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Texas Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

results per page:
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Date State Bill No. Title Outcome
Aug. 28, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (84 - 46)
Aug. 28, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (84 - 46)
Aug. 28, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (84 - 46)
Aug. 28, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (82 - 48)
Aug. 28, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (82 - 48)
Aug. 28, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (82 - 48)
Aug. 27, 2025 TX HB 25 Authorizes Ivermectin to be Sold Over-the-Counter Bill Passed - House (87 - 47)
Aug. 27, 2025 TX HB 25 Authorizes Ivermectin to be Sold Over-the-Counter Bill Passed - House (87 - 47)
Aug. 21, 2025 TX SB 2 (Special Session) Requires the Texas Water Development Board to Identify High-Risk Flood Areas and Require Local Governments to Install Outdoor Warning Sirens in Those Locations Bill Passed - House (132 - 4)
Aug. 21, 2025 TX HB 1 (2nd Special Session) Requires Youth Camps to Submit Disaster Emergency Preparedness Plans Bill Passed - House (135 - 1)
June 1, 2025 TX SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
June 1, 2025 TX SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
May 29, 2025 TX HB 1690 Authorizes Notice Requirements for Groundwater Transfer Permit Applications Across Conservation Districts Concurrence Vote Passed - House (133 - 1)
May 29, 2025 TX HJR 7 Appropriates Billions of Dollars to Stave off a Looming Water Crisis Concurrence Vote Passed - House (122 - 2)
May 28, 2025 TX HB 4530 Amends Water Rights Placed in the Texas Water Trust and the Texas Water Bank Concurrence Vote Passed - House (90 - 42)
May 28, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
May 28, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
May 28, 2025 TX SB 1758 Limits the Liability of Kiln Operators Whose Activities Cause Seismic Disturbances in Texas Bill Passed - House (115 - 24)
May 26, 2025 TX SB 7 Appropriates Billions of Dollars to Support Water Infrastructure and Potential Water Drought Bill Passed - House (143 - 3)
May 25, 2025 TX SB 261 Prohibits Lab Grown Meat Bill Passed - House (99 - 36)
May 23, 2025 TX SB 1188 Authorizes Health Care Practitioners to Use Artificial Intelligence for Diagnostic Purposes, and Requires All Medical Records to Include a Patient's Biological Sex Bill Passed - House (86 - 49)
May 22, 2025 TX SB 31 Exempts Certain Cases in Which the Life of the Mother is Threatened From Existing Abortion Bans Bill Passed - House (134 - 4)
May 21, 2025 TX SB 1253 Establishes Conservation and Reuse Credits Against Water and Wastewater Fees Bill Passed - House (112 - 28)
May 15, 2025 TX HB 4535 Requires Healthcare Providers to Obtain Written Informed Consent Before Administering a COVID-19 Vaccine Bill Passed - House (92 - 45)
May 14, 2025 TX HB 1586 Requires the Department of State Health Services to Provide Immunization Exemption Forms in a Printable Format Bill Passed - House (83 - 54)
May 14, 2025 TX HB 4076 Prohibits Health Care Providers From Determining Eligibility for Organ Transplants Based on Vaccination Status Bill Passed - House (83 - 53)
May 12, 2025 TX SB 1257 Requires Health Benefit Plans That Provide Coverage for Gender Transition Procedures to Additionally Cover All Possible Adverse Consequences of the Procedure, Follow-Up Testing, and Any Procedures to Reverse the Procedure Bill Passed - House (87 - 58)
May 12, 2025 TX HB 229 Requires Government Entities that Collect Vital Statistics Information to Identify Each Individual as Either Male or Female Bill Passed - House (87 - 56)
May 8, 2025 TX SB 703 Prohibits Individuals Convicted of Indecent Assault from Working as Licensed Massage Therapists Bill Passed - House (143 - 1)
April 24, 2025 TX SB 5 Establishes the Dementia Prevention and Research Institute of Texas (DPRIT) Bill Passed - House (121 - 23)
April 24, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
April 24, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
April 23, 2025 TX HB 1644 Authorizes Individuals to Possess and Purchase Fentanyl Test Strips Bill Passed - House (147 - 0)
April 10, 2025 TX HB 1400 Establishes a Fund for Groundwater Research, Science, and Innovation Bill Passed - House (133 - 14)
May 24, 2023 TX SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - House (86 - 54)
May 17, 2023 TX SB 728 Amends State Law to Close Previous Loophole in Reporting Juvenile Mental Health Hospitalizations Bill Passed - House (116 - 28)
May 12, 2023 TX SB 1860 Requires Legislative Approval for Cities to Amend Their Charters to Address Climate Change Bill Passed - House (101 - 41)
May 30, 2021 TX HB 2593 Reduces Criminal Penalty for Certain Cannabis Products Bill Passed - House
May 6, 2021 TX HB 9 Increases the Criminal Penalty for Knowingly Blocking an Emergency Vehicle or Hospital Bill Passed - House (90 - 55)
March 31, 2021 TX HB 17 Prohibits Cities from Banning Natural Gas Hookups in New Buildings Bill Passed - House (116 - 29)
May 26, 2019 TX HB 3557 Increases Penalties for Pipeline Protesting Conference Report Adopted - House (97 - 49)
May 24, 2019 TX HB 3285 Establishes Services for Substance Use Disorders Concurrence Vote Passed - House (124 - 18)
May 24, 2019 TX HB 3285 Establishes Services for Substance Use Disorders Concurrence Vote Passed - House (124 - 18)
May 24, 2019 TX HB 1584 Repeals Step Therapy or "Fail First" Protocols for Metastatic Stage 4 Cancer Patients Concurrence Vote Passed - House (115 - 24)
May 24, 2019 TX HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
May 24, 2019 TX HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
May 24, 2019 TX AB 824 Prohibits Pharmaceutical Companies from Using "Pay for Delay" Practices Bill Passed - House
May 23, 2019 TX HB 16 Establishes Requirements for Abortions Resulting in Premature Birth Concurrence Vote Passed - House (84 - 57)
May 9, 2019 TX HB 1739 Prohibits Unfair Settlement Practice Regarding Motorist Insurance Coverage Bill Passed - House (105 - 32)
May 3, 2019 TX HB 2271 Authorizes the Advertisement of "Choose Life Grant" Funds Bill Passed - House (94 - 47)
Aug. 4, 2017 TX HB 215 Requires Additional Reporting for Abortions Performed on Minors Bill Passed - House (97 - 46)
May 11, 2017 TX HB 39 Prohibits Vaccination of New Foster Children Bill Passed - House (132 - 11)
May 6, 2017 TX HB 2466 Expands Healthcare to Cover Postpartum Depression Bill Passed - House (135 - 7)
May 22, 2013 TX SB 21 Requires Drug Testing for Unemployment Benefits Bill Passed - House (104 - 42)
May 10, 2013 TX HB 1340 Authorizes Certain Children to Consent to Immunizations Bill Passed - House (71 - 61)
May 9, 2013 TX SB 376 Establishes a Free Breakfast Program for Students Bill Passed - House (73 - 58)
May 2, 2013 TX HB 772 Requires Individuals to Opt-Out of Immunization Registry Bill Passed - House (99 - 47)
May 1, 2013 TX HB 489 Expands Access to Service Dogs for Veterans with PTSD Bill Passed - House (120 - 21)
June 16, 2011 TX HB 5 Interstate Health Care Compact Bill Passed - House (92 - 43)
June 9, 2011 TX SB 7 Health Care Bill Passed - House (89 - 41)
May 25, 2011 TX H Amdt 1 Interstate Health Care Compact Amendment Adopted - House (99 - 43)
May 20, 2011 TX H Amdt 53 Prohibits Smoking in Public Places Amendment Adopted - House (73 - 66)
May 17, 2011 TX SB 420 Eligibility for Indigent Health Care Bill Passed - House (102 - 40)
April 1, 2011 TX H Amdt 6 Appropriations for the Department of Aging and Disability Services Amendment Adopted - House (67 - 61)
May 15, 2009 TX HB 2962 Childrens' Health Care Bill Passed - House (87 - 55)
May 14, 2009 TX HB 1657 Contractor Worker's Compensation Bill Passed - House (73 - 71)
April 20, 2009 TX HB 681 Warning Signs Regarding Mercury Levels in Fish Bill Passed - House (95 - 50)
April 4, 2007 TX HB 109 Child Health Care Expansion Bill Passed - House (128 - 17)
March 14, 2007 TX CSHB 1098 Ban on HPV Vaccine Requirement Bill Passed - House (118 - 23)
Date No. Title Outcome
8/28 HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (84 - 46)
8/28 HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (84 - 46)
8/28 HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (84 - 46)
8/28 HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (82 - 48)
8/28 HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (82 - 48)
8/28 HB 7 Increases Restrictions on Abortion Pills Bill Passed - House (82 - 48)
8/27 HB 25 Authorizes Ivermectin to be Sold Over-the-Counter Bill Passed - House (87 - 47)
8/27 HB 25 Authorizes Ivermectin to be Sold Over-the-Counter Bill Passed - House (87 - 47)
8/21 SB 2 (Special Session) Requires the Texas Water Development Board to Identify High-Risk Flood Areas and Require Local Governments to Install Outdoor Warning Sirens in Those Locations Bill Passed - House (132 - 4)
8/21 HB 1 (2nd Special Session) Requires Youth Camps to Submit Disaster Emergency Preparedness Plans Bill Passed - House (135 - 1)
6/01 SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
6/01 SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - House (79 - 46)
5/29 HB 1690 Authorizes Notice Requirements for Groundwater Transfer Permit Applications Across Conservation Districts Concurrence Vote Passed - House (133 - 1)
5/29 HJR 7 Appropriates Billions of Dollars to Stave off a Looming Water Crisis Concurrence Vote Passed - House (122 - 2)
5/28 HB 4530 Amends Water Rights Placed in the Texas Water Trust and the Texas Water Bank Concurrence Vote Passed - House (90 - 42)
5/28 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
5/28 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Concurrence Vote Passed - House (115 - 18)
5/28 SB 1758 Limits the Liability of Kiln Operators Whose Activities Cause Seismic Disturbances in Texas Bill Passed - House (115 - 24)
5/26 SB 7 Appropriates Billions of Dollars to Support Water Infrastructure and Potential Water Drought Bill Passed - House (143 - 3)
5/25 SB 261 Prohibits Lab Grown Meat Bill Passed - House (99 - 36)
5/23 SB 1188 Authorizes Health Care Practitioners to Use Artificial Intelligence for Diagnostic Purposes, and Requires All Medical Records to Include a Patient's Biological Sex Bill Passed - House (86 - 49)
5/22 SB 31 Exempts Certain Cases in Which the Life of the Mother is Threatened From Existing Abortion Bans Bill Passed - House (134 - 4)
5/21 SB 1253 Establishes Conservation and Reuse Credits Against Water and Wastewater Fees Bill Passed - House (112 - 28)
5/15 HB 4535 Requires Healthcare Providers to Obtain Written Informed Consent Before Administering a COVID-19 Vaccine Bill Passed - House (92 - 45)
5/14 HB 1586 Requires the Department of State Health Services to Provide Immunization Exemption Forms in a Printable Format Bill Passed - House (83 - 54)
5/14 HB 4076 Prohibits Health Care Providers From Determining Eligibility for Organ Transplants Based on Vaccination Status Bill Passed - House (83 - 53)
5/12 SB 1257 Requires Health Benefit Plans That Provide Coverage for Gender Transition Procedures to Additionally Cover All Possible Adverse Consequences of the Procedure, Follow-Up Testing, and Any Procedures to Reverse the Procedure Bill Passed - House (87 - 58)
5/12 HB 229 Requires Government Entities that Collect Vital Statistics Information to Identify Each Individual as Either Male or Female Bill Passed - House (87 - 56)
5/08 SB 703 Prohibits Individuals Convicted of Indecent Assault from Working as Licensed Massage Therapists Bill Passed - House (143 - 1)
4/24 SB 5 Establishes the Dementia Prevention and Research Institute of Texas (DPRIT) Bill Passed - House (121 - 23)
4/24 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
4/24 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - House (119 - 24)
4/23 HB 1644 Authorizes Individuals to Possess and Purchase Fentanyl Test Strips Bill Passed - House (147 - 0)
4/10 HB 1400 Establishes a Fund for Groundwater Research, Science, and Innovation Bill Passed - House (133 - 14)
5/24 SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - House (86 - 54)
5/17 SB 728 Amends State Law to Close Previous Loophole in Reporting Juvenile Mental Health Hospitalizations Bill Passed - House (116 - 28)
5/12 SB 1860 Requires Legislative Approval for Cities to Amend Their Charters to Address Climate Change Bill Passed - House (101 - 41)
5/30 HB 2593 Reduces Criminal Penalty for Certain Cannabis Products Bill Passed - House
5/06 HB 9 Increases the Criminal Penalty for Knowingly Blocking an Emergency Vehicle or Hospital Bill Passed - House (90 - 55)
3/31 HB 17 Prohibits Cities from Banning Natural Gas Hookups in New Buildings Bill Passed - House (116 - 29)
5/26 HB 3557 Increases Penalties for Pipeline Protesting Conference Report Adopted - House (97 - 49)
5/24 HB 3285 Establishes Services for Substance Use Disorders Concurrence Vote Passed - House (124 - 18)
5/24 HB 3285 Establishes Services for Substance Use Disorders Concurrence Vote Passed - House (124 - 18)
5/24 HB 1584 Repeals Step Therapy or "Fail First" Protocols for Metastatic Stage 4 Cancer Patients Concurrence Vote Passed - House (115 - 24)
5/24 HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
5/24 HB 1576 Authorizes Medicaid Payments to Ride-Hailing Sites for Appointment Pickup Concurrence Vote Passed - House (141 - 0)
5/24 AB 824 Prohibits Pharmaceutical Companies from Using "Pay for Delay" Practices Bill Passed - House
5/23 HB 16 Establishes Requirements for Abortions Resulting in Premature Birth Concurrence Vote Passed - House (84 - 57)
5/09 HB 1739 Prohibits Unfair Settlement Practice Regarding Motorist Insurance Coverage Bill Passed - House (105 - 32)
5/03 HB 2271 Authorizes the Advertisement of "Choose Life Grant" Funds Bill Passed - House (94 - 47)
8/04 HB 215 Requires Additional Reporting for Abortions Performed on Minors Bill Passed - House (97 - 46)
5/11 HB 39 Prohibits Vaccination of New Foster Children Bill Passed - House (132 - 11)
5/06 HB 2466 Expands Healthcare to Cover Postpartum Depression Bill Passed - House (135 - 7)
5/22 SB 21 Requires Drug Testing for Unemployment Benefits Bill Passed - House (104 - 42)
5/10 HB 1340 Authorizes Certain Children to Consent to Immunizations Bill Passed - House (71 - 61)
5/09 SB 376 Establishes a Free Breakfast Program for Students Bill Passed - House (73 - 58)
5/02 HB 772 Requires Individuals to Opt-Out of Immunization Registry Bill Passed - House (99 - 47)
5/01 HB 489 Expands Access to Service Dogs for Veterans with PTSD Bill Passed - House (120 - 21)
6/16 HB 5 Interstate Health Care Compact Bill Passed - House (92 - 43)
6/09 SB 7 Health Care Bill Passed - House (89 - 41)
5/25 H Amdt 1 Interstate Health Care Compact Amendment Adopted - House (99 - 43)
5/20 H Amdt 53 Prohibits Smoking in Public Places Amendment Adopted - House (73 - 66)
5/17 SB 420 Eligibility for Indigent Health Care Bill Passed - House (102 - 40)
4/01 H Amdt 6 Appropriations for the Department of Aging and Disability Services Amendment Adopted - House (67 - 61)
5/15 HB 2962 Childrens' Health Care Bill Passed - House (87 - 55)
5/14 HB 1657 Contractor Worker's Compensation Bill Passed - House (73 - 71)
4/20 HB 681 Warning Signs Regarding Mercury Levels in Fish Bill Passed - House (95 - 50)
4/04 HB 109 Child Health Care Expansion Bill Passed - House (128 - 17)
3/14 CSHB 1098 Ban on HPV Vaccine Requirement Bill Passed - House (118 - 23)
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