Bill Commons

TX HB 18

enacted

Relating to the establishment and administration of certain programs and services providing health care services to rural counties.

Texas · 89th Legislature (2025 Regular Session) · lower

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Quick answers

Did TX HB 18 pass?

Yes. TX HB 18 has been enacted into law. Latest recorded action (2025-06-20): Effective immediately

What is TX HB 18 about?

TX HB 18 is a bill in the 89th Legislature (2025 Regular Session) titled “Relating to the establishment and administration of certain programs and services providing health care services to rural counties.”.

Who sponsors TX HB 18?

Perry, Lambert, King and 3 others are the primary sponsors of TX HB 18, joined by 13 cosponsors.

Introduced
2025-03-10
Latest action
2025-06-20 — Effective immediately
Bill type
bill
Last updated
—

Subjects

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

Newest first

  1. 2025-06-20

    Effective immediately

    became-law

  2. 2025-06-20

    Signed by the Governor

    executive-signature

  3. 2025-05-31

    Sent to the Governor

    executive-receipt

  4. 2025-05-31

    Signed in the Senate

    passage

  5. 2025-05-30

    Signed in the House

    passage

  6. 2025-05-29

    Reported enrolled

    enrolled

  7. 2025-05-28

    House concurs in Senate amendment(s)-reported

  8. 2025-05-28

    Text of Senate Amendment(s)

  9. 2025-05-28

    Statement(s) of vote recorded in Journal

  10. 2025-05-28

    Record vote

  11. 2025-05-28

    House concurs in Senate amendment(s)

  12. 2025-05-26

    Senate Amendments Analysis distributed

  13. 2025-05-26

    Senate Amendments distributed

  14. 2025-05-26

    Senate passage as amended reported

    amendment-passage

  15. 2025-05-25

    Record vote

  16. 2025-05-25

    Passed

    passage

  17. 2025-05-25

    Read 3rd time

    reading-3

  18. 2025-05-25

    Record vote

  19. 2025-05-25

    Three day rule suspended

  20. 2025-05-25

    Record vote

  21. 2025-05-25

    Passed to 3rd reading

  22. 2025-05-25

    Record vote

  23. 2025-05-25

    Amendment fails of adoption

    amendment-failure

  24. 2025-05-25

    Amendment(s) offered

    amendment-introduction

  25. 2025-05-25

    Read 2nd time

    reading-2

  26. 2025-05-25

    Record vote

  27. 2025-05-25

    Rules suspended-Regular order of business

  28. 2025-05-25

    Co-sponsor authorized

  29. 2025-05-21

    Placed on intent calendar

  30. 2025-05-21

    Co-sponsor authorized

  31. 2025-05-19

    Committee report printed and distributed

  32. 2025-05-19

    Reported favorably as substituted

    committee-passage-favorable

  33. 2025-05-13

    Vote taken in committee

  34. 2025-05-13

    Considered in public hearing

  35. 2025-05-07

    Left pending in committee

  36. 2025-05-07

    Testimony taken in committee

  37. 2025-05-07

    Considered in public hearing

  38. 2025-05-07

    Co-sponsor authorized

  39. 2025-05-07

    Scheduled for public hearing on . . .

  40. 2025-04-28

    Referred to Health & Human Services

    referral-committee

  41. 2025-04-28

    Read first time

    introduction,reading-1

  42. 2025-04-24

    Received from the House

    introduction

  43. 2025-04-24

    Reported engrossed

  44. 2025-04-24

    Statement(s) of vote recorded in Journal

  45. 2025-04-24

    Record vote

  46. 2025-04-24

    Passed

    passage

  47. 2025-04-24

    Read 3rd time

    reading-3

  48. 2025-04-23

    Statement(s) of vote recorded in Journal

  49. 2025-04-23

    Record vote

  50. 2025-04-23

    Passed to engrossment as amended

    amendment-passage

  51. 2025-04-23

    Statement(s) of vote recorded in Journal

  52. 2025-04-23

    Record vote

  53. 2025-04-23

    Amended

    amendment-passage

  54. 2025-04-23

    Amendment withdrawn

    amendment-withdrawal,withdrawal

  55. 2025-04-23

    Point of order withdrawn (amendment)

    withdrawal

  56. 2025-04-23

    Amendment(s) offered

    amendment-introduction

  57. 2025-04-23

    Laid out as postponed business

  58. 2025-04-22

    Postponed

  59. 2025-04-22

    Laid out as postponed business

  60. 2025-04-22

    Postponed

  61. 2025-04-22

    Read 2nd time

    reading-2

  62. 2025-04-22

    Placed on General State Calendar

  63. 2025-04-17

    Considered in Calendars

  64. 2025-04-15

    Committee report sent to Calendars

  65. 2025-04-14

    Committee report distributed

  66. 2025-04-14

    Comte report filed with Committee Coordinator

    filing

  67. 2025-04-07

    Reported favorably as substituted

    committee-passage-favorable

  68. 2025-04-07

    Committee substitute considered in committee

    substitution

  69. 2025-04-07

    Considered in public hearing

  70. 2025-03-24

    Left pending in committee

  71. 2025-03-24

    Testimony taken/registration(s) recorded in committee

  72. 2025-03-24

    Committee substitute considered in committee

    substitution

  73. 2025-03-24

    Considered in public hearing

  74. 2025-03-10

    Referred to Public Health

    referral-committee

  75. 2025-03-10

    Read first time

    introduction,reading-1

  76. 2025-03-07

    Filed

    filing

Versions

Documents

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

Inspect retained evidence for changes recorded after evidence tracking began:

Session-wide evidence can include changes to other bills:

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

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  • 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.