Regular Session
Government Affairs & Regulatory Compliance Analysis
HB1314 imposes a strict "collections death penalty" on healthcare facilities that fail to provide price estimates within a significantly reduced timeframe. Freestanding ERs, hospitals, and ASCs must now provide written estimates via email within 5 business days (down from 10) and include specific federal dispute language; failure to comply statutorily bars the facility from collecting the debt, suing the patient, or reporting to credit bureaus.
Rep. Hillary Hickland·House Bill·Regular Session
Appropriate facility licensing agencies • Texas Health and Human Services Commission (HHSC)
This legislation has regulatory implications for the following Texas businesses and organizations:
Significant regulatory changes (effective 2025-06-20). Review with your legal and compliance teams to understand implications.
Affected business types:
lowMinimal cost impact anticipated.
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JD Key Consulting provides strategic guidance on Texas regulatory compliance and legislative impact for your business.
Key implementation requirements and action items for compliance with this legislation
JD Key Consulting specializes in Texas regulatory compliance strategy. Work directly with James Dickey—former Chairman of the Republican Party of Texas—to understand this bill's impact on your operations and develop an actionable compliance plan.
Schedule a ConsultationInformation presented is for general knowledge only and is provided without warranty, express or implied. Consult qualified government affairs professionals and legal counsel before making compliance decisions.
This bill's path through the Texas Legislature
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Common questions about HB1314
HB1314 imposes a strict "collections death penalty" on healthcare facilities that fail to provide price estimates within a significantly reduced timeframe. Freestanding ERs, hospitals, and ASCs must now provide written estimates via email within 5 business days (down from 10) and include specific federal dispute language; failure to comply statutorily bars the facility from collecting the debt, suing the patient, or reporting to credit bureaus.
HB1314 was authored by Texas Representative Hillary Hickland during the Regular Session.
HB1314 was signed into law by Governor Greg Abbott on June 20, 2025.
HB1314 is enforced by Appropriate facility licensing agencies and Texas Health and Human Services Commission (HHSC).
The regulatory priority for HB1314 is rated as "critical". Businesses and organizations should review the legislation to understand potential impacts.
The cost impact of HB1314 is estimated as "low". This may vary based on industry and implementation requirements.
HB1314 addresses topics including consumer protection, health care providers, health, health--other diseases & medical conditions and hospitals.
Key dates for HB1314: Effective date is 2025-06-20. Consult with legal counsel regarding applicability.
HB1314 establishes the following penalties: civil/administrative penalty of Prohibition on debt collection for Failure to provide a compliant estimate prevents the facility from taking third-party collection actions, reporting to credit bureaus, or suing the consumer.; administrative penalty of Disciplinary action for Violation of billing/estimate requirements subjects facility to enforcement by the appropriate licensing agency (e.g., HHSC).. Consult with legal counsel for specific applicability to your situation.
HB1314 primarily affects healthcare providers and medical facilities, insurance companies and financial institutions. These businesses should review the legislation with their legal and compliance teams to understand potential impacts.
JD Key Consulting is an Austin, Texas-based government affairs firm led by James Dickey, former Chairman of the Republican Party of Texas. We specialize in Texas regulatory compliance and legislative strategy for data centers, energy, banking, and manufacturing.
