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SB1257

Signed by Governor
Authored by Bryan Hughes (R)
View at Source

Caption: Relating to required health benefit plan coverage for gender transition adverse effects and reversals.
Initially Referred to Senate Health & Human Services Committee, chaired by a Republican
Last Referred to House Insurance Committee, chaired by a Republican

Texas Policy Research Priority #1: TPR Vote Recommendation ENDORSED

SB 1257 requires health benefit plans that cover gender transition procedures to also provide coverage for adverse effects and reversal procedures. It mandates that insurance providers include coverage for medical complications resulting from gender transition treatments, as well as any necessary reconstructive surgeries, hormone therapies, or mental health services for individuals seeking to detransition. The bill applies to a broad range of health plans, including Medicaid, state employee plans, and private insurance, but does not apply to self-funded plans under ERISA.

Co-authors: Hall (R); Sparks (R)
Sponsors: Leach (R)
Co-sponsors: Kerwin (R)


(S) Kerwin signed onto the bill as
(S) Leach signed onto the bill as
 

Feb 13, 2025


(S) Hughes signed onto the bill as Author
(S) Received by the Secretary of the Senate
(S) Filed
 

Feb 28, 2025


(S) Read first time
(S) Referred to the Senate Health & Human Services, chaired by a Republican
 

Mar 26, 2025


(S) Scheduled for public hearing on . . .
(S) Considered in public hearing
(S) Testimony taken in committee
(S) Left pending in committee
 

Apr 2, 2025


(S) Considered in public hearing
(S) Vote taken in committee
 

Apr 7, 2025


(S) Reported favorably as substituted
(S) Committee report printed and distributed
 

Apr 9, 2025


(S) Hall signed onto the bill as Coauthor
(S) Sparks signed onto the bill as Coauthor
(S) Co-author authorized
 

Apr 22, 2025


(S) Placed on intent calendar
 

Apr 23, 2025


(S) Rules suspended-Regular order of business
(S) Record vote
(S) Read 2nd time & passed to engrossment

20250423_SB1257_E: Yea 20 (R 20, D 0) - Nay 11 (R 0, D 11)

Yea - A. Hinojosa; Bettencourt; Birdwell; Campbell; Creighton; Flores; Hagenbuch; Hall; Hancock; Huffman; Hughes; King; Kolkhorst; Middleton; Nichols; Parker; Paxton; Perry; Schwertner; Sparks

Nay - Alvarado; Blanco; Cook; Eckhardt; Gutierrez; J. Hinojosa; Johnson; Menendez; Miles; West; Zaffirini

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(S) Record vote
 

Apr 24, 2025


(S) Rules suspended-Regular order of business
(S) Record vote
(S) Read 3rd time
(S) Passed
(S) Record vote
(S) Reported engrossed
 

Apr 25, 2025


(H) Received from the Senate
 

Apr 28, 2025


(H) Read first time
(H) Referred to the House Insurance, chaired by a Republican
 

May 9, 2025


(H) Considered in formal meeting
(H) Reported favorably w/o amendment(s)
(H) Comte report filed with Committee Coordinator
(H) Committee report distributed
 

May 10, 2025


(H) Committee report sent to Calendars
(H) Laid out in lieu of companion
(H) Read 2nd time
(H) A Democrat amendment (No. 1) from Jones, V. failed and was not adopted.
(H) Record vote

RV#2093: Yea 45 (R 2, D 43) - Nay 81 (R 81, D 0)
View Source

Yea - Anchia; Bhojani; Bucy; Campos; Cole; Collier; Cortez; Dutton; Flores; Gamez; Garcia Hernandez; Garcia, J.; Garcia, L.; Gates; Gervin-Hawkins; Gonzalez, J.; Gonzalez, M.; Hernandez; Hinojosa; Howard; Johnson; Jones, J.; Jones, V.; Kerwin; Lalani; Longoria; Lopez, R.; Manuel; Martinez; Morales, C.; Morales, E.; Munoz; Perez, V.; Plesa; Raymond; Reynolds; Rodriguez Ramos; Romero; Rose; Rosenthal; Simmons; Thompson; Turner; Walle; Wu

Nay - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bonnen; Buckley; Bumgarner; Button; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dorazio; Dyson; Fairly; Frank; Gerdes; Geren; Guillen; Harless; Harris; Harris Davila; Harrison; Hayes; Hickland; Hopper; Hull; Hunter; Isaac; Kitzman; LaHood; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Louderback; Lowe; Lozano; Lujan; Luther; McLaughlin; McQueeney; Metcalf; Meyer; Money; Morgan; Noble; Olcott; Oliverson; Orr; Patterson; Paul; Phelan; Pierson; Richardson; Schatzline; Schofield; Schoolcraft; Shaheen; Shofner; Slawson; Spiller; Swanson; Tepper; Tinderholt; Toth; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Wharton; Wilson

Absent - Davis, A.; Guerra; King; Ward Johnson

Present, Not Voting - Burrows

Please note: the following statements by legislators do not affect the vote count that was recorded.

Aicha Davis: "When Record No. 2093 was taken, I was in the house but away from my desk. I would have voted yes." (view other statements of vote for this Rep)

Gary Gates: "When Record No. 2093 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

You can view which lawmakers have received money from a specific PAC
by selecting the PAC from the list below:


(H) A Democrat amendment (No. 2) from Collier failed and was not adopted.
(H) Record vote

RV#2094: Yea 45 (R 3, D 42) - Nay 79 (R 79, D 0)
View Source

Yea - Anchia; Bhojani; Bucy; Campos; Cole; Collier; Cortez; Darby; Dutton; Flores; Gamez; Garcia Hernandez; Garcia, J.; Garcia, L.; Gervin-Hawkins; Gonzalez, J.; Gonzalez, M.; Guillen; Hernandez; Hinojosa; Howard; Johnson; Jones, J.; Jones, V.; Kerwin; Lalani; Longoria; Lopez, R.; Manuel; Morales, C.; Morales, E.; Munoz; Perez, V.; Plesa; Raymond; Reynolds; Rodriguez Ramos; Romero; Rose; Rosenthal; Simmons; Thompson; Turner; Walle; Wu

Nay - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bonnen; Buckley; Bumgarner; Button; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Dean; DeAyala; Dorazio; Dyson; Fairly; Frank; Gates; Gerdes; Geren; Harless; Harris; Harris Davila; Harrison; Hayes; Hickland; Hopper; Hull; Hunter; Isaac; Kitzman; LaHood; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Louderback; Lowe; Lozano; Lujan; Luther; McLaughlin; McQueeney; Metcalf; Meyer; Money; Noble; Olcott; Oliverson; Orr; Patterson; Paul; Phelan; Pierson; Richardson; Schatzline; Schofield; Schoolcraft; Shaheen; Shofner; Slawson; Spiller; Swanson; Tepper; Tinderholt; Toth; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Wharton; Wilson

Absent - Davis, A.; Guerra; King; Morgan; Ward Johnson

Present, Not Voting - Burrows; Martinez

Please note: the following statements by legislators do not affect the vote count that was recorded.

Aicha Davis: "When Record No. 2094 was taken, I was in the house but away from my desk. I would have voted yes." (view other statements of vote for this Rep)

You can view which lawmakers have received money from a specific PAC
by selecting the PAC from the list below:


(H) A Democrat amendment (No. 3) from Hinojosa failed and was not adopted.
(H) Record vote

RV#2095: Yea 43 (R 0, D 43) - Nay 84 (R 82, D 2)
View Source

Yea - Anchia; Bhojani; Bucy; Campos; Cole; Collier; Cortez; Davis, A.; Dutton; Flores; Gamez; Garcia Hernandez; Garcia, J.; Garcia, L.; Gervin-Hawkins; Gonzalez, J.; Gonzalez, M.; Hernandez; Hinojosa; Howard; Johnson; Jones, J.; Jones, V.; Lalani; Longoria; Lopez, R.; Manuel; Martinez; Morales, C.; Morales, E.; Perez, V.; Plesa; Reynolds; Rodriguez Ramos; Romero; Rose; Rosenthal; Simmons; Thompson; Turner; Walle; Ward Johnson; Wu

Nay - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bonnen; Buckley; Bumgarner; Button; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dorazio; Dyson; Fairly; Frank; Gates; Gerdes; Geren; Guillen; Harless; Harris; Harris Davila; Harrison; Hayes; Hickland; Hopper; Hull; Hunter; Isaac; Kerwin; Kitzman; LaHood; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Louderback; Lowe; Lozano; Lujan; Luther; McLaughlin; McQueeney; Metcalf; Meyer; Money; Morgan; Munoz; Noble; Olcott; Oliverson; Patterson; Paul; Phelan; Pierson; Raymond; Richardson; Schatzline; Schofield; Schoolcraft; Shaheen; Shofner; Slawson; Spiller; Swanson; Tepper; Tinderholt; Toth; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Wharton; Wilson

Absent - Guerra; King; Orr

Present, Not Voting - Burrows

You can view which lawmakers have received money from a specific PAC
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(H) A Democrat amendment (No. 4) from Howard failed and was not adopted.
(H) Record vote

RV#2096: Yea 46 (R 1, D 45) - Nay 82 (R 82, D 0)
View Source

Yea - Anchia; Bhojani; Bucy; Campos; Cole; Collier; Cortez; Davis, A.; Dutton; Flores; Gamez; Garcia Hernandez; Garcia, J.; Garcia, L.; Gervin-Hawkins; Gonzalez, J.; Gonzalez, M.; Hernandez; Hinojosa; Howard; Johnson; Jones, J.; Jones, V.; Lalani; Longoria; Lopez, R.; Manuel; Martinez; Money; Morales, C.; Morales, E.; Munoz; Perez, V.; Plesa; Raymond; Reynolds; Rodriguez Ramos; Romero; Rose; Rosenthal; Simmons; Thompson; Turner; Walle; Ward Johnson; Wu

Nay - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bonnen; Buckley; Bumgarner; Button; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dorazio; Dyson; Fairly; Frank; Gates; Gerdes; Guillen; Harless; Harris; Harris Davila; Harrison; Hayes; Hickland; Hopper; Hull; Hunter; Isaac; Kerwin; King; Kitzman; LaHood; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Louderback; Lowe; Lozano; Lujan; Luther; McLaughlin; McQueeney; Metcalf; Meyer; Morgan; Noble; Olcott; Oliverson; Orr; Patterson; Paul; Phelan; Pierson; Richardson; Schatzline; Schofield; Schoolcraft; Shaheen; Shofner; Slawson; Spiller; Swanson; Tepper; Tinderholt; Toth; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Wharton; Wilson

Absent - Guerra

Present, Not Voting - Burrows; Geren

You can view which lawmakers have received money from a specific PAC
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(H) A Democrat amendment (No. 5) from Gonzalez, J. failed and was not adopted.
(H) Record vote

RV#2097: Yea 45 (R 0, D 45) - Nay 83 (R 83, D 0)
View Source

Yea - Anchia; Bhojani; Bucy; Campos; Cole; Collier; Cortez; Davis, A.; Dutton; Flores; Gamez; Garcia Hernandez; Garcia, J.; Garcia, L.; Gervin-Hawkins; Gonzalez, J.; Gonzalez, M.; Hernandez; Hinojosa; Howard; Johnson; Jones, J.; Jones, V.; Lalani; Longoria; Lopez, R.; Manuel; Martinez; Morales, C.; Morales, E.; Munoz; Perez, V.; Plesa; Raymond; Reynolds; Rodriguez Ramos; Romero; Rose; Rosenthal; Simmons; Thompson; Turner; Walle; Ward Johnson; Wu

Nay - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bonnen; Buckley; Bumgarner; Button; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dorazio; Dyson; Fairly; Frank; Gates; Gerdes; Guillen; Harless; Harris; Harris Davila; Harrison; Hayes; Hickland; Hopper; Hull; Hunter; Isaac; Kerwin; King; Kitzman; LaHood; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Louderback; Lowe; Lozano; Lujan; Luther; McLaughlin; McQueeney; Metcalf; Meyer; Money; Morgan; Noble; Olcott; Oliverson; Orr; Patterson; Paul; Phelan; Pierson; Richardson; Schatzline; Schofield; Schoolcraft; Shaheen; Shofner; Slawson; Spiller; Swanson; Tepper; Tinderholt; Toth; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Wharton; Wilson

Absent - Guerra

Present, Not Voting - Burrows; Geren

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(H) Point of order withdrawn
(H) A Democrat amendment (No. 6) from Jones, V. failed and was not adopted.
(H) Record vote

RV#2098: Yea 42 (R 0, D 42) - Nay 80 (R 80, D 0)
View Source

Yea - Bhojani; Bucy; Campos; Cole; Collier; Cortez; Davis, A.; Dutton; Flores; Gamez; Garcia Hernandez; Garcia, J.; Garcia, L.; Gervin-Hawkins; Gonzalez, J.; Gonzalez, M.; Hernandez; Hinojosa; Howard; Johnson; Jones, J.; Jones, V.; Lalani; Longoria; Lopez, R.; Manuel; Martinez; Morales, E.; Munoz; Perez, V.; Plesa; Raymond; Reynolds; Rodriguez Ramos; Romero; Rose; Rosenthal; Simmons; Thompson; Turner; Ward Johnson; Wu

Nay - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bonnen; Buckley; Bumgarner; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dorazio; Dyson; Fairly; Frank; Gates; Gerdes; Guillen; Harless; Harris; Harris Davila; Harrison; Hickland; Hopper; Hull; Hunter; Isaac; Kerwin; Kitzman; LaHood; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Louderback; Lowe; Lozano; Lujan; Luther; McLaughlin; McQueeney; Metcalf; Meyer; Money; Morgan; Noble; Olcott; Oliverson; Orr; Patterson; Paul; Phelan; Pierson; Richardson; Schatzline; Schofield; Schoolcraft; Shaheen; Shofner; Slawson; Spiller; Swanson; Tepper; Tinderholt; Toth; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Wharton; Wilson

Absent - Button; Geren; Guerra; Hayes; King; Morales, C.; Walle

Present, Not Voting - Burrows

You can view which lawmakers have received money from a specific PAC
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(H) A Democrat amendment (No. 7) from Rosenthal was withdrawn.
(H) Passed to 3rd reading
(H) Record vote

RV#2099: Yea 82 (R 82, D 0) - Nay 37 (R 0, D 37)
View Source

Yea - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bonnen; Buckley; Bumgarner; Button; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dorazio; Dyson; Frank; Gates; Gerdes; Geren; Guillen; Harless; Harris; Harris Davila; Harrison; Hayes; Hopper; Hull; Hunter; Isaac; Kerwin; King; Kitzman; LaHood; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Louderback; Lowe; Lozano; Lujan; Luther; McLaughlin; McQueeney; Metcalf; Meyer; Money; Morgan; Noble; Olcott; Oliverson; Orr; Patterson; Paul; Phelan; Pierson; Richardson; Schatzline; Schofield; Schoolcraft; Shaheen; Shofner; Slawson; Spiller; Swanson; Tepper; Tinderholt; Toth; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Wharton; Wilson

Nay - Bhojani; Bucy; Campos; Cole; Collier; Cortez; Davis, A.; Gamez; Garcia Hernandez; Garcia, J.; Garcia, L.; Gervin-Hawkins; Gonzalez, J.; Gonzalez, M.; Hinojosa; Howard; Johnson; Jones, J.; Jones, V.; Lopez, R.; Manuel; Martinez; Morales, C.; Morales, E.; Perez, V.; Plesa; Raymond; Reynolds; Rodriguez Ramos; Romero; Rose; Rosenthal; Simmons; Turner; Walle; Ward Johnson; Wu

Absent - Dutton; Fairly; Flores; Guerra; Hernandez; Hickland; Lalani; Longoria; Munoz

Present, Not Voting - Burrows

Please note: the following statements by legislators do not affect the vote count that was recorded.

Hillary Hickland: "When Record No. 2099 was taken, I was in the house but away from my desk. I would have voted yes." (view other statements of vote for this Rep)

Suleman Lalani: "When Record No. 2099 was taken, I was in the house but away from my desk. I would have voted no." (view other statements of vote for this Rep)

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May 12, 2025


(H) Read 3rd time
(H) Passed
(H) Record vote

RV#2153: Yea 87 (R 86, D 1) - Nay 58 (R 0, D 58)
View Source

Yea - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bonnen; Buckley; Bumgarner; Button; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dorazio; Dyson; Fairly; Frank; Gates; Gerdes; Geren; Guillen; Harless; Harris; Harris Davila; Harrison; Hayes; Hefner; Hickland; Holt; Hopper; Hull; Hunter; Isaac; Kerwin; King; Kitzman; LaHood; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Louderback; Lowe; Lozano; Lujan; Luther; Martinez; McLaughlin; McQueeney; Metcalf; Meyer; Money; Morgan; Noble; Olcott; Oliverson; Orr; Patterson; Paul; Phelan; Pierson; Richardson; Schatzline; Schoolcraft; Shaheen; Shofner; Slawson; Smithee; Spiller; Swanson; Tepper; Tinderholt; Toth; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Wharton; Wilson

Nay - Allen; Anchia; Bernal; Bhojani; Bowers; Bryant; Bucy; Campos; Canales; Cole; Collier; Cortez; Davis, A.; Davis, Y.; Dutton; Gamez; Garcia Hernandez; Garcia, J.; Garcia, L.; Gervin-Hawkins; Gonzalez, J.; Gonzalez, M.; Goodwin; Hernandez; Hinojosa; Howard; Johnson; Jones, J.; Jones, V.; Lalani; Longoria; Lopez, R.; Manuel; Martinez Fischer; Meza; Moody; Morales Shaw; Morales, C.; Morales, E.; Munoz; Ordaz; Perez, M.; Perez, V.; Plesa; Raymond; Reynolds; Rodriguez Ramos; Romero; Rose; Rosenthal; Talarico; Thompson; Turner; Vo; Walle; Ward Johnson; Wu; Zweiner

Absent - Guerra

Present, Not Voting - Burrows

Please note: the following statements by legislators do not affect the vote count that was recorded.

Helen Kerwin: "When Record No. 2153 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

You can view which lawmakers have received money from a specific PAC
by selecting the PAC from the list below:


(S) House passage reported
(S) Reported enrolled
 

May 13, 2025


(S) Signed in the Senate
(H) Signed in the House
(E) Sent to the Governor

Lobbying Against/For/On This Bill

Against

(Wed 3/26/2025) Testifying before S Health & Human Services as Ash Hall for self (with American Civil Liberties Union (ACLU))
(Wed 3/26/2025) Registering before S Health & Human Services as Andrew Hendrickson for American Civil Liberties Union (ACLU)
(Wed 3/26/2025) Registering before S Health & Human Services as Callie Butcher for self
(Wed 3/26/2025) Registering before S Health & Human Services as Darcy Caballero for self (with Planned Parenthood Texas Votes)
(Wed 3/26/2025) Registering before S Health & Human Services as Kyle Riley for self (with Texas Impact)
(Wed 3/26/2025) Registering before S Health & Human Services as Landon Richie for self (with Transgender Education Network of Texas)
(Wed 3/26/2025) Registering before S Health & Human Services as Miriam Laeky for self (with Equality Texas)
(Wed 3/26/2025) Registering before S Health & Human Services as Miriam Laeky for self (with Equality Texas)
(Wed 3/26/2025) Registering before S Health & Human Services as Noah Jones for Texas Counseling Association
(Wed 3/26/2025) Registering before S Health & Human Services as Ren Morris for self
(Wed 3/26/2025) Registering before S Health & Human Services as Stephanie Thompson for self
(Wed 3/26/2025) Registering before S Health & Human Services as Taft Mashburn for self
(Wed 3/26/2025) Registering before S Health & Human Services as Tory Morris for self
 

For

(Wed 3/26/2025) Testifying before S Health & Human Services as Jared Ross for Do No Harm Action
(Wed 3/26/2025) Testifying before S Health & Human Services as Jonathan Covey for Texas Values
(Wed 3/26/2025) Testifying before S Health & Human Services as Soren Aldaco for self
(Wed 3/26/2025) Registering before S Health & Human Services as Cindi Castilla for self (with Texas Eagle Forum)
(Wed 3/26/2025) Registering before S Health & Human Services as Elizabeth Agarwal for self
(Wed 3/26/2025) Registering before S Health & Human Services as Jennifer Allmon for Texas Catholic Conference of Bishops
(Wed 3/26/2025) Registering before S Health & Human Services as Marco Roberts for self (with Texas Conservative Liberty Forum)
(Wed 3/26/2025) Registering before S Health & Human Services as Mary Castle for Texas Values
(Wed 3/26/2025) Registering before S Health & Human Services as Michelle Evans for self
(Wed 3/26/2025) Registering before S Health & Human Services as Tracy Layne for self



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