All Roll Calls
Yes: 329 • No: 0
TexasSB 152289th Legislature Regular SessionSenateWALLET
Relating to the regulation of continuing care facilities.
Sponsored By: Charles Perry (Republican), Toni Rose
Signed by Governor
Nursing HomesASSISTED LIVING FACILITIESINSURANCE, COMMISSIONER OFINSURANCE, TEXAS DEPARTMENT OF
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
6 provisions identified: 1 benefits, 2 costs, 3 mixed.
Care facilities face regular financial reviews
The revised review schedule covers providers issued certificates of authority on or after January 1, 2026. Facilities subject to the requirement must file an actuarial review of their finances at least once every five years. The commissioner can require earlier reviews if a facility leases any grounds or operating buildings from a third party. Financial instability also allows the commissioner to require an earlier review.
Care facilities can hold smaller reserves
This option covers providers issued certificates of authority on or after January 1, 2026. Facilities can exclude some loan principal and interest when calculating their required loan-reserve escrow. Only payments tied to licensed nursing or assisted living parts of the facility qualify. Choosing the exclusion lowers the required reserve.
Some resident fees stay outside escrow
These exceptions cover providers issued certificates of authority on or after January 1, 2026. A waitlist fee or similar fee of $1,000 or less does not require escrow. A nonrefundable part of a deposit or entrance fee also avoids escrow if it is no more than 2% of the entrance fee. The contract or reservation agreement must clearly label that portion nonrefundable.
More home care gets consumer protections
The new rules cover providers issued certificates of authority on or after January 1, 2026; earlier providers follow prior law. Continuing care includes housing and services with priority, guaranteed, or discounted access to higher care levels for someone unrelated to the provider. Care can come from third parties, happen elsewhere, or help someone stay home; a facility can include the person's residence. Nursing and assisted living rooms do not count as living units. An entrance fee is money or property paid or promised for admission, worth more than three months of residency and service payments. Reservation deposits and separately agreed payments for optional unit changes do not count as entrance fees. The Texas Department of Insurance oversees the chapter.
Resident fee safeguards have project limits
For providers issued certificates of authority on or after January 1, 2026, these construction-stage fee-release safeguards cover only new facilities and expansions adding at least 50% more living units. Before escrowed entrance fees are first released, at least 50% of units must have uncanceled signed contracts or reservations. Each reserved unit needs a deposit of at least 10% of its entrance fee. Entrance fees, expected financing, and provider-held funds must cover at least 90% of construction or purchase, equipment, and furnishing costs. Providers also need commitments for 90% of initial-loss funding and 90% of any required loan-reserve escrow in place. They need binding permanent financing, with disbursement conditions substantially met except for construction and closing. Construction safeguards include permits, a maximum-price building contract, a surety bond, and a construction loan that, with other funds, covers estimated costs. At least 10% of that loan must be spent on construction or site work, with firm-priced orders covering at least 50% of furnishings and related items. After the first release, the commissioner must allow continued releases without renewed proof of those initial conditions if providers submit monthly marketing reports and immediately report problems. Post-construction release rules take over when construction is complete, required occupancy permits are issued, and all units are available.
Resident refunds get deadlines with exceptions
These repayment rules cover providers issued certificates of authority on or after January 1, 2026. Entrance fees not released or placed in loan-reserve escrow must generally be returned within 36 months after any portion arrives. The disclosure statement delivered with the contract can set a longer period. Earlier repayment is due as soon as practicable after death before move-in or an indefinite construction halt before completion at a facility not yet operating. Rescission also triggers repayment, with entrance-fee refunds due within 30 days of rescission.
Sponsors & Cosponsors
Sponsors
Charles Perry
Republican • Senate
Toni Rose
House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 5/30/2025
Record vote
Yes: 31 • No: 0
House vote • 5/28/2025
Record vote
Yes: 141 • No: 0
House vote • 5/27/2025
Record vote
Yes: 141 • No: 0
Senate vote • 4/16/2025
Record vote
Yes: 0 • No: 0
Senate vote • 4/16/2025
Record vote
Yes: 0 • No: 0
House vote • Unknown
Committee vote: Human Services
Yes: 7 • No: 0
Senate vote • Unknown
Committee vote: Health & Human Services
Yes: 9 • No: 0
Actions Timeline
Effective on 1/1/26
6/20/2025HouseSigned by the Governor
6/20/2025HouseSent to the Governor
6/1/2025HouseSigned in the House
6/1/2025HouseSigned in the Senate
5/31/2025SenateReported enrolled
5/31/2025SenateSenate concurs in House amendment(s)-reported
5/31/2025HouseRecord vote
5/30/2025SenateSenate concurs in House amendment(s)
5/30/2025SenateRead
5/30/2025SenateHouse amendment(s) laid before the Senate
5/30/2025SenateHouse passage as amended reported
5/28/2025SenateRecord vote (RV#3883)
5/28/2025HousePassed
5/28/2025HouseRead 3rd time
5/28/2025HouseStatement(s) of vote recorded in Journal
5/27/2025HouseRecord vote (RV#3777)
5/27/2025HousePassed to 3rd reading
5/27/2025HouseRead 2nd time
5/27/2025HousePlaced on General State Calendar
5/25/2025HouseConsidered in Calendars
5/23/2025HouseCommittee report sent to Calendars
5/22/2025HouseCommittee report distributed
5/21/2025HouseComte report filed with Committee Coordinator
5/21/2025HouseReported favorably as substituted
5/16/2025House
Bill Text
Engrossed
Enrolled
House Committee Report
Introduced
Senate Committee Report
Related Bills
SB 785, Relating to the regulation of new HUD-code manufactured housing.
SB 650, Relating to requiring the use of electronically readable information to verify a purchaser's age in the retail sale of alcoholic beverages.
SB 646, Relating to repayment of certain mental health professional education loans.
SB 25, Relating to health and nutrition standards to promote healthy living, including requirements for food labeling, primary and secondary education, higher education, and continuing education for certain health care professionals; authorizing a civil penalty.
HB 4325, Relating to civil liability for prohibited barratry.
HB 4042, Relating to the applicability of certain safety provisions and regulatory fees administered by the Railroad Commission of Texas to gas distribution pipelines.