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SB 1443

Relating to the continuation and operation of a health care provider participation district created by certain local governments to administer a health care provider participation program.

89th Legislature (2025) Introduced by Bryan Hughes and 1 co-sponsor

SB 1443 authorizes Texas local governments to establish health care provider participation districts that levy provider fees to fund local health care services and infrastructure.

Left pending in committee
#citygovernment--general(i0060) #countygovernment--general(i0096) #health&humanservicescommission(v0177) #healthcareproviders(i0387) #medicaid(s4885) #openmeetings(i0546) #specialdistricts&authorities--hospital(i0750) #statefinances--management&control(i0748)
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Bill Summary · SB 1443

Legislative bill overview

SB 1443 authorizes the continuation and operation of health care provider participation districts (HCPPDs) established by local governments in Texas to administer health care provider participation programs. These districts allow local governments to collect fees from health care providers and use revenues to fund health care services and infrastructure.

Why is this important

HCPPDs enable local governments to generate dedicated funding for health care without raising property taxes, potentially expanding access to care in underserved areas. However, this mechanism also represents a form of provider taxation that could affect health care costs and provider participation rates across Texas communities.

Potential points of contention

  • Provider burden: Health care providers may resist participation fees, arguing they increase operational costs and could be passed to patients or limit services in price-sensitive markets
  • Local authority scope: Questions about whether local governments should have broad taxing authority over health care providers versus state-level regulation and oversight
  • Program accountability: Concerns about ensuring HCPPD revenues are used effectively and transparently, with adequate oversight mechanisms to prevent misuse or administrative waste

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

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