Monitoring the Session

SB 1084

Campbell’s bill rewrites the mammogram breast density notice

Became law, effective Sep 1, 2025

Verdict: No flags

No flagsInitial review
Sen. Donna CampbellRSenate 25

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 certain mammography reports providing required breast density information.

Caption from analyzed text · version I.

Summary

Two set statements replace the old generic warning.

The bill rewrites the notice that certified mammography facilities must give patients after a mammogram, replacing the old generic dense-breast warning with one of two set statements based on the patient's reported breast density. It touches every federally certified mammography facility in Texas and their patients, and adds a duty for facilities to know and follow federal and state dense-breast reporting rules. Starting September 1, 2025, patients will be told directly whether their breast tissue is dense or not dense, and that dense tissue raises cancer risk and can hide cancer on a mammogram.

Labels

Labels: CROSS-PARTY HANDOFF. Lead author Donna Campbell (R) in the Senate. Lead sponsor Suleman Lalani (D) in the House. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-SB1084 · 2025-02-04

SOLD BY

+ 1 coauthor

ITEM

relating to certain mammography reports providing required breast density information.

WHAT IT DOES

Two set statements replace the old generic warning.

The bill rewrites the notice that certified mammography facilities must give patients after a mammogram, replacing the old generic dense-breast warning with one of two set statements based on the patient's reported breast density. It touches every federally certified mammography facility in Texas and their patients, and adds a duty for facilities to know and follow federal and state dense-breast reporting rules. Starting September 1, 2025, patients will be told directly whether their breast tissue is dense or not dense, and that dense tissue raises cancer risk and can hide cancer on a mammogram.

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 14, 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. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to Health & Human Services
  5. Co-author authorized
  6. Scheduled for public hearing on . . .
  7. Considered in public hearing
  8. Testimony taken in committee
  9. Left pending in committee
  10. Considered in public hearing
  11. Vote taken in committee
  12. Reported favorably w/o amendments
  13. Recommended for local & uncontested calendar
  14. Committee report printed and distributed
  15. Placed on intent calendar
  16. Rules suspended-Regular order of business
  17. Read 2nd time & passed to engrossment
  18. Vote recorded in Journal
  19. Three day rule suspended
  20. Record vote
  21. Read 3rd time
  22. Passed
  23. Record vote
  24. Reported engrossed
  25. Received from the Senate
  26. Read first time
  27. Referred to Public Health
  28. Considered in formal meeting
  29. Recommended to be sent to Local & Consent
  30. Reported favorably w/o amendment(s)
  31. Comte report filed with Committee Coordinator
  32. Committee report distributed
  33. Comm. report sent to Local & Consent Calendar
  34. Considered in Local & Consent Calendars
  35. Placed on Local, Consent, and Res. Calendar
  36. Read 2nd time
  37. Passed to 3rd reading
  38. Nonrecord vote recorded in Journal
  39. Read 3rd time
  40. Passed
  41. Record vote RV#3832
  42. Statement(s) of vote recorded in Journal
  43. Nonrecord vote recorded in Journal
  44. House passage reported
  45. Reported enrolled
  46. Signed in the Senate
  47. Signed in the House
  48. Sent to the Governor
  49. Signed by the Governor
  50. Effective on 9/1/25
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 133 yea · 8 nay

Senate · 31 yea · 0 nay

Sources

House: Final passage · May 28, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · Apr 2, 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

CAMPAIGN PAID FOR BY

Donors

Donors report through Friends of Donna Campbell.

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 Jun 30, 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.

Money

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

Votes4

House May 28, 2025

Yea
133
Nay
8
Present, not voting
2
Absent
2
Excused
5
Names

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

House journal

Sources

Record 3832

SB 1084 (Bonnen, Capriglione, Lowe, Money, Oliverson, Patterson, Schatzline, and Toth - no) (133 - 8 - 2)

Shared roll motion

The following bills which were considered on second reading on the previous legislative day on the local, consent, and resolutions calendar were laid before the house, read third time, and passed by the following record vote (members registering votes and the results of the vote are shown following the bill number). (Record 3832): 141 Yeas, 0 Nays, 2 Present, not voting.

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

  • Yea: 133 (published)
  • Nay: 8 (published)
  • Present, not voting: 2 (published)
  • Absent: 2 (derived from named list)
  • Excused: 5 (derived from named list)

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

Senate Apr 2, 2025

Yea
31
Nay
0
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

Sources

Senator Campbell moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that SB 1084 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 31, Nays 0. The bill was read third time and was passed by the following vote: Yeas 31, Nays 0.

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

  • Yea: 31 (published)
  • Nay: 0 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

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

Senate Apr 2, 2025

Yea
31
Nay
0
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

Sources

Senator Campbell moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that SB 1084 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 31, Nays 0.

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

  • Yea: 31 (published)
  • Nay: 0 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

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

Senate Apr 2, 2025

Yea
Not printed
Nay
Not printed
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

Voice vote. No numeric tally or individual yeas are inferred.

Sources

The bill was read second time and was passed to engrossment by a viva voce vote.

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

  • Yea: Not printed
  • Nay: Not printed
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

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

Witnesses6
For
5
Against
0
On
1
Names

For

  • Self1 registration
  • Self; Every Body Texas1 registration
  • Self; Texas Radiological Society, Texas Medical Association1 registration
  • Texas Medical Association1 registration
  • Texas Womens Healthcare Coalition1 registration

On

  • Dept. of State Health Services1 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.

Senate 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 14, 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 Senate · Filed Feb 4, 2025

06/20/2025 E Effective on 9/1/25

Texas Legislature Online · Introduced · Senate Committee Report · Engrossed · House Committee Report · Enrolled

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

Coauthors
Sponsors

House committee · Public Health · Committee vote 11 aye, 0 nay, 2 absent · Out of committee

Senate committee · Health & Human Services · Committee vote 9 aye, 0 nay · Out of committee

Companion

HB 2659 by Lalani (identical)

Subjects

Health--General

Occupational Regulation--Health Occupations

Women

DIAGNOSTIC IMAGING SERVICES

MAMMOGRAPHY

Text

The text as introduced · 457 words

89R4042 AB-F

By: Campbell
S.B. No. 1084

A BILL TO BE ENTITLED

AN ACT

relating to certain mammography reports providing required breast

density information.

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

SECTION 1. Section 86.013(a), Health and Safety Code, is

amended to read as follows:

(a) A [ On completion of a mammogram, a ] mammography

facility certified by the United States Food and Drug

Administration or by a certification agency approved by the United

States Food and Drug Administration shall :

(1) be aware of and comply with all applicable federal

and state "dense breast" reporting requirements; and

(2) on completion of a mammogram provide to the

patient :

(A) based on the patient's reported breast

density, [ the following ] notice that includes one of the following :

(i) for a mammography report identifying

the patient's breast density as "The breasts are almost entirely

fatty" or "There are scattered areas of fibroglandular density,"

the statement: "Breast tissue can be either dense or not dense.

Dense tissue makes it harder to find breast cancer on a mammogram

and also raises the risk of developing breast cancer. Your breast

tissue is not dense. Talk to your healthcare provider about breast

density, risks for breast cancer, and your individual situation.";

or

(ii) for a mammography report identifying

the patient's breast density as "The breasts are heterogeneously

dense, which may obscure small masses" or "The breasts are

extremely dense, which lowers the sensitivity of mammography," the

statement: "Breast tissue can be either dense or not dense. Dense

tissue makes it harder to find breast cancer on a mammogram and also

raises the risk of developing breast cancer. Your breast tissue is

dense. In some people with dense tissue, other imaging tests in

addition to a mammogram may help find cancers. Talk to your health

care provider about breast density, risks for breast cancer, and

your individual situation."; and

(B) notice that includes the statement:

[ "If your mammogram demonstrates that you have dense breast

tissue, which could hide abnormalities, and you have other risk

factors for breast cancer that have been identified, you might

benefit from supplemental screening tests that may be suggested by

your ordering physician.

[ "Dense breast tissue, in and of itself, is a relatively

common condition. Therefore, this information is not provided to

cause undue concern, but rather to raise your awareness and to

promote discussion with your physician regarding the presence of

other risk factors, in addition to dense breast tissue. ]

"A report of your mammography results will be sent to you and

your physician. You should contact your physician if you have any

questions or concerns regarding this report."

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