HB 4076 Texas House · 89th Legislature (2025)

Relating to prohibiting organ transplant recipient discrimination on the basis of vaccination status.

HB 4076 prohibits health care providers from denying organ transplants or related services (like evaluations, surgery, or waiting list placement) solely based on a patient's vaccination status. It allows providers to consider vaccination status only if medically significant to the transplant, following individualized assessment - such as if unvaccinated patients face higher infection risks. The law covers all transplant stages and protects providers who comply with it from penalties, while permitting alternatives like antibody testing instead of vaccination requirements. It takes effect September 1, 2025, and applies to all organ transplant candidates in Texas.
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 · 1 edit · Jun 20, 2025
MINOR
The bill text was reformatted from a draft version to the final enrolled version, with no substantive policy changes. The core content regarding organ transplant recipient discrimination based on vaccination status remains identical, including all exemptions, timelines, and enforcement provisions.
Scope change
No change in scope or applicability; the bill's substantive provisions remain the same.
TECHNICAL

Formatting and layout were updated to match official enrolled bill standards, including proper section numbering and spacing.

Floor votes · Senate May 23, 2025 · House May 13, 2025

How they voted

246
Passed
Total votes 30
May 23, 2025
D Democratic10
4 Yea 6 Nay
60% Nay
R Republican20
20 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
50
Key actions
17
Committee
12
Jun 20, 2025
Signed into law
Signed by the Governor
executive
May 25, 2025
Upper · Passed
Signed in the Senate
upper
May 25, 2025
Lower · Passed
Signed in the House
lower
May 24, 2025
Lower · Passed
Senate passage reported
lower
May 23, 2025
Upper · Passed
Passed
upper
May 21, 2025
Upper · Passed
Committee report printed and distributed
upper
May 21, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 21, 2025
Upper · Passed
Vote taken in committee
upper
May 20, 2025
Upper · Passed
Left pending in committee
upper
May 20, 2025
Upper · Passed
Testimony taken in committee
upper
May 19, 2025
Committee
Referred to Health & Human Services
upper
May 19, 2025
Introduced
Read first time
upper
May 15, 2025
Introduced
Received from the House
upper
May 14, 2025
Lower · Passed
Passed
lower
May 13, 2025
Lower · Passed
Passed to engrossment
lower
May 8, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 7, 2025
Lower · Passed
Committee report distributed
lower
May 1, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 28, 2025
Lower · Passed
Left pending in committee
lower
Apr 28, 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
3 primary · 59 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Jeff Leach
Jeff Leach
RRepublican
TX
67
P
Photo of Lacey Hull
Lacey Hull
RRepublican
TX
138
P
Photo of Lois Kolkhorst
Lois Kolkhorst
RRepublican
TX
18
Co
Photo of Alan Schoolcraft
Alan Schoolcraft
RRepublican
TX
44
Co
Photo of Andy Hopper
Andy Hopper
RRepublican
TX
64
Co
Photo of Angelia Orr
Angelia Orr
RRepublican
TX
13
Co
Photo of Angie Button
Angie Button
RRepublican
TX
112
Co
Photo of Ben Bumgarner
Ben Bumgarner
RRepublican
TX
63
Co
Photo of Brad Buckley
Brad Buckley
RRepublican
TX
54
Co
Photo of Brent Money
Brent Money
RRepublican
TX
2
Co
Photo of Briscoe Cain
Briscoe Cain
RRepublican
TX
128
Co
Photo of Brooks Landgraf
Brooks Landgraf
RRepublican
TX
81
Co
Photo of Candy Noble
Candy Noble
RRepublican
TX
89