Monitoring the Session

HB 3446

bill giving parents access to a child’s health records

Did not pass

Verdict: No flags

No flagsInitial review
Rep. Lacey HullRHouse 138

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to access to a child's health records by the child's parent, managing conservator, or guardian.

Caption from analyzed text · version I.

Summary

Even for care the minor can consent to alone.

The bill gives a parent, or a managing conservator or guardian, a right to see a child's medical, dental, psychological, or surgical treatment records unless a court order limits it. That right applies even when the parent did not consent or was not required to consent to the treatment, such as care a minor can consent to alone. It also says the state medical privacy chapter cannot be read to limit that parental access, starting September 1, 2025.

Labels

Labels: STALLED AFTER COMMITTEE. Voted out of the House Judiciary & Civil Jurisprudence committee 7-4 on Apr 9, 2025. Never placed on a calendar. The bill died.

Receipt

The receipt

89R-HB3446 · 2025-02-26

SOLD BY

Rep. Lacey HullRHouse 138

ITEM

relating to access to a child's health records by the child's parent, managing conservator, or guardian.

WHAT IT DOES

Even for care the minor can consent to alone.

The bill gives a parent, or a managing conservator or guardian, a right to see a child's medical, dental, psychological, or surgical treatment records unless a court order limits it. That right applies even when the parent did not consent or was not required to consent to the treatment, such as care a minor can consent to alone. It also says the state medical privacy chapter cannot be read to limit that parental access, starting September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · March 29, 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 Family & Fiduciary Relationships 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 formal meeting
  10. Reported favorably w/o amendment(s)
  11. Considered in public hearing
  12. Vote reconsidered in committee
  13. Reported favorably w/o amendment(s)
  14. Comte report filed with Committee Coordinator
  15. Committee report distributed
  16. Committee report sent to Calendars
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Lacey Hull

Donors

Texans for Lawsuit Reform PAC$595KTexas Conservative Majority PAC$483KTexas Sands PAC$245K

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 28, 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.

Texans for Lawsuit Reform PAC$595,376.10

Texans for Lawsuit Reform PAC

$595,376.10

Cash
$80,000.00
Paid by others
$515,376.10
Total
$595,376.10
mail $216,305.25advertising $185,974.50Other filed descriptions $66,286.00polling $46,810.35

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 30, 2025 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.

Report IDs: 101010359, 101033114, 101035066, 101040912, 101044098, 101069436, 101072848.

Texas Conservative Majority PAC$483,456.00

Texas Conservative Majority PAC

$483,456.00

Cash
$150,000.00
Paid by others
$333,456.00
Total
$483,456.00
canvassing $316,956.00polling $16,500.00

Also funds 42 other sitting lawmakers.

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

TEC account match.

Team
Sources

Derived itemized flow · Feb 13, 2026 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.

Report IDs: 101040912, 101069436, 101072848.

Texas Sands PAC$244,600.00

Texas Sands PAC

$244,600.00

Cash
$234,000.00
Paid by others
$10,600.00
Total
$244,600.00
polling $10,600.00

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 · Jan 14, 2026 to Sep 25, 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: 101035066, 101040912, 101072848.

Money

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

×

Texans for Lawsuit Reform PAC

$595,376.10

Cash
$80,000.00
Paid by others
$515,376.10
Total
$595,376.10
mail $216,305.25advertising $185,974.50Other filed descriptions $66,286.00polling $46,810.35

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 30, 2025 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.

Report IDs: 101010359, 101033114, 101035066, 101040912, 101044098, 101069436, 101072848.

×

Texas Conservative Majority PAC

$483,456.00

Cash
$150,000.00
Paid by others
$333,456.00
Total
$483,456.00
canvassing $316,956.00polling $16,500.00

Also funds 42 other sitting lawmakers.

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

TEC account match.

Team
Sources

Derived itemized flow · Feb 13, 2026 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.

Report IDs: 101040912, 101069436, 101072848.

×

Texas Sands PAC

$244,600.00

Cash
$234,000.00
Paid by others
$10,600.00
Total
$244,600.00
polling $10,600.00

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 · Jan 14, 2026 to Sep 25, 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: 101035066, 101040912, 101072848.

Votes

No floor vote loaded for this bill.

Witnesses6
For
6
Against
0
On
0
Names

For

  • Citizens Commission on Human Rights1 registration
  • Family Freedom Project1 registration
  • Parent Guidance Center1 registration
  • Texas Academy of Pediatric Dentistry1 registration
  • Texas Family Law Foundation1 registration
  • Texas Public Policy Foundation1 registration
Sources

6 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 29, 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 Feb 26, 2025

04/22/2025 H Committee report sent to Calendars

Texas Legislature Online · Introduced · House Committee Report

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

House committee · Judiciary & Civil Jurisprudence · Committee vote 7 aye, 4 nay · Out of committee

Subjects

Family--Parent & Child

Health--General

Health--Other Diseases & Medical Conditions

Health--Privacy/Use of Information

Minors--Health & Safety

GUARDIANS & WARDS

PARENTAL RIGHTS

Text

The text as introduced · 229 words

89R8709 AMF-D

By: Hull
H.B. No. 3446

A BILL TO BE ENTITLED

AN ACT

relating to access to a child's health records by the child's

parent, managing conservator, or guardian.

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

SECTION 1. Subchapter A, Chapter 32, Family Code, is

amended by adding Section 32.006 to read as follows:

Sec. 32.006. ACCESS TO CHILD'S TREATMENT RECORDS. Unless

limited by court order, a child's parent or, if applicable, the

child's managing conservator or guardian, is entitled to access to

the child's medical, dental, psychological, or surgical treatment

records, regardless of whether the parent, managing conservator, or

guardian:

(1) was required to consent to the treatment; or

(2) consented to the treatment.

SECTION 2. Subchapter A, Chapter 181, Health and Safety

Code, is amended by adding Section 181.007 to read as follows:

Sec. 181.007. PARENTAL ACCESS TO MEDICAL RECORDS OF MINOR

CHILD. (a) In this section, "child" means a person younger than 18

years of age who is not and has not been married or who has not had

the disabilities of minority removed for general purposes.

(b) Nothing in this chapter may be construed to limit the

right of a child's parent or, if applicable, the child's managing

conservator or guardian, to access to the child's health records

under other law.

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