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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
Sept. 3, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - Senate (17 - 8)
Sept. 3, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - Senate (17 - 8)
Sept. 3, 2025 TX HB 7 Increases Restrictions on Abortion Pills Bill Passed - Senate (17 - 8)
Aug. 27, 2025 TX HB 25 Authorizes Ivermectin to be Sold Over-the-Counter Bill Passed - Senate (20 - 6)
Aug. 27, 2025 TX HB 25 Authorizes Ivermectin to be Sold Over-the-Counter Bill Passed - Senate (20 - 6)
Aug. 18, 2025 TX SB 5 (2nd Special Session) Appropriates Supplemental Funds for Disaster Relief and Preparedness Bill Passed - Senate (30 - 0)
Aug. 12, 2025 TX SB 3 (Special Session) Appropriates $200 Million to Cover the Projected 25% Non-Federal Matching Funds for FEMA Reimbursement Bill Passed - Senate (28 - 0)
Aug. 12, 2025 TX SB 13 (Special Session) Establishes Water Project Incentives Bill Passed - Senate (28 - 0)
Aug. 12, 2025 TX SB 1 (Special Session) Requires Youth Camps Located in 100-Year Floodplains to Develop and Carry Out Flood Evacuation Plans During Flood Warnings Bill Passed - Senate (28 - 0)
Aug. 12, 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 - Senate (28 - 0)
Aug. 12, 2025 TX SB 6 (Special Session) Prohibits the Manufacture, Distribution, Mailing, Transport, Delivery, and Prescribing of Abortion-Inducing Pills Bill Passed - Senate (18 - 9)
June 1, 2025 TX SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - Senate (19 - 12)
June 1, 2025 TX SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - Senate (19 - 12)
May 28, 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 Concurrence Vote Passed - Senate (23 - 8)
May 28, 2025 TX HB 229 Requires Government Entities that Collect Vital Statistics Information to Identify Each Individual as Either Male or Female Bill Passed - Senate (20 - 11)
May 27, 2025 TX HB 1690 Authorizes Notice Requirements for Groundwater Transfer Permit Applications Across Conservation Districts Bill Passed - Senate (30 - 1)
May 25, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - Senate (26 - 5)
May 25, 2025 TX HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - Senate (26 - 5)
May 23, 2025 TX HB 4076 Prohibits Health Care Providers From Determining Eligibility for Organ Transplants Based on Vaccination Status Bill Passed - Senate (25 - 6)
April 24, 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 - Senate (20 - 11)
April 15, 2025 TX SB 1758 Limits the Liability of Kiln Operators Whose Activities Cause Seismic Disturbances in Texas Bill Passed - Senate (27 - 4)
April 2, 2025 TX SB 942 Requires Retroactive Child Support from Conception Date Bill Passed - Senate (25 - 6)
March 6, 2025 TX SB 703 Prohibits Individuals Convicted of Indecent Assault from Working as Licensed Massage Therapists Bill Passed - Senate (30 - 0)
March 5, 2025 TX SB 5 Establishes the Dementia Prevention and Research Institute of Texas (DPRIT) Bill Passed - Senate (29 - 2)
May 17, 2023 TX SB 1860 Requires Legislative Approval for Cities to Amend Their Charters to Address Climate Change Bill Passed - Senate (18 - 13)
May 11, 2023 TX SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - Senate (20 - 10)
May 22, 2021 TX HB 9 Increases the Criminal Penalty for Knowingly Blocking an Emergency Vehicle or Hospital Bill Passed - Senate (24 - 6)
May 18, 2021 TX SB 1311 Prohibits Certain Treatments for Transgender Children Bill Passed - Senate (18 - 13)
May 4, 2021 TX HB 17 Prohibits Cities from Banning Natural Gas Hookups in New Buildings Bill Passed - Senate (18 - 12)
March 30, 2021 TX SB 1173 Establishes Preborn Nondiscrimination Act; Prohibits "Discriminatory" Abortions Bill Passed - Senate (19 - 12)
March 25, 2021 TX SB 827 Reduces the Price of Insulin Copayments and Caps the Cost at $50 Bill Passed - Senate (27 - 3)
May 26, 2019 TX HB 3557 Increases Penalties for Pipeline Protesting Conference Report Adopted - Senate (19 - 12)
May 22, 2019 TX HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
May 22, 2019 TX HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
April 16, 2019 TX SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
April 16, 2019 TX SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
Aug. 13, 2017 TX HB 214 Premium Increase for Non-Emergency Abortions Bill Passed - Senate (20 - 10)
Aug. 11, 2017 TX HB 7 Specifies Tree Removal Regulations Municipalities May Impose Bill Passed - Senate (17 - 14)
July 25, 2017 TX SB 10 Changes for Abortion Requirements at Health Care Facilities Bill Passed - Senate (22 - 9)
March 30, 2017 TX SB 258 Authorizes Burial or Cremation of Fetal Tissue After Abortion or Miscarriage Bill Passed - Senate (22 - 9)
May 6, 2015 TX SB 575 Prohibits Health Plan Coverage for Abortions Bill Passed - Senate (21 - 10)
April 18, 2013 TX SB 303 Amends the End-of-Life Care Procedures Bill Passed - Senate (24 - 6)
Feb. 17, 2011 TX SB 16 Abortion Procedures Bill Bill Passed - Senate (21 - 10)
April 15, 2009 TX SB 1049 Increasing Age Restriction on Tobacco Purchases Bill Passed - Senate (25 - 5)
March 19, 2009 TX SB 188 Authorizes Needle Exchange Programs Bill Passed - Senate (23 - 6)
March 19, 2009 TX SB 188 Authorizes Needle Exchange Programs Bill Passed - Senate (23 - 6)
May 3, 2007 TX CSSB 920 Ultrasound Required Prior to Abortion Bill Passed - Senate (22 - 8)
April 27, 2007 TX CSSB 308 Syringe Exchange Program Bill Passed - Senate (23 - 8)
April 27, 2007 TX CSSB 308 Syringe Exchange Program Bill Passed - Senate (23 - 8)
April 26, 2007 TX CSSB 785 Abortion Reporting Requirement Act Bill Passed - Senate (20 - 10)
April 17, 2007 TX CSSB 1909 Treatment for Drug Possession Offenders Bill Passed - Senate (20 - 10)
May 10, 2006 TX F 3 Cigarette Tax Revenue Allocation Amendment Amendment Rejected - Senate (12 - 18)
May 10, 2006 TX F 4 Cigarette Tax Revenue Allocation Amendment Amendment Rejected - Senate (10 - 20)
Date No. Title Outcome
9/03 HB 7 Increases Restrictions on Abortion Pills Bill Passed - Senate (17 - 8)
9/03 HB 7 Increases Restrictions on Abortion Pills Bill Passed - Senate (17 - 8)
9/03 HB 7 Increases Restrictions on Abortion Pills Bill Passed - Senate (17 - 8)
8/27 HB 25 Authorizes Ivermectin to be Sold Over-the-Counter Bill Passed - Senate (20 - 6)
8/27 HB 25 Authorizes Ivermectin to be Sold Over-the-Counter Bill Passed - Senate (20 - 6)
8/18 SB 5 (2nd Special Session) Appropriates Supplemental Funds for Disaster Relief and Preparedness Bill Passed - Senate (30 - 0)
8/12 SB 3 (Special Session) Appropriates $200 Million to Cover the Projected 25% Non-Federal Matching Funds for FEMA Reimbursement Bill Passed - Senate (28 - 0)
8/12 SB 13 (Special Session) Establishes Water Project Incentives Bill Passed - Senate (28 - 0)
8/12 SB 1 (Special Session) Requires Youth Camps Located in 100-Year Floodplains to Develop and Carry Out Flood Evacuation Plans During Flood Warnings Bill Passed - Senate (28 - 0)
8/12 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 - Senate (28 - 0)
8/12 SB 6 (Special Session) Prohibits the Manufacture, Distribution, Mailing, Transport, Delivery, and Prescribing of Abortion-Inducing Pills Bill Passed - Senate (18 - 9)
6/01 SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - Senate (19 - 12)
6/01 SB 268 Amends the Procedure for Certain Complaints Against Healthcare Practitioners Conference Report Adopted - Senate (19 - 12)
5/28 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 Concurrence Vote Passed - Senate (23 - 8)
5/28 HB 229 Requires Government Entities that Collect Vital Statistics Information to Identify Each Individual as Either Male or Female Bill Passed - Senate (20 - 11)
5/27 HB 1690 Authorizes Notice Requirements for Groundwater Transfer Permit Applications Across Conservation Districts Bill Passed - Senate (30 - 1)
5/25 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - Senate (26 - 5)
5/25 HB 18 Establishes Certain Programs and Services Providing Health Care Services to Rural Counties Bill Passed - Senate (26 - 5)
5/23 HB 4076 Prohibits Health Care Providers From Determining Eligibility for Organ Transplants Based on Vaccination Status Bill Passed - Senate (25 - 6)
4/24 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 - Senate (20 - 11)
4/15 SB 1758 Limits the Liability of Kiln Operators Whose Activities Cause Seismic Disturbances in Texas Bill Passed - Senate (27 - 4)
4/02 SB 942 Requires Retroactive Child Support from Conception Date Bill Passed - Senate (25 - 6)
3/06 SB 703 Prohibits Individuals Convicted of Indecent Assault from Working as Licensed Massage Therapists Bill Passed - Senate (30 - 0)
3/05 SB 5 Establishes the Dementia Prevention and Research Institute of Texas (DPRIT) Bill Passed - Senate (29 - 2)
5/17 SB 1860 Requires Legislative Approval for Cities to Amend Their Charters to Address Climate Change Bill Passed - Senate (18 - 13)
5/11 SB 833 Prohibits Insurance Companies from Charging Higher Rates Based on ESG Criteria Bill Passed - Senate (20 - 10)
5/22 HB 9 Increases the Criminal Penalty for Knowingly Blocking an Emergency Vehicle or Hospital Bill Passed - Senate (24 - 6)
5/18 SB 1311 Prohibits Certain Treatments for Transgender Children Bill Passed - Senate (18 - 13)
5/04 HB 17 Prohibits Cities from Banning Natural Gas Hookups in New Buildings Bill Passed - Senate (18 - 12)
3/30 SB 1173 Establishes Preborn Nondiscrimination Act; Prohibits "Discriminatory" Abortions Bill Passed - Senate (19 - 12)
3/25 SB 827 Reduces the Price of Insulin Copayments and Caps the Cost at $50 Bill Passed - Senate (27 - 3)
5/26 HB 3557 Increases Penalties for Pipeline Protesting Conference Report Adopted - Senate (19 - 12)
5/22 HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
5/22 HB 2536 Establishes Drug-Pricing Transparency Requirements Bill Passed - Senate (27 - 4)
4/16 SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
4/16 SB 1264 Authorizes Arbitration Processes for Insurers to Stop "Surprise Billings" Bill Passed - Senate (29 - 2)
8/13 HB 214 Premium Increase for Non-Emergency Abortions Bill Passed - Senate (20 - 10)
8/11 HB 7 Specifies Tree Removal Regulations Municipalities May Impose Bill Passed - Senate (17 - 14)
7/25 SB 10 Changes for Abortion Requirements at Health Care Facilities Bill Passed - Senate (22 - 9)
3/30 SB 258 Authorizes Burial or Cremation of Fetal Tissue After Abortion or Miscarriage Bill Passed - Senate (22 - 9)
5/06 SB 575 Prohibits Health Plan Coverage for Abortions Bill Passed - Senate (21 - 10)
4/18 SB 303 Amends the End-of-Life Care Procedures Bill Passed - Senate (24 - 6)
2/17 SB 16 Abortion Procedures Bill Bill Passed - Senate (21 - 10)
4/15 SB 1049 Increasing Age Restriction on Tobacco Purchases Bill Passed - Senate (25 - 5)
3/19 SB 188 Authorizes Needle Exchange Programs Bill Passed - Senate (23 - 6)
3/19 SB 188 Authorizes Needle Exchange Programs Bill Passed - Senate (23 - 6)
5/03 CSSB 920 Ultrasound Required Prior to Abortion Bill Passed - Senate (22 - 8)
4/27 CSSB 308 Syringe Exchange Program Bill Passed - Senate (23 - 8)
4/27 CSSB 308 Syringe Exchange Program Bill Passed - Senate (23 - 8)
4/26 CSSB 785 Abortion Reporting Requirement Act Bill Passed - Senate (20 - 10)
4/17 CSSB 1909 Treatment for Drug Possession Offenders Bill Passed - Senate (20 - 10)
5/10 F 3 Cigarette Tax Revenue Allocation Amendment Amendment Rejected - Senate (12 - 18)
5/10 F 4 Cigarette Tax Revenue Allocation Amendment Amendment Rejected - Senate (10 - 20)
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