HB 2747 requires health care entities to notify the Texas Attorney General of mergers, acquisitions, or major structural changes at least 90 days before they take effect. It aims to prevent anti-competitive behavior by allowing the attorney general to review potential impacts on health care prices and market concentration. Entities that fail to comply may face a $10,000 civil penalty per violation. The bill also allows the attorney general to conduct market studies on health care competition trends. The law applies to transactions occurring after September 1, 2025.