Bill explainers

Every post names the bill, the session, and the verified status, then explains what the bill does and what it changes where you live.

HJR 24Proposing a constitutional amendment; filed Nov. 9, 2026

Texas voters would decide a constitutional right to reproductive autonomy in 2027

If voters approve, the Texas constitution would spell out reproductive options that the state could not limit, including contraception, fertility treatments such as IVF, and abortion within the limits written into the resolution. People making these decisions would have their choices protected in the state constitution rather than only in state law. The 2027 ballot would ask voters to approve the proposition that the constitutional amendment establishes an individual's right to personal reproductive autonomy. This is only a proposal, so nothing changes unless the Legislature sends it to the voters and voters approve it.

90th Regular Session (2027) · StatewideContact your rep →
HB 617Introduced; filed Nov. 9, 2026

Your health plan would have to cover a doctor visit delivered by phone only

If your doctor offers a visit by phone only for a service your plan covers, your plan would have to pay for it the same way it pays for an office visit once your plan is renewed on or after January 1, 2028. Plans that are not renewed by then would keep the coverage rules they have now. Dentists could bill teledentistry services the same way they bill in-person dental care, and no plan could reduce coverage based on which platform a provider uses. The bill is about how a covered service is delivered, not about adding new benefits to your plan.

90th Regular Session (2027) · StatewideContact your rep →
HB 562Introduced; filed Nov. 9, 2026

Your health plan could not require advance approval for medication-assisted addiction treatment

If you take medication for opioid or substance use disorder and your plan covers it, the plan could not make you wait for permission before treatment, except to guard against fraud, waste and abuse. That would reach people whose coverage comes through a small employer, a standard plan, or a self-funded plan at work, and it would apply to group plans covering Texas residents even when the policy was issued elsewhere. The change would apply to plans delivered, issued for delivery, or renewed on or after Jan. 1, 2028, and the bill takes effect Sept. 1, 2027.

90th Regular Session (2027) · StatewideContact your rep →
HB 575Introduced; filed Nov. 9, 2026

Violence that harms an unborn child would be handled under the same criminal law as violence against a person born alive

Police and prosecutors would have the same criminal charges available when an assault or another crime harms a fetus, and the civil wrongful death law would carry the same exceptions for emergency care and miscarriage. People who deliver babies or treat pregnant patients would be following the same rules that apply to any other patient. The change would reach only offenses committed on or after Sept. 1, 2027, and cases from before that date would be handled under the law that was in effect at the time.

90th Regular Session (2027) · StatewideContact your rep →
HB 1023Introduced; filed Nov. 10, 2026

Your health plan could not raise your costs or drop a medicine you are already taking when it renews

If you take a daily medicine for a chronic condition or a mental illness, this would mean you do not have to switch drugs or pay more when your plan renews. Plans could still make changes that help you, such as adding a drug to the formulary or lowering your copay, and your doctor could still prescribe something else or your pharmacist could substitute a generic. The protection would not cover Medicaid, CHIP, self-funded employer plans, dental or vision only plans, or long-term care insurance.

90th Regular Session (2027) · StatewideContact your rep →
HB 208Introduced; filed Nov. 9, 2026

Your insurer would pay the emergency room first and collect your deductible instead of billing you at the door

This matters most when you are treated in an emergency room that is outside your plan's network, where surprise bills are common. What you owe does not change: your deductible, copay, and coinsurance are still yours, but the insurer collects them and can spread them across the year instead of asking for one lump sum. Your hospital and doctor also gain, since they get paid in full and would not have to give extra discounts to cover the gap, and the state Medicaid program is not covered by this bill.

90th Regular Session (2027) · StatewideContact your rep →
HJR 21Proposing a constitutional amendment; filed Nov. 9, 2026

A 2027 ballot measure would require Texas to cover everyone who qualifies for federal matching funds

If the amendment passes, the state would have to provide medical assistance to every person who applies and qualifies for the federal matching money, starting January 1, 2028. The resolution does not spell out the cost or which programs change. Texas voters would make the call in the November 2, 2027 election.

90th Regular Session (2027) · StatewideContact your rep →
HB 538Introduced; filed Nov. 9, 2026

Medicaid would cover doula services from the start of your pregnancy through your baby's first year

If you are on Medicaid and pregnant, doula services could be covered from your pregnancy through the first year after the birth. The bill does not spell out which doula services are covered. The change depends on federal approval of a Medicaid plan change, so the start date is not guaranteed.

90th Regular Session (2027) · StatewideContact your rep →
HB 1017Introduced; filed Nov. 10, 2026

Your child's checkups before the first birthday could include a depression screening for you

If your baby is on Medicaid or the Children's Health Insurance Program, your child's early visits could include a depression screening for you that the program covers. The screening would happen during a visit you are already taking your child to. The change depends on federal approval, so the start date is not certain.

90th Regular Session (2027) · StatewideContact your rep →
HB 473Introduced; filed Nov. 9, 2026

Medicaid coverage for new mothers would last at least two years after pregnancy

If you are on Medicaid while pregnant, your coverage would not stop right after the birth. You would stay covered for at least two years after the last month of pregnancy. The bill text does not say what other services would change during that extra time, and the longer coverage still depends on federal approval.

90th Regular Session (2027) · StatewideContact your rep →
HB 948Introduced; filed Nov. 9, 2026

Some laws on abortion would be repealed, and the commission would enforce what remains.

One part of the law could no longer be enforced through private lawsuits, because that part would be repealed. The commission would enforce the whole chapter, which changes the enforcement system that clinics and other providers of abortion services work under. The bill text does not say how this would affect cases already filed under the repealed laws.

90th Regular Session (2027) · StatewideContact your rep →
HB 101Introduced; filed Nov. 9, 2026

Medicaid would cover more people if voters approve a matching constitutional amendment

The bill would replace the current limits on who can get Medicaid with one rule: if you apply and federal matching money is available for your situation, the state has to cover you. The annual report would put the cost picture in front of lawmakers, including how the change affects local health care and what hospitals give away as charity care. If voters reject the constitutional amendment, the bill would have no effect at all. Any part that needs a federal waiver could be delayed until the waiver is granted.

90th Regular Session (2027) · StatewideContact your rep →
SB 136Introduced; filed Nov. 9, 2026

Medicaid would cover the full cost of seizure monitoring devices and their service fees

If someone on Medicaid in your family has epilepsy, a monitoring device and its service or subscription fee could be covered instead of paid out of pocket. The commission would review the list of covered devices every two years and update it as technology changes, and the awareness campaign would tell providers and families what is available. People who count on a caregiver to respond during a seizure are the ones most likely to feel the change. Nothing happens until the legislature passes the bill.

90th Regular Session (2027) · StatewideContact your rep →
SB 326Introduced; filed Nov. 10, 2026

Texas would offer a public auto insurance plan as an alternative to private policies

Drivers who must show financial responsibility to drive could buy a policy from a state-run program, giving households another option when they shop for coverage. Whether the public plan would cost more or less than private coverage would depend on the rates the department sets, and the bill calls for a study every two years on premiums, consumer satisfaction, and the number of uninsured motorists. The plan would carry its own rules, including transparent claims handling and an independent appeals process for disputed claims.

90th Regular Session (2027) · StatewideContact your rep →
SB 54Introduced; filed Nov. 9, 2026

Ambulance billing protections would end when federal law takes effect, not on a set date

If an ambulance company bills you out of network, the state protections against balance billing would stay in place until federal action is confirmed and published. If no such federal law takes effect, the protections would not expire on a calendar date under this bill. The bill would also keep the state's licensing authority over ambulance providers for conduct that happened before the protections expire.

90th Regular Session (2027) · StatewideContact your rep →
HB 647Introduced; filed Nov. 9, 2026

Your health plan would have to cover a medicine for perimenopause or menopause

If your insurance covers prescription drugs, it would have to cover a medicine for perimenopause or menopause, including coverage you get through your job. If you are on Medicaid, the state program and its managed care program would be covered too. Plans already in place would not have to change until they are renewed on or after January 1, 2028. If a federal waiver is needed before a state agency can put part of the rule in place, that part could be delayed.

90th Regular Session (2027) · StatewideContact your rep →
HB 537Introduced; filed Nov. 9, 2026

Your health plan would have to cover a type of medication used to treat obesity

If your health plan covers prescription drugs, it would have to cover this class of medication when it is used for obesity treatment, including coverage you get through work. If you are on Medicaid, the state program and its managed care program would be covered too. Plans already in place would not have to change until they are renewed on or after January 1, 2028. If a federal waiver is needed first, that part of the rule could be delayed.

90th Regular Session (2027) · StatewideContact your rep →
HB 536Introduced; filed Nov. 9, 2026

Your school would need more defibrillators and staff trained to use them

If your child practices or plays sports on campus, more defibrillators within reach and more trained adults nearby could mean faster help in a cardiac emergency. The bill's caption also names certain private schools, while the sections it rewrites are the Education Code rules for school districts. The grant priority would direct planning money toward campuses with high numbers of educationally disadvantaged students. Nothing changes unless the legislature passes the bill.

90th Regular Session (2027) · StatewideContact your rep →
HB 158Introduced; filed Nov. 9, 2026

County jails would have to meet minimum care standards for pregnant and postpartum prisoners

For women held in county jails and the families supporting them, the bill would set a statewide floor for prenatal and postpartum care and would make outside audits a regular part of the process. Sheriffs who run county jails would be the ones responsible for meeting the standards and for the audits. If a jail fell short, the commission's annual report would identify the deficiencies in care. The bill would take effect September 1, 2027 if the legislature passes it.

90th Regular Session (2027) · StatewideContact your rep →
HB 808Introduced; filed Nov. 9, 2026

Your employer would have to give you paid sick leave under a new Texas rule

Starting January 1, 2028, new hires and current workers would start earning paid sick leave, and workers hired before then could begin using it 90 calendar days after that date. Small businesses in your city would have to track the hours, post a notice in English and Spanish at hiring, and keep records for at least three years. If your job already includes other paid leave at the same rate or better, the employer would already be in compliance, and a union contract can waive the rule in clear language. Workers can file a complaint with the Texas Workforce Commission, and an employer that breaks the chapter can face penalties and pay damages.

90th Regular Session (2027) · StatewideContact your rep →
HB 218Introduced; filed Nov. 9, 2026

A judge could order a person with serious mental illness who seems dangerous to give up their guns

The case would go to a district or county court in the county where you or the person lives, and local law enforcement would hold any firearms taken under the order. The bill says an unclaimed firearm cannot be destroyed or taken by the state, and if it is sold the money goes back to the owner minus the cost of running the program. For families worried about guns and mental health, this creates a court process that families, parents, and police can use, and the clerk would have to report the order to the Department of Public Safety within 24 hours.

90th Regular Session (2027) · StatewideContact your rep →
HB 113Introduced; filed Nov. 9, 2026

Texas would set up a new program to help low-income residents buy private health plans, if the federal government allows it

Much of this waits on the federal government, so state agencies would have to seek a waiver first and could hold off on parts of the bill until they get one. If you get Medicaid and choose a private plan instead, the state could give you a sliding scale subsidy for the premium plus extra help with copays and deductibles, and any leftover subsidy money could go into a health savings account for premiums and health care costs. If your child uses long-term Medicaid services, you could owe a fee, but missing it would not take away your child's coverage. The bill would also order studies of estate recovery and of income and asset limits for long-term care, with reports due by December 1, 2028, and it names relieving local tax burdens as one of its goals.

90th Regular Session (2027) · StatewideContact your rep →
HB 151Introduced; filed Nov. 9, 2026

Employers would have to meet new heat safety rules and could be fined at least $1,000 a day

If you work outdoors or in a hot building in Texas, your employer would have to plan for water, shade, rest, and training before the worst heat hits. A new advisory board with two heat safety experts, two construction workers, an employer, a worker safety nonprofit, and a construction union representative would recommend the standards. The rules would not start until March 1, 2028, and it would be illegal to retaliate against a worker for reporting heat illness or filing a complaint. The bill would take effect right away only with a two-thirds vote in each house; otherwise it would start September 1, 2027.

90th Regular Session (2027) · StatewideContact your rep →
HB 243Introduced; filed Nov. 9, 2026

Child care centers would have to follow disability rules and give parents a written disclosure

Parents would receive a written disclosure from their child's center, including a copy of the commission's Early Childhood Intervention Developmental Checklist and the center's own policies on caring for children with disabilities. Centers would need training and new policies to meet the rules, and the Health and Human Services Commission would write the details. The bill sets a start date of September 1, 2027.

90th Regular Session (2027) · StatewideContact your rep →
HB 1016Introduced; filed Nov. 10, 2026

A jury would decide whether the death penalty is off the table for some defendants

The change would apply only to trials that start on or after September 1, 2027, so it would not reach cases already in court. A defense lawyer would have to give notice of the claim no later than the 30th day before trial, and a judge could order an examination by a court-appointed expert. Either side could request that expert, and the exam could not include an assessment of the risk of danger the defendant may pose.

90th Regular Session (2027) · StatewideContact your rep →

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