HB 4100

relating to prohibited retaliation against a physician or health
care provider for reporting certain violations or taking certain
actions with respect to the provision of health care services;
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Subtitle H, Title 4, Health and Safety Code, is
amended by adding Chapter 332 to read as follows:
CHAPTER 332.  PROHIBITED RETALIATION AGAINST HEALTH CARE PROVIDERS
Sec. 332.001.  DEFINITIONS.  In this chapter:
(1)  "Health care facility" means a public or private
organization, corporation, partnership, sole proprietorship,
association, agency, network, joint venture, or other entity that
provides health care services to patients.  The term includes a
hospital, clinic, medical center, ambulatory surgical center,
private physician's office, pharmacy, nursing home, laboratory or
diagnostic facility, infirmary, dispensary, medical school,
nursing school, pharmacy school, or medical training facility.
(2)  "Health care provider" means a nurse, nurse aide,
medical assistant, hospital employee, allied health professional,
counselor, therapist, laboratory technician, clinic employee,
nursing home employee, pharmacist, pharmacy employee, researcher,
medical, pharmacy, or nursing school student, professional,
paraprofessional, or, without regard to whether the person holds a
license, any other person who furnishes or assists in the
furnishing of a health care service.
(3)  "Health care service" means any phase of patient
medical care or treatment.  The term includes:
(A)  examination, testing, diagnosis, referral,
prognosis, dispensing or administering a drug or device, ancillary
research, instruction, therapy, treatment, and preparing for or
performing a surgery or procedure; and
(B)  record-making procedures, preparation of
treatment notes, and any other care or treatment rendered by a
physician, health care provider, or health care facility.
(4)  "Physician" means an individual licensed to
practice medicine in this state.
Sec. 332.002.  RETALIATION PROHIBITED.  (a)  A person,
including a health care facility, a political subdivision of this
state, a public official of this state, the Texas Medical Board or
another agency of this state, or a medical school or other
institution that conducts education or training programs for health
care providers may not take an adverse action against a physician or
health care provider because the physician or provider:
(1)  except as prohibited by law, testifies, assists,
or participates in or is preparing to testify, assist, or
participate in a proceeding to present information about:
(A)  any act or omission that the physician or
provider reasonably believes relates to a violation of a law, rule,
regulation, or ethical guideline with respect to the provision of
(B)  treatment practices or methods that may put
(C)  a substantial and specific danger to public
(D)  gross mismanagement or waste of funds; or
(2)  provides, causes to be provided, or is preparing
to provide or cause to be provided information described by
(A)  the physician's or provider's employer;
(B)  the attorney general, the Health and Human
Services Commission, or any state agency charged with protecting
patients with respect to the provision of health care services and
(C)  the United States Department of Health and
Human Services, the Office of Civil Rights of the United States
Department of State, or any other federal agency charged with
protecting patients with respect to the provision of health care
services and public health and safety; or
(3)  engages in speech, expression, or association that
is protected from government interference, unless it is shown by
clear and convincing evidence that the physician's or provider's
speech, expression, or association was the direct cause of physical
harm to an individual with whom the physician or provider had a
practitioner-patient relationship during the three years
immediately preceding the incident of physical harm.
(b)  Violations under this section include discrimination
against or taking an adverse action with regard to:
(3)  employment terms, benefits, seniority status,
(4)  staff appointments or other privileges;
(5)  denial of admission or participation in a program
for which the physician or health care provider is otherwise
(6)  imposition of a burden in the terms or conditions
(7)  denial of aid, assistance, or benefits;
(8)  conditional receipt of the aid, assistance, or
(9)  coercion or disqualification of the physician or
provider receiving aid, assistance, or benefits.
Sec. 332.003.  CIVIL REMEDIES.  (a)  A physician or health
care provider who is injured by a violation of this chapter may
bring a civil action against another person, entity, or political
subdivision of this state that violates this chapter.  A physician
or provider who brings an action under this section may obtain:
(2)  damages incurred by the physician or provider,
(A)  actual damages for all psychological,
emotional, and physical injuries resulting from the violation of
(C)  reasonable attorney's fees; or
(3)  both injunctive relief and damages.
(b)  Governmental immunity is waived and abolished to the
extent of liability under this section.
SECTION 2.  This Act takes effect September 1, 2025.