---
type: "Bill"
title: "Relating to itemized billing for health care services and supplies provided by health care providers."
description: "Relating to itemized billing for health care services and supplies provided by health care providers."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "88"
identifier: "SB 490"
citation: "Texas SB 490 (88)"
classification: ["bill"]
subjects: ["Consumer Protection (I0080)", "Health Care Providers (I0387)"]
status: "enacted"
primary_sponsors: ["Campos", "Collier", "Frank", "Harris, Caroline", "Hughes", "Klick"]
version_count: 5
action_count: 60
vote_count: 2
first_action: "2023-01-18"
last_action: "2023-05-29"
source: "openstates"
source_identifier: "ocd-bill/89e9d001-7b98-4348-a6cb-d84a2a58d0f3"
source_url: "ftp://ftp.legis.state.tx.us/bills/88R/billhistory/senate_bills/SB00400_SB00499/SB 490.xml"
source_hash: "816cf4092df8e98c4b92a0d6f109a6521b827a2da642c1a25a2ae96d353219a5"
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 490 (88) — Relating to itemized billing for health care services and supplies provided by health care providers.

## 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/88R/billtext/html/SB00490I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00490E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00490H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00490S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00490F.HTM)

## Votes

- passage — **31–0** (pass) · upper
- passage — **136–6** (pass) · lower

## Sponsors

- Campos — primary (person)
- Collier — primary (person)
- Frank — primary (person)
- Harris, Caroline — primary (person)
- Hughes — primary (person)
- Klick — primary (person)
- Allen — cosponsor (person)
- Allison — cosponsor (person)
- Anderson — cosponsor (person)
- Ashby — cosponsor (person)
- Bailes — cosponsor (person)
- Bell, Cecil — cosponsor (person)
- Bell, Keith — cosponsor (person)
- Bernal — cosponsor (person)
- Bettencourt — cosponsor (person)
- Bhojani — cosponsor (person)
- Bowers — cosponsor (person)
- Bryant — cosponsor (person)
- Buckley — cosponsor (person)
- Bucy — cosponsor (person)
- Bumgarner — cosponsor (person)
- Burns — cosponsor (person)
- Button — cosponsor (person)
- Cain — cosponsor (person)
- Canales — cosponsor (person)
- Capriglione — cosponsor (person)
- Cole — cosponsor (person)
- Cook — cosponsor (person)
- Cortez — cosponsor (person)
- Cunningham — cosponsor (person)
- Darby — cosponsor (person)
- Davis — cosponsor (person)
- DeAyala — cosponsor (person)
- Dean — cosponsor (person)
- Dorazio — cosponsor (person)
- Dutton — cosponsor (person)
- Flores — cosponsor (person)
- Frazier — cosponsor (person)
- Garcia — cosponsor (person)
- Gates — cosponsor (person)
- Gerdes — cosponsor (person)
- Gervin-Hawkins — cosponsor (person)
- Goldman — cosponsor (person)
- González, Jessica — cosponsor (person)
- González, Mary — cosponsor (person)
- Goodwin — cosponsor (person)
- Guerra — cosponsor (person)
- Guillen — cosponsor (person)
- Gámez — cosponsor (person)
- Hancock — cosponsor (person)
- Harris, Cody — cosponsor (person)
- Harrison — cosponsor (person)
- Hayes — cosponsor (person)
- Hefner — cosponsor (person)
- Hernandez — cosponsor (person)
- Holland — cosponsor (person)
- Howard — cosponsor (person)
- Hull — cosponsor (person)
- Isaac — cosponsor (person)
- Jetton — cosponsor (person)
- Jones, Jolanda — cosponsor (person)
- Jones, Venton — cosponsor (person)
- Kacal — cosponsor (person)
- Kitzman — cosponsor (person)
- Lambert — cosponsor (person)
- Landgraf — cosponsor (person)
- Leach — cosponsor (person)
- Leo-Wilson — cosponsor (person)
- Longoria — cosponsor (person)
- Lopez, Janie — cosponsor (person)
- Lopez, Ray — cosponsor (person)
- Lozano — cosponsor (person)
- Lujan — cosponsor (person)
- Manuel — cosponsor (person)
- Martinez — cosponsor (person)
- Metcalf — cosponsor (person)
- Meyer — cosponsor (person)
- Meza — cosponsor (person)
- Moody — cosponsor (person)
- Morales Shaw — cosponsor (person)
- Morales, Christina — cosponsor (person)
- Morales, Eddie — cosponsor (person)
- Morrison — cosponsor (person)
- Murr — cosponsor (person)
- Noble — cosponsor (person)
- Oliverson — cosponsor (person)
- Ordaz — cosponsor (person)
- Ortega — cosponsor (person)
- Patterson — cosponsor (person)
- Paul — cosponsor (person)
- Perez — cosponsor (person)
- Plesa — cosponsor (person)
- Price — cosponsor (person)
- Raney — cosponsor (person)
- Raymond — cosponsor (person)
- Reynolds — cosponsor (person)
- Rogers — cosponsor (person)
- Romero, Jr. — cosponsor (person)
- Rose — cosponsor (person)
- Rosenthal — cosponsor (person)
- Schaefer — cosponsor (person)
- Schatzline — cosponsor (person)
- Shaheen — cosponsor (person)
- Sherman, Sr. — cosponsor (person)
- Slawson — cosponsor (person)
- Smith — cosponsor (person)
- Smithee — cosponsor (person)
- Stucky — cosponsor (person)
- Swanson — cosponsor (person)
- Talarico — cosponsor (person)
- Tepper — cosponsor (person)
- Thierry — cosponsor (person)
- Thimesch — cosponsor (person)
- Toth — cosponsor (person)
- Troxclair — cosponsor (person)
- VanDeaver — cosponsor (person)
- Vasut — cosponsor (person)
- Vo — cosponsor (person)
- West — cosponsor (person)
- Wilson — cosponsor (person)
- Zaffirini — cosponsor (person)

## Timeline

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

- **2023-01-18** Received by the Secretary of the Senate `filing, introduction`
- **2023-01-18** Filed `filing`
- **2023-02-17** Read first time `introduction, reading-1`
- **2023-02-17** Referred to Health & Human Services `referral-committee`
- **2023-02-21** Co-author authorized
- **2023-04-19** Scheduled for public hearing on . . .
- **2023-04-19** Considered in public hearing
- **2023-04-19** Testimony taken in committee
- **2023-04-19** Left pending in committee
- **2023-04-20** Considered in public hearing
- **2023-04-20** Vote taken in committee
- **2023-04-24** Co-author authorized
- **2023-04-24** Reported favorably w/o amendments `committee-passage-favorable`
- **2023-04-24** Recommended for local & uncontested calendar
- **2023-04-24** Committee report printed and distributed
- **2023-04-25** Placed on intent calendar
- **2023-04-25** Corrected comm. report printed & distributed
- **2023-04-26** Not again placed on intent calendar
- **2023-04-27** Co-author authorized
- **2023-04-27** Placed on intent calendar
- **2023-04-27** Laid before the Senate `receipt`
- **2023-04-27** Read 2nd time & passed to engrossment `reading-2`
- **2023-04-27** Vote recorded in Journal
- **2023-04-27** Three day rule suspended
- **2023-04-27** Record vote
- **2023-04-27** Read 3rd time `reading-3`
- **2023-04-27** Passed `passage`
- **2023-04-27** Record vote
- **2023-04-27** Reported engrossed
- **2023-04-27** Placed on local & uncontested calendar
- **2023-04-27** Received from the Senate `introduction`
- **2023-04-28** Read first time `introduction, reading-1`
- **2023-04-28** Referred to Public Health `referral-committee`
- **2023-05-03** Considered in formal meeting
- **2023-05-03** Committee substitute considered in committee `substitution`
- **2023-05-03** Reported favorably as substituted `committee-passage-favorable`
- **2023-05-08** Comte report filed with Committee Coordinator `filing`
- **2023-05-08** Committee report distributed
- **2023-05-09** Committee report sent to Calendars
- **2023-05-09** Laid out in lieu of companion
- **2023-05-09** Read 2nd time `reading-2`
- **2023-05-09** Amended `amendment-passage`
- **2023-05-09** Passed to 3rd reading as amended `amendment-passage`
- **2023-05-10** Read 3rd time `reading-3`
- **2023-05-10** Passed `passage`
- **2023-05-10** Record vote
- **2023-05-10** Statement(s) of vote recorded in Journal
- **2023-05-11** House passage as amended reported `amendment-passage`
- **2023-05-16** House amendment(s) laid before the Senate
- **2023-05-16** Read
- **2023-05-16** Senate concurs in House amendment(s)
- **2023-05-16** Record vote
- **2023-05-16** Remarks ordered printed
- **2023-05-16** Senate concurs in House amendment(s)-reported
- **2023-05-16** Reported enrolled `enrolled`
- **2023-05-17** Signed in the Senate `passage`
- **2023-05-17** Signed in the House `passage`
- **2023-05-17** Sent to the Governor `executive-receipt`
- **2023-05-29** Signed by the Governor `executive-signature`
- **2023-05-29** Effective on 9/1/23 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/89e9d001-7b98-4348-a6cb-d84a2a58d0f3`. Confidence: reported (aggregated from official Texas legislature records).