SB 619 Texas Senate · 89th Legislature (2025)

Relating to protection of persons from participation in a health care service for reasons of conscience; providing a civil remedy; authorizing disciplinary action.

Texas Senate Bill 619 creates new protections allowing healthcare providers (including nurses, pharmacists, medical students, and other staff) to refuse to provide certain medical services based on their sincerely held moral or religious beliefs. The bill specifically prohibits refusal only for emergency care or life-sustaining treatment, while covering services like contraception, abortion counseling, or other procedures deemed morally objectionable by the provider. It prohibits adverse actions - such as job loss, denial of licensure, or discrimination - against providers who decline services for conscience reasons. The law establishes a civil remedy for violations and applies to all healthcare facilities and employers in Texas.
Bill status passed 3 of 5 stages cleared
Introduction
Dec 2024
Committee Review
May 2025
Senate Passage
Apr 2025
House Passage
Governor
Introduced Dec 13, 2024 Last action May 2, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 6 edits · Apr 30, 2025
MODERATE
The bill was updated from an introduced draft to an engrossed version, incorporating substantive policy changes that expand protections for healthcare providers while adding new procedural requirements and enforcement mechanisms. The most significant changes include the addition of specific adverse action examples, new protocol requirements for facilities, and updated effective dates.
Scope change
The scope of the bill remains focused on conscience protection for healthcare providers, but the applicability was clarified with specific exclusions for emergency care and life-sustaining treatment, and new requirements for facility protocols.
REQUIREMENT

Added requirement for healthcare facilities to develop written protocols for handling conscience-based declinations, including patient access information and facilitation processes.

Added explicit prohibition against requiring facilities or providers to counsel or refer patients for services contrary to the provider's conscience.

ENFORCEMENT

Expanded adverse action examples to include denial of program participation, reference to conscience reasons on applications, employment burdens, denial of benefits, and coercion of aid recipients.

Added civil remedies provision allowing injured persons to sue for injunctive relief, damages including psychological and emotional injuries, court costs, and attorney fees.

TIMELINE

Changed effective date from unspecified to September 1, 2025, and added a December 1, 2025 deadline for facilities to develop required protocols.

ELIGIBILITY

Added restriction that physicians or healthcare providers cannot file complaints unless they first comply with the facility's conscience protocol.

Floor votes · Senate Apr 29, 2025

How they voted

2010
Passed
Total votes 30
Apr 29, 2025
D Democratic10
10 Nay
100% Nay
R Republican20
20 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
28
Key actions
7
Committee
7
May 2, 2025
Committee
Referred to Public Health
lower
May 2, 2025
Introduced
Read first time
lower
May 1, 2025
Introduced
Received from the Senate
lower
Apr 30, 2025
Upper · Passed
Passed
upper
Apr 29, 2025
Senate · Passed
Senate Vote: pass (20-10)
senate
Mar 31, 2025
Upper · Passed
Committee report printed and distributed
upper
Mar 31, 2025
Upper · Passed
Reported favorably w/o amendments
upper
Mar 26, 2025
Upper · Passed
Vote taken in committee
upper
Mar 18, 2025
Upper · Passed
Left pending in committee
upper
Mar 18, 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 · 5 co-sponsors

Sponsors