All Roll Calls
Yes: 526 • No: 633
TexasSB 125789th Legislature Regular SessionSenateWALLET
Relating to required health benefit plan coverage for gender transition adverse effects and reversals.
Sponsored By: Bryan Hughes (Republican), Jeff Leach
Signed by Governor
Health--Other Diseases & Medical ConditionsInsurance--Health & AccidentGENDER IDENTITY & EXPRESSION
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More coverage for gender-transition effects and reversals
Texas health plans that cover or have covered gender-transition treatment must also cover all related adverse effects, including long-term effects. They must cover care needed to manage, reverse, reconstruct from, or recover from treatment. Required mental and physical health monitoring includes baseline testing and follow-up testing at least annually, regardless of recorded sex or gender identity. Coverage includes enrollees treated before joining the plan. Covered plans include many Texas-regulated private plans, Medicaid, CHIP, and specified state and local plans. Group coverage for Texas residents is included regardless of where the policy is issued or renewed. Employer self-funded plans governed by federal ERISA law are excluded. The law does not require plans to start covering gender-transition treatment itself. The law took effect September 1, 2025; coverage requirements apply to plans issued, delivered, or renewed starting January 1, 2026. State agencies may seek required federal approvals and delay implementation until those approvals arrive.
Sponsors & Cosponsors
Sponsors
Bryan Hughes
Republican • Senate
Jeff Leach
House
Cosponsors
Bob Hall
Republican • Senate
Helen Kerwin
House
Kevin Sparks
Republican • Senate
Roll Call Votes
House vote • 5/12/2025
Record vote
Yes: 87 • No: 58
House vote • 5/10/2025
Record vote
Yes: 46 • No: 82
House vote • 5/10/2025
Record vote
Yes: 45 • No: 83
House vote • 5/10/2025
Record vote
Yes: 42 • No: 80
House vote • 5/10/2025
Record vote
Yes: 82 • No: 37
House vote • 5/10/2025
Record vote
Yes: 45 • No: 79
House vote • 5/10/2025
Record vote
Yes: 45 • No: 81
House vote • 5/10/2025
Record vote
Yes: 43 • No: 84
Senate vote • 4/24/2025
Record vote
Yes: 20 • No: 11
Senate vote • 4/24/2025
Record vote
Yes: 20 • No: 11
Senate vote • 4/23/2025
Record vote
Yes: 20 • No: 11
Senate vote • 4/23/2025
Record vote
Yes: 20 • No: 11
Senate vote • Unknown
Committee vote: Health & Human Services
Yes: 6 • No: 3
House vote • Unknown
Committee vote: Insurance
Yes: 5 • No: 2
Actions Timeline
Effective on 9/1/25
5/24/2025HouseSigned by the Governor
5/24/2025HouseSent to the Governor
5/13/2025HouseSigned in the House
5/13/2025HouseSigned in the Senate
5/13/2025SenateReported enrolled
5/12/2025SenateHouse passage reported
5/12/2025SenateStatement(s) of vote recorded in Journal
5/12/2025HouseRecord vote (RV#2153)
5/12/2025HousePassed
5/12/2025HouseRead 3rd time
5/12/2025HouseStatement(s) of vote recorded in Journal
5/10/2025HouseRecord vote (RV#2099)
5/10/2025HousePassed to 3rd reading
5/10/2025HouseAmendment withdrawn (7-Rosenthal)
5/10/2025HouseRecord vote (RV#2098)
5/10/2025HouseAmendment fails of adoption (6-V. Jones)
5/10/2025HousePoint of order withdrawn (Rule 8, Section 1(a)(1))
5/10/2025HouseRecord vote (RV#2097)
5/10/2025HouseAmendment fails of adoption (5-J. González)
5/10/2025HouseRecord vote (RV#2096)
5/10/2025HouseAmendment fails of adoption (4-Howard)
5/10/2025HouseRecord vote (RV#2095)
5/10/2025HouseAmendment fails of adoption (3-Hinojosa)
5/10/2025HouseStatement(s) of vote recorded in Journal
5/10/2025House
Bill Text
Engrossed
Enrolled
House Committee Report
Introduced
Senate Committee Report
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