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Texas Legislature · HB 18 · Effective immediately

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

Introduced
Moved
Reached a final decision
Became law
Derived from the official record below.

Officially: “Relating to the establishment and administration of certain programs and services providing health care services to rural counties. Read the full text

Official title shown verbatim from the official record. Plain-language summary coming as coverage deepens. Not legal advice.
89th Legislature (2025)

Where it is

Show all 77 actions
Filed · Mar 7, 2025
Read first time · Mar 10, 2025
Referred to Public Health · Mar 10, 2025
Scheduled for public hearing on . . . · Mar 24, 2025
Considered in public hearing · Mar 24, 2025
Committee substitute considered in committee · Mar 24, 2025
Testimony taken/registration(s) recorded in committee · Mar 24, 2025
Left pending in committee · Mar 24, 2025
Considered in public hearing · Apr 7, 2025
Committee substitute considered in committee · Apr 7, 2025
Reported favorably as substituted · Apr 7, 2025
Comte report filed with Committee Coordinator · Apr 14, 2025
Committee report distributed · Apr 14, 2025
Committee report sent to Calendars · Apr 15, 2025
Considered in Calendars · Apr 17, 2025
Placed on General State Calendar · Apr 22, 2025
Read 2nd time · Apr 22, 2025
Postponed · Apr 22, 2025
Laid out as postponed business · Apr 22, 2025
Postponed · Apr 22, 2025
Laid out as postponed business · Apr 23, 2025
Amendment(s) offered · Apr 23, 2025
Point of order withdrawn (amendment) · Apr 23, 2025
Amendment withdrawn · Apr 23, 2025
Amended · Apr 23, 2025
Record vote · Apr 23, 2025
Statement(s) of vote recorded in Journal · Apr 23, 2025
Passed to engrossment as amended · Apr 23, 2025
Record vote · Apr 23, 2025
Statement(s) of vote recorded in Journal · Apr 23, 2025
Read 3rd time · Apr 24, 2025
Passed · Apr 24, 2025
Record vote · Apr 24, 2025
Statement(s) of vote recorded in Journal · Apr 24, 2025
Reported engrossed · Apr 24, 2025
Received from the House · Apr 24, 2025
Read first time · Apr 28, 2025
Referred to Health & Human Services · Apr 28, 2025
Scheduled for public hearing on . . . · May 7, 2025
Co-sponsor authorized · May 7, 2025
Considered in public hearing · May 7, 2025
Testimony taken in committee · May 7, 2025
Left pending in committee · May 7, 2025
Considered in public hearing · May 13, 2025
Vote taken in committee · May 13, 2025
Reported favorably as substituted · May 19, 2025
Committee report printed and distributed · May 19, 2025
Co-sponsor authorized · May 21, 2025
Placed on intent calendar · May 21, 2025
Co-sponsor authorized · May 25, 2025
Rules suspended-Regular order of business · May 25, 2025
Record vote · May 25, 2025
Read 2nd time · May 25, 2025
Amendment(s) offered · May 25, 2025
Amendment fails of adoption · May 25, 2025
Record vote · May 25, 2025
Passed to 3rd reading · May 25, 2025
Record vote · May 25, 2025
Three day rule suspended · May 25, 2025
Record vote · May 25, 2025
Read 3rd time · May 25, 2025
Passed · May 25, 2025
Record vote · May 25, 2025
Senate passage as amended reported · May 26, 2025
Senate Amendments distributed · May 26, 2025
Senate Amendments Analysis distributed · May 26, 2025
House concurs in Senate amendment(s) · May 28, 2025
Record vote · May 28, 2025
Statement(s) of vote recorded in Journal · May 28, 2025
Text of Senate Amendment(s) · May 28, 2025
House concurs in Senate amendment(s)-reported · May 28, 2025
Reported enrolled · May 29, 2025
Signed in the House · May 30, 2025
Signed in the Senate · May 31, 2025
Sent to the Governor · May 31, 2025
Signed by the Governor · Jun 20, 2025
Effective immediately · Jun 20, 2025

The numbers

14
sponsors on the bill

Sponsors

VanDeaverLambertKingJohnsonAshbyBonnenBuckleyFloresGuillenHarrisLandgrafMetcalfSpillerPerry

Recorded votes

The motion to concur in the senate amendments to HB 18 prevailed byHouse · 2025-05-28 · Yeas 115, Nays 18, Present, not voting 1
The motion prevailedSenate · 2025-05-25 · Yeas 26, Nays 5
HBi18 was passed byHouse · 2025-04-24 · Yeas 119, Nays 24, Present, not voting 4
Smithee CSHB 18, as amended, was passed to engrossment byHouse · 2025-04-23 · Yeas 106, Nays 33, Present, not voting 2
Amendment No. 2 was adopted byHouse · 2025-04-23 · Yeas 88, Nays 55, Present, not voting 1
Roll-call results shown verbatim from the Texas legislature’s records. A result reflects that roll call’s own motion, not the bill’s overall outcome.
Every fact on this page links to its source, starting with the official bill record. Last action: Effective immediately (Jun 20, 2025).