TX HB 18
enactedRelating to the establishment and administration of certain programs and services providing health care services to rural counties.
Texas · 89th Legislature (2025 Regular Session) · lower
- Introduced
- 2025-03-10
- Status date
- —
- Latest action
- 2025-06-20 — Effective immediately
- Bill type
- bill
- Last updated
- —
Subjects
- Disaster Preparedness & Relief (I0211)
- Education--Higher--Health Institutions (I0237)
- Health Care Providers (I0387)
- HEALTH & HUMAN SERVICES COMMISSION (V0177)
- Health--Rural (I0381)
- Hospitals (I0400)
- Human Services--Medical Assistance (I0905)
- Minors--Health & Safety (I0533)
- RURAL HEALTH STABILIZATION & INNOVATION ACT (P52B0)
- STAFF DEVELOPMENT & TRAINING (S0317)
- State Agencies, Boards & Commissions--Newly Proposed (I0773)
- State Finances--Appropriations (I0746)
- State Finances--Management & Control (I0748)
- STATE OFFICE OF RURAL HOSPITAL FINANCE (VE2AY)
Sponsors
- Perryprimary
- Lambertprimary
- Kingprimary
- Johnsonprimary
- Ashbyprimary
- VanDeaverprimary
- Landgrafcosponsor
- Metcalfcosponsor
- Spillercosponsor
- Blancocosponsor
- Hagenbuchcosponsor
- Hinojosa, Juan "Chuy"cosponsor
- Kolkhorstcosponsor
- Sparkscosponsor
- Bonnencosponsor
- Buckleycosponsor
- Florescosponsor
- Guillencosponsor
- Harriscosponsor
Committees
Not provided by source.
Action timeline
2025-03-07
Filed
filing
2025-03-10
Read first time
introduction,reading-1
2025-03-10
Referred to Public Health
referral-committee
2025-03-24
Considered in public hearing
2025-03-24
Committee substitute considered in committee
substitution
2025-03-24
Testimony taken/registration(s) recorded in committee
2025-03-24
Left pending in committee
2025-04-07
Considered in public hearing
2025-04-07
Committee substitute considered in committee
substitution
2025-04-07
Reported favorably as substituted
committee-passage-favorable
2025-04-14
Comte report filed with Committee Coordinator
filing
2025-04-14
Committee report distributed
2025-04-15
Committee report sent to Calendars
2025-04-17
Considered in Calendars
2025-04-22
Placed on General State Calendar
2025-04-22
Read 2nd time
reading-2
2025-04-22
Postponed
2025-04-22
Laid out as postponed business
2025-04-22
Postponed
2025-04-23
Laid out as postponed business
2025-04-23
Amendment(s) offered
amendment-introduction
2025-04-23
Point of order withdrawn (amendment)
withdrawal
2025-04-23
Amendment withdrawn
amendment-withdrawal,withdrawal
2025-04-23
Amended
amendment-passage
2025-04-23
Record vote
2025-04-23
Statement(s) of vote recorded in Journal
2025-04-23
Passed to engrossment as amended
amendment-passage
2025-04-23
Record vote
2025-04-23
Statement(s) of vote recorded in Journal
2025-04-24
Read 3rd time
reading-3
2025-04-24
Passed
passage
2025-04-24
Record vote
2025-04-24
Statement(s) of vote recorded in Journal
2025-04-24
Reported engrossed
2025-04-24
Received from the House
introduction
2025-04-28
Read first time
introduction,reading-1
2025-04-28
Referred to Health & Human Services
referral-committee
2025-05-07
Scheduled for public hearing on . . .
2025-05-07
Co-sponsor authorized
2025-05-07
Considered in public hearing
2025-05-07
Testimony taken in committee
2025-05-07
Left pending in committee
2025-05-13
Considered in public hearing
2025-05-13
Vote taken in committee
2025-05-19
Reported favorably as substituted
committee-passage-favorable
2025-05-19
Committee report printed and distributed
2025-05-21
Co-sponsor authorized
2025-05-21
Placed on intent calendar
2025-05-25
Co-sponsor authorized
2025-05-25
Rules suspended-Regular order of business
2025-05-25
Record vote
2025-05-25
Read 2nd time
reading-2
2025-05-25
Amendment(s) offered
amendment-introduction
2025-05-25
Amendment fails of adoption
amendment-failure
2025-05-25
Record vote
2025-05-25
Passed to 3rd reading
2025-05-25
Record vote
2025-05-25
Three day rule suspended
2025-05-25
Record vote
2025-05-25
Read 3rd time
reading-3
2025-05-25
Passed
passage
2025-05-25
Record vote
2025-05-26
Senate passage as amended reported
amendment-passage
2025-05-26
Senate Amendments distributed
2025-05-26
Senate Amendments Analysis distributed
2025-05-28
House concurs in Senate amendment(s)
2025-05-28
Record vote
2025-05-28
Statement(s) of vote recorded in Journal
2025-05-28
Text of Senate Amendment(s)
2025-05-28
House concurs in Senate amendment(s)-reported
2025-05-29
Reported enrolled
enrolled
2025-05-30
Signed in the House
passage
2025-05-31
Signed in the Senate
passage
2025-05-31
Sent to the Governor
executive-receipt
2025-06-20
Signed by the Governor
executive-signature
2025-06-20
Effective immediately
became-law
Versions
Documents
- application/pdf(no extracted text yet)
- text/html(no extracted text yet)
- application/pdf(no extracted text yet)
- text/html(no extracted text yet)
- application/pdf(no extracted text yet)
- text/html(no extracted text yet)
- application/pdf(no extracted text yet)
- text/html(no extracted text yet)
- application/pdf(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
- text/html(no extracted text yet)
Votes
passage
2025-04-23 · pass · 106-33
Member-level votes (151)
- Alders: yes
- Allen: yes
- Ashby: yes
- Barry: yes
- Bell, C.: yes
- Bell, K.: yes
- Bernal: yes
- Bonnen: yes
- Bowers: yes
- Buckley: yes
- Bucy: yes
- Bumgarner: yes
- Button: yes
- Cain: yes
- Capriglione: yes
- Cook: yes
- Cortez: yes
- Craddick: yes
- Cunningham: yes
- Curry: yes
- Darby: yes
- Dean: yes
- DeAyala: yes
- Dutton: yes
- Dyson: yes
- Fairly: yes
- Frank: yes
- Gámez: yes
- Gates: yes
- Gerdes: yes
- Geren: yes
- González, M.: yes
- Guerra: yes
- Guillen: yes
- Harless: yes
- Harris: yes
- Harris Davila: yes
- Hayes: yes
- Hefner: yes
- Hickland: yes
- Holt: yes
- Hopper: yes
- Howard: yes
- Hull: yes
- Isaac: yes
- Kerwin: yes
- Kitzman: yes
- LaHood: yes
- Lalani: yes
- Lambert: yes
- Landgraf: yes
- Leach: yes
- Leo Wilson: yes
- Little: yes
- Lopez, J.: yes
- Lopez, R.: yes
- Louderback: yes
- Lozano: yes
- Lujan: yes
- Luther: yes
- Martinez: yes
- Fischer: yes
- McLaughlin: yes
- McQueeney: yes
- Metcalf: yes
- Meyer: yes
- Meza: yes
- Money: yes
- Moody: yes
- Morales, E.: yes
- Morales Shaw: yes
- Muñoz: yes
- Noble: yes
- Olcott: yes
- Oliverson: yes
- Ordaz: yes
- Orr: yes
- Patterson: yes
- Paul: yes
- Perez, M.: yes
- Perez, V.: yes
- Phelan: yes
- Pierson: yes
- Plesa: yes
- Raymond: yes
- Richardson: yes
- Schatzline: yes
- Schofield: yes
- Shofner: yes
- Simmons: yes
- Slawson: yes
- Smithee: yes
- Spiller: yes
- Swanson: yes
- Talarico: yes
- Tepper: yes
- Toth: yes
- VanDeaver: yes
- Vasut: yes
- Villalobos: yes
- Virdell: yes
- Vo: yes
- Walle: yes
- Ward Johnson: yes
- Wharton: yes
- Wilson: yes
- Anchía: no
- Bhojani: no
- Bryant: no
- Canales: no
- Cole: no
- Collier: no
- Davis, A.: no
- Davis, Y.: no
- Dorazio: no
- Garcia Hernandez: no
- Gervin-Hawkins: no
- González, J.: no
- Goodwin: no
- Harrison: no
- Hernandez: no
- Hinojosa: no
- Jones, J.: no
- Jones, V.: no
- Lowe: no
- Manuel: no
- Morales, C.: no
- Morgan: no
- Reynolds: no
- Romero: no
- Rose: no
- Rosenthal: no
- Schoolcraft: no
- Thompson: no
- Tinderholt: no
- Troxclair: no
- Turner: no
- Wu: no
- Zwiener: no
- Present: not voting
- Speaker(C): not voting
- Flore: not voting
- Campos: absent
- Garcia, J.: absent
- Garcia, L.: absent
- Hunter: absent
- Johnson: absent
- King: absent
- Longoria: absent
- Rodríguez Ramos: absent
- Shaheen: absent
passage
2025-04-24 · pass · 119-24
Member-level votes (152)
- Alders: yes
- Allen: yes
- Ashby: yes
- Barry: yes
- Bell, C.: yes
- Bell, K.: yes
- Bernal: yes
- Bhojani: yes
- Bonnen: yes
- Bowers: yes
- Bryant: yes
- Buckley: yes
- Bucy: yes
- Bumgarner: yes
- Button: yes
- Campos: yes
- Capriglione: yes
- Cook: yes
- Cortez: yes
- Craddick: yes
- Cunningham: yes
- Curry: yes
- Darby: yes
- Davis, A.: yes
- Davis, Y.: yes
- Dean: yes
- DeAyala: yes
- Dutton: yes
- Dyson: yes
- Fairly: yes
- Frank: yes
- Gámez: yes
- Garcia, J.: yes
- Garcia, L.: yes
- Gates: yes
- Gerdes: yes
- Geren: yes
- Gervin-Hawkins: yes
- González, M.: yes
- Guerra: yes
- Guillen: yes
- Harless: yes
- Harris Davila: yes
- Hayes: yes
- Hernandez: yes
- Hickland: yes
- Holt: yes
- Hopper: yes
- Howard: yes
- Hull: yes
- Hunter: yes
- Isaac: yes
- Johnson: yes
- Jones, V.: yes
- Kerwin: yes
- King: yes
- Kitzman: yes
- LaHood: yes
- Lalani: yes
- Lambert: yes
- Landgraf: yes
- Leach: yes
- Little: yes
- Longoria: yes
- Lopez, J.: yes
- Lopez, R.: yes
- Louderback: yes
- Lozano: yes
- Lujan: yes
- Luther: yes
- Martinez: yes
- McLaughlin: yes
- McQueeney: yes
- Metcalf: yes
- Meyer: yes
- Money: yes
- Moody: yes
- Morales, C.: yes
- Morales, E.: yes
- Muñoz: yes
- Noble: yes
- Olcott: yes
- Oliverson: yes
- Ordaz: yes
- Orr: yes
- Patterson: yes
- Paul: yes
- Perez, M.: yes
- Perez, V.: yes
- Phelan: yes
- Pierson: yes
- Plesa: yes
- Raymond: yes
- Richardson: yes
- Rodríguez Ramos: yes
- Romero: yes
- Rose: yes
- Schatzline: yes
- Schofield: yes
- Shaheen: yes
- Shofner: yes
- Simmons: yes
- Slawson: yes
- Smithee: yes
- Spiller: yes
- Swanson: yes
- Talarico: yes
- Tepper: yes
- Thompson: yes
- Tinderholt: yes
- Troxclair: yes
- VanDeaver: yes
- Vasut: yes
- Villalobos: yes
- Virdell: yes
- Walle: yes
- Ward Johnson: yes
- Wharton: yes
- Wilson: yes
- Anchía: no
- Cain: no
- Canales: no
- Cole: no
- Collier: no
- Dorazio: no
- Flores: no
- Garcia Hernandez: no
- González, J.: no
- Goodwin: no
- Harrison: no
- Hinojosa: no
- Jones, J.: no
- Leo Wilson: no
- Lowe: no
- Manuel: no
- Meza: no
- Morgan: no
- Reynolds: no
- Rosenthal: no
- Schoolcraft: no
- Toth: no
- Turner: no
- Wu: no
- Present: not voting
- Speaker: not voting
- Harris(C): not voting
- Morales Shaw: not voting
- Zwiene: not voting
- Absent: absent
- Vo: absent
- Hefner: absent
- Martinez Fische: absent
passage
2025-05-25 · pass · 26-5
Member-level votes (31)
- Alvarado: yes
- Bettencourt: yes
- Birdwell: yes
- Blanco: yes
- Campbell: yes
- Flores: yes
- Gutierrez: yes
- Hagenbuch: yes
- Hall: yes
- Hancock: yes
- A. Hinojosa: yes
- J. Hinojosa: yes
- Huffman: yes
- Hughes: yes
- Johnson: yes
- King: yes
- Kolkhorst: yes
- Middleton: yes
- Nichols: yes
- Parker: yes
- Paxton: yes
- Perry: yes
- Schwertner: yes
- Sparks: yes
- West: yes
- Zaffirini: yes
- Cook: no
- Creighton: no
- Eckhardt: no
- Menéndez: no
- Miles: no
Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSHB 18 be placed on its third reading and final passage.
2025-05-25 · pass · 26-5
Member-level votes (31)
- Alvarado: yes
- Bettencourt: yes
- Birdwell: yes
- Blanco: yes
- Campbell: yes
- Flores: yes
- Gutierrez: yes
- Hagenbuch: yes
- Hall: yes
- Hancock: yes
- A. Hinojosa: yes
- J. Hinojosa: yes
- Huffman: yes
- Hughes: yes
- Johnson: yes
- King: yes
- Kolkhorst: yes
- Middleton: yes
- Nichols: yes
- Parker: yes
- Paxton: yes
- Perry: yes
- Schwertner: yes
- Sparks: yes
- West: yes
- Zaffirini: yes
- Cook: no
- Creighton: no
- Eckhardt: no
- Menéndez: no
- Miles: no
other
2025-05-25 · fail · 9-22
Member-level votes (31)
- Alvarado: yes
- Blanco: yes
- Cook: yes
- Eckhardt: yes
- Gutierrez: yes
- Menéndez: yes
- Miles: yes
- West: yes
- Zaffirini: yes
- Bettencourt: no
- Birdwell: no
- Campbell: no
- Creighton: no
- Flores: no
- Hagenbuch: no
- Hall: no
- Hancock: no
- A. Hinojosa: no
- J. Hinojosa: no
- Huffman: no
- Hughes: no
- Johnson: no
- King: no
- Kolkhorst: no
- Middleton: no
- Nichols: no
- Parker: no
- Paxton: no
- Perry: no
- Schwertner: no
- Sparks: no
passage
2025-05-28 · pass · 115-18
Member-level votes (151)
- Alders: yes
- Ashby: yes
- Barry: yes
- Bell, C.: yes
- Bell, K.: yes
- Bernal: yes
- Bhojani: yes
- Bonnen: yes
- Bowers: yes
- Buckley: yes
- Bucy: yes
- Button: yes
- Cain: yes
- Campos: yes
- Capriglione: yes
- Cole: yes
- Cook: yes
- Cortez: yes
- Craddick: yes
- Curry: yes
- Darby: yes
- Davis, A.: yes
- Davis, Y.: yes
- Dean: yes
- DeAyala: yes
- Dorazio: yes
- Dutton: yes
- Dyson: yes
- Fairly: yes
- Flores: yes
- Frank: yes
- Gámez: yes
- Garcia, J.: yes
- Garcia Hernandez: yes
- Gates: yes
- Gerdes: yes
- Geren: yes
- Gervin-Hawkins: yes
- González, M.: yes
- Goodwin: yes
- Guillen: yes
- Harless: yes
- Harris Davila: yes
- Hayes: yes
- Hefner: yes
- Hernandez: yes
- Hickland: yes
- Hopper: yes
- Howard: yes
- Hull: yes
- Hunter: yes
- Isaac: yes
- Johnson: yes
- Jones, V.: yes
- King: yes
- LaHood: yes
- Lalani: yes
- Lambert: yes
- Landgraf: yes
- Leach: yes
- Little: yes
- Lopez, J.: yes
- Lopez, R.: yes
- Louderback: yes
- Lozano: yes
- Lujan: yes
- Luther: yes
- Manuel: yes
- Martinez: yes
- Fischer: yes
- McLaughlin: yes
- McQueeney: yes
- Metcalf: yes
- Meyer: yes
- Meza: yes
- Moody: yes
- Morales, E.: yes
- Morales Shaw: yes
- Morgan: yes
- Muñoz: yes
- Noble: yes
- Olcott: yes
- Oliverson: yes
- Ordaz: yes
- Patterson: yes
- Paul: yes
- Perez, M.: yes
- Perez, V.: yes
- Phelan: yes
- Pierson: yes
- Plesa: yes
- Raymond: yes
- Rodríguez Ramos: yes
- Romero: yes
- Rosenthal: yes
- Schatzline: yes
- Schofield: yes
- Shaheen: yes
- Simmons: yes
- Slawson: yes
- Smithee: yes
- Spiller: yes
- Swanson: yes
- Tepper: yes
- Thompson: yes
- Turner: yes
- VanDeaver: yes
- Vasut: yes
- Villalobos: yes
- Virdell: yes
- Vo: yes
- Walle: yes
- Ward Johnson: yes
- Wharton: yes
- Wu: yes
- Bryant: no
- Bumgarner: no
- Cunningham: no
- Garcia, L.: no
- González, J.: no
- Harrison: no
- Leo Wilson: no
- Lowe: no
- Morales, C.: no
- Reynolds: no
- Richardson: no
- Rose: no
- Schoolcraft: no
- Shofner: no
- Tinderholt: no
- Toth: no
- Troxclair: no
- Zwiener: no
- Present: not voting
- Mr. Speaker(C): not voting
- Allen: absent
- Anchía: absent
- Guerra: absent
- Harris: absent
- Hinojosa: absent
- Jones, J.: absent
- Kerwin: absent
- Longoria: absent
- Money: absent
- Talarico: absent
- Canales: absent
- Collier: absent
- Holt: absent
- Kitzman: absent
- Orr: absent
- Wilso: absent
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_bulk_csv, retrieved 2026-07-24T05:33:51.767464Z
Use this data
Every field on this page is available from the free public API — no key or licence required. Fetch this bill as JSON: GET /api/v1/bills?jurisdiction=TX&identifier=HB 18. See the API docs or the MCP server for AI assistants.
Known limitations
- Sponsor party and chamber affiliation are not yet captured by this API.
- Committee referrals are not yet captured.
- Some documents have no extracted text yet, so version comparison may be limited.
See the methodology page for data sources and limitations.