Available whenever no physician, nurse practitioner or physician assistant is on site.
The bill requires the Texas Juvenile Justice Department to contract for telemedicine services as part of the medical care it provides. Those services must be available whenever a physician, advanced practice registered nurse, or physician assistant is not on site at the facility. Youth in state juvenile facilities would have remote access to a medical provider starting September 1, 2025, when no provider is physically present.
Labels
Labels: ZOMBIE BILL. Died 2 times: 88R SB 2134 (Died in committee) and this bill (Died in committee). Checked against 88R only.DO-OVER. Reworked text of a bill filed before that died: 88R SB 2134 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.QUICK READ: 109 WORDS. The bill as filed runs 109 words, counting the existing law it amends and the text it strikes. The median 89R bill as filed runs 441 words (derived, 8,702 graded bills, snapshot Oct 19, 2026).GOT HALFWAY. Passed the Senate on May 14, 2025. Died in the House: never got out of the Criminal Jurisprudence committee.
relating to the use of telemedicine services in the juvenile
justice system.
WHAT IT DOES
Available whenever no physician, nurse practitioner or physician assistant is on site.
The bill requires the Texas Juvenile Justice Department to contract for telemedicine services as part of the medical care it provides. Those services must be available whenever a physician, advanced practice registered nurse, or physician assistant is not on site at the facility. Youth in state juvenile facilities would have remote access to a medical provider starting September 1, 2025, when no provider is physically present.
CHARGES
[ ] NONE FOUND
TOTAL
No significant fiscal implication to the State is anticipated.
Names were not printed. No individual positions are inferred.
The journal row lists three votes in order: passage to engrossment, suspension of the three-day rule, and final passage. This entry records final passage. Repeated tallies belong to separate votes.
Sources
SB 1778 (Miles) Relating to the use of telemedicine services in the juvenile justice system. (viva voce vote) (31-0) (31-0)
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.
Names were not printed. No individual positions are inferred.
The journal row lists three votes in order: passage to engrossment, suspension of the three-day rule, and final passage. This entry records suspension of the three-day rule. Repeated tallies belong to separate votes.
Sources
SB 1778 (Miles) Relating to the use of telemedicine services in the juvenile justice system. (viva voce vote) (31-0) (31-0)
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.
Names were not printed. No individual positions are inferred.
The journal row lists three votes in order: passage to engrossment, suspension of the three-day rule, and final passage. This entry records passage to engrossment. Repeated tallies belong to separate votes.
Voice vote. No numeric tally or individual yeas are inferred.
Sources
SB 1778 (Miles) Relating to the use of telemedicine services in the juvenile justice system. (viva voce vote) (31-0) (31-0)
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.
Witnesses9
For
8
Against
0
On
1
Names
For
Dallas County Commissioners Court1 registration
Lone Star Justice Alliance1 registration
Methodist Healthcare Ministries1 registration
Self1 registration
Self; Texas Pediatric Society, Texas Medical Association1 registration
TCRP1 registration
Texas Hospital Association1 registration
Texas Medical Association1 registration
On
Texas Juvenile Justice Department1 registration
Sources
9 parsed registrations across the loaded witness lists.
Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.
House committee · Criminal Jurisprudence · Final status: Died in committee
Senate committee · Criminal Justice · Committee vote 7 aye, 0 nay · Out of committee
Subjects
Health--Other Diseases & Medical Conditions
Mental Health & Substance Abuse
Minors--Health & Safety
Minors--Juvenile Justice
TELEMEDICINE
JUVENILE JUSTICE DEPARTMENT, TEXAS
Text
The text as introduced · 109 words
89R436 CJD-D
By: Miles
S.B. No. 1778
A BILL TO BE ENTITLED
AN ACT
relating to the use of telemedicine services in the juvenile
justice system.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter A, Chapter 244, Human Resources Code,
is amended by adding Section 244.0095 to read as follows:
Sec. 244.0095. CERTAIN MEDICAL CARE SERVICES REQUIRED. In
providing medical care, the department shall contract for
telemedicine services to be available when a physician, advanced
practice registered nurse, or physician assistant is not present at
the facility where the services are to be provided.
SECTION 2. This Act takes effect September 1, 2025.
Monitoring 