Relating to hospital reporting requirements regarding suspected child abuse, exploitation, or neglect; authorizing an administrative penalty.
SB 128 requires Texas hospitals to submit monthly reports to the state health commission about suspected child abuse, exploitation, or neglect cases. Specifically, hospitals must report the number of cases referred to child protective services, whether parents were informed they could seek alternative medical opinions for their child, and the medical codes used (like ICD or CPT codes) for diagnosis. Hospitals must also attach physician affidavits confirming how those codes were assigned, with this information kept confidential. The bill authorizes administrative penalties for noncompliance, directly affecting hospitals and their medical staff who handle pediatric cases.
Bill status
passed
3 of 5 stages cleared
Introduction
Nov 2024
Committee Review
May 2025
Senate Passage
May 2025
House Passage
Governor
Introduced Nov 12, 2024
Last action May 19, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Engrossed
·
6 edits
·
May 16, 2025
MODERATE
The bill was reformatted from an introduced draft to an engrossed version with corrected text and added sections. The substantive policy content regarding hospital reporting requirements for suspected child abuse remains the same, but new sections were added for a quarterly summary report and rules implementation. The effective date was set to September 1, 2025.
Scope change
The bill's scope remains focused on hospital reporting requirements for suspected child abuse, exploitation, or neglect, with no changes to applicability criteria.
REQUIREMENT
Added Section 241.453 requiring the commission to submit quarterly summary reports to the legislature.
Added Section 241.454 authorizing the executive commissioner to adopt rules for implementing the subchapter.
TIMELINE
Added Section 2 establishing that the Act takes effect on September 1, 2025.
ENFORCEMENT
Added Section 241.452(h) specifying that administrative penalty funds must be deposited to the commission's general revenue fund and appropriated only to the commission.
MODIFIED
Removed formatting artifacts, page numbers, and draft annotations from the engrossed version.
Corrected text formatting and spacing issues throughout the document.
Floor votes · Senate May 16, 2025
How they voted
20–10
Passed
Total votes 30
May 16, 2025
D
Democratic10
100% Nay
R
Republican20
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
27
Key actions
6
Committee
7
May 19, 2025
Committee
Referred to Public Health
lower
May 19, 2025
Introduced
Read first time
lower
May 16, 2025
Introduced
Received from the Senate
lower
May 16, 2025
Upper · Passed
Passed
upper
May 5, 2025
Upper · Passed
Committee report printed and distributed
upper
May 5, 2025
Upper · Passed
Reported favorably w/o amendments
upper
Apr 30, 2025
Upper · Passed
Vote taken in committee
upper
Apr 23, 2025
Upper · Passed
Left pending in committee
upper
Apr 23, 2025
Upper · Passed
Testimony taken in committee
upper
Feb 3, 2025
Committee
Referred to Health & Human Services
upper
Feb 3, 2025
Introduced
Read first time
upper
1 primary · 1 co-sponsor
Sponsors
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