Monitoring the Session

HB 3554

Simmons Bill Creates 23-Member Rare Disease Council That Only Recommends

Did not pass

Verdict: Smells

SmellsReviewed
Rep. Lauren Ashley SimmonsDHouse 146
Both charges, and why
Study, task force, commission, report

THE TEXT

“(2) recommendations for legislative or other action on”…

Bill text, House committee report version (H)

The council's whole output is recommendations and a yearly report. Any real action waits for the Legislature or agencies to act on them later.

Study, task force, commission, report
New fee, fund, board or appointees

THE TEXT

…“council is composed of 23 members appointed as follows:”

Bill text, House committee report version (H)

The bill builds a new state advisory body with 23 appointed seats. The caption honestly says it does this.

New fee, fund, board or appointees

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 establishment of the Texas Rare Disease Advisory Council.

Caption from analyzed text · version H.

Summary

23 appointed seats, a yearly report, and no power to make anyone do anything.

The bill creates a new 23-member Texas Rare Disease Advisory Council, appointed by the governor, lieutenant governor and speaker. Its members include state agency staff, doctors, researchers, a biotechnology industry representative, a health insurer representative, patients and caregivers, and the health department must give it staff and support. The council meets, takes public comment and writes recommendations and an annual report, but it has no power to make anyone do anything.

Labels

Labels: ACROSS THE AISLE. Joint authors: 1 Republican, 4 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.GOT HALFWAY. Passed the House on May 15, 2025. Died in the Senate: received, never referred to a committee.

Receipt

The receipt

89R-HB3554 · 2025-02-28

SOLD BY

+ 2 more authors, 5 coauthors

ITEM

relating to establishment of the Texas Rare Disease Advisory Council.

WHAT IT DOES

23 appointed seats, a yearly report, and no power to make anyone do anything.

The bill creates a new 23-member Texas Rare Disease Advisory Council, appointed by the governor, lieutenant governor and speaker. Its members include state agency staff, doctors, researchers, a biotechnology industry representative, a health insurer representative, patients and caregivers, and the health department must give it staff and support. The council meets, takes public comment and writes recommendations and an annual report, but it has no power to make anyone do anything.

CHARGES

[x] STUDY, TASK FORCE, COMMISSION, REPORTanalysis confidence 85%

THE TEXT

“(2) recommendations for legislative or other action on”…

Bill text, House committee report version (H)

The council's whole output is recommendations and a yearly report. Any real action waits for the Legislature or agencies to act on them later.

[x] NEW FEE, FUND, BOARD OR APPOINTEESanalysis confidence 90%

THE TEXT

…“council is composed of 23 members appointed as follows:”

Bill text, House committee report version (H)

The bill builds a new state advisory body with 23 appointed seats. The caption honestly says it does this.

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 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 Public Health
  4. Scheduled for public hearing on . . .
  5. Considered in public hearing
  6. Testimony taken/registration(s) recorded in committee
  7. Left pending in committee
  8. Considered in formal meeting
  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. Passed to engrossment
  17. Record vote RV#2560
  18. Statement(s) of vote recorded in Journal
  19. Read 3rd time
  20. Passed
  21. Record vote RV#2667
  22. Statement(s) of vote recorded in Journal
  23. Reported engrossed
  24. Received from the House
FILED UNDER

GOVERNMENT GROWTH UNDER A CONSERVATIVE BANNER

THE TEXT

…“resources, personnel, and other administrative support as”…

Bill text, House committee report version (H)

The bill creates a new council with 23 appointed positions and orders the health department to give it personnel and support.

SIGNED FOR BY

House · 91 yea · 52 nay

Sources

House: Final passage · May 15, 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 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.

Votes2

House May 15, 2025

Yea
91
Nay
52
Present, not voting
2
Absent
1
Excused
4
Names

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

House journal

Sources

Record 2667

HB 3554 was passed by (Record 2667): 91 Yeas, 52 Nays, 2 Present, not voting.

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

  • Yea: 91 (published)
  • Nay: 52 (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.

House May 14, 2025

Yea
81
Nay
45
Present, not voting
2
Absent
16
Excused
6
Names

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

House journal

Sources

Record 2560

HB 3554 was passed to engrossment by (Record 2560): 81 Yeas, 45 Nays, 2 Present, not voting.

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

  • Yea: 81 (published)
  • Nay: 45 (published)
  • Present, not voting: 2 (published)
  • Absent: 16 (derived from named list)
  • Excused: 6 (derived from named list)

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

Witnesses11
For
9
Against
1
On
1
Names

For

  • El Paso County1 registration
  • Every Texan1 registration
  • Self3 registrations
  • Self; KMT2C Foundation1 registration
  • Texas Medical Association2 registrations
  • Texas Pediatric Society1 registration

Against

  • Self1 registration

On

  • Department of State Health Services1 registration
Sources

11 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 · April 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

Adversarial review by claude-opus-5-5 at high effort: Smells.

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

Sources

Texas House · Filed Feb 28, 2025

05/15/2025 S Received from the House

Texas Legislature Online · Introduced · House Committee Report · Engrossed

Data snapshot Nov 1, 2026 at 3:11 PM CST. Grades, charges, quotes and corrections follow the published record.

Coauthors

House committee · Public Health · Committee vote 12 aye, 0 nay, 1 absent · Out of committee

Subjects

Governor

Health--Other Diseases & Medical Conditions

State Agencies, Boards & Commissions--Newly Proposed

NURSES & NURSE AIDES

PHARMACIES & PHARMACISTS

PHYSICIANS

EDUCATION AGENCY, TEXAS

HEALTH & HUMAN SERVICES COMMISSION

INSURANCE, TEXAS DEPARTMENT OF

RARE DISEASE ADVISORY COUNCIL, TEXAS

STATE HEALTH SERVICES, DEPARTMENT OF

Text

The text as introduced · 1,107 words

89R13770 MPF-D

By: Simmons
H.B. No. 3554

A BILL TO BE ENTITLED

AN ACT

relating to establishment of the Texas Rare Disease Advisory

Council.

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

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

amended by adding Chapter 101A to read as follows:

CHAPTER 101A. TEXAS RARE DISEASE ADVISORY COUNCIL

Sec. 101A.001. DEFINITIONS. In this chapter:

(1) "Advisory council" means the Texas Rare Disease

Advisory Council established under this chapter.

(2) "Rare disease" means a disease, disorder, or

condition that affects fewer than 200,000 individuals in the United

States.

Sec. 101A.002. ESTABLISHMENT. (a) The Texas Rare Disease

Advisory Council is established to advise the governor, state

agencies, and private entities that provide health care services or

other treatment to individuals diagnosed with rare diseases in this

state on strategies for improving health outcomes for those

individuals.

(b) The department shall provide to the advisory council

resources, personnel, and other administrative support as

necessary for the council to carry out its duties under this

chapter.

Sec. 101A.003. ADVISORY COUNCIL MEMBERS. (a) The advisory

council is composed of 23 members appointed as follows:

(1) 11 members appointed by the governor as follows:

(A) one representative of the department;

(B) one representative of the commission;

(C) one representative of the Texas Department of

Insurance;

(D) one representative of the Texas Education

Agency;

(E) one geneticist practicing in this state;

(F) one registered nurse or advanced practice

registered nurse licensed and practicing in this state with

experience in treating rare diseases;

(G) one hospital administrator of a hospital in

this state that provides care to individuals diagnosed with a rare

disease;

(H) one pharmacist licensed and practicing in

this state with experience dispensing prescription drugs used in

treating rare diseases;

(I) one representative of the biotechnology

industry;

(J) one representative of a health insurance

company; and

(K) one physician licensed and practicing in this

state with experience in treating rare diseases;

(2) six members appointed by the lieutenant governor

as follows:

(A) one representative of an academic research

institution in this state that receives grant funding for rare

disease research;

(B) one physician licensed and practicing in this

state with experience in treating rare diseases;

(C) one individual who is 18 years of age or older

and who is diagnosed with a rare disease;

(D) two individuals who are, or previously served

as, caregivers for an individual diagnosed with a rare disease; and

(E) one representative of an organization that

provides care or other support to individuals diagnosed with a rare

disease in this state; and

(3) six members appointed by the speaker of the house

of representatives as follows:

(A) one representative of an academic research

institution in this state that receives grant funding for rare

disease research;

(B) one physician licensed and practicing in this

state with experience in treating rare diseases;

(C) one individual who is 18 years of age or older

and who is diagnosed with a rare disease;

(D) two individuals who are, or previously served

as, caregivers for an individual diagnosed with a rare disease; and

(E) one representative of an organization that

provides care or other support to individuals diagnosed with a rare

disease in this state.

(b) Advisory council members serve staggered four-year

terms, with the terms of one-half of the members, or as near to

one-half as possible, expiring February 1 of each odd-numbered

year.

(c) A vacancy on the advisory council shall be filled for

the unexpired term in the same manner as the original appointment.

Sec. 101A.004. PRESIDING OFFICER; ASSISTANT PRESIDING

OFFICER. The governor shall annually select from among the

advisory council members a presiding officer and an assistant

presiding officer.

Sec. 101A.005. COUNCIL MEETINGS. (a) The advisory council

shall meet:

(1) at the call of the advisory council's presiding

officer; and

(2) on request by a majority of the advisory council

members.

(b) A majority of the voting members of the advisory council

constitutes a quorum.

(c) A meeting conducted under this section may be in person

or by video conference call, as determined by the advisory

council's presiding officer.

(d) The advisory council shall provide notice of upcoming

advisory council meetings on the department's Internet website.

Sec. 101A.006. DUTIES. (a) The advisory council shall:

(1) consult with experts on rare diseases and solicit

public comment to develop policy recommendations for improving the

treatment of rare diseases in this state;

(2) develop strategy recommendations for academic

research institutions of higher education in this state to

facilitate continued research on rare diseases;

(3) develop strategy recommendations for health care

providers to better recognize and diagnose rare diseases to improve

patient treatment; and

(4) make recommendations to the department and other

state agencies on matters affecting individuals diagnosed with a

rare disease, including emergency preparedness and response

resources for a pandemic or natural disaster.

(b) The advisory council shall provide the department with

the strategy recommendations developed under Subsection (a)(3) for

publication on the department's Internet website.

Sec. 101A.007. ANNUAL REPORT. (a) Not later than September

1 of each year, the advisory council shall prepare and submit to the

governor and commissioner a report that includes:

(1) a summary of the advisory council's activities for

the preceding year; and

(2) recommendations for legislative or other action on

rare disease research and care.

(b) The advisory council shall publish the report prepared

and submitted under Subsection (a) on the department's Internet

website.

Sec. 101A.008. APPLICABILITY OF OTHER LAW. Section

2110.008, Government Code, does not apply to the advisory council.

SECTION 2. Not later than December 1, 2025, the appropriate

appointing authority shall appoint the initial members to the Texas

Rare Disease Advisory Council as required by Section 101A.003(a),

Health and Safety Code, as added by this Act, with the initial

members' terms expiring as follows:

(1) the terms of five members appointed under Section

101A.003(a)(1), of three members appointed under Section

101A.003(a)(2), and of three members appointed under Section

101A.003(a)(3) expiring February 1, 2029; and

(2) the terms of six members appointed under Section

101A.003(a)(1), of three members appointed under Section

101A.003(a)(2), and of three members appointed under Section

101A.003(a)(3) expiring February 1, 2031.

SECTION 3. Notwithstanding Section 101A.005, Health and

Safety Code, as added by this Act, the Texas Rare Disease Advisory

Council shall conduct the council's first meeting not later than

January 1, 2026.

SECTION 4. Notwithstanding Section 101A.007, Health and

Safety Code, as added by this Act, the Texas Rare Disease Advisory

Council shall submit the first report required by that section not

later than September 1, 2026.

SECTION 5. This Act takes effect September 1, 2025.