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.


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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 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 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 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)
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 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 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 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)

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