HB3800

Regular Session

Relating to an advisory board established to develop a resource guide that facilitates collaboration in identifying and addressing local health care workforce needs.

LowStandard timeline

Low Cost

Effective:2025-06-20

Enforcing Agencies

HB3800

Relating to an advisory board established to develop a resource guide that facilitates collaboration in identifying and addressing local health care w...

Low Urgency

Passed with Opposition

House Vote128 - 18

YEA

88% in favor146 voting

Senate Vote30 - 1

YEA

97% in favor31 voting

Total Opposition Votes

Cost Impact

Low

Effective

2025-06-20

Enforcing Agencies

Texas Workforce Commission

Primary Author: Rep. Angelia Orr

89th Texas Legislature

jdkey.com

Compliance Analysis

Key implementation requirements and action items for compliance with this legislation

Implementation Timeline

Effective Date: June 20, 2025 (Immediate effect due to supermajority passage).
Compliance Deadline: July 1, 2025 (Recommended internal deadline for submitting board nominees; no operational compliance required).
Agency Rulemaking: The TWC Executive Director will appoint board members "as soon as practicable" after June 20, 2025. The Board must submit its findings by November 1, 2026.

Immediate Action Plan

Immediate (By June 1, 2025): Government Affairs must identify internal candidates to serve on the Advisory Board (specifically for Hospital, Community Health Center, or Higher Education seats).
Lobbying Engagement: Contact your statewide trade association to ensure your organization's nominee is included on the slate presented to the TWC Executive Director.
Monitor: Assign staff to watch the TWC website for the official "Call for Nominations" immediately following the June 20 effective date.
Review: Audit current clinical rotation policies to identify pain points you wish the Board to address (or avoid regulating).

Operational Changes Required

Contracts

No immediate amendments required. However, Legal Departments should review current Clinical Affiliation Agreements (between hospitals and universities) in anticipation of the 2026 Resource Guide. This guide may establish new "best practices" for these contracts that could become prerequisites for future state grant funding.

Hiring/Training

No new certification or staffing mandates. The bill focuses on *identifying* workforce needs, not mandating hiring quotas. However, the Board is tasked with addressing "challenging workloads," which may eventually influence standard-of-care definitions regarding staffing ratios.

Reporting & Record-Keeping

No new reporting requirements. The burden of data collection and report generation lies with the TWC and the appointed Advisory Board, not private entities.

Fees & Costs

None. There are no new fees, levies, or fiscal impacts on private businesses.

Strategic Ambiguities & Considerations

The legislation grants the Advisory Board broad discretion to define "challenging workloads" and "workforce needs."

Risk: If the resulting "Resource Guide" publishes specific staffing ratios or workload limits as a "state standard," plaintiff attorneys may utilize this document in future malpractice or employment litigation to establish a breach of the standard of care.
Opportunity: The guide will likely dictate the flow of future workforce development grants. Ensuring the guide reflects your institution's specific labor realities is essential for future funding eligibility.

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Information presented is for general knowledge only and is provided without warranty, express or implied. Consult qualified government affairs professionals and legal counsel before making compliance decisions.

Legislative Timeline

This bill's path through the Texas Legislature

TopicsHealth Care Providers Health Health--general State Agencies, Boards & Commissions State Agencies, Boards & Commissions--newly Proposed Workforce Commission, Texas Education Education--higher Education--higher--institutions & Programs

Official Analysis

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House Authors

Rep. Angelia OrrRepublican · Primary Author

Joint Authors

Joanne Shofner (R)

Coauthors (1)

Penny Morales Shaw (D)

Senate Sponsor

Sen. Kevin SparksRepublican · Primary Sponsor

Bill Text(with markup)

View bill text in multiple formats on Texas Legislature website

Fiscal NoteView Original

Related Legislation

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More from Rep. Angelia Orr

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Frequently Asked Questions

Common questions about HB3800

What does Texas HB3800 do?

HB3800 establishes a new Advisory Board under the Texas Workforce Commission (TWC) effective June 20, 2025, tasked with creating a state "Resource Guide" for health care workforce needs. While this bill imposes no immediate operational mandates or penalties, it creates a critical strategic window for hospitals, community health centers, and higher education institutions to influence future state standards on staffing ratios and clinical training requirements. Implementation Timeline Effective Date: June 20, 2025 (Immediate effect due to supermajority passage).

Who authored HB3800?

HB3800 was authored by Texas Representative Angelia Orr during the Regular Session.

When was HB3800 signed into law?

HB3800 was signed into law by Governor Greg Abbott on June 20, 2025.

Which agencies enforce HB3800?

HB3800 is enforced by Texas Workforce Commission.

How urgent is compliance with HB3800?

The compliance urgency for HB3800 is rated as "low". Businesses and organizations should review the requirements and timeline to ensure timely compliance.

What is the cost impact of HB3800?

The cost impact of HB3800 is estimated as "low". This may vary based on industry and implementation requirements.

What topics does HB3800 address?

HB3800 addresses topics including health care providers, health, health--general, state agencies, boards & commissions and state agencies, boards & commissions--newly proposed.

Legislative data provided by LegiScanLast updated: November 25, 2025

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