H.B. No. 4590 establishes a cardiac arrest registry in Texas, specifically targeting individuals under 36 years of age. The University of Texas Southwestern Medical Center is tasked with creating and maintaining this registry, which will collect data on the incidence and causes of cardiac arrest in this demographic. Physicians are required to submit detailed information about cases of cardiac arrest, including the individual's age, circumstances of the event, and any relevant medical history, such as COVID-19 status. The registry aims to provide valuable insights into cardiac arrest occurrences and improve medical responses.

Additionally, the bill mandates that the information in the registry be accessible to physicians caring for student athletes, ensuring it is aggregated and machine-readable for ease of use. The center is also required to submit a biennial report to the legislature summarizing the data collected. To enforce compliance, the Texas Medical Board is authorized to impose administrative penalties of up to $500 on physicians who fail to adhere to the reporting requirements. The act is set to take effect on September 1, 2025.

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