Monitoring the Session

HB 2295

Capriglione Newborn Screening Bill Gives The State Until 2027

Companion SB 1044 became law

Verdict: Smells

SmellsReviewed
Rep. Giovanni CapriglioneRHouse 98
Why it's charged
Delayed start

THE TEXT

“Not later than September 1, 2027, the Department of State Health Services shall implement the changes in law made by this Act to the newborn screening program”…

Bill text, introduced version (I)

The new screening duty does not have to be running until September 2027, after the November 2026 election and two years after the session. A lab rollout window is a plausible reason, so this is a modest flag.

Delayed start

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 newborn screening tests for Duchenne muscular dystrophy.

Caption from analyzed text · version I.

Summary

Duchenne muscular dystrophy joins the newborn tests. Effective 2025, but screening can wait until September 2027.

The bill adds Duchenne muscular dystrophy to the list of conditions Texas tests newborns for, next to phenylketonuria and hypothyroidism. It touches doctors and birth attendants, who must have newborns screened, and the state health department, which runs the lab, notifies families of abnormal results, and may refer or serve children who test positive. The law takes effect September 1, 2025, but the department has until September 1, 2027 to actually start the new screening.

Labels

Labels: ACROSS THE AISLE. Joint authors: 2 Republicans, 1 Democrat. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-HB2295 · 2025-01-30

SOLD BY

ITEM

relating to newborn screening tests for Duchenne muscular dystrophy.

WHAT IT DOES

Duchenne muscular dystrophy joins the newborn tests. Effective 2025, but screening can wait until September 2027.

The bill adds Duchenne muscular dystrophy to the list of conditions Texas tests newborns for, next to phenylketonuria and hypothyroidism. It touches doctors and birth attendants, who must have newborns screened, and the state health department, which runs the lab, notifies families of abnormal results, and may refer or serve children who test positive. The law takes effect September 1, 2025, but the department has until September 1, 2027 to actually start the new screening.

CHARGES

[x] DELAYED STARTanalysis confidence 45%

THE TEXT

“Not later than September 1, 2027, the Department of State Health Services shall implement the changes in law made by this Act to the newborn screening program”…

Bill text, introduced version (I)

The new screening duty does not have to be running until September 2027, after the November 2026 election and two years after the session. A lab rollout window is a plausible reason, so this is a modest flag.

TOTAL

No first-year general revenue figure available here.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · March 26, 2025

The fiscal implications of the bill cannot be determined because the Department of State Health Services (DSHS) does not currently have the lab capacity to implement requirements under the bill to carry out Duchenne Muscular Dystrophy (DMD) testing and related activities as part of its newborn screening panel by the date certain provided in the bill.

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. Considered in public hearing
  9. Reported favorably w/o amendment(s)
  10. Comte report filed with Committee Coordinator
  11. Committee report distributed
  12. Committee report sent to Calendars
  13. Considered in Calendars
  14. Placed on General State Calendar
  15. Read 2nd time
  16. Postponed 5/5/25 10:00 AM
  17. Companion considered in lieu of SB 1044
  18. Laid on the table subject to call
FILED UNDER

No verified beat found.

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 31, 2024 to Oct 29, 2025. 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.

Capital One Financial Corporation Associates Political Fund$5,000.00

Capital One Financial Corporation Associates Political Fund

$5,000.00

Cash
$5,000.00
Paid by others
$0.00
Total
$5,000.00

Also funds 1 other sitting lawmakers.

Derived recipient stock · Dec 14, 2024 to Jul 14, 2025. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Jul 14, 2025. 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: 101030508.

Murt Arnold$5,000.00
Jason Itkin$5,000.00
Money

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

×

Capital One Financial Corporation Associates Political Fund

$5,000.00

Cash
$5,000.00
Paid by others
$0.00
Total
$5,000.00

Also funds 1 other sitting lawmakers.

Derived recipient stock · Dec 14, 2024 to Jul 14, 2025. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Jul 14, 2025. 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: 101030508.

Votes

No floor vote loaded for this bill.

Witnesses8
For
6
Against
0
On
2
Names

For

  • Methodist Healthcare Ministries1 registration
  • Self2 registrations
  • Self; Protect Texas Fragile Kids1 registration
  • Texas Pediatric Society1 registration
  • Texas Women's Healthcare Coalition1 registration

On

  • Department of State Health Services1 registration
  • Health and Human Services Commission1 registration
Sources

8 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 first-year general revenue figure available here.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · March 26, 2025

The fiscal implications of the bill cannot be determined because the Department of State Health Services (DSHS) does not currently have the lab capacity to implement requirements under the bill to carry out Duchenne Muscular Dystrophy (DMD) testing and related activities as part of its newborn screening panel by the date certain provided in the bill.

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 Jan 30, 2025

05/05/2025 H Laid on the table subject to call

Texas Legislature Online · Introduced · House Committee Report

Data snapshot Nov 1, 2026 at 3:10 PM CST. Grades, charges, quotes and corrections follow the published record.

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

Companion

SB 1044 by Parker (identical)

Subjects

Health--General

Health--Other Diseases & Medical Conditions

Minors--Health & Safety

Women

PREGNANCY & CHILDBIRTH

STATE HEALTH SERVICES, DEPARTMENT OF

Text

The text as introduced · 730 words

89R9499 EAS-F

By: Capriglione
H.B. No. 2295

A BILL TO BE ENTITLED

AN ACT

relating to newborn screening tests for Duchenne muscular

dystrophy.

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

SECTION 1. The heading to Chapter 33, Health and Safety

Code, is amended to read as follows:

CHAPTER 33. DUCHENNE MUSCULAR DYSTROPHY, PHENYLKETONURIA, OTHER

HERITABLE DISEASES, HYPOTHYROIDISM, AND CERTAIN OTHER DISORDERS

SECTION 2. Section 33.001, Health and Safety Code, is

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

(6) "Duchenne muscular dystrophy" means a progressive

muscular degeneration disorder caused by alterations of the protein

dystrophin and characterized by progressive muscle degeneration

and weakness.

SECTION 3. Sections 33.002(a) and (c), Health and Safety

Code, are amended to read as follows:

(a) The department shall carry out a program to combat

morbidity, including intellectual disability, and mortality in

persons who have Duchenne muscular dystrophy, phenylketonuria,

other heritable diseases, or hypothyroidism.

(c) The department shall establish and maintain a

laboratory to:

(1) conduct experiments, projects, and other

activities necessary to develop screening or diagnostic tests for

the early detection of Duchenne muscular dystrophy,

phenylketonuria, other heritable diseases, and hypothyroidism;

(2) develop ways and means or discover methods to be

used to prevent or treat Duchenne muscular dystrophy,

phenylketonuria, other heritable diseases, and hypothyroidism; and

(3) serve other purposes considered necessary by the

department to carry out the program.

SECTION 4. Section 33.011(a), Health and Safety Code, is

amended to read as follows:

(a) The physician attending a newborn child or the person

attending the delivery of a newborn child that is not attended by a

physician shall cause the child to be subjected to screening tests

approved by the department for Duchenne muscular dystrophy,

phenylketonuria, other heritable diseases, hypothyroidism, and

other disorders for which screening is required by the department.

SECTION 5. Section 33.014(a), Health and Safety Code, is

amended to read as follows:

(a) If, because of an analysis of a specimen submitted under

Section 33.011, the department reasonably suspects that a newborn

child may have Duchenne muscular dystrophy, phenylketonuria,

another heritable disease, hypothyroidism, or another disorder for

which the screening tests are required, the department shall notify

the person who submits the specimen that the results are abnormal

and provide the test results to that person. The department may

notify one or more of the following that the results of the analysis

are abnormal and recommend further testing when necessary:

(1) the physician attending the newborn child or the

physician's designee;

(2) the person attending the delivery of the newborn

child that was not attended by a physician;

(3) the parents of the newborn child;

(4) the health authority of the jurisdiction in which

the newborn child was born or in which the child resides, if known;

or

(5) physicians who are cooperating pediatric

specialists for the program.

SECTION 6. Section 33.031(a), Health and Safety Code, is

amended to read as follows:

(a) All newborn children and other individuals under 21

years of age who have been screened, have been found to be

presumptively positive through the newborn screening program for

Duchenne muscular dystrophy, phenylketonuria, other heritable

diseases, hypothyroidism, or another disorder for which the

screening tests are required, and may be financially eligible may

be referred to the department's services program for children with

special health care needs.

SECTION 7. Section 33.032(a), Health and Safety Code, is

amended to read as follows:

(a) Within the limits of funds available for this purpose

and in cooperation with the individual's physician, the department

may provide services directly or through approved providers to

individuals of any age who meet the eligibility criteria specified

by department rules on the confirmation of a positive test for

Duchenne muscular dystrophy, phenylketonuria, other heritable

diseases, hypothyroidism, or another disorder for which the

screening tests are required.

SECTION 8. Section 203.355(c), Occupations Code, is amended

to read as follows:

(c) The laboratory services must include the performance of

the standard serological tests for syphilis and the collection of

blood specimens for newborn screening tests for Duchenne muscular

dystrophy, phenylketonuria, hypothyroidism, and other heritable

diseases as required by law.

SECTION 9. Not later than September 1, 2027, the Department

of State Health Services shall implement the changes in law made by

this Act to the newborn screening program under Chapter 33, Health

and Safety Code.

SECTION 10. This Act takes effect September 1, 2025.