Regular Session
Government Affairs & Regulatory Compliance Analysis
HB4076 prohibits health care providers and transplant centers from denying services, referrals, or waitlist placement solely based on a patient's vaccination status. Effective September 1, 2025, facilities must replace blanket vaccination mandates with individualized, medically documented risk assessments for every patient.
Rep. Jeff Leach·House Bill·Regular Session
This legislation has regulatory implications for the following Texas businesses and organizations:
Significant regulatory changes (effective 2025-09-01). 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 HB4076
HB4076 prohibits health care providers and transplant centers from denying services, referrals, or waitlist placement solely based on a patient's vaccination status. Effective September 1, 2025, facilities must replace blanket vaccination mandates with individualized, medically documented risk assessments for every patient.
HB4076 was authored by Texas Representative Jeff Leach during the Regular Session.
HB4076 was signed into law by Governor Greg Abbott on June 20, 2025.
HB4076 is enforced by Health and Human Services Commission (HHSC) and Texas Medical Board (implied oversight of physician determinations).
The regulatory priority for HB4076 is rated as "critical". Businesses and organizations should review the legislation to understand potential impacts.
The cost impact of HB4076 is estimated as "low". This may vary based on industry and implementation requirements.
HB4076 addresses topics including health care providers, health, health--other diseases & medical conditions, discrimination and immunizations.
Key dates for HB4076: Effective date is 2025-09-01. Rulemaking: Adopt rules necessary to implement Section 161.474, Health and Safety Code. (2026-01-01). Consult with legal counsel regarding applicability.
HB4076 establishes the following penalties: administrative penalty of Unspecified (General Health & Safety Code enforcement) for Denying transplant eligibility, services, or waiting list placement solely based on vaccination status without a documented, individualized medical determination.; prohibition on adverse action penalty of N/A for Taking adverse action or imposing penalties against a health care provider solely because they complied with the non-discrimination requirements of this Act.. Consult with legal counsel for specific applicability to your situation.
HB4076 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.
