Regular Session
Government Affairs & Regulatory Compliance Analysis
Effective immediately, Texas law expands the "subscription" or "retainer" healthcare model beyond primary care physicians to include all Title 3 licensed health care practitioners (specialists, dentists, chiropractors, etc. ). HB541 creates a statutory safe harbor exempting these "Direct Patient Care" agreements from insurance regulation, provided businesses strictly adhere to new prohibitions on double-billing and mandatory patient disclosures.
Rep. Matthew Shaheen·House Bill·Regular Session
Other Title 3 Occupations Code Licensing Boards • Texas Board of Nursing • Texas Medical Board • Texas State Board of Dental Examiners • Texas State Board of Examiners of Psychologists
This legislation has regulatory implications for the following Texas businesses and organizations:
Notable regulatory updates (effective 2025-06-20). Consider how these changes may affect your operations.
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 HB541
Effective immediately, Texas law expands the "subscription" or "retainer" healthcare model beyond primary care physicians to include all Title 3 licensed health care practitioners (specialists, dentists, chiropractors, etc. ). HB541 creates a statutory safe harbor exempting these "Direct Patient Care" agreements from insurance regulation, provided businesses strictly adhere to new prohibitions on double-billing and mandatory patient disclosures.
HB541 was authored by Texas Representative Matthew Shaheen during the Regular Session.
HB541 was signed into law by Governor Greg Abbott on June 20, 2025.
HB541 is enforced by Other Title 3 Occupations Code Licensing Boards, Texas Board of Nursing, Texas Medical Board, Texas State Board of Dental Examiners and Texas State Board of Examiners of Psychologists.
The regulatory priority for HB541 is rated as "moderate". Businesses and organizations should review the legislation to understand potential impacts.
The cost impact of HB541 is estimated as "low". This may vary based on industry and implementation requirements.
HB541 addresses topics including health care providers, insurance, insurance--health & accident, occupational regulation and occupational regulation--health occupations.
Key dates for HB541: Effective date is 2025-06-20. Consult with legal counsel regarding applicability.
HB541 establishes the following penalties: administrative penalty of License discipline/sanctions (varies by board) for Billing an insurer or HMO for services that are already paid for under a Direct Patient Care Agreement (Sec. 117.004).; administrative penalty of License discipline/sanctions (varies by board) for Failure to provide mandatory written or electronic notice to the patient that the agreement is NOT insurance prior to execution (Sec. 117.006).. Consult with legal counsel for specific applicability to your situation.
HB541 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.
