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SB 471

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 Brent Hagenbuch and 1 co-sponsor

Bill allows out-of-state health professionals to provide telehealth in Texas via registration and fees instead of full state licensure.

Co-author authorized
#healthcareproviders(i0387) #insurance--health&accident(i0422) #licensing&regulation #texascommissionof(v0383) #texasdepartmentof(v8529) #occupationalregulation--healthoccupations(i0540) #telemedicine(s0219)
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Bill Summary · SB 471

Legislative bill overview

SB 471 would allow out-of-state health professionals to provide telehealth and telemedicine services to patients in Texas, provided they register with the state and pay applicable fees. The bill establishes a registration framework rather than requiring full Texas licensure, creating a streamlined pathway for remote healthcare delivery across state lines.

Why is this important

This addresses the practical reality that patients increasingly access healthcare remotely from providers in other states, and many rural or underserved Texas areas lack sufficient local specialists. The registration-based approach could expand healthcare access while generating regulatory revenue, though it also raises questions about consumer protections and how Texas standards apply to out-of-state practitioners.

Potential points of contention

  • Regulatory oversight gap: Out-of-state providers registered but not fully licensed may face weaker accountability mechanisms if patients experience adverse outcomes or complaints arise
  • Professional licensing board concerns: Texas medical boards and professional organizations may view this as undermining state licensure standards and their regulatory authority
  • Fee structure and fairness: Questions about whether registration fees are appropriately calibrated, and whether out-of-state providers gain unfair competitive advantage over Texas-licensed practitioners who pay full licensing costs
  • Interstate coordination: Unclear how Texas will coordinate enforcement, malpractice standards, and disciplinary actions with other states

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

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