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: Final passage (third reading)
The tally
Yes 86 · No 49 · Not voting 12 · Present 3
Bar: green = yes, brown = no, striped = not voting.
| Party | Yes | No | Not voting / present |
|---|---|---|---|
| Democrats | 6 | 49 | 7 |
| Republicans | 80 | 0 | 5 / 3 |
Most Democrats voted no; most Republicans voted yes. 6 members voted against their party’s majority.
Voted against their party’s majority
- Bobby GuerraD41Yes
- Mando MartinezD39Yes
- Mary Ann PerezD144Yes
- Philip CortezD117Yes
- Richard RaymondD42Yes
- Yvonne DavisD111Yes
The full roll (150)
Yes 86
- A.J. LouderbackR30
- Alan SchoolcraftR44
- Andy HopperR64
- Angelia OrrR13
- Angie ButtonR112
- Ben BumgarnerR63
- Bobby GuerraD41
- 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
- Cody VasutR25
- Cole HefnerR5
- Dade PhelanR21
- Daniel AldersR6
- David CookR96
- David LoweR91
- David SpillerR68
- Denise VillalobosR34
- Drew DarbyR72
- Ellen TroxclairR19
- Gary GatesR28
- Greg BonnenR24
- Helen KerwinR58
- Hillary HicklandR55
- J.M. LozanoR43
- James FrankR69
- Janie LopezR37
- Janis HoltR18
- Jay DeanR7
- Jeff BarryR29
- Jeff LeachR67
- Joanne ShofnerR11
- John LujanR118
- John McQueeneyR97
- Katrina PiersonR33
- Keith BellR4
- Ken KingR88
- Keresa RichardsonR61
- Lacey HullR138
- Mando MartinezD39
- Mano DeAyalaR133
- Marc LaHoodR121
- Mark DorazioR122
- Mary Ann PerezD144
- Matt MorganR26
- Matt ShaheenR66
- Mike OlcottR60
- Mike SchofieldR132
- Mitch LittleR65
- Morgan MeyerR108
- Pat CurryR56
- Paul DysonR14
- Philip CortezD117
- Richard HayesR57
- Richard RaymondD42
- Ryan GuillenR31
- Sam HarlessR126
- Shelby SlawsonR59
- Shelley LutherR62
- Stan GerdesR17
- Stan KitzmanR85
- Stan LambertR71
- Steve TothR15
- Terri Leo-WilsonR23
- Terry WilsonR20
- Todd HunterR32
- Tom CraddickR82
- Tom OliversonR130
- Tony TinderholtR94
- Trent AshbyR9
- Trey WhartonR12
- Valoree SwansonR150
- Wes VirdellR53
- Will MetcalfR16
- Yvonne DavisD111
- Former memberR
- Former memberR
No 49
- Aicha DavisD109
- Alma AllenD131
- Ana HernandezD143
- Ana-Maria Rodriguez RamosD102
- Armando WalleD140
- Barbara Gervin-HawkinsD120
- Cas Garcia HernandezD115
- Charlene Ward JohnsonD139
- Chris TurnerD101
- 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 BucyD136
- Jon RosenthalD135
- Lauren SimmonsD146
- Linda GarciaD107
- Lulu FloresD51
- Mary GonzálezD75
- Mihaela PleșaD70
- Nicole CollierD95
- Oscar LongoriaD35
- Penny Morales ShawD148
- Rafael AnchíaD103
- Ramon RomeroD90
- Rhetta BowersD113
- Ron ReynoldsD27
- Salman BhojaniD92
- Senfronia ThompsonD141
- Sergio MuñozD36
- Suleman LalaniD76
- Terry CanalesD40
- Terry MezaD105
- Toni RoseD110
- Venton JonesD100
- Vikki GoodwinD47
- Vince PerezD77
Present 3
Not voting 12
- Ann JohnsonD134
- Charlie GerenR99
- Cody HarrisR8
- Dennis PaulR129
- Don McLaughlinR80
- John BryantD114
- John SmitheeR86
- Josey GarciaD124
- Liz CamposD119
- Ray LopezD125
- Sheryl ColeD46
- Trey Martinez FischerD116
“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.