Monitoring the Session

SB 1677

Menéndez Amputation Bill Delivers One Report, Then Expires In 2027

Became law, effective Sep 1, 2025

Verdict: Smells

SmellsReviewed
Sen. José MenéndezDSenate 26
Why it's charged
Study, task force, commission, report

THE TEXT

“Not later than September 1, 2026, the department shall”…

Bill text, introduced version (I)

The bill's only duty is a study and a report due by September 1, 2026. Any action on amputation prevention waits for whatever a future legislature does with the recommendations.

Study, task force, commission, report

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 a study by the Department of State Health Services on prevention and reduction of diabetes-related amputation.

Caption from analyzed text · version I.

Summary

Report due September 1, 2026. Recommendations only. Nothing changes for patients or doctors.

The bill tells the Department of State Health Services to study how to prevent and reduce diabetes-related amputations. The department must consult listed doctors, nurses, podiatrists, surgeons, a public health provider, patients and an American Diabetes Association representative, then report to the governor and the legislature by September 1, 2026 and post the report online. Nothing changes for patients, doctors or insurers; the bill produces recommendations only and expires September 1, 2027.

Labels

Labels: NO AUTOGRAPH. Became law without the governor's signature on Jun 20, 2025.CROSS-PARTY HANDOFF. Lead author José Menéndez (D) in the Senate. Lead sponsor Gary VanDeaver (R) in the House. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-SB1677 · 2025-02-27

SOLD BY

Sen. José MenéndezDSenate 26

ITEM

relating to a study by the Department of State Health Services on prevention and reduction of diabetes-related amputation.

WHAT IT DOES

Report due September 1, 2026. Recommendations only. Nothing changes for patients or doctors.

The bill tells the Department of State Health Services to study how to prevent and reduce diabetes-related amputations. The department must consult listed doctors, nurses, podiatrists, surgeons, a public health provider, patients and an American Diabetes Association representative, then report to the governor and the legislature by September 1, 2026 and post the report online. Nothing changes for patients, doctors or insurers; the bill produces recommendations only and expires September 1, 2027.

CHARGES

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

THE TEXT

“Not later than September 1, 2026, the department shall”…

Bill text, introduced version (I)

The bill's only duty is a study and a report due by September 1, 2026. Any action on amputation prevention waits for whatever a future legislature does with the recommendations.

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 11, 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. Scheduled for public hearing on . . .
  6. Considered in public hearing
  7. Testimony taken in committee
  8. Left pending in committee
  9. Considered in public hearing
  10. Vote taken in committee
  11. Reported favorably as substituted
  12. Committee report printed and distributed
  13. Placed on intent calendar
  14. Rules suspended-Regular order of business
  15. Record vote
  16. Read 2nd time & passed to engrossment
  17. Record vote
  18. Three day rule suspended
  19. Record vote
  20. Read 3rd time
  21. Passed
  22. Record vote
  23. Reported engrossed
  24. Received from the Senate
  25. Read first time
  26. Referred to Public Health
  27. Scheduled for public hearing on . . .
  28. Considered in public hearing
  29. Testimony taken/registration(s) recorded in committee
  30. Left pending in committee
  31. Considered in formal meeting
  32. Reported favorably w/o amendment(s)
  33. Comte report filed with Committee Coordinator
  34. Committee report distributed
  35. Committee report sent to Calendars
  36. Considered in Calendars
  37. Placed on General State Calendar
  38. Rules suspended
  39. Additional sponsor(s) authorized
  40. Read 2nd time
  41. Passed to 3rd reading
  42. Record vote RV#3399
  43. Statement(s) of vote recorded in Journal
  44. Rules suspended
  45. Additional sponsor(s) authorized
  46. Read 3rd time
  47. Passed
  48. Record vote RV#3460
  49. Statement(s) of vote recorded in Journal
  50. House passage reported
  51. Reported enrolled
  52. Signed in the Senate
  53. Signed in the House
  54. Sent to the Governor
  55. Filed without the Governor's signature
  56. Effective on 9/1/25
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 78 yea · 57 nay

Senate · 24 yea · 6 nay

Sources

House: Final passage · May 24, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · Apr 10, 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

José Menéndez

Donors

Kickapoo Traditional Tribes of Texas$25KTexas Trial Lawyers Association PAC$20KTexas REALTORS Political Action Committee$10K

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 · Jul 2, 2024 to Oct 5, 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.

Kickapoo Traditional Tribes of Texas$25,000.00

Kickapoo Traditional Tribes of Texas

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Jan 22, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Jan 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: 101065471.

Texas Trial Lawyers Association PAC$20,000.00

Texas Trial Lawyers Association PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

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 12, 2024 to Oct 5, 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: 101012370, 101032316, 101072614.

Texas REALTORS Political Action Committee$10,000.00

Texas REALTORS Political Action Committee

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Dec 2, 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: 101032316.

Money

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

×

Kickapoo Traditional Tribes of Texas

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Jan 22, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Jan 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: 101065471.

×

Texas Trial Lawyers Association PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

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 12, 2024 to Oct 5, 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: 101012370, 101032316, 101072614.

×

Texas REALTORS Political Action Committee

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Dec 2, 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: 101032316.

Votes6

House May 24, 2025

Yea
78
Nay
57
Present, not voting
3
Absent
3
Excused
9
Names

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

House journal

Sources

Record 3460

SB 1677 was passed by (Record 3460): 78 Yeas, 57 Nays, 3 Present, not voting.

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

  • Yea: 78 (published)
  • Nay: 57 (published)
  • Present, not voting: 3 (published)
  • Absent: 3 (derived from named list)
  • Excused: 9 (derived from named list)

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

House May 23, 2025

Yea
80
Nay
55
Present, not voting
2
Absent
4
Excused
9
Names

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

House journal

Sources

Record 3399

SB 1677 was passed to third reading by (Record 3399): 80 Yeas, 55 Nays, 2 Present, not voting.

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

  • Yea: 80 (published)
  • Nay: 55 (published)
  • Present, not voting: 2 (published)
  • Absent: 4 (derived from named list)
  • Excused: 9 (derived from named list)

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

Senate Apr 10, 2025

Yea
24
Nay
6
Present, not voting
Not printed
Absent
0
Excused
1
Names

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

Senate journal

Sources

The bill was read third time and was passed by the following vote: Yeas 24, Nays 6. (Same as previous roll call)

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

  • Yea: 24 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 1 (derived from named list)

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

Senate Apr 10, 2025

Yea
24
Nay
6
Present, not voting
Not printed
Absent
0
Excused
1
Names

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

Senate journal

Sources

Senator Menéndez moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSSB 1677 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 24, Nays 6.

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

  • Yea: 24 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 1 (derived from named list)

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

Senate Apr 10, 2025

Yea
24
Nay
6
Present, not voting
Not printed
Absent
0
Excused
1
Names

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

Senate journal

Sources

The bill was read second time and was passed to engrossment by the following vote: Yeas 24, Nays 6. (Same as previous roll call)

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

  • Yea: 24 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 1 (derived from named list)

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

Senate Apr 10, 2025

Yea
24
Nay
6
Present, not voting
Not printed
Absent
0
Excused
1
Names

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

Senate journal

Sources

Senator Menéndez moved to suspend the regular order of business to take up for consideration CSSB 1677 at this time on its second reading: CSSB 1677, Relating to a study on prevention and reduction of diabetes-related amputation. The motion prevailed by the following vote: Yeas 24, Nays 6.

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

  • Yea: 24 (published)
  • Nay: 6 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 1 (derived from named list)

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

Witnesses18
For
16
Against
0
On
2
Names

For

  • American Diabetes Association3 registrations
  • Methodist Healthcare Ministries2 registrations
  • Self4 registrations
  • Texas Chapter American College of Physicians2 registrations
  • Texas Medical Association2 registrations
  • Texas Medical Association and Texas Public Health Coalition1 registration
  • Texas Medical Association; Texas Public Health Coalition1 registration
  • Texas Podiatric Medical Association1 registration

On

  • Department of State Health Services1 registration
  • Self; University of Texas Health1 registration
Sources

18 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.

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 11, 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-fable-5-1 at high effort: Smells.

Analysis of text version I by claude-fable-5-1, Oct 21, 2026, against the published rubric.

Sources

Texas Senate · Filed Feb 27, 2025

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

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

Data snapshot Nov 1, 2026 at 2:07 PM CST. Grades, charges, quotes and corrections follow the published record.

Sponsors
Gary VanDeaverRHouse 1
Cosponsors
Penny Morales ShawDHouse 148 Lauren Ashley SimmonsDHouse 146

House committee · Public Health · Committee vote 8 aye, 4 nay, 1 absent · Out of committee

Senate committee · Health & Human Services · Committee vote 7 aye, 2 nay · Out of committee

Subjects

Education--Higher--Health Institutions

Health--Other Diseases & Medical Conditions

Interim Studies

DIABETES

HIGHER EDUCATION COORDINATING BOARD, TEXAS

STATE HEALTH SERVICES, DEPARTMENT OF

Text

The text as introduced · 421 words

89R14224 AB-D

By: Menéndez
S.B. No. 1677

A BILL TO BE ENTITLED

AN ACT

relating to a study by the Department of State Health Services on

prevention and reduction of diabetes-related amputation.

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

SECTION 1. (a) In this Act, "department" means the

Department of State Health Services.

(b) The department shall conduct a study on the prevention

and reduction of diabetes-related amputation.

(c) In conducting the study, the department shall:

(1) identify and examine information on amputations

resulting from diabetes; and

(2) develop recommendations regarding:

(A) amputation prevention related to diabetic

foot ulcers and peripheral artery disease;

(B) methods for increasing public awareness of

diabetes-related amputation;

(C) best practices for reducing the number of

amputations performed; and

(D) policy solutions for ensuring access to

treatments to assist with preventing amputation, including:

(i) insurance coverage for therapies

designed to treat diabetic foot ulcers, including topical oxygen

therapy;

(ii) timely and equitable access to

evidence-supported medical tools, technologies, and services to

assist with the prevention of avoidable amputations;

(iii) methods to improve and incentivize

quality care to avoid amputations when possible; and

(iv) methods to promote collaboration and

cooperation among interested persons.

(d) In conducting the study, the department shall consult

with the following individuals:

(1) the commissioner of state health services;

(2) a physician licensed in this state who specializes

in endocrinology;

(3) a nurse licensed in this state with expertise in

diabetes education;

(4) a vascular surgeon with expertise in amputation

prevention;

(5) a physician, physician assistant, or advanced

practice registered nurse with expertise in amputation prevention;

(6) a podiatrist with expertise in treating diabetic

foot ulcers;

(7) a podiatrist or vascular surgeon affiliated with

the United States Department of Veterans Affairs;

(8) a representative of a public health provider;

(9) at least three individuals diagnosed with diabetes

or who have experienced diabetes-related amputation;

(10) a representative of the American Diabetes

Association; and

(11) other individuals as the department determines

necessary.

(e) Not later than September 1, 2026, the department shall

prepare and submit to the governor and the legislature a report

summarizing the results of the study and containing recommendations

for legislative or other action. The department shall post the

report on the department's Internet website. The post must include:

(1) the information on which the department's

determinations and recommendations is based; and

(2) the methodologies the department used to conduct

the study.

SECTION 2. This Act expires September 1, 2027.

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