Texas · House Bill 18 · 89th Legislature, Regular Session

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

HB 18 Sponsored by Gary VanDeaver Became law

  1. Introduced Mar 7, 2025
  2. In committee Mar 10, 2025
  3. Passed the House Apr 24, 2025
  4. Passed the Senate May 25, 2025
  5. To the governor May 31, 2025
  6. Became law Jun 20, 2025

Every action

77 steps, oldest first, as the legislature records them.

Show the 69 earlier steps
  1. HouseFiled
  2. HouseRead first time
  3. CommitteeReferred to Public Health · House Public Health
  4. CommitteeScheduled for public hearing on . . . · House Public Health
  5. CommitteeConsidered in public hearing · House Public Health
  6. CommitteeCommittee substitute considered in committee · House Public Health
  7. CommitteeTestimony taken/registration(s) recorded in committee · House Public Health
  8. CommitteeLeft pending in committee · House Public Health
  9. CommitteeConsidered in public hearing · House Public Health
  10. CommitteeCommittee substitute considered in committee · House Public Health
  11. CommitteeReported favorably as substituted · House Public Health
  12. HouseComte report filed with Committee Coordinator
  13. HouseCommittee report distributed
  14. HouseCommittee report sent to Calendars
  15. HouseConsidered in Calendars
  16. HousePlaced on General State Calendar
  17. HouseRead 2nd time
  18. HousePostponed (4/22/25 1:00 PM)
  19. HouseLaid out as postponed business
  20. HousePostponed (4/23/25 10:00 AM)
  21. HouseLaid out as postponed business
  22. HouseAmendment(s) offered (1-Toth)
  23. HousePoint of order withdrawn (amendment) (Rule 11, Section 2)
  24. HouseAmendment withdrawn (1-Toth)
  25. HouseAmended (2-Toth)
  26. HouseRecord vote (RV#416)
  27. HouseStatement(s) of vote recorded in Journal
  28. HousePassed to engrossment as amended
  29. HouseRecord vote (RV#417)
  30. HouseStatement(s) of vote recorded in Journal
  31. HouseRead 3rd time
  32. HousePassed
  33. HouseRecord vote (RV#466)
  34. HouseStatement(s) of vote recorded in Journal
  35. HouseReported engrossed
  36. SenateReceived from the House
  37. SenateRead first time
  38. SenateReferred to Health & Human Services
  39. CommitteeScheduled for public hearing on . . . · Senate Health & Human Services
  40. SenateCo-sponsor authorized
  41. CommitteeConsidered in public hearing · Senate Health & Human Services
  42. CommitteeTestimony taken in committee · Senate Health & Human Services
  43. CommitteeLeft pending in committee · Senate Health & Human Services
  44. CommitteeConsidered in public hearing · Senate Health & Human Services
  45. CommitteeVote taken in committee · Senate Health & Human Services
  46. CommitteeReported favorably as substituted · Senate Health & Human Services
  47. SenateCommittee report printed and distributed
  48. SenateCo-sponsor authorized
  49. SenatePlaced on intent calendar
  50. SenateCo-sponsor authorized
  51. SenateRules suspended-Regular order of business
  52. SenateRecord vote
  53. SenateRead 2nd time
  54. SenateAmendment(s) offered (FA1 Menéndez)
  55. SenateAmendment fails of adoption
  56. SenateRecord vote
  57. SenatePassed to 3rd reading
  58. SenateRecord vote
  59. SenateThree day rule suspended
  60. SenateRecord vote
  61. SenateRead 3rd time
  62. SenatePassed
  63. SenateRecord vote
  64. HouseSenate passage as amended reported
  65. HouseSenate Amendments distributed
  66. HouseSenate Amendments Analysis distributed
  67. HouseHouse concurs in Senate amendment(s)
  68. HouseRecord vote (RV#3981)
  69. HouseStatement(s) of vote recorded in Journal
  1. HouseText of Senate Amendment(s)
  2. SenateHouse concurs in Senate amendment(s)-reported
  3. HouseReported enrolled
  4. HouseSigned in the House
  5. SenateSigned in the Senate
  6. GovernorSent to the Governor
  7. GovernorSigned by the Governor
  8. GovernorEffective immediately

Roll calls

11 recorded votes: 9 on the floor, 2 in committee. Each shows how every member voted.

CSHB 18 , Relating to the establishment and administration of certain programs and services providing health care services to rural counties. — The motion prevailed · Full Senate

Passed 26–5
May 25, 2025 · journal entry
Yes 26 No 5
Democrats: 7 yes, 4 no Republicans: 19 yes, 1 no
How each member voted

Yes · 26

No · 5

The amendment to CSHB 18 was read and failed of adoption · Full Senate

Failed 9–22
May 25, 2025 · journal entry
Yes 9 No 22
Democrats: 9 yes, 2 no Republicans: 0 yes, 20 no
How each member voted

Yes · 9

No · 22

CSHB 18 was passed to third reading · Full Senate

Passed 26–5
May 25, 2025 · journal entry
Yes 26 No 5
Democrats: 7 yes, 4 no Republicans: 19 yes, 1 no
How each member voted

Yes · 26

No · 5

Senator Perry moved that 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. — The motion prevailed · Full Senate

Passed 26–5
May 25, 2025 · journal entry
Yes 26 No 5
Democrats: 7 yes, 4 no Republicans: 19 yes, 1 no
How each member voted

Yes · 26

No · 5

The bill was read third time and was passed · Full Senate

Passed 26–5
May 25, 2025 · journal entry
Yes 26 No 5
Democrats: 7 yes, 4 no Republicans: 19 yes, 1 no
How each member voted

Yes · 26

No · 5

Representative VanDeaver moved to concur in the senate amendments to HB 18 . — The motion to concur in the senate amendments to HB 18 prevailed · Full House

Passed 115–18
May 28, 2025 · journal entry
Yes 115 No 18 Not voting 17
Democrats: 46 yes, 7 no Republicans: 69 yes, 11 no
How each member voted

Yes · 115

No · 18

Not voting · 1

Absent · 6

Excused · 10

Committee and other votes

DateWhereQuestionResult
Apr 7, 2025 House Public Health Public Health: Reported favorably as substituted Passed 13–0
Apr 23, 2025 Full House Amendment No. 2 was adopted
Members

Yes · 88

No · 55

Not voting · 1

Absent · 6

 Passed 88–55
Apr 23, 2025 Full House CSHB 18 , as amended, was passed to engrossment
Members

Yes · 106

No · 33

Not voting · 2

Absent · 9

 Passed 106–33
Apr 24, 2025 Full House HB 18 was passed
Members

Yes · 119

No · 24

Not voting · 4

Absent · 2

Excused · 1

 Passed 119–24
May 19, 2025 Senate Health & Human Services Health & Human Services: Reported favorably as substituted Passed 6–1

Sponsors

The member who introduced it, joined by 13 cosponsors: 10 Republicans, 3 Democrats.

All 13 cosponsors

From Texas's official records (ftp.legis.state.tx.us), checked Nov 1, 2026. Text links go to the official versions; LegiList does not copy bill text.