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Texas HouseSB 1188

Relating to electronic health record requirements; authorizing a civil penalty

Passed 86–49Crossed party lines

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: Final passage (third reading)

Read the official record ↗

The tally

Yes 86 · No 49 · Not voting 12 · Present 3

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

Votes by party
PartyYesNoNot voting / present
Democrats6497
Republicans8005 / 3

Most Democrats voted no; most Republicans voted yes. 6 members voted against their party’s majority.

Voted against their party’s majority

The full roll (150)

Yes 86

No 49

Present 3

Not voting 12

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