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Texas HouseSB 1257

Relating to required health benefit plan coverage for gender transition adverse effects and reversals

Passed 87–58Party-line

What it does: Requires health plans, including Medicaid and CHIP, that cover or have covered gender transition procedures to cover their adverse consequences, annual follow-up testing, and treatment to manage, reverse or recover from the procedure, for plans issued or renewed from January 1, 2026. (AI-written summary of the bill; the official record shows the exact version voted)

Question before the chamber: Final passage (third reading)

Read the official record ↗

The tally

Yes 87 · No 58 · Not voting 4 · Present 1

Bar: green = yes, brown = no, striped = not voting.

Votes by party
PartyYesNoNot voting / present
Democrats1583
Republicans8601 / 1

Most Democrats voted no; most Republicans voted yes. 1 member voted against their party’s majority.

Voted against their party’s majority

The full roll (150)

Yes 87

No 58

Present 1

Not voting 4

“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.