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2025 · Regular session · House bill
HB923
HB923 expands the Texas Medical Disclosure Panel from nine to 13 members.
Official caption: Relating to the Texas Medical Disclosure Panel.
Official report lists House author(s): Garcia Hernandez, Cassandra, Leach. This does not identify sponsors or amendment drafters.
Bill explanation published · Version and amendment review scope is stated below · Individual amendment records may not be separately annotated.
Bill highlights
Selected points from the published explanation. Follow each point to its source-linked context; conditions and limits may matter.
- HB923 expands the Texas Medical Disclosure Panel from nine to 13 members.
- The Health and Human Services Commission's executive commissioner appoints the members.
- Public-member seats cannot go to registered lobbyists, health care providers or their spouses, or people working in any health-care-related field, including health insurance.
- The panel cannot take action requiring a vote unless a majority of its appointed physician members are attending when the vote occurs.
- The act expressly bars the panel from changing any physician's or health care provider's scope of practice—the services that professional is legally authorized to perform.
What does it do?
HB923 expands the Texas Medical Disclosure Panel from nine to 13 members. The panel determines which medical and surgical risks must be disclosed to patients and the general form of those disclosures. Its new membership is:
- Seven Texas-licensed physicians.
- Three Texas-licensed lawyers, including at least one with experience representing patients and at least one with experience representing physicians or other health care providers.
- Three public members, at least one with a health-literacy background—experience with people’s ability to understand health information.
The Health and Human Services Commission’s executive commissioner appoints the members. HB923 updates the statute’s administrative and staffing references to HHSC while preserving the panel’s own responsibility for its substantive duties. Final law · Panel’s existing role
Public-member seats cannot go to registered lobbyists, health care providers or their spouses, or people working in any health-care-related field, including health insurance. The appointing official must prefer people with public-interest advocacy experience.
The panel cannot take action requiring a vote unless a majority of its appointed physician members are attending when the vote occurs. This is an attendance requirement, not a requirement that a majority of physicians vote in favor of every proposal. Existing law permits specified remote meeting participation; HB923 does not replace that framework with an in-person-only rule.
The act expressly bars the panel from changing any physician’s or health care provider’s scope of practice—the services that professional is legally authorized to perform. It took effect September 1, 2025, with new appointments required by January 1, 2026. Those are statutory requirements, not confirmation here of the current roster. Official history
What changed along the way?
The introduced bill proposed an 11-member panel: six physicians, three lawyers and two public members. It required specific lawyer board certifications and prohibited action that “may be interpreted as” changing professional scope of practice.
The House committee substitute increased membership to the final seven physicians, three lawyers and three public members, replaced lawyer certification requirements with patient/provider representation experience, added the physician-attendance condition and narrowed the scope language to action that changes scope of practice. The engrossed, Senate committee and enrolled texts retained that substitute unchanged.
The official amendment index lists no floor amendments; the substantive changes occurred in committee. There was no conference rewrite. The governor signed June 20 after House passage April 30 and Senate passage May 20.
For the full amendment record, open the official amendment index.
Official bill versions
Compare the published text versions in the official text index. A change is not attributed to a specific amendment here without a verified record.
Who could benefit—and who could bear the costs?
Patients and the public gain designated representation in decisions about medical risk disclosures, including health-literacy expertise. Physicians retain a numerical majority, and the attendance condition ensures physician participation when votes occur. Broader membership does not guarantee a particular disclosure rule or outcome.
HHSC must support the larger panel and make appointments. The new eligibility rules exclude certain people from public seats, while the attendance requirement can prevent a vote if too few appointed physician members attend. The law does not expand practitioners’ clinical authority or itself rewrite every consent form.
The latest fiscal note anticipated no significant state or local-government fiscal impact, assuming costs could be absorbed with existing resources. The act makes no new appropriation.
Official sources
- Bill history and latest recorded action
- Bill versions, analyses and fiscal notes
- Action history and votes
- Amendment index
Catalog report retrieved 2026-10-25. Check the official record for corrections or later changes.