Regular Session
Government Affairs & Regulatory Compliance Analysis
HB2187 is effective immediately, transforming nurse staffing disputes and mandatory overtime refusals from internal employment matters into hospital licensure risks under HHSC authority. All Chapter 241 (General/Special) and Chapter 577 (Mental) hospitals must immediately implement CNO attestation protocols for staffing reports and strictly prohibit retaliation against nurses who report staffing violations or refuse mandatory overtime.
Rep. Donna Howard·House Bill·Regular Session
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.
JD Key Consulting provides government affairs and regulatory strategy services. We help businesses navigate Texas agencies, understand legislative impacts, and advocate for their interests.
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 HB2187
HB2187 is effective immediately, transforming nurse staffing disputes and mandatory overtime refusals from internal employment matters into hospital licensure risks under HHSC authority. All Chapter 241 (General/Special) and Chapter 577 (Mental) hospitals must immediately implement CNO attestation protocols for staffing reports and strictly prohibit retaliation against nurses who report staffing violations or refuse mandatory overtime.
HB2187 was authored by Texas Representative Donna Howard during the Regular Session.
HB2187 was signed into law by Governor Greg Abbott on June 20, 2025.
HB2187 is enforced by Department of State Health Services (DSHS) and Health and Human Services Commission (HHSC).
The regulatory priority for HB2187 is rated as "critical". Businesses and organizations should review the legislation to understand potential impacts.
The cost impact of HB2187 is estimated as "low". This may vary based on industry and implementation requirements.
HB2187 addresses topics including civil remedies & liabilities, electronic information systems, health care providers, hospitals and nurses & nurse aides.
Key dates for HB2187: Effective date is 2025-06-20. Rulemaking: Adopt rules to implement complaint review procedures, investigation protocols, and enforcement mechanisms for nurse staffing and overtime violations. (2025-12-31). Consult with legal counsel regarding applicability.
HB2187 establishes the following penalties: administrative penalty of Variable (tied to Hospital Licensing Law) for Retaliation against a nurse for reporting staffing/overtime violations or refusing mandatory overtime.; administrative penalty of License revocation/suspension or administrative penalties for Violations are enforced as if the hospital violated Chapter 241 (General/Special Hospitals) or Chapter 577 (Mental Hospitals).. Consult with legal counsel for specific applicability to your situation.
HB2187 primarily affects healthcare providers and medical facilities. 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.
