Texas 2025 - 89th Regular

Texas House Bill HB 5076

Filed
3/13/25  
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to vicarious liability of certain health organizations for medical care provided by a physician the organization employs.

Summary

HB 5076 amends the Texas Occupations Code to address when certain health organizations can be held responsible for the actions of physicians they employ. The bill adds language stating that a health organization that already complies with existing policy requirements in Section 162.0022 may not be held vicariously liable for medical care provided by an employed physician, so long as the organization does not interfere with, control, or otherwise direct the physician’s independent medical judgment when treating patients. In practical terms, the bill is designed to protect qualifying health organizations from lawsuits based on respondeat superior or similar vicarious-liability theories for a physician’s clinical decisions, while preserving the physician’s professional independence. The measure applies to health organizations covered by the existing statute and does not appear to change the underlying standard of care or the physician’s own liability for malpractice. It also includes an immediate-effect clause if passed by a two-thirds vote, otherwise it takes effect September 1, 2025.

Impact

The bill would narrow potential civil liability exposure for certain Texas health organizations by creating an express statutory shield against vicarious liability for medical care provided by employed physicians, provided the organization does not direct the physician’s independent medical judgment. This would affect the interpretation and application of Section 162.0022 of the Occupations Code and could influence malpractice litigation, employment arrangements, and risk management practices for hospitals, clinics, and other covered health entities.

Sentiment

The available legislative record suggests the bill moved through committee without recorded floor debate or votes in the provided materials, and it was reported from the House Judiciary & Civil Jurisprudence Committee to Calendars. The absence of transcripts or vote detail limits insight into individual viewpoints, but the bill’s committee progress indicates at least procedural support and no documented controversy in the materials provided.

Contention

The main policy tension is between limiting organizational liability and preserving accountability for patient care. Supporters would likely view the bill as clarifying that health organizations should not be liable when physicians exercise independent medical judgment, while opponents could argue that the liability shield may reduce incentives for oversight or make it harder for injured patients to recover damages from deep-pocket defendants. The bill attempts to address that concern by conditioning the protection on the organization not interfering with or directing the physician’s clinical judgment.

Companion Bills

TX SB 2509

Identical Relating to vicarious liability for certain medical care.

Previously Filed As

TX SB2509

Relating to vicarious liability for certain medical care.

TX HB2655

Relating to operation by certain nonprofit organizations of certain regional health care programs for employees of small employers.

TX HB3151

Relating to expedited credentialing of certain federally qualified health center providers by Medicaid managed care organizations.

TX H1109

Health Care Provider Participation in Medicaid Managed Care Organizations

TX HB1109

Health Care Provider Participation in Medicaid Managed Care Organizations:

TX HB428

Relating to identification cards issued by health maintenance organizations and preferred provider organizations.

TX HB624

Medicaid; restrict frequency of managed care organizations transferring enrollees to other organizations.

TX HB1058

Medicaid; restrict frequency of managed care organizations transferring enrollees to other organizations.

TX SB2093

Relating to expedited credentialing of certain federally qualified health center providers by managed care plan issuers and Medicaid managed care organizations.

TX HB146

Medicaid; require managed care organizations to use certain level of care guidelines in determining medical necessity.

Similar Bills

No similar bills found.