Relating to electronic health record requirements; authorizing a civil penalty
What it does: On the version voted May 28, 2025: Requires electronic health records of Texans to be stored in the United States, gives parents full access to their minor children's records, requires records to note biological sex as observed at birth, and lets doctors use artificial intelligence if they review results and tell patients. (AI-written summary of the bill; the official record shows the exact version voted)
Question before the chamber: Passage to third reading (second reading)
The tally
Yes 86 · No 56 · Not voting 5 · Present 2
Bar: green = yes, brown = no, striped = not voting.
| Party | Yes | No | Not voting / present |
|---|---|---|---|
| Democrats | 3 | 56 | 2 / 1 |
| Republicans | 83 | 0 | 3 / 1 |
Most Democrats voted no; most Republicans voted yes. 3 members voted against their party’s majority.
Voted against their party’s majority
- Mando MartinezD39Yes
- Richard RaymondD42Yes
- Terry CanalesD40Yes
The full roll (149)
Yes 86
- A.J. LouderbackR30
- Alan SchoolcraftR44
- Andy HopperR64
- Angelia OrrR13
- Angie ButtonR112
- Ben BumgarnerR63
- Brad BuckleyR54
- Brent MoneyR2
- Brian HarrisonR10
- Briscoe CainR128
- Brooks LandgrafR81
- Candy NobleR89
- Carl TepperR84
- Caroline DunmoyerR87
- Caroline Harris DavilaR52
- Carrie IsaacR73
- Cecil BellR3
- Charles CunninghamR127
- Charlie GerenR99
- Cody HarrisR8
- Cody VasutR25
- Cole HefnerR5
- Dade PhelanR21
- Daniel AldersR6
- David CookR96
- David LoweR91
- David SpillerR68
- Denise VillalobosR34
- Don McLaughlinR80
- Drew DarbyR72
- Ellen TroxclairR19
- Gary GatesR28
- Giovanni CapriglioneR98
- Greg BonnenR24
- Helen KerwinR58
- Hillary HicklandR55
- J.M. LozanoR43
- James FrankR69
- Janie LopezR37
- Janis HoltR18
- Jared PattersonR106
- Jay DeanR7
- Jeff BarryR29
- Jeff LeachR67
- Joanne ShofnerR11
- John LujanR118
- John McQueeneyR97
- Katrina PiersonR33
- Keith BellR4
- Keresa RichardsonR61
- Lacey HullR138
- Mando MartinezD39
- Mano DeAyalaR133
- Mark DorazioR122
- Matt MorganR26
- Matt ShaheenR66
- Mike OlcottR60
- Mike SchofieldR132
- Mitch LittleR65
- Morgan MeyerR108
- Pat CurryR56
- Paul DysonR14
- Richard HayesR57
- Richard RaymondD42
- Ryan GuillenR31
- Sam HarlessR126
- Shelby SlawsonR59
- Shelley LutherR62
- Stan GerdesR17
- Stan KitzmanR85
- Stan LambertR71
- Steve TothR15
- Terri Leo-WilsonR23
- Terry CanalesD40
- Terry WilsonR20
- Todd HunterR32
- Tom CraddickR82
- Tom OliversonR130
- Tony TinderholtR94
- Trent AshbyR9
- Trey WhartonR12
- Valoree SwansonR150
- Wes VirdellR53
- Will MetcalfR16
- Former memberR
- Former memberR
No 56
- Aicha DavisD109
- Alma AllenD131
- Ana HernandezD143
- Ana-Maria Rodriguez RamosD102
- Ann JohnsonD134
- Armando WalleD140
- Bobby GuerraD41
- Cas Garcia HernandezD115
- Charlene Ward JohnsonD139
- Christian ManuelD22
- Christina MoralesD145
- Claudia OrdazD79
- Diego BernalD123
- Donna HowardD48
- Eddie MoralesD74
- Erin GámezD38
- Erin ZwienerD45
- Gene WuD137
- Gina HinojosaD49
- Harold DuttonD142
- Hubert VoD149
- James TalaricoD50
- Jessica GonzálezD104
- Jo JonesD147
- Joe MoodyD78
- John BryantD114
- Jon RosenthalD135
- Josey GarciaD124
- Lauren SimmonsD146
- Linda GarciaD107
- Liz CamposD119
- Lulu FloresD51
- Mary Ann PerezD144
- Mary GonzálezD75
- Mihaela PleșaD70
- Nicole CollierD95
- Oscar LongoriaD35
- Penny Morales ShawD148
- Philip CortezD117
- Rafael AnchíaD103
- Ramon RomeroD90
- Ray LopezD125
- Rhetta BowersD113
- Ron ReynoldsD27
- Salman BhojaniD92
- Senfronia ThompsonD141
- Sergio MuñozD36
- Sheryl ColeD46
- Suleman LalaniD76
- Terry MezaD105
- Toni RoseD110
- Trey Martinez FischerD116
- Venton JonesD100
- Vikki GoodwinD47
- Vince PerezD77
- Yvonne DavisD111
Present 2
- Chris TurnerD101
- Dustin BurrowsR83
Not voting 5
- Barbara Gervin-HawkinsD120
- John BucyD136
- John SmitheeR86
- Ken KingR88
- Marc LaHoodR121
“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.