HB 541 Texas House · 89th Legislature (2025)

Relating to the provision of direct patient care by physicians and health care practitioners.

HB 541 establishes a legal framework for healthcare providers to offer direct payment models, allowing physicians and non-physician health care practitioners to charge patients directly for services without insurance. It defines "direct fees" as payments like monthly retainers, membership fees, or subscription charges, and creates "direct patient care agreements" requiring written contracts between providers and patients (or their representatives). The bill explicitly includes telemedicine services under this model and clarifies that "health care practitioner" excludes physicians, applying separately to them. This policy change enables providers to structure patient payments outside traditional insurance systems for primary care services.
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Mar 3, 2025 Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 2 edits · Jun 20, 2025
MINOR
The bill text was reformatted from a draft version to an enrolled version, with no substantive policy changes to the law itself. The content remains identical except for formatting, spacing, and the addition of official signatures and certification of passage dates.
Scope change
No change to the bill's scope or applicability; only formatting and presentation changes.
TECHNICAL

Removed draft annotations and page numbers, replaced with official enrolled version formatting including signatures and vote certifications.

Adjusted line breaks and spacing throughout the document for final publication.

Floor votes · House May 8, 2025

How they voted

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

Actions timeline

Total actions
51
Key actions
17
Committee
12
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 29, 2025
Lower · Passed
Senate passage reported
lower
May 28, 2025
Upper · Passed
Passed
upper
May 26, 2025
Upper · Passed
Committee report printed and distributed
upper
May 26, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 26, 2025
Upper · Passed
Vote taken in committee
upper
May 21, 2025
Upper · Passed
Left pending in committee
upper
May 21, 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 9, 2025
Introduced
Received from the House
upper
May 8, 2025
Lower · Passed
Passed
lower
May 7, 2025
Lower · Passed
Passed to engrossment
lower
May 1, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 30, 2025
Lower · Passed
Committee report distributed
lower
Apr 24, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Mar 31, 2025
Lower · Passed
Left pending in committee
lower
Mar 31, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 3, 2025
Committee
Referred to Public Health
lower
Mar 3, 2025
Introduced
Read first time
lower
2 primary · 2 co-sponsors

Sponsors