Legislation: batch D — NY OH OK OR PA RI SC SD TX UT

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/tx/89r/hb-4224.md

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+---
+type: "Bill"
+title: "Relating to information regarding consumer access to health care records."
+description: "Relating to information regarding consumer access to health care records."
+jurisdiction: "us/states/tx"
+legislature: "Texas Legislature"
+session: "89R"
+identifier: "HB 4224"
+citation: "Texas HB 4224 (89R)"
+classification: ["bill"]
+subjects: ["Consumer Protection (I0080)", "Electronic Information Systems (I0311)", "Health Care Providers (I0387)", "Health--General (I0385)", "Hospitals (I0400)", "MEDICAL RECORDS (S0104)", "Open Records (I0548)"]
+status: "enacted"
+primary_sponsors: ["Howard", "Hull", "Kolkhorst"]
+version_count: 5
+action_count: 47
+vote_count: 1
+first_action: "2025-03-10"
+last_action: "2025-06-20"
+source: "openstates"
+source_identifier: "ocd-bill/82597776-fd26-42af-90fe-cfb9e37dafff"
+source_url: "ftp://ftp.legis.state.tx.us/bills/89R/billhistory/house_bills/HB04200_HB04299/HB 4224.xml"
+source_hash: "7b0d436f380c3229952cd2aa365a6a17b06a5bc54e6bf1bb33dde2b6370367a6"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-tx"]
+---
+
+# Texas HB 4224 (89R) — Relating to information regarding consumer access to health care records.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB04224I.HTM)
+2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB04224E.HTM)
+3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB04224H.HTM)
+4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB04224S.HTM)
+5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB04224F.HTM)
+
+## Votes
+
+- passage — **149–0** (pass) · lower
+
+## Sponsors
+
+- Howard — primary (person)
+- Hull — primary (person)
+- Kolkhorst — primary (person)
+- Flores — cosponsor (person)
+- Shofner — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2025-03-10** Filed `filing`
+- **2025-03-31** Read first time `introduction, reading-1`
+- **2025-03-31** Referred to Public Health `referral-committee`
+- **2025-04-14** Considered in public hearing
+- **2025-04-14** Testimony taken/registration(s) recorded in committee
+- **2025-04-14** Left pending in committee
+- **2025-04-17** Considered in formal meeting
+- **2025-04-17** Reported favorably w/o amendment(s) `committee-passage, committee-passage-favorable`
+- **2025-04-23** Comte report filed with Committee Coordinator `filing`
+- **2025-04-23** Committee report distributed
+- **2025-04-25** Committee report sent to Calendars
+- **2025-05-02** Considered in Calendars
+- **2025-05-05** Placed on General State Calendar
+- **2025-05-05** Read 2nd time `reading-2`
+- **2025-05-05** Amended `amendment-passage`
+- **2025-05-05** Passed to engrossment as amended `amendment-passage`
+- **2025-05-06** Read 3rd time `reading-3`
+- **2025-05-06** Passed `passage`
+- **2025-05-06** Record vote
+- **2025-05-06** Reported engrossed
+- **2025-05-07** Received from the House `introduction`
+- **2025-05-07** Read first time `introduction, reading-1`
+- **2025-05-07** Referred to Health & Human Services `referral-committee`
+- **2025-05-13** Scheduled for public hearing on . . .
+- **2025-05-13** Considered in public hearing
+- **2025-05-13** Left pending in committee
+- **2025-05-14** Considered in public hearing
+- **2025-05-14** Vote taken in committee
+- **2025-05-15** Reported favorably w/o amendments `committee-passage-favorable`
+- **2025-05-15** Recommended for local & uncontested calendar
+- **2025-05-15** Committee report printed and distributed
+- **2025-05-25** Placed on local & uncontested calendar
+- **2025-05-25** Laid before the Senate `receipt`
+- **2025-05-25** Read 2nd time & passed to 3rd reading `reading-2`
+- **2025-05-25** Vote recorded in Journal
+- **2025-05-25** Three day rule suspended
+- **2025-05-25** Record vote
+- **2025-05-25** Read 3rd time `reading-3`
+- **2025-05-25** Passed `passage`
+- **2025-05-25** Record vote
+- **2025-05-25** Senate passage reported `passage`
+- **2025-05-26** Reported enrolled `enrolled`
+- **2025-05-27** Signed in the House `passage`
+- **2025-05-27** Signed in the Senate `passage`
+- **2025-05-28** Sent to the Governor `executive-receipt`
+- **2025-06-20** Signed by the Governor `executive-signature`
+- **2025-06-20** Effective on 9/1/25 `became-law`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/82597776-fd26-42af-90fe-cfb9e37dafff`. Confidence: reported (aggregated from official Texas legislature records).
+