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2025 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. 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 - Senate (20 - 6)
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 - 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)
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 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)
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)
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)
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 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 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 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 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 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 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 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 23, 2025 TX HB 4076 Prohibits Health Care Providers From Determining Eligibility for Organ Transplants Based on Vaccination Status Bill Passed - Senate (25 - 6)
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 4076 Prohibits Health Care Providers From Determining Eligibility for Organ Transplants Based on Vaccination Status Bill Passed - House (83 - 53)
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 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 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 23, 2025 TX HB 1644 Authorizes Individuals to Possess and Purchase Fentanyl Test Strips Bill Passed - House (147 - 0)
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 10, 2025 TX HB 1400 Establishes a Fund for Groundwater Research, Science, and Innovation Bill Passed - House (133 - 14)
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)
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)
8/28 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 - Senate (20 - 6)
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 - 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)
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 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)
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)
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)
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)
5/29 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 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 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)
5/28 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)
5/26 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)
5/25 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 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)
5/23 HB 4076 Prohibits Health Care Providers From Determining Eligibility for Organ Transplants Based on Vaccination Status Bill Passed - Senate (25 - 6)
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 4076 Prohibits Health Care Providers From Determining Eligibility for Organ Transplants Based on Vaccination Status Bill Passed - House (83 - 53)
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)
5/12 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)
4/24 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)
4/23 HB 1644 Authorizes Individuals to Possess and Purchase Fentanyl Test Strips Bill Passed - House (147 - 0)
4/15 SB 1758 Limits the Liability of Kiln Operators Whose Activities Cause Seismic Disturbances in Texas Bill Passed - Senate (27 - 4)
4/10 HB 1400 Establishes a Fund for Groundwater Research, Science, and Innovation Bill Passed - House (133 - 14)
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)
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