Monitoring the Session

HB 107

state health department builds a sickle cell disease registry

Became law, effective Sep 1, 2025

Verdict: No flags

No flagsInitial review
Rep. Lauren Ashley SimmonsDHouse 146

Initial review · graded Oct 22, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the establishment of the sickle cell disease registry.

Caption from analyzed text · version E.

Summary

Hospitals and treating facilities send case data.

The bill orders the state health department to build and run a statewide sickle cell disease registry. It requires hospitals and any other facility that diagnoses or treats sickle cell patients to send case data to the department, in the form the department sets. Starting September 1, 2025, the state gets one central record of sickle cell cases, protected under state and federal health privacy rules, plus an annual report to the legislature.

Labels

Labels: DO-OVER. Reworked text of a bill filed before that died: 88R HB 181 by Rep. Jarvis Johnson (Vetoed). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.ACROSS THE AISLE. Joint authors: 1 Republican, 4 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-HB107 · 2025-03-14

SOLD BY

+ 2 more authors, 59 coauthors

ITEM

relating to the establishment of the sickle cell disease registry.

WHAT IT DOES

Hospitals and treating facilities send case data.

The bill orders the state health department to build and run a statewide sickle cell disease registry. It requires hospitals and any other facility that diagnoses or treats sickle cell patients to send case data to the department, in the form the department sets. Starting September 1, 2025, the state gets one central record of sickle cell cases, protected under state and federal health privacy rules, plus an annual report to the legislature.

CHARGES

[ ] NONE FOUND

TOTAL

Net to General Revenue · FY 2026($3,346,894)

LBB estimate, flow · fiscal note version F · ( ) = negative · source

Sources

Fiscal note · version F · May 22, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for HB107, As Passed 2nd House: a negative impact of ($4,795,371) through the biennium ending August 31, 2027. The Department of State Health Services is required to implement a provision of the bill only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the Department of State Health Services may, but is not required to, implement a provision of the bill using other appropriations available for that purpose. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

First year · FY 2026 · ($3,346,894)

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
  4. Scheduled for public hearing on . . .
  5. Recalled from subcommittee
  6. Considered in public hearing
  7. Testimony taken/registration(s) recorded in committee
  8. Left pending in committee
  9. Considered in public hearing
  10. Reported favorably w/o amendment(s)
  11. Comte report filed with Committee Coordinator
  12. Committee report distributed
  13. Committee report sent to Calendars
  14. Considered in Calendars
  15. Placed on General State Calendar
  16. Read 2nd time
  17. Postponed 4/25/25 9:00 AM
  18. Laid out as postponed business
  19. Passed to engrossment
  20. Read 3rd time
  21. Passed
  22. Record vote RV#589
  23. Statement(s) of vote recorded in Journal
  24. Reported engrossed
  25. Received from the House
  26. Read first time
  27. Referred to Health & Human Services
  28. Scheduled for public hearing on . . .
  29. Considered in public hearing
  30. Left pending in committee
  31. Considered in public hearing
  32. Vote taken in committee
  33. Reported favorably w/o amendments
  34. Committee report printed and distributed
  35. Co-sponsor authorized
  36. Placed on intent calendar
  37. Rules suspended-Regular order of business
  38. Record vote
  39. Read 2nd time
  40. Amendment(s) offered FA1 Miles
  41. Amended
  42. Vote recorded in Journal
  43. Passed to 3rd reading as amended
  44. Record vote
  45. Three day rule suspended
  46. Record vote
  47. Read 3rd time
  48. Passed
  49. Record vote
  50. Senate passage as amended reported
  51. Senate Amendments distributed
  52. Senate Amendments Analysis distributed
  53. House concurs in Senate amendment(s)
  54. Record vote RV#3945
  55. Statement(s) of vote recorded in Journal
  56. Text of Senate Amendment(s)
  57. House concurs in Senate amendment(s)-reported
  58. Reported enrolled
  59. Signed in the House
  60. Signed in the Senate
  61. Sent to the Governor
  62. Signed by the Governor
  63. Effective on 9/1/25
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 110 yea · 33 nay

Senate · 25 yea · 6 nay

Sources

House: Final passage · Apr 28, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · May 20, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Oct 27, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Texas Organizing Project Political Action Committee$17,454.66

Texas Organizing Project Political Action Committee

$17,454.66

Cash
$0.00
Paid by others
$17,454.66
Total
$17,454.66
printing $10,819.39Other filed descriptions $6,635.27

Also funds 4 other sitting lawmakers.

Derived recipient stock · Sep 30, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Oct 2, 2026 to Oct 22, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101072739.

Texas Trial Lawyers Association PAC$15,000.00

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 16, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100986942, 101031959, 101060742, 101072739.

Texas Sands PAC$12,000.00

Texas Sands PAC

$12,000.00

Cash
$12,000.00
Paid by others
$0.00
Total
$12,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100986942, 101060742, 101072739.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Texas Organizing Project Political Action Committee

$17,454.66

Cash
$0.00
Paid by others
$17,454.66
Total
$17,454.66
printing $10,819.39Other filed descriptions $6,635.27

Also funds 4 other sitting lawmakers.

Derived recipient stock · Sep 30, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Oct 2, 2026 to Oct 22, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101072739.

×

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 16, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100986942, 101031959, 101060742, 101072739.

×

Texas Sands PAC

$12,000.00

Cash
$12,000.00
Paid by others
$0.00
Total
$12,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 20, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100986942, 101060742, 101072739.

Votes6

House May 28, 2025

Yea
96
Nay
31
Present, not voting
2
Absent
13
Excused
8
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 3945

Representative Simmons moved to concur in the senate amendments to HB 107. The motion to concur in the senate amendments to HB 107 prevailed by (Record 3945): 96 Yeas, 31 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 96 (published)
  • Nay: 31 (published)
  • Present, not voting: 2 (published)
  • Absent: 13 (derived from named list)
  • Excused: 8 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Senate May 20, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Sources

The bill was read third time and was passed by the following vote: Yeas 25, Nays 6. (Same as previous roll call)

Published stock of positions for this vote, except where marked derived.

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 20, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Sources

Senator Miles moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 107 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 25, Nays 6.

Published stock of positions for this vote, except where marked derived.

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 20, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Sources

HB 107 as amended was passed to third reading by the following vote: Yeas 25, Nays 6.

Published stock of positions for this vote, except where marked derived.

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 20, 2025

Yea
25
Nay
6
Present, not voting
Not printed
Absent
0
Excused
0
Names

Named positions matched to lawmakers. See the journal for unmatched names.

Senate journal

Sources

Senator Miles moved to suspend the regular order of business to take up for consideration HB 107 at this time on its second reading: HB 107, Relating to the establishment of the sickle cell disease registry. The motion prevailed by the following vote: Yeas 25, Nays 6.

Published stock of positions for this vote, except where marked derived.

  • Yea: 25 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 0 (derived from named list)

Senate journal. Source snapshot 2026-10-19, Central time.

House Apr 28, 2025

Yea
110
Nay
33
Present, not voting
1
Absent
4
Excused
2
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 589

HB 107 was passed by (Record 589): 110 Yeas, 33 Nays, 1 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 110 (published)
  • Nay: 33 (published)
  • Present, not voting: 1 (published)
  • Absent: 4 (derived from named list)
  • Excused: 2 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Witnesses19
For
16
Against
0
On
3
Names

For

  • Self3 registrations
  • Self; Austin Justice Coalition1 registration
  • Self; Sickle cell association of houston1 registration
  • Self; Texas School Nurses Organization1 registration
  • Self; Texas Womens Healthcare Coalition1 registration
  • Texas Association of Health Plans1 registration
  • Texas Children’s Hospital1 registration
  • Texas Healthcare and Bioscience Institute1 registration
  • Texas Medical Association2 registrations
  • Texas Pediatric Society2 registrations
  • Texas Women’s Healthcare Coalition1 registration
  • United Ways of Texas1 registration

On

  • Department of State Health Serviced1 registration
  • Department of State Health Services2 registrations
Sources

19 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Senate witness list. Source snapshot 2026-10-20, Central time.

Fiscal
Net to General Revenue · FY 2026($3,346,894)

LBB estimate, flow · fiscal note version F · ( ) = negative · source

Sources

Fiscal note · version F · May 22, 2025

Estimated Two-year Net Impact to General Revenue Related Funds for HB107, As Passed 2nd House: a negative impact of ($4,795,371) through the biennium ending August 31, 2027. The Department of State Health Services is required to implement a provision of the bill only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the Department of State Health Services may, but is not required to, implement a provision of the bill using other appropriations available for that purpose. The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

First year · FY 2026 · ($3,346,894)

Probable Net Positive/(Negative) Impact to General Revenue Related Funds

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version E by claude-opus-5-5, Oct 22, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 181

by Rep. Jarvis Johnson, different lead author · Vetoed · reworked

Introduced text

Last action, Jun 17, 2023: Vetoed by the Governor

Relating to the establishment of the sickle cell disease registry.

Caption, 88R bill history

Sources

Texas House · Filed Mar 14, 2025

06/20/2025 E Effective on 9/1/25

Texas Legislature Online · Introduced · House Committee Report · Engrossed · Senate Committee Report · Enrolled

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

Coauthors
Sponsors
Cosponsors

House committee · Public Health · Committee vote 13 aye, 0 nay · Out of committee

Senate committee · Health & Human Services · Committee vote 7 aye, 0 nay, 2 absent · Out of committee

Companion

SB 820 by Miles (identical)

HB 1884 by Simmons (duplicate)

Subjects

Electronic Information Systems

Health--Other Diseases & Medical Conditions

Protection of Personal Information

MEDICAL CARE FACILITIES

HEALTH & HUMAN SERVICES COMMISSION

STATE HEALTH SERVICES, DEPARTMENT OF

Text

The text as introduced · 498 words

89R6037 MCF-D

By: Simmons
H.B. No. 107

A BILL TO BE ENTITLED

AN ACT

relating to the establishment of the sickle cell disease registry.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Subtitle B, Title 2, Health and Safety Code, is

amended by adding Chapter 52B to read as follows:

CHAPTER 52B. SICKLE CELL DISEASE REGISTRY

Sec. 52B.001. DEFINITION. In this chapter, "health care

facility" means:

(1) a hospital licensed under Chapter 241; or

(2) any other facility that provides diagnostic or

treatment services to patients with sickle cell disease.

Sec. 52B.002. REGISTRY; CONTENTS. (a) The department shall

establish and maintain a sickle cell disease registry in accordance

with this chapter for use as a single repository of accurate,

complete records of sickle cell disease cases to aid in the cure and

treatment of sickle cell disease in this state.

(b) The sickle cell disease registry must include:

(1) a record of sickle cell disease cases that occur in

this state; and

(2) any other information concerning sickle cell

disease cases the executive commissioner considers necessary and

appropriate to assist with the cure or treatment of sickle cell

disease.

Sec. 52B.003. DATA FROM HEALTH CARE FACILITIES. A health

care facility shall provide to the department, in the form and

manner the department prescribes, data the department considers

necessary and appropriate concerning sickle cell disease cases.

Sec. 52B.004. DEPARTMENT POWERS; RULES. (a) To implement

this chapter, the department may:

(1) execute necessary contracts;

(2) receive data from health care facilities

concerning sickle cell disease cases to record and analyze the data

directly related to the disease; and

(3) compile and publish statistical and other studies

derived from data obtained under this chapter to provide, in an

accessible form, information useful to physicians, other medical

personnel, and the public.

(b) The executive commissioner shall adopt rules to

implement this chapter.

(c) The executive commissioner by rule shall develop

guidelines to:

(1) obtain data from health care facilities regarding

sickle cell disease cases;

(2) protect the confidentiality of individuals

diagnosed with sickle cell disease in accordance with Section

159.002, Occupations Code; and

(3) ensure the registry is developed in a manner

consistent with:

(A) the Health Insurance Portability and

Accountability Act of 1996 (Pub. L. No. 104-191) and regulations

adopted under that Act; and

(B) other applicable laws and regulations

governing disclosure of health information.

Sec. 52B.005. REPORTS. (a) The department shall submit an

annual report to the legislature on the information obtained under

this chapter.

(b) The department, in cooperation with other sickle cell

disease reporting organizations and research institutions, may

publish reports the department determines are necessary to carry

out the purposes of this chapter.

SECTION 2. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall adopt rules necessary to implement

Chapter 52B, Health and Safety Code, as added by this Act.

SECTION 3. This Act takes effect September 1, 2025.