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HB 3174

Relating to county and hospital district disease control pilot programs to reduce the risk of certain infectious and communicable diseases; authorizing fees.

89th Legislature (2025) Introduced by Nicole Collier and 4 co-sponsors

HB 3174 authorizes Texas counties and hospital districts to establish disease control pilot programs and levy fees to fund infectious disease prevention and response efforts.

Received from the House
#bexarcounty(g2466) #dallascounty(g0044) #elpasocounty(g0873) #harriscounty(g0330) #health&humanservicescommission(v0177) #hepatitis(s0077) #health--aids(i0382) #health--otherdiseases&medicalconditions(i0383) #mentalhealth&substanceabuse(i0019) #needles&syringes(s0325) #nuecescounty(g0531) #specialdistricts&authorities--hospital(i0750) #traviscounty(g0285) #webbcounty(g1107)
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Bill Summary · HB 3174

Legislative bill overview

HB 3174 authorizes Texas counties and hospital districts to establish pilot programs focused on disease control and prevention of infectious and communicable diseases. The bill grants these entities authority to implement disease control measures and levy fees to support these programs.

Why is this important

Disease control infrastructure at the local level is critical for rapid response to outbreaks and public health emergencies. By enabling counties and hospital districts to establish dedicated programs with funding mechanisms, the bill strengthens localized disease surveillance and prevention capacity, which proved essential during recent public health crises.

Potential points of contention

  • Fee authorization scope: The bill's language on what fees can be charged and to whom (individuals, businesses, healthcare providers) may lack clarity, potentially causing disputes over implementation and burden-sharing
  • Oversight and accountability: Pilot program structure may lack sufficient state-level oversight mechanisms, raising questions about consistency in disease control standards across counties
  • Funding equity: Counties with different economic resources may develop unequal disease control capabilities, potentially creating public health disparities across regions

Compiled from official sources — confirm details with the bill’s official record.

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