing, patient portal procedures, and disciplinary actions for healthcare providers.
TECHNICAL

Added a note about digital content on TLO being updated to align with WCAG 2.1 accessibility standards.

Removed redundant bill header information and page numbers while retaining the complete legislative text.

Added signature lines for the President of the Senate, Speaker of the House, Chief Clerk of the House, Secretary of the Senate, and Governor to complete the enrolled version.

Floor votes · House May 9, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
62
Key actions
20
Committee
11
Amendments
11
Jun 20, 2025
Signed into law
Signed by the Governor
executive
May 31, 2025
Upper · Passed
Signed in the Senate
upper
May 30, 2025
Lower · Passed
Signed in the House
lower
May 28, 2025
Introduced
House concurs in Senate amendment(s)-reported
upper
May 28, 2025
Introduced
Text of Senate Amendment(s)
lower
May 28, 2025
Introduced
House concurs in Senate amendment(s)
lower
May 26, 2025
Introduced
Senate Amendments Analysis distributed
lower
May 26, 2025
Introduced
Senate Amendments distributed
lower
May 26, 2025
Lower · Passed
Senate passage as amended reported
lower
May 25, 2025
Upper · Passed
Passed
upper
May 25, 2025
Upper · Passed
Passed to 3rd reading as amended
upper
May 25, 2025
Upper · Passed
Amended
upper
May 25, 2025
Introduced
Amendment(s) offered
upper
May 22, 2025
Upper · Passed
Committee report printed and distributed
upper
May 22, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 20, 2025
Upper · Passed
Vote taken in committee
upper
May 20, 2025
Upper · Passed
Testimony taken in committee
upper
May 12, 2025
Committee
Referred to Health & Human Services
upper
May 12, 2025
Introduced
Read first time
upper
May 12, 2025
Introduced
Received from the House
upper
May 10, 2025
Lower · Passed
Passed
lower
May 9, 2025
Lower · Passed
Passed to engrossment as amended
lower
May 9, 2025
Lower · Passed
Amended
lower
May 9, 2025
House · Passed
House Vote: pass (132-2-7)
house
May 5, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 2, 2025
Lower · Passed
Committee report distributed
lower
Apr 24, 2025
Lower · Passed
Reported favorably as substituted
lower
Apr 21, 2025
Lower · Passed
Left pending in committee
lower
Apr 21, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Feb 27, 2025
Committee
Referred to Public Health
lower
Feb 27, 2025
Introduced
Read first time
lower
3 primary · 1 co-sponsor

Sponsors