HB 3174 Texas House · 89th Legislature (2025)

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

7565
Passed · 4 other
Total votes 144
May 13, 2025
D Democratic59
57 Yea 2
96% Yea
R Republican85
18 Yea 65 Nay 2
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