HB18

Signed by Governor
Authored by Gary VanDeaver (R)
View at Source

Caption: Relating to the establishment and administration of certain programs and services providing health care services to rural counties.
Initially Referred to House Public Health Committee, chaired by a Republican
Last Referred to Senate Health & Human Services Committee, chaired by a Republican
This bill would cost taxpayers $115,431,026.00 over five years, according to the Legislative Budget Bureau.

Texas Policy Research Priority #1: TPR Vote Recommendation OPPOSED


Joint authors: Ashby (R); Johnson (D); King (R); Lambert (R)
Co-authors: Bonnen (R); Buckley (R); Flores (D); Guillen (R); Harris (R); Landgraf (R); Metcalf (R); Spiller (R)
Sponsors: Perry (R)
Co-sponsors: Blanco (D); Hagenbuch (R); J. Hinojosa (D); Kolkhorst (R); Sparks (R)


(H) Blanco signed onto the bill as Cosponsor
(H) Hagenbuch signed onto the bill as Cosponsor
(H) J. Hinojosa signed onto the bill as Cosponsor
(H) Kolkhorst signed onto the bill as Cosponsor
(H) Sparks signed onto the bill as Cosponsor
(H) Perry signed onto the bill as Sponsor
 

Mar 7, 2025


(H) VanDeaver signed onto the bill as Author
(H) Filed
 

Mar 10, 2025


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

Mar 24, 2025


(H) Scheduled for public hearing on . . .
(H) Considered in public hearing
(H) Committee substitute considered in committee
(H) Testimony taken/registration(s) recorded in committee
(H) Left pending in committee
 

Apr 7, 2025


(H) House Public Health met.
(H) Considered in public hearing
(H) Committee substitute considered in committee
(H) Reported favorably as substituted
 

Apr 8, 2025


(H) Spiller signed onto the bill as Coauthor
 

Apr 10, 2025


(H) Lambert signed onto the bill as Joint Author
 

Apr 14, 2025


(H) Comte report filed with Committee Coordinator
(H) Committee report distributed
 

Apr 15, 2025


(H) Committee report sent to Calendars
 

Apr 17, 2025


(H) Considered in Calendars
 

Apr 22, 2025


(H) Bonnen signed onto the bill as Coauthor
(H) Buckley signed onto the bill as Coauthor
(H) Landgraf signed onto the bill as Coauthor
(H) Metcalf signed onto the bill as Coauthor
(H) Johnson signed onto the bill as Joint Author
(H) King signed onto the bill as Joint Author
(H) Placed on General State Calendar
(H) Read 2nd time
(H) Postponed
(H) Laid out as postponed business
(H) Postponed
 

Apr 23, 2025


(H) Flores signed onto the bill as Coauthor
(H) Ashby signed onto the bill as Joint Author
(H) Laid out as postponed business
(H) A Republican amendment (No. 1) from Toth was offered.
(H) Point of order withdrawn (amendment)
(H) A Republican amendment (No. 1) from Toth was withdrawn.
(H) A Republican amendment (No. 2) from Toth amended the bill.
(H) Record vote

RV#416: Yea 88 (R 83, D 5) - Nay 55 (R 2, D 53)
View Source

Yea - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bernal; Bonnen; Buckley; Bumgarner; Button; Cain; Capriglione; Cook; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dorazio; Dyson; Fairly; Frank; Gerdes; Geren; Guerra; Guillen; Harless; Harris; Harris Davila; Harrison; Hayes; Hefner; Hickland; Holt; Hopper; Hull; Isaac; Kerwin; King; 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; Vo; Wharton; Wilson

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

Absent - Campos; Garcia, J.; Gates; Hunter; Longoria; Morales Shaw

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

Angelia Orr: "When Record No. 416 was taken, I was shown voting no. I intended to vote yes." (view other statements of vote for this Rep)

Josey Garcia: "When Record No. 416 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)

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


(H) Statement(s) of vote recorded in Journal
(H) Passed to engrossment as amended
(H) Record vote

RV#417: Yea 106 (R 77, D 29) - Nay 33 (R 7, D 26)
View Source

Yea - Alders; Allen; Ashby; Barry; Bell, C.; Bell, K.; Bernal; Bonnen; Bowers; Buckley; Bucy; Bumgarner; Button; Cain; Capriglione; Cook; Cortez; Craddick; Cunningham; Curry; Darby; Dean; DeAyala; Dutton; Dyson; Fairly; Frank; Gamez; Gates; Gerdes; Geren; Gonzalez, M.; Guerra; Guillen; Harless; Harris; Harris Davila; Hayes; Hefner; Hickland; Holt; Hopper; Howard; Hull; Isaac; Kerwin; Kitzman; LaHood; Lalani; Lambert; Landgraf; Leach; Leo Wilson; Little; Lopez, J.; Lopez, R.; Louderback; Lozano; Lujan; Luther; Martinez; Martinez Fischer; McLaughlin; McQueeney; Metcalf; Meyer; Meza; Money; Moody; Morales Shaw; Morales, E.; Munoz; Noble; Olcott; Oliverson; Ordaz; Orr; Patterson; Paul; Perez, M.; Perez, V.; Phelan; Pierson; Plesa; Raymond; Richardson; Schatzline; Schofield; Shofner; Simmons; Slawson; Smithee; Spiller; Swanson; Talarico; Tepper; Toth; VanDeaver; Vasut; Villalobos; Virdell; Vo; Walle; Ward Johnson; Wharton; Wilson

Nay - Anchia; Bhojani; Bryant; Canales; Cole; Collier; Davis, A.; Davis, Y.; Dorazio; Garcia Hernandez; Gervin-Hawkins; Gonzalez, J.; Goodwin; Harrison; Hernandez; Hinojosa; Jones, J.; Jones, V.; Lowe; Manuel; Morales, C.; Morgan; Reynolds; Romero; Rose; Rosenthal; Schoolcraft; Thompson; Tinderholt; Troxclair; Turner; Wu; Zweiner

Absent - Campos; Garcia, J.; Garcia, L.; Hunter; Johnson; King; Longoria; Rodriguez Ramos; Shaheen

Present, Not Voting - Flores

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

Alma Allen: "When Record No. 417 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Ana-Maria Rodriguez Ramos: "When Record No. 417 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)

Carl Tepper: "When Record No. 417 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Josey Garcia: "When Record No. 417 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)

Ken King: "When Record No. 417 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)

Maria Luisa "Lulu" Flores: "When Record No. 417 was taken, I was shown voting present, not voting. I intended to vote no." (view other statements of vote for this Rep)

Rhetta Bowers: "When Record No. 417 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Todd Hunter: "When Record No. 417 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) Statement(s) of vote recorded in Journal
 

Apr 24, 2025


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

RV#466: Yea 119 (R 77, D 42) - Nay 24 (R 8, D 16)
View Source

Yea - Alders; Allen; Ashby; Barry; Bell, C.; Bell, K.; Bernal; Bhojani; Bonnen; Bowers; Bryant; Buckley; Bucy; Bumgarner; Button; Campos; Capriglione; Cook; Cortez; Craddick; Cunningham; Curry; Darby; Davis, A.; Davis, Y.; Dean; DeAyala; Dutton; Dyson; Fairly; Frank; Gamez; Garcia, J.; Garcia, L.; Gates; Gerdes; Geren; Gervin-Hawkins; Gonzalez, M.; Guerra; Guillen; Harless; Harris Davila; Hayes; Hernandez; Hickland; Holt; Hopper; Howard; Hull; Hunter; Isaac; Johnson; Jones, V.; Kerwin; King; Kitzman; LaHood; Lalani; Lambert; Landgraf; Leach; Little; Longoria; Lopez, J.; Lopez, R.; Louderback; Lozano; Lujan; Luther; Martinez; McLaughlin; McQueeney; Metcalf; Meyer; Money; Moody; Morales, C.; Morales, E.; Munoz; Noble; Olcott; Oliverson; Ordaz; Orr; Patterson; Paul; Perez, M.; Perez, V.; Phelan; Pierson; Plesa; Raymond; Richardson; Rodriguez Ramos; Romero; Rose; Schatzline; Schofield; Shaheen; Shofner; Simmons; Slawson; Smithee; Spiller; Swanson; Talarico; Tepper; Thompson; Tinderholt; Troxclair; VanDeaver; Vasut; Villalobos; Virdell; Walle; Ward Johnson; Wharton; Wilson

Nay - Anchia; Cain; Canales; Cole; Collier; Dorazio; Flores; Garcia Hernandez; Gonzalez, J.; Goodwin; Harrison; Hinojosa; Jones, J.; Leo Wilson; Lowe; Manuel; Meza; Morgan; Reynolds; Rosenthal; Schoolcraft; Toth; Turner; Wu

Absent - Hefner; Martinez Fischer

Present, Not Voting - Burrows; Harris; Morales Shaw; Zweiner

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

Aicha Davis: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Alma Allen: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Barbara Gervin-Hawkins: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Charlene Ward Johnson: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Christina Morales: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Donna Howard: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

John Bryant: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Josey Garcia: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Linda Garcia: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Liz Campos: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Ray Lopez: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Rhetta Bowers: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Salman Bhojani: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Terry Wilson: "When Record No. 466 was taken, I was shown voting yes. I intended to vote no." (view other statements of vote for this Rep)

Trey Martinez Fischer: "When Record No. 466 was taken, I was temporarily out of the house chamber. I would have voted yes." (view other statements of vote for this Rep)

Venton Jones: "When Record No. 466 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) Statement(s) of vote recorded in Journal
(H) Reported engrossed
(S) Received from the House
 

Apr 28, 2025


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

Apr 30, 2025


(H) Harris signed onto the bill as Coauthor
 

May 7, 2025


(S) Scheduled for public hearing on . . .
(S) Co-sponsor authorized
 

May 13, 2025


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

May 19, 2025


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

May 21, 2025


(S) Co-sponsor authorized
(S) Placed on intent calendar
 

May 24, 2025


(H) Guillen signed onto the bill as Coauthor
 

May 25, 2025


(S) Co-sponsor authorized
(S) Rules suspended-Regular order of business
(S) Record vote
(S) Read 2nd time
(S) A Democrat amendment (No. FA1) from Menendez was offered.
(S) Amendment fails of adoption
(S) Record vote
(S) Passed to 3rd reading
(S) Record vote
(S) Three day rule suspended
(S) Record vote
(S) Read 3rd time
(S) Passed
(S) Record vote
 

May 26, 2025


(H) Senate passage as amended reported
(H) Senate Amendments distributed
(H) Senate Amendments Analysis distributed
 

May 28, 2025


(H) House concurs in Senate amendment(s)
(H) Record vote

RV#3981: Yea 115 (R 69, D 46) - Nay 18 (R 11, D 7)
View Source

Yea - Alders; Ashby; Barry; Bell, C.; Bell, K.; Bernal; Bhojani; Bonnen; Bowers; Buckley; Bucy; Button; Cain; Campos; Capriglione; Cole; Cook; Cortez; Craddick; Curry; Darby; Davis, A.; Davis, Y.; Dean; DeAyala; Dorazio; Dutton; Dyson; Fairly; Flores; Frank; Gamez; Garcia Hernandez; Garcia, J.; Gates; Gerdes; Geren; Gervin-Hawkins; Gonzalez, M.; Goodwin; Guillen; Harless; Harris Davila; Hayes; Hefner; Hernandez; Hickland; Hopper; Howard; Hull; Hunter; Isaac; Johnson; Jones, V.; King; LaHood; Lalani; Lambert; Landgraf; Leach; Little; Lopez, J.; Lopez, R.; Louderback; Lozano; Lujan; Luther; Manuel; Martinez; Martinez Fischer; McLaughlin; McQueeney; Metcalf; Meyer; Meza; Moody; Morales Shaw; Morales, E.; Morgan; Munoz; Noble; Olcott; Oliverson; Ordaz; Patterson; Paul; Perez, M.; Perez, V.; Phelan; Pierson; Plesa; Raymond; Rodriguez Ramos; Romero; Rosenthal; Schatzline; Schofield; Shaheen; Simmons; Slawson; Smithee; Spiller; Swanson; Tepper; Thompson; Turner; VanDeaver; Vasut; Villalobos; Virdell; Vo; Walle; Ward Johnson; Wharton; Wu

Nay - Bryant; Bumgarner; Cunningham; Garcia, L.; Gonzalez, J.; Harrison; Leo Wilson; Lowe; Morales, C.; Reynolds; Richardson; Rose; Schoolcraft; Shofner; Tinderholt; Toth; Troxclair; Zweiner

Absent - Canales; Collier; Holt; Kitzman; Orr; Wilson

Present, Not Voting - Burrows

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

Joanne Shofner: "When Record No. 3981 was taken, I was shown voting no. I intended to vote yes." (view other statements of vote for this Rep)

Maria Luisa "Lulu" Flores: "When Record No. 3981 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) Text of Senate Amendment(s)
(S) House concurs in Senate amendment(s)-reported
 

May 29, 2025


(H) Reported enrolled
 

May 30, 2025


(H) Signed in the House
 

May 31, 2025


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

Lobbying Against/For/On This Bill

For

(Wed 5/7/2025) Testifying before S Health & Human Services as Charles Cascio for AARP
(Mon 3/24/2025) Testifying before H Public Health as Freddy Olivarez for self (with Medical Arts Hospital)
(Mon 3/24/2025) Testifying before H Public Health as John Henderson for Texas Organization of Rural & Community Hospitals (TORCH)
(Wed 5/7/2025) Testifying before S Health & Human Services as John Henderson for self (with TORCH)
(Wed 5/7/2025) Testifying before S Health & Human Services as John Hughson for self (with Frio Hospital District)
(Mon 3/24/2025) Testifying before H Public Health as Trace George for North Runnels Hospital District
(Mon 3/24/2025) Registering before H Public Health as Andrea Chevalier for Texas Council of Administrators of Special Education (TCASE)
(Wed 5/7/2025) Registering before S Health & Human Services as Ben Wright for Texas Medical Association
(Mon 3/24/2025) Registering before H Public Health as Benjamin Williams for Texas Hospital Association
(Mon 3/24/2025) Registering before H Public Health as Blake Hutson for Texas Associatiom of Health Plans
(Wed 5/7/2025) Registering before S Health & Human Services as Care Foundation for TETAF
(Mon 3/24/2025) Registering before H Public Health as Charles Cascio for AARP
(Mon 3/24/2025) Registering before H Public Health as Charles Miller for Texas 2036
(Wed 5/7/2025) Registering before S Health & Human Services as Charles Miller for Texas 2036
(Mon 3/24/2025) Registering before H Public Health as Christine Yanas for Methodist Healthcare Ministries
(Wed 5/7/2025) Registering before S Health & Human Services as Christine Yanas for Methodist Healthcare Ministries
(Wed 5/7/2025) Registering before S Health & Human Services as Clayton Stewart for Texas Medical Association
(Mon 3/24/2025) Registering before H Public Health as Clayton Travis for Texas Pediatric Society
(Wed 5/7/2025) Registering before S Health & Human Services as Clayton Travis for Texas Pediatric Society
(Mon 3/24/2025) Registering before H Public Health as Daniel Gonzalez for Texas Academy of Family Physicians
(Mon 3/24/2025) Registering before H Public Health as David Reynolds for Texas Chapter American College of Physicians
(Wed 5/7/2025) Registering before S Health & Human Services as David Reynolds for Texas Chapter American College of Physicians
(Wed 5/7/2025) Registering before S Health & Human Services as Desiree Ingram for Texas Women's Healthcare Coalition (TWHC)
(Mon 3/24/2025) Registering before H Public Health as Dinah Welsh for self (with Texas EMS, Trauma & Acute Care Foundation (TETAF))
(Wed 5/7/2025) Registering before S Health & Human Services as Dinah Welsh for self (with Texas EMS, Trauma & Acute Care Foundation (TETAF))
(Mon 3/24/2025) Registering before H Public Health as Drew Fuller for Texas Farm Bureau
(Wed 5/7/2025) Registering before S Health & Human Services as Drew Fuller for Texas Farm Bureau
(Mon 3/24/2025) Registering before H Public Health as Greg Hansch for National Alliance on Mental Illness (NAMI)
(Wed 5/7/2025) Registering before S Health & Human Services as Greg Hansch for National Alliance on Mental Illness (NAMI)
(Wed 5/7/2025) Registering before S Health & Human Services as Jamie Dudensing for Texas Association of Health Plans
(Mon 3/24/2025) Registering before H Public Health as Jason Sabo for The Immunization Partnership
(Wed 5/7/2025) Registering before S Health & Human Services as Jason Sabo for The Immunization Partnership
(Wed 5/7/2025) Registering before S Health & Human Services as John Litzler for Texas Baptist Christian Life Commission
(Mon 3/24/2025) Registering before H Public Health as Josie Castro Garcia for Dallas County
(Mon 3/24/2025) Registering before H Public Health as Katherine Strandberg for Every Body Texas
(Mon 3/24/2025) Registering before H Public Health as Kelsey Bernstein for Texas Council of Community Centers
(Wed 5/7/2025) Registering before S Health & Human Services as Kelsey Bernstein for Texas Council of Community Centers
(Mon 3/24/2025) Registering before H Public Health as Kristilyn Moses for self (with AAMA TSMA)
(Wed 5/7/2025) Registering before S Health & Human Services as Lauren Fleming for Texas Coalition for Patients
(Wed 5/7/2025) Registering before S Health & Human Services as Lynn Cowles for Every Texan
(Wed 5/7/2025) Registering before S Health & Human Services as Mackenzie Lyra for Texas Health Resources (THR)
(Wed 5/7/2025) Registering before S Health & Human Services as Marshall Kenderdine for Texas Academy of Family Physicians
(Mon 3/24/2025) Registering before H Public Health as Matt Dowling for Texas Medical Association
(Mon 3/24/2025) Registering before H Public Health as McCann Turner for Texas Health Resources (THR)
(Mon 3/24/2025) Registering before H Public Health as Nora Cox for Texas e-Health Alliance
(Wed 5/7/2025) Registering before S Health & Human Services as Nora Cox for Texas e-Health Alliance
(Mon 3/24/2025) Registering before H Public Health as Rachel Wolleben for Texas Women's Healthcare Coalition (TWHC)
(Mon 3/24/2025) Registering before H Public Health as Rick Thompson for County Judges and Commissioners Association of Texas (CJCAT)
(Mon 3/24/2025) Registering before H Public Health as Sarah Berel-harrop for self
(Wed 5/7/2025) Registering before S Health & Human Services as Susan Stewart for self
(Mon 3/24/2025) Registering before H Public Health as Tessa Galloso for Texans Care for Children
(Wed 5/7/2025) Registering before S Health & Human Services as Will Holleman for Texas Hospital Association
 

On

(Mon 3/24/2025) Testifying before H Public Health as Kia Parsi for Texas A&M Health Science Center
(Wed 5/7/2025) Testifying before S Health & Human Services as Kia Parsi for Texas A&M Health Science Center
(Mon 3/24/2025) Testifying before H Public Health as Victoria Grady for Health and Human Services Commission (HHSC)
(Wed 5/7/2025) Testifying before S Health & Human Services as Victoria Grady for Health and Human Services Commission (HHSC)



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