Relating to county and hospital district disease control pilot programs to reduce the risk of certain infectious and communicable diseases; authorizing fees.
HB 3174 authorizes pilot programs in seven Texas counties (Bexar, Dallas, El Paso, Harris, Nueces, Travis, and Webb) and their hospital districts to reduce the spread of infectious diseases like HIV, hepatitis B, and hepatitis C. The key provision allows anonymous needle and syringe exchange programs, where individuals can trade used equipment for sterile new supplies to prevent blood-borne disease transmission. These programs also require providing education on disease prevention and connecting participants to health and social services. The bill aims to improve public health outcomes while reducing needle-stick injuries to first responders and the public.
Bill status
passed
3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Mar 20, 2025
Last action May 14, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Engrossed
·
4 edits
·
May 13, 2025
MODERATE
The bill was reformatted from a draft to an engrossed version with substantive policy additions. Key changes include adding a new funding provision allowing organizations to solicit gifts and grants, expanding program requirements for safe needle disposal, and adding criminal law exemptions for disease control pilot program activities. The bill also establishes a sunset date of September 1, 2035, for the pilot program.
Scope change
The bill's scope expanded to include new funding mechanisms and criminal law exemptions specifically for disease control pilot programs, while maintaining the same geographic applicability to specific Texas counties and hospital districts.
FISCAL
Added Section 5 allowing registered organizations to solicit or accept gifts, grants, or donations to fund the disease control pilot program.
TIMELINE
Added Section 6 establishing a sunset date of September 1, 2035 for the pilot program provisions.
ENFORCEMENT
Added Sections 5(j), (k), (l), and (m) to Health and Safety Code 481.125 providing criminal law exemptions for disease control pilot program activities.
REQUIREMENT
Expanded Section 81.504 requirements to include specific rules about providing needles only through authorized personnel and proper disposal of used needles.
Floor votes · House May 13, 2025
How they voted
75–65
Passed · 4 other
Total votes 144
May 13, 2025
D
Democratic59
96% Yea
R
Republican85
76% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
26
Key actions
9
Committee
7
Amendments
2
May 14, 2025
Introduced
Received from the House
upper
May 13, 2025
Lower · Passed
Passed
lower
May 12, 2025
Lower · Passed
Passed to engrossment as amended
lower
May 12, 2025
Lower · Passed
Amended
lower
May 8, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 7, 2025
Lower · Passed
Committee report distributed
lower
Apr 28, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 28, 2025
Lower · Passed
Recalled from subcommittee
lower
Apr 14, 2025
Lower · Passed
Left pending in subcommittee
lower
Apr 14, 2025
Lower · Passed
Testimony taken/registration(s) recorded in subcommittee
lower
Mar 20, 2025
Committee
Referred to s/c on County & Regional Government by Speaker
lower
Mar 20, 2025
Introduced
Read first time
lower
5 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Christian Manuel
DDemocratic
P
Joe Moody
DDemocratic
P
Nicole Collier
DDemocratic
P
Toni Rose
DDemocratic
P
Venton Jones
DDemocratic
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