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HB 997

Relating to the provision of telehealth and telemedicine medical services by certain health professionals located outside of this state; requiring registration to engage in an occupation; authorizing fees.

89th Legislature (2025) Introduced by Caroline Fairly and 1 co-sponsor

HB 997 allows out-of-state health professionals to provide telehealth services to Texans via registration rather than licensure, with state fee collection authority.

Failed to receive affirmative vote in comm.
#healthcareproviders(i0387) #insurance--health&accident(i0422) #licensing&regulation #texascommissionof(v0383) #texasdepartmentof(v8529) #occupationalregulation--healthoccupations(i0540) #telemedicine(s0219)
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Bill Summary · HB 997

Legislative bill overview

HB 997 would allow out-of-state health professionals to provide telehealth and telemedicine services to Texas patients through a registration system rather than requiring full state licensure. The bill authorizes the state to collect registration fees from these out-of-state practitioners.

Why is this important

This bill addresses access to healthcare services by potentially expanding the provider pool available to Texas patients, particularly in underserved areas. It also touches on interstate healthcare regulation and how states balance patient protections against licensing requirements that can limit provider availability and drive up costs.

Potential points of contention

  • Licensing and patient protection standards: Critics may argue that registration is weaker oversight than full licensure, potentially exposing patients to practitioners who haven't met Texas-specific medical standards or continuing education requirements
  • Interstate competition and local provider impact: Licensed Texas practitioners and medical boards may oppose allowing out-of-state competitors to operate under less stringent requirements, affecting their practices
  • Regulatory authority and liability: Unclear enforcement mechanisms for out-of-state providers—questions remain about who handles complaints, malpractice claims, and disciplinary actions when the provider operates outside state boundaries

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

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