HB 4224 Texas House · 89th Legislature (2025)

Relating to information regarding consumer access to health care records.

HB 4224 requires health care providers (covered entities) to prominently post clear instructions on their websites and at facilities about how patients can: request their own health records, contact licensing authorities for the provider, and file complaints. This applies to hospitals, clinics, and similar direct care providers but excludes billing or claims processing companies. The law, effective September 1, 2025, mandates specific posting requirements to improve transparency in patient access to records and complaint processes. It does not change existing record-keeping rules but standardizes how providers must share this information.
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 31, 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 the final enrolled version, adding standard legislative signatures and certification statements. The substantive policy content regarding consumer health records access requirements remains unchanged.
TECHNICAL

Removed draft formatting markers and added enrolled version signatures, vote counts, and certification statements required for final legislative approval.

Replaced draft bill header information with final enrolled version header including bill number and status.

Floor votes · House May 6, 2025

How they voted

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

Actions timeline

Total actions
46
Key actions
17
Committee
11
Amendments
2
Jun 20, 2025
Signed into law
Signed by the Governor
executive
May 27, 2025
Upper · Passed
Signed in the Senate
upper
May 27, 2025
Lower · Passed
Signed in the House
lower
May 25, 2025
Lower · Passed
Senate passage reported
lower
May 25, 2025
Upper · Passed
Passed
upper
May 15, 2025
Upper · Passed
Committee report printed and distributed
upper
May 15, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 14, 2025
Upper · Passed
Vote taken in committee
upper
May 13, 2025
Upper · Passed
Left pending in committee
upper
May 7, 2025
Committee
Referred to Health & Human Services
upper
May 7, 2025
Introduced
Read first time
upper
May 7, 2025
Introduced
Received from the House
upper
May 6, 2025
Lower · Passed
Passed
lower
May 5, 2025
Lower · Passed
Passed to engrossment as amended
lower
May 5, 2025
Lower · Passed
Amended
lower
Apr 25, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 23, 2025
Lower · Passed
Committee report distributed
lower
Apr 17, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 14, 2025
Lower · Passed
Left pending in committee
lower
Apr 14, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 31, 2025
Committee
Referred to Public Health
lower
Mar 31, 2025
Introduced
Read first time
lower
3 primary · 1 co-sponsor

Sponsors