HB 50 Texas House · 89th Legislature (2025)

Relating to informed consent for certain screening tests.

HB 50 requires healthcare providers to obtain patient consent before conducting blood screening tests for sexually transmitted diseases (STDs) and to inform patients they can opt out of the test. If a screening test is positive, providers must offer information about available healthcare, prevention, and support services. The bill applies to all medical screenings for STDs in Texas and takes effect January 1, 2026, after the Health and Human Services Commission adopts implementing rules. It does not change existing testing protocols but adds a consent requirement and post-positive support obligation for providers.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
Apr 2025
Senate Passage
Governor
Introduced Mar 14, 2025 Last action May 23, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 3 edits · Apr 25, 2025
MINOR
The bill text was reformatted from an introduced version to an engrossed version, with minor text cleanup and reorganization. The substantive policy content regarding opt-out testing for sexually transmitted diseases, effective dates, and implementation requirements remains unchanged.
Scope change
No substantive change to the bill's scope or applicability; only formatting and presentation were modified.
TECHNICAL

Header information was updated to reflect the engrossed version status and included sponsor names.

Line numbers and formatting markers were removed to clean up the text for final publication.

Some spacing and indentation inconsistencies were corrected throughout the document.

Floor votes · House Apr 24, 2025

How they voted

12916
Passed · 1 other
Total votes 146
Apr 24, 2025
D Democratic60
59 Yea 1
98% Yea
R Republican86
70 Yea 16 Nay
81% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
31
Key actions
10
Committee
8
Amendments
2
May 23, 2025
Upper · Passed
Left pending in committee
upper
Apr 29, 2025
Committee
Referred to Health & Human Services
upper
Apr 29, 2025
Introduced
Read first time
upper
Apr 28, 2025
Introduced
Received from the House
upper
Apr 25, 2025
Lower · Passed
Passed
lower
Apr 24, 2025
Lower · Passed
Passed to engrossment as amended
lower
Apr 24, 2025
Lower · Passed
Amended
lower
Apr 24, 2025
House · Passed
House Vote: pass (129-16-1)
house
Apr 17, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 16, 2025
Lower · Passed
Committee report distributed
lower
Apr 7, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Mar 31, 2025
Lower · Passed
Left pending in committee
lower
Mar 31, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 14, 2025
Committee
Referred to Public Health
lower
Mar 14, 2025
Introduced
Read first time
lower
6 primary · 61 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Borris Miles
Borris Miles
DDemocratic
TX
13
P
Photo of Liz Campos
Liz Campos
DDemocratic
TX
119
P
Photo of Ryan Guillen
Ryan Guillen
RRepublican
TX
31
P
Photo of Tom Oliverson
Tom Oliverson
RRepublican
TX
130
P
Photo of Toni Rose
Toni Rose
DDemocratic
TX
110
P
Photo of Venton Jones
Venton Jones
DDemocratic
TX
100
Co
Photo of Aicha Davis
Aicha Davis
DDemocratic
TX
109
Co
Photo of Alma Allen
Alma Allen
DDemocratic
TX
131
Co
Photo of Ana Hernandez
Ana Hernandez
DDemocratic
TX
143
Co
Photo of Angelia Orr
Angelia Orr
RRepublican
TX
13
Co
Photo of Armando Walle
Armando Walle
DDemocratic
TX
140
Co
Photo of Barbara Gervin-Hawkins
Barbara Gervin-Hawkins
DDemocratic
TX
120
Co
Photo of Ben Bumgarner
Ben Bumgarner
RRepublican
TX
63
Co
Photo of Caroline Harris Davila
Caroline Harris Davila
RRepublican
TX
52
Co
Photo of Cas Garcia Hernandez
Cas Garcia Hernandez
DDemocratic
TX
115
Co
Photo of Charlene Ward Johnson
Charlene Ward Johnson
DDemocratic
TX
139