TX HB4521

Applies specifically to for-profit EMS certification course providers located in Texas-Mexico border counties with populations of at least 500,000 but without a municipality exceeding 500,000 residents

Requires affected providers to disclose the cost of each certification course or training program on their website

Imposes a fee equal to 10 percent of student enrollment costs, payable by the provider to the state department, with providers prohibited from passing this fee to students or increasing tuition to cover it

Mandates course coordinators at these for-profit providers hold a bachelor's degree from an accredited institution and have at least 10 years of experience as a basic instructor in EMS-related programs

Takes effect September 1, 2025, with the Health and Human Services Commission directed to adopt implementing rules as soon as practicable