HB4461 - 104th General Assembly (2025-2026)

HOSPITAL COLLECTION LIENS
Last Action

4/28/2026 - Senate: Assigned to Executive
Statutes Amended In Order of Appearance

Synopsis As Introduced

Amends the Fair Patient Billing Act. In provisions concerning hospitals and their agents pursuing collection actions, provides that, for any legal action initiated against a patient for unpaid medical debt, a hospital may not file for or be granted a lien upon that patient's primary residence or on any other real property owned by the patient. Effective January 1, 2027.

House Floor Amendment No. 3

Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. In provisions amending the Fair Patient Billing Act, provides that, for any legal action initiated against a patient for unpaid medical debt, a hospital may not file for or be granted a lien upon that patient's primary residence (rather than that patient's primary residence or any other real property owned by the patient). Amends the Code of Civil Procedure. Provides that no judgment relating to unpaid medical debt may create a lien on real property owned by the patient against whom the judgment is entered that is the primary residence of the patient. Effective January 1, 2027.
Actions

DateChamberAction
1/15/2026HouseFiled with the Clerk by Rep. Amy Briel
1/20/2026HouseFirst Reading
1/20/2026HouseReferred to Rules Committee
2/11/2026HouseAssigned to Judiciary - Civil Committee
3/26/2026HouseDo Pass / Short Debate Judiciary - Civil Committee; 013-007-000
3/27/2026HouseAdded Co-Sponsor Rep. Mary Beth Canty
3/27/2026HouseAdded Co-Sponsor Rep. Daniel Didech
3/27/2026HouseAdded Co-Sponsor Rep. Dave Vella
3/27/2026HouseAdded Co-Sponsor Rep. Dagmara Avelar
3/27/2026HouseAdded Co-Sponsor Rep. Jay Hoffman
3/27/2026HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
3/27/2026HouseAdded Co-Sponsor Rep. Joyce Mason
3/27/2026HousePlaced on Calendar 2nd Reading - Short Debate
3/30/2026HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Amy Briel
3/30/2026HouseHouse Floor Amendment No. 1 Referred to Rules Committee
4/07/2026HouseHouse Floor Amendment No. 1 Rules Refers to Judiciary - Civil Committee
4/08/2026HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Amy Briel
4/08/2026HouseHouse Floor Amendment No. 2 Referred to Rules Committee
4/08/2026HouseHouse Floor Amendment No. 2 Rules Refers to Judiciary - Civil Committee
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/14/2026HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Amy Briel
4/14/2026HouseHouse Floor Amendment No. 3 Referred to Rules Committee
4/15/2026HouseHouse Floor Amendment No. 3 Rules Refers to Judiciary - Civil Committee
4/15/2026HouseHouse Floor Amendment No. 3 Recommends Be Adopted Judiciary - Civil Committee; 011-007-000
4/16/2026HouseHouse Floor Amendment No. 3 Adopted
4/16/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/16/2026HouseThird Reading - Short Debate - Passed 074-037-000
4/16/2026HouseHouse Floor Amendment No. 1 Tabled
4/16/2026HouseHouse Floor Amendment No. 2 Tabled
4/16/2026HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock
4/16/2026HouseAdded Co-Sponsor Rep. Nicolle Grasse
4/16/2026HouseAdded Co-Sponsor Rep. Martha Deuter
4/16/2026HouseAdded Co-Sponsor Rep. Edgar González, Jr.
4/16/2026HouseAdded Co-Sponsor Rep. Aarón M. Ortíz
4/16/2026HouseAdded Co-Sponsor Rep. Janet Yang Rohr
4/16/2026HouseAdded Co-Sponsor Rep. Lawrence "Larry" Walsh, Jr.
4/16/2026HouseAdded Co-Sponsor Rep. Michael Crawford
4/16/2026HouseAdded Co-Sponsor Rep. Nabeela Syed
4/16/2026HouseAdded Co-Sponsor Rep. Sharon Chung
4/16/2026HouseAdded Co-Sponsor Rep. Yolonda Morris
4/16/2026HouseAdded Co-Sponsor Rep. Camille Y. Lilly
4/16/2026HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
4/16/2026HouseAdded Co-Sponsor Rep. Margaret A. DeLaRosa
4/16/2026HouseAdded Co-Sponsor Rep. Justin Cochran
4/16/2026HouseAdded Co-Sponsor Rep. Sue Scherer
4/16/2026HouseAdded Co-Sponsor Rep. Robert "Bob" Rita
4/16/2026HouseAdded Co-Sponsor Rep. Curtis J. Tarver, II
4/16/2026HouseAdded Co-Sponsor Rep. Abdelnasser Rashid
4/16/2026HouseAdded Co-Sponsor Rep. Sonya M. Harper
4/16/2026HouseAdded Co-Sponsor Rep. Justin Slaughter
4/16/2026HouseAdded Co-Sponsor Rep. Lisa Davis
4/16/2026HouseAdded Co-Sponsor Rep. William "Will" Davis
4/16/2026HouseAdded Co-Sponsor Rep. Laura Faver Dias
4/16/2026HouseAdded Co-Sponsor Rep. Suzanne M. Ness
4/16/2026HouseAdded Co-Sponsor Rep. Theresa Mah
4/16/2026HouseAdded Co-Sponsor Rep. Eva-Dina Delgado
4/21/2026SenateArrive in Senate
4/21/2026SenatePlaced on Calendar Order of First Reading
4/21/2026SenateChief Senate Sponsor Sen. Graciela Guzmán
4/21/2026SenateFirst Reading
4/21/2026SenateReferred to Assignments
4/28/2026SenateAssigned to Executive