HB 4799 Texas House · 89th Legislature (2025)

Relating to the creation and operations of a health care provider participation program in certain counties.

HB 4799 creates a program allowing specific Texas counties to require nonpublic hospitals (defined as institutions providing inpatient services) to pay mandatory fees. The program applies only to counties meeting strict criteria: not served by a hospital district/public hospital, with populations of 46,000-50,000, and adjacent to the state capital county. Funds collected from hospitals would be deposited into a local county fund for use on health care needs, with counties required to adopt the program via a commissioners court majority vote. Hospitals must also submit financial and utilization data to the county, as required by existing state health reporting laws.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2025
Committee Review
Floor Vote
Governor
Introduced Apr 3, 2025 Last action May 15, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
15
Key actions
6
Committee
7
May 12, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 12, 2025
Lower · Passed
Committee report distributed
lower
Apr 30, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 30, 2025
Lower · Passed
Recalled from subcommittee
lower
Apr 14, 2025
Lower · Passed
Left pending in subcommittee
lower
Apr 14, 2025
Lower · Passed
Testimony taken/registration(s) recorded in subcommittee
lower
Apr 3, 2025
Committee
Referred to s/c on County & Regional Government by Speaker
lower
Apr 3, 2025
Introduced
Read first time
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ellen Troxclair
Ellen Troxclair
RRepublican
TX
19