---
type: "Bill"
title: "Relating to consumer protections against certain medical and health care billing by certain out-of-network providers."
description: "Relating to consumer protections against certain medical and health care billing by certain out-of-network providers."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "86"
identifier: "SB 1264"
citation: "Texas SB 1264 (86)"
classification: ["bill"]
subjects: ["Consumer Protection (I0080)", "Health Care Providers (I0387)", "Insurance--Health & Accident (I0422)", "HEALTH MAINTENANCE ORGANIZATIONS (S0853)", "MANAGED CARE (S0454)", "MEDIATION", "DISPUTE RESOLUTION", "& ARBITRATION (S8683)", "INSURANCE", "COMMISSIONER OF (V0396)", "INSURANCE", "TEXAS DEPARTMENT OF (V0006)", "MEDICAL BOARD", "TEXAS (V0644)"]
status: "enacted"
primary_sponsors: ["Bonnen, Greg", "Hancock", "Lucio III", "Martinez Fischer", "Oliverson", "Zerwas"]
version_count: 1
action_count: 85
vote_count: 8
first_action: "2019-02-28"
last_action: "2019-06-14"
source: "openstates"
source_identifier: "ocd-bill/8f1d436a-927b-49dd-a824-c3053caf9671"
source_url: "ftp://ftp.legis.state.tx.us/bills/86R/billhistory/senate_bills/SB01200_SB01299/SB 1264.xml"
source_hash: "e46a7bc9cb7e2649eeb2ab0622f28d76abafd51c8e7c6724c4e7fa863a796a69"
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 SB 1264 (86) — Relating to consumer protections against certain medical and health care billing by certain out-of-network providers.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://www.legis.state.tx.us/tlodocs/86R/billtext/html/SB01264I.HTM)

## Votes

- other — **0–0** (fail) · upper
- passage — **28–3** (pass) · upper
- other — **0–0** (fail) · upper
- other — **11–20** (fail) · upper
- passage — **146–0** (pass) · lower
- other — **8–23** (fail) · upper
- other — **8–23** (fail) · upper
- other — **0–0** (fail) · upper

## Sponsors

- Bonnen, Greg — primary (person)
- Hancock — primary (person)
- Lucio III — primary (person)
- Martinez Fischer — primary (person)
- Oliverson — primary (person)
- Zerwas — primary (person)
- Allison — cosponsor (person)
- Anderson, Charles "Doc" — cosponsor (person)
- Ashby — cosponsor (person)
- Bell, Cecil — cosponsor (person)
- Bell, Keith — cosponsor (person)
- Bettencourt — cosponsor (person)
- Blanco — cosponsor (person)
- Bohac — cosponsor (person)
- Buckley — cosponsor (person)
- Bucy — cosponsor (person)
- Burns — cosponsor (person)
- Button — cosponsor (person)
- Cain — cosponsor (person)
- Capriglione — cosponsor (person)
- Cortez — cosponsor (person)
- Cyrier — cosponsor (person)
- Davis, Sarah — cosponsor (person)
- Dean — cosponsor (person)
- Flynn — cosponsor (person)
- Frank — cosponsor (person)
- Frullo — cosponsor (person)
- Goldman — cosponsor (person)
- González, Mary — cosponsor (person)
- Guerra — cosponsor (person)
- Hefner — cosponsor (person)
- Hinojosa — cosponsor (person)
- Hinojosa — cosponsor (person)
- Howard — cosponsor (person)
- Huberty — cosponsor (person)
- Hunter — cosponsor (person)
- Johnson, Julie — cosponsor (person)
- King, Tracy O. — cosponsor (person)
- Klick — cosponsor (person)
- Kuempel — cosponsor (person)
- Lambert — cosponsor (person)
- Landgraf — cosponsor (person)
- Lang — cosponsor (person)
- Larson — cosponsor (person)
- Leman — cosponsor (person)
- Lopez — cosponsor (person)
- Lozano — cosponsor (person)
- Lucio — cosponsor (person)
- Metcalf — cosponsor (person)
- Middleton — cosponsor (person)
- Miller — cosponsor (person)
- Minjarez — cosponsor (person)
- Moody — cosponsor (person)
- Murphy — cosponsor (person)
- Murr — cosponsor (person)
- Nevárez — cosponsor (person)
- Noble — cosponsor (person)
- Parker — cosponsor (person)
- Patterson — cosponsor (person)
- Paul — cosponsor (person)
- Price — cosponsor (person)
- Raney — cosponsor (person)
- Rodriguez — cosponsor (person)
- Rose — cosponsor (person)
- Rosenthal — cosponsor (person)
- Sanford — cosponsor (person)
- Sheffield — cosponsor (person)
- Shine — cosponsor (person)
- Smithee — cosponsor (person)
- Springer — cosponsor (person)
- Stephenson — cosponsor (person)
- Swanson — cosponsor (person)
- Talarico — cosponsor (person)
- Thierry — cosponsor (person)
- Thompson, Ed — cosponsor (person)
- Toth — cosponsor (person)
- Vo — cosponsor (person)
- White — cosponsor (person)
- Whitmire — cosponsor (person)
- Wray — cosponsor (person)
- Wu — cosponsor (person)
- Zedler — cosponsor (person)
- Zwiener — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-02-28** Received by the Secretary of the Senate `filing`
- **2019-02-28** Filed `filing`
- **2019-03-07** Read first time `introduction, reading-1`
- **2019-03-07** Referred to Business & Commerce `referral-committee`
- **2019-03-19** Co-author authorized
- **2019-03-21** Scheduled for public hearing on . . .
- **2019-03-21** Considered in public hearing
- **2019-03-21** Testimony taken in committee
- **2019-03-21** Left pending in committee
- **2019-04-02** Considered in public hearing
- **2019-04-08** Reported favorably as substituted `committee-passage-favorable`
- **2019-04-08** Committee report printed and distributed
- **2019-04-11** Co-author authorized
- **2019-04-11** Placed on intent calendar
- **2019-04-16** Co-author authorized
- **2019-04-16** Rules suspended-Regular order of business
- **2019-04-16** Record vote
- **2019-04-16** Read 2nd time `reading-2`
- **2019-04-16** Amendment(s) offered `amendment-introduction`
- **2019-04-16** Amendment to amendment offered
- **2019-04-16** Amendment amended `amendment-amendment`
- **2019-04-16** Vote recorded in Journal
- **2019-04-16** Amendment to amendment offered
- **2019-04-16** Amendment to amendment fails of adoption
- **2019-04-16** Record vote
- **2019-04-16** Amendment to amendment offered
- **2019-04-16** Amendment to amendment fails of adoption
- **2019-04-16** Record vote
- **2019-04-16** Amendment to amendment offered
- **2019-04-16** Amendment to amendment fails of adoption
- **2019-04-16** Record vote
- **2019-04-16** Amendment to amendment offered
- **2019-04-16** Amendment amended `amendment-amendment`
- **2019-04-16** Vote recorded in Journal
- **2019-04-16** Amendment adopted as amended
- **2019-04-16** Vote recorded in Journal
- **2019-04-16** Passed to engrossment as amended
- **2019-04-16** Vote recorded in Journal
- **2019-04-16** Three day rule suspended
- **2019-04-16** Record vote
- **2019-04-16** Read 3rd time `reading-3`
- **2019-04-16** Passed `passage`
- **2019-04-16** Record vote
- **2019-04-16** Reported engrossed
- **2019-04-17** Received from the Senate `introduction`
- **2019-04-23** Read first time `introduction, reading-1`
- **2019-04-23** Referred to Insurance `referral-committee`
- **2019-05-06** Considered in formal meeting
- **2019-05-06** Committee substitute considered in committee
- **2019-05-06** Reported favorably as substituted `committee-passage-favorable`
- **2019-05-13** Comte report filed with Committee Coordinator
- **2019-05-14** Committee report distributed
- **2019-05-14** Committee report sent to Calendars
- **2019-05-15** Considered in Calendars
- **2019-05-17** Placed on General State Calendar
- **2019-05-16** Recommitted to committee
- **2019-05-16** Considered in formal meeting
- **2019-05-16** Committee substitute considered in committee
- **2019-05-16** Reported favorably as substituted `committee-passage-favorable`
- **2019-05-16** Comte report filed with Committee Coordinator
- **2019-05-16** Committee report distributed
- **2019-05-17** Committee report sent to Calendars
- **2019-05-17** Considered in Calendars
- **2019-05-20** Placed on Major State Calendar
- **2019-05-20** Read 2nd time `reading-2`
- **2019-05-20** Amendment(s) offered `amendment-introduction`
- **2019-05-20** Amendment amended `amendment-amendment`
- **2019-05-20** Amendment adopted as amended
- **2019-05-20** Statement of Leg. Intent Recorded in Journal
- **2019-05-20** Passed to 3rd reading as amended
- **2019-05-21** Read 3rd time `reading-3`
- **2019-05-21** Passed `passage`
- **2019-05-21** Record vote
- **2019-05-21** House passage as amended reported
- **2019-05-24** House amendment(s) laid before the Senate
- **2019-05-24** Read
- **2019-05-24** Senate concurs in House amendment(s)
- **2019-05-24** Record vote
- **2019-05-24** Senate concurs in House amendment(s)-reported
- **2019-05-24** Reported enrolled
- **2019-05-25** Signed in the House
- **2019-05-25** Signed in the Senate
- **2019-05-25** Sent to the Governor `executive-receipt`
- **2019-06-14** Signed by the Governor `executive-signature`
- **2019-06-14** Effective on 9/1/19 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8f1d436a-927b-49dd-a824-c3053caf9671`. Confidence: reported (aggregated from official Texas legislature records).