HB 1027 Texas House · 89th Legislature (2025)

Relating to the provision of telepharmacy services.

HB 1027 establishes rules for telepharmacy services in Texas, directly affecting pharmacies and health centers offering remote medication dispensing. It requires telepharmacy systems to operate only at designated facilities like rural clinics, federally qualified health centers, and health centers in medically underserved areas. Key provisions include limiting a pharmacy to two remote sites, mandating monthly controlled substance reconciliation by pharmacists, requiring on-site technicians under pharmacist supervision, and setting specific staffing ratios (max three technicians per pharmacist). The bill also specifies that technicians must have one year of retail pharmacy experience and complete board-approved telepharmacy training before working at remote sites.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Mar 7, 2025 Last action May 8, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 3 edits · May 7, 2025
MINOR
The bill text was reformatted and cleaned up, removing extraneous metadata and internal markup while preserving the core legislative content. The substantive policy provisions remain unchanged, including amendments to telepharmacy regulations and effective dates.
TECHNICAL

Removed internal document markup, page numbers, and metadata headers that were mixed into the bill text.

Corrected inconsistent formatting and spacing throughout the document for readability.

Deleted a note about WCAG 2.1 accessibility standards that appeared to be editorial commentary rather than bill text.

Floor votes · House May 7, 2025

How they voted

1460
Passed · 1 other
Total votes 147
May 7, 2025
D Democratic60
60 Yea
100% Yea
R Republican87
86 Yea 1
98% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
26
Key actions
8
Committee
8
May 8, 2025
Committee
Referred to Health & Human Services
upper
May 8, 2025
Introduced
Read first time
upper
May 7, 2025
Introduced
Received from the House
upper
May 7, 2025
Lower · Passed
Passed
lower
May 6, 2025
Lower · Passed
Passed to engrossment
lower
Apr 25, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 23, 2025
Lower · Passed
Committee report distributed
lower
Apr 14, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 14, 2025
Lower · Passed
Recalled from subcommittee
lower
Mar 27, 2025
Lower · Passed
Left pending in subcommittee
lower
Mar 27, 2025
Lower · Passed
Testimony taken/registration(s) recorded in subcommittee
lower
Mar 7, 2025
Committee
Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
lower
Mar 7, 2025
Introduced
Read first time
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Matt Shaheen
Matt Shaheen
RRepublican
TX
66