89R15256 AB-D By: Harris Davila H.B. No. 5289 A BILL TO BE ENTITLED AN ACT relating to notice provided by a health care provider before initiating debt collection against a patient. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 185, Health and Safety Code, is amended by adding Section 185.004 to read as follows: Sec. 185.004. REQUIRED NOTICE OF DEBT COLLECTION. A health care provider that intends to pursue debt collection for a health care service or supply provided to a patient shall provide written notice to the patient at least 60 days before the date the provider initiates debt collection. SECTION 2. Section 185.004, Health and Safety Code, as added by this Act, applies only to debt collection initiated on or after the effective date of this Act. SECTION 3. This Act takes effect September 1, 2025.