TX HB3588

Establishes a "Texas Patients' Bill of Rights" giving patients the right to know their healthcare provider's license type, decline care from non-physicians and request a physician instead, receive initial specialist consultations only from physicians, and be informed of supervising physicians' identities

Allows competent adults to execute written directives requiring that only physicians provide their diagnosis and treatment, including when the patient becomes incapacitated or unable to communicate

Requires healthcare practitioners to wear clearly visible photo identification showing their occupation (without abbreviations) and license type, including identification of students, residents, or fellows in training

Mandates healthcare facilities post notices in waiting areas and advertisements when non-physician practitioners provide services, and publish training requirement differences for their employed practitioners on websites and in waiting areas

Authorizes administrative penalties of $100 to $10,000 per violation against healthcare facilities or practitioners who violate patient rights, with each day after receiving written notice counting as a separate violation; rules must be adopted by January 1, 2026