HB 4070 Texas House · 89th Legislature (2025)

Relating to the sale, design, and manufacture of orthodontic devices.

HB 4070 requires dentists to conduct in-person examinations and review diagnostic imaging (like x-rays) before patients can receive orthodontic devices such as braces. It prohibits selling or manufacturing these devices unless a dentist has provided the required exam and issued a prescription, or the seller has written confirmation from a dentist. The law directly affects dentists, orthodontic device sellers, and patients seeking orthodontic treatment. Key provisions mandate specific medical evaluations to identify conditions like gum disease or dental fractures that could make treatment unsafe. This replaces current practices by adding mandatory dentist oversight for device sales and design.
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Mar 27, 2025 Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 3 edits · May 28, 2025
MINOR
The bill text was reformatted from a draft version to an enrolled version, adding certification signatures and vote counts while removing original sponsor names and page numbers. No substantive policy changes were made to the actual legislative content regarding orthodontic device regulations.
TECHNICAL

Removed original bill sponsor names and draft formatting elements

Added enrolled version certification signatures and legislative vote records

Reformatted bill text from draft layout to official enrolled version layout

Floor votes · Senate May 27, 2025 · House May 14, 2025

How they voted

273
Passed
Total votes 30
May 27, 2025
D Democratic10
10 Yea
100% Yea
R Republican20
17 Yea 3 Nay
85% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
52
Key actions
16
Committee
12
May 28, 2025
Upper · Passed
Signed in the Senate
upper
May 28, 2025
Lower · Passed
Signed in the House
lower
May 28, 2025
Lower · Passed
Senate passage reported
lower
May 27, 2025
Upper · Passed
Passed
upper
May 26, 2025
Upper · Passed
Committee report printed and distributed
upper
May 26, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 26, 2025
Upper · Passed
Vote taken in committee
upper
May 23, 2025
Upper · Passed
Left pending in committee
upper
May 23, 2025
Upper · Passed
Testimony taken in committee
upper
May 21, 2025
Committee
Referred to Health & Human Services
upper
May 21, 2025
Introduced
Read first time
upper
May 14, 2025
Introduced
Received from the House
upper
May 14, 2025
Lower · Passed
Passed
lower
May 13, 2025
Lower · Passed
Passed to engrossment
lower
May 6, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 6, 2025
Lower · Passed
Committee report distributed
lower
Apr 28, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 14, 2025
Lower · Passed
Left pending in committee
lower
Apr 14, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 27, 2025
Committee
Referred to Public Health
lower
Mar 27, 2025
Introduced
Read first time
lower
5 primary · 2 co-sponsors

Sponsors