HB 220: bill adding emergency contraception to sexual assault survivor care

Caption

relating to the minimum standards of care provided to sexual assault survivors by health care facilities.

Summary

Facilities must offer it when the survivor consents and it’s clinically indicated.

The bill adds emergency contraception to the list of things a health care facility must provide to a sexual assault survivor it treats. The facility must offer an FDA-approved emergency contraceptive when the survivor consents and the treatment is clinically indicated. Hospitals and other facilities caring for sexual assault survivors gain a new required item starting September 1, 2025.

Labels

Labels: CROSS-PARTY HANDOFF. Lead author Claudia Ordaz (D) in the House. Lead sponsor Joan Huffman (R) in the Senate. Party as the Legislative Reference Library lists it for the 89th Legislature.ACROSS THE AISLE. Joint authors: 2 Republicans, 3 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.GOT HALFWAY. Passed the House on Apr 29, 2025. Died in the Senate: left pending in the State Affairs committee.

Receipt

The receipt

89R-HB220 · 2024-11-12

SOLD BY

Rep. Claudia OrdazDHouse 79

Rep. Angelia OrrRHouse 13

Rep. Toni RoseDHouse 110

+ 2 more authors, 21 coauthors

ITEM

relating to the minimum standards of care provided to sexual assault survivors by health care facilities.

WHAT IT DOES

Facilities must offer it when the survivor consents and it’s clinically indicated.

The bill adds emergency contraception to the list of things a health care facility must provide to a sexual assault survivor it treats. The facility must offer an FDA-approved emergency contraceptive when the survivor consents and the treatment is clinically indicated. Hospitals and other facilities caring for sexual assault survivors gain a new required item starting September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 23, 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

Nov 12, 2024Filed
Feb 27, 2025Read first time
Feb 27, 2025Referred to Public Health
Mar 31, 2025Scheduled for public hearing on . . .
Mar 31, 2025Considered in public hearing
Mar 31, 2025Testimony taken/registration(s) recorded in committee
Mar 31, 2025Left pending in committee
Apr 7, 2025Considered in public hearing
Apr 7, 2025Committee substitute considered in committee
Apr 7, 2025Reported favorably as substituted
Apr 15, 2025Comte report filed with Committee Coordinator
Apr 15, 2025Committee report distributed
Apr 16, 2025Committee report sent to Calendars
Apr 24, 2025Considered in Calendars
Apr 28, 2025Placed on General State Calendar
Apr 28, 2025Read 2nd time
Apr 28, 2025Passed to engrossment
Apr 28, 2025Record vote RV#661
Apr 28, 2025Statement(s) of vote recorded in Journal
Apr 29, 2025Read 3rd time
Apr 29, 2025Passed
Apr 29, 2025Record vote RV#753
Apr 29, 2025Statement(s) of vote recorded in Journal
Apr 29, 2025Reported engrossed
Apr 29, 2025Received from the House
May 22, 2025Read first time
May 22, 2025Referred to State Affairs
May 25, 2025Scheduled for public hearing on . . .
May 25, 2025Considered in public hearing
May 25, 2025Testimony taken in committee
May 25, 2025Left pending in committee

FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 99 yea · 45 nay

Sources

House: Final passage · Apr 29, 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

Claudia Ordaz

Donors

Texas Sands PAC$12KRandy Bowling$10,000Bobby Bowling$10,000

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 · Aug 5, 2024 to Oct 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.

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 · Oct 1, 2024 to Sep 29, 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: 100982219, 101057840, 101072563.

Randy Bowling$10,000.00

Bobby Bowling$10,000.00

Money

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

×

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 · Oct 1, 2024 to Sep 29, 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: 100982219, 101057840, 101072563.

Votes2

House Apr 29, 2025

Yea: 99
Nay: 45
Present, not voting: 1
Absent: 4
Excused: 1

Names

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

House journal

Sources

Record 753

HB 220 was passed by (Record 753): 99 Yeas, 45 Nays, 1 Present, not voting.

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

Yea: 99 (published)
Nay: 45 (published)
Present, not voting: 1 (published)
Absent: 4 (derived from named list)
Excused: 1 (derived from named list)

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

House Apr 28, 2025

Yea: 103
Nay: 39
Present, not voting: 1
Absent: 6
Excused: 1

Names

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

House journal

Sources

Record 661

CSHB 220 was passed to engrossment by (Record 661): 103 Yeas, 39 Nays, 1 Present, not voting.

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

Yea: 103 (published)
Nay: 39 (published)
Present, not voting: 1 (published)
Absent: 6 (derived from named list)
Excused: 1 (derived from named list)

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

Witnesses20

For: 18
Against: 1
On: 1

Names

For

Every Body Texas1 registration
Methodist Healthcare Ministries1 registration
Self1 registration
Self; Child Abuse & Forensic Sevices1 registration
Self; El Paso County1 registration
Self; Every Body Texas1 registration
Self; SAFE Alliance1 registration
Self; Texas Womens Healthcare Coalition1 registration
Teaching Hospitals of Texas1 registration
Texans Care for Children1 registration
Texas Alliance for Life1 registration
Texas Association Againstl Sexual Assault1 registration
Texas Chapter American College of Physicians1 registration
Texas Council on Family Violence1 registration
Texas Hospital Association1 registration
Texas Impact1 registration
Texas Medical Association1 registration
Texas Pediatric Society1 registration

Against

Texas Right to Life1 registration

On

Self; UNT Health Science Center1 registration

Sources

20 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 E · source

Sources

Fiscal note · version E · May 23, 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.

Sources

Texas House · Filed Nov 12, 2024

05/25/2025 S Left pending in committee

Texas Legislature Online · Introduced · House Committee Report · Engrossed

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

Coauthors

Salman BhojaniDHouse 92

Aicha DavisDHouse 109

Lulu FloresDHouse 51

Erin GámezDHouse 38

Barbara Gervin-HawkinsDHouse 120

Vikki GoodwinDHouse 47

R.D. "Bobby" GuerraDHouse 41

Sam HarlessRHouse 126

Ann JohnsonDHouse 134

Jeff LeachRHouse 67

Trey Martinez FischerDHouse 116

Terry MezaDHouse 105

Penny Morales ShawDHouse 148

Mary Ann PerezDHouse 144

Vincent PerezDHouse 77

Mihaela PlesaDHouse 70

Richard Peña RaymondDHouse 42

Ramon Romero Jr.DHouse 90

Jon E. RosenthalDHouse 135

Lauren Ashley SimmonsDHouse 146

Chris TurnerDHouse 101

Companion

SB 1899 by Huffman (identical)

Subjects

Crimes--Against Persons--Sexual

Health Care Providers

MEDICAL CARE FACILITIES

SEXUAL ASSAULT

Text

The text as introduced · 269 words

89R4395 MCF-F

By: Ordaz
H.B. No. 220

A BILL TO BE ENTITLED

AN ACT

relating to the minimum standards of care provided to sexual

assault survivors by health care facilities.

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

SECTION 1. Section 323.004(b), Health and Safety Code, is

amended to read as follows:

(b) A health care facility providing care to a sexual

assault survivor shall provide the survivor with:

(1) subject to Subsection (b-1), a forensic medical

examination in accordance with Subchapter B, Chapter 420,

Government Code, and Subchapter G, Chapter 56A, Code of Criminal

Procedure;

(2) a private area, if available, to wait or speak with

the appropriate medical, legal, or sexual assault crisis center

staff or volunteer until a physician, nurse, or physician assistant

is able to treat the survivor;

(3) access to a sexual assault program advocate, if

available, as provided by Subchapter H, Chapter 56A, Code of

Criminal Procedure;

(4) the information form required by Section 323.005;

(5) a private treatment room, if available;

(6) if indicated by the history of contact, access to

appropriate prophylaxis for exposure to sexually transmitted

infections;

(7) the name and telephone number of the nearest

sexual assault crisis center; [ and ]

(8) if the health care facility has shower facilities,

access to a shower at no cost to the survivor after the examination

described by Subdivision (1) ; and

(9) if the survivor consents and the treatment is

clinically indicated, an emergency contraceptive approved by the

United States Food and Drug Administration to prevent pregnancy .

SECTION 2. This Act takes effect September 1, 2025.

Verdict: No flags

The receipt

SOLD BY

ITEM

WHAT IT DOES

CHARGES

TOTAL

HISTORY

SIGNED FOR BY

Donors

Texas Sands PAC

Texas Sands PAC

House Apr 29, 2025

House Apr 28, 2025

For

Against

On

Companion