Monitoring the Session

HB 1295

Health Literacy Bill Orders A Plan Every Two Years

Did not pass

Verdict: Smells

SmellsReviewed
Rep. Mihaela PlesaDHouse 70
Why it's charged
Study, task force, commission, report

THE TEXT

…“health coordinating council shall develop a long-range plan for”…

Bill text, introduced version (I)

The bill's main operative act is ordering an existing council to study the issue and produce a recurring plan and report, so any real action waits on that plan. The caption honestly says this is a plan, which keeps confidence moderate.

Study, task force, commission, report

Reviewed · Nov 1, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to a health literacy plan developed by the statewide health coordinating council and the inclusion of health literacy in the state health plan.

Caption from analyzed text · version I.

Summary

An existing council writes it. No program, money or mandate for anyone else.

The bill orders the existing statewide health coordinating council to write a long-range plan on health literacy, update it every two years, and send it to state leaders and every legislator by November 1 of each even-numbered year. It also adds low health literacy, and strategies for improving it, to the topics the state health plan must cover. Nothing changes for patients or providers on the ground beyond new studies and written strategies; no program, money or mandate on anyone outside the council is created.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 1578 by Rep. Allison (Died in committee) and this bill (Did not pass). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R HB 1578 by Rep. Allison (Died in committee). 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, 3 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.GOT HALFWAY. Passed the House on May 6, 2025. Died in the Senate: received, never referred to a committee.

Receipt

The receipt

89R-HB1295 · 2024-11-13

SOLD BY

+ 1 more author, 3 coauthors

ITEM

relating to a health literacy plan developed by the statewide health coordinating council and the inclusion of health literacy in the state health plan.

WHAT IT DOES

An existing council writes it. No program, money or mandate for anyone else.

The bill orders the existing statewide health coordinating council to write a long-range plan on health literacy, update it every two years, and send it to state leaders and every legislator by November 1 of each even-numbered year. It also adds low health literacy, and strategies for improving it, to the topics the state health plan must cover. Nothing changes for patients or providers on the ground beyond new studies and written strategies; no program, money or mandate on anyone outside the council is created.

CHARGES

[x] STUDY, TASK FORCE, COMMISSION, REPORTanalysis confidence 55%

THE TEXT

…“health coordinating council shall develop a long-range plan for”…

Bill text, introduced version (I)

The bill's main operative act is ordering an existing council to study the issue and produce a recurring plan and report, so any real action waits on that plan. The caption honestly says this is a plan, which keeps confidence moderate.

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · March 25, 2025

No first-year general revenue figure available here.

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 in s/c on . . .
  5. Considered by s/c in public hearing
  6. Testimony taken/registration(s) recorded in subcommittee
  7. Left pending in subcommittee
  8. Recalled from subcommittee
  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. Passed to engrossment
  18. Record vote RV#1387
  19. Statement(s) of vote recorded in Journal
  20. Read 3rd time
  21. Passed
  22. Record vote RV#1417
  23. Statement(s) of vote recorded in Journal
  24. Reported engrossed
  25. Received from the House
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 89 yea · 58 nay

Sources

House: Final passage · May 6, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

Smells

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 24, 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 REALTORS Political Action Committee$79,480.35

Texas REALTORS Political Action Committee

$79,480.35

Cash
$37,500.00
Paid by others
$41,980.35
Total
$79,480.35
mail $33,992.76digital $4,945.63text $2,016.96advertising $525.00fundraiser $500.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 31, 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: 101012300, 101032600, 101059513, 101069108, 101072533.

Texas Trial Lawyers Association PAC$55,000.00

Texas Trial Lawyers Association PAC

$55,000.00

Cash
$55,000.00
Paid by others
$0.00
Total
$55,000.00

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 11, 2024 to Sep 21, 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: 101012300, 101032600, 101059513, 101069108.

TexBlue Media PAC$32,511.00

TexBlue Media PAC

$32,511.00

Cash
$0.00
Paid by others
$32,511.00
Total
$32,511.00
advertising $32,511.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 25, 2026 to Sep 27, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Sep 25, 2026 to Sep 27, 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: 101072533.

Money

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

×

Texas REALTORS Political Action Committee

$79,480.35

Cash
$37,500.00
Paid by others
$41,980.35
Total
$79,480.35
mail $33,992.76digital $4,945.63text $2,016.96advertising $525.00fundraiser $500.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Oct 31, 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: 101012300, 101032600, 101059513, 101069108, 101072533.

×

Texas Trial Lawyers Association PAC

$55,000.00

Cash
$55,000.00
Paid by others
$0.00
Total
$55,000.00

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 11, 2024 to Sep 21, 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: 101012300, 101032600, 101059513, 101069108.

×

TexBlue Media PAC

$32,511.00

Cash
$0.00
Paid by others
$32,511.00
Total
$32,511.00
advertising $32,511.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 25, 2026 to Sep 27, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Sep 25, 2026 to Sep 27, 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: 101072533.

Votes2

House May 6, 2025

Yea
89
Nay
58
Present, not voting
1
Absent
2
Excused
0
Names

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

House journal

Sources

Record 1417

HB 1295 was passed by (Record 1417): 89 Yeas, 58 Nays, 1 Present, not voting.

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

  • Yea: 89 (published)
  • Nay: 58 (published)
  • Present, not voting: 1 (published)
  • Absent: 2 (derived from named list)
  • Excused: 0 (derived from named list)

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

House May 5, 2025

Yea
92
Nay
51
Present, not voting
2
Absent
1
Excused
4
Names

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

House journal

Sources

Record 1387

HB 1295 was passed to engrossment by (Record 1387): 92 Yeas, 51 Nays, 2 Present, not voting.

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

  • Yea: 92 (published)
  • Nay: 51 (published)
  • Present, not voting: 2 (published)
  • Absent: 1 (derived from named list)
  • Excused: 4 (derived from named list)

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

Witnesses25
For
23
Against
0
On
2
Names

For

  • Baptist General Convention of Texas Christian Life Commission1 registration
  • City of Houston1 registration
  • Driscoll Health Plan1 registration
  • Every Body Texas1 registration
  • Legacy Community Health1 registration
  • Methodist Healthcare Ministries1 registration
  • Self2 registrations
  • Self; Young Invincibles1 registration
  • Teaching Hospitals of Texas1 registration
  • Texas 20361 registration
  • Texas Academy of Family Physicians1 registration
  • Texas Academy of General Dentistry1 registration
  • Texas Association for Health, Physical Education, Recreation, & Dance1 registration
  • Texas Association of Health Plans1 registration
  • Texas Chapter American College of Physicians1 registration
  • Texas Dental Assn1 registration
  • Texas Health Resources1 registration
  • Texas Hospital Association1 registration
  • Texas Medical Association1 registration
  • Texas Pediatric Society1 registration
  • Texas Women's Healthcare Coalition1 registration
  • United Ways of Texas1 registration

On

  • Department of State Health Services1 registration
  • Self1 registration
Sources

25 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.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · March 25, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

FILED BEFORE

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

88R HB 1578

by Rep. Allison, different lead author · Died in committee · same text

Introduced text

Last action, May 4, 2023: Referred to Health & Human Services

Relating to a health literacy plan developed by the statewide health coordinating council and the inclusion of health literacy in the state health plan.

Caption, 88R bill history

Sources

Texas House · Filed Nov 13, 2024

05/06/2025 S Received from the House

Texas Legislature Online · Introduced · House Committee Report · Engrossed

Data snapshot Nov 1, 2026 at 3:09 PM CST. Grades, charges, quotes and corrections follow the published record.

Coauthors

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

Companion

SB 641 by Johnson (identical)

Subjects

Health--General

LITERACY

STATEWIDE HEALTH COORDINATING COUNCIL

Text

The text as introduced · 546 words

89R1029 SRA-F

By: Plesa
H.B. No. 1295

A BILL TO BE ENTITLED

AN ACT

relating to a health literacy plan developed by the statewide

health coordinating council and the inclusion of health literacy in

the state health plan.

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

SECTION 1. Section 104.002, Health and Safety Code, is

amended by adding Subdivision (6) to read as follows:

(6) "Health literacy" means the degree to which an

individual has the capacity to find, understand, and use health

information and services to inform health-related decisions and

actions.

SECTION 2. Subchapter B, Chapter 104, Health and Safety

Code, is amended by adding Section 104.0156 to read as follows:

Sec. 104.0156. HEALTH LITERACY PLAN. (a) The statewide

health coordinating council shall develop a long-range plan for

improving health literacy in this state. The council shall update

the plan at least once every two years.

(b) In developing the long-range plan, the statewide health

coordinating council shall study the economic impact of low health

literacy on state health programs and health insurance coverage for

state residents. The council shall:

(1) identify primary risk factors contributing to low

health literacy;

(2) examine methods for health care practitioners,

health care facilities, and other persons to address the health

literacy of patients and other health care consumers;

(3) examine the effectiveness of using quality

measures in state health programs to improve health literacy;

(4) identify strategies for expanding the use of plain

language instructions for patients; and

(5) examine the impact of improved health literacy on

enhancing patient safety, reducing preventable events, and

increasing medication adherence to attain greater

cost-effectiveness and better patient outcomes in the provision of

health care.

(c) Not later than November 1 of each even-numbered year,

the statewide health coordinating council shall submit the

long-range plan developed or updated under this section to the

governor, the lieutenant governor, the speaker of the house of

representatives, and each member of the legislature.

SECTION 3. Sections 104.022(e) and (f), Health and Safety

Code, are amended to read as follows:

(e) The state health plan shall be developed and used in

accordance with applicable state and federal law. The plan must

identify:

(1) major statewide health concerns , including the

prevalence of low health literacy among health care consumers ;

(2) the availability and use of current health

resources of the state, including resources associated with

information technology and state-supported institutions of higher

education; and

(3) future health service, information technology,

and facility needs of the state.

(f) The state health plan must:

(1) propose strategies for :

(A) correcting [ the correction of ] major

deficiencies in the service delivery system;

(B) improving health literacy to attain greater

cost-effectiveness and better patient outcomes in the provision of

health care;

(C) [ (2) propose strategies for ] incorporating

information technology in the service delivery system; and

(D) [ (3) propose strategies for ] involving

state-supported institutions of higher education in providing

health services and for coordinating those efforts with health and

human services agencies in order to close gaps in services; and

(2) [ (4) ] provide direction for the state's

legislative and executive decision-making processes to implement

the strategies proposed by the plan.

SECTION 4. This Act takes effect September 1, 2025.