SB 2422: Medical Board restrictions address COVID-19 treatments and masks

Caption

relating to investigations and disciplinary or punitive action by the Texas Medical Board regarding certain treatments or practices regarding COVID-19 and to the required expungement of certain records.

Caption from analyzed text · version S.

Summary

Specified words in records since 2020 trigger expungement and cancellation of associated discipline.

The bill bars the Texas Medical Board from investigating or disciplining licensees for prescribing or promoting ivermectin, hydroxychloroquine or budesonide for COVID-19, for statements about whether masks work against COVID-19, or for not wearing or requiring masks meant to stop COVID-19 in their practice, except in areas where masks were customary before the pandemic. By December 1, 2025, the board must also wipe any investigation or discipline record created since January 1, 2020, that contains the word budesonide, hydroxychloroquine, ivermectin or mask. For each wiped record, the board must cancel the discipline and any other penalty. That relief turns on whether one of those words appears in the file, not on whether the case was about COVID-19.

Corrected Oct 26, 2026 · We checked this summary against the bill text and fixed it.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R SB 514 (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 514 (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.GOT HALFWAY. Passed the Senate on May 6, 2025. Died in the House: never got out of the Public Health committee.

Receipt

The receipt

89R-SB2422 · 2025-03-13

SOLD BY

Sen. Bob HallRSenate 2

+ 4 coauthors

ITEM

relating to investigations and disciplinary or punitive action by the Texas Medical Board regarding certain treatments or practices regarding COVID-19 and to the required expungement of certain records.

WHAT IT DOES

Specified words in records since 2020 trigger expungement and cancellation of associated discipline.

The bill bars the Texas Medical Board from investigating or disciplining licensees for prescribing or promoting ivermectin, hydroxychloroquine or budesonide for COVID-19, for statements about whether masks work against COVID-19, or for not wearing or requiring masks meant to stop COVID-19 in their practice, except in areas where masks were customary before the pandemic. By December 1, 2025, the board must also wipe any investigation or discipline record created since January 1, 2020, that contains the word budesonide, hydroxychloroquine, ivermectin or mask. For each wiped record, the board must cancel the discipline and any other penalty. That relief turns on whether one of those words appears in the file, not on whether the case was about COVID-19.

Corrected Oct 26, 2026 · We checked this summary against the bill text and fixed it.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version S · source

Sources

Fiscal note · version S · April 26, 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

Mar 13, 2025Received by the Secretary of the Senate
Mar 13, 2025Filed
Mar 25, 2025Read first time
Mar 25, 2025Referred to Health & Human Services
Apr 1, 2025Scheduled for public hearing on . . .
Apr 1, 2025Considered in public hearing
Apr 1, 2025Testimony taken in committee
Apr 1, 2025Left pending in committee
Apr 7, 2025Co-author authorized
Apr 24, 2025Considered in public hearing
Apr 24, 2025Vote taken in committee
Apr 28, 2025Reported favorably as substituted
Apr 28, 2025Committee report printed and distributed
Apr 30, 2025Placed on intent calendar
May 5, 2025Co-author authorized
May 5, 2025Rules suspended-Regular order of business
May 5, 2025Record vote
May 5, 2025Read 2nd time & passed to engrossment
May 5, 2025Record vote
May 6, 2025Rules suspended-Regular order of business
May 6, 2025Record vote
May 6, 2025Read 3rd time
May 6, 2025Passed
May 6, 2025Record vote
May 6, 2025Reported engrossed
May 7, 2025Received from the Senate
May 8, 2025Read first time
May 8, 2025Referred to Public Health

FILED UNDER

SPEECH AND LAWFARE

THE TEXT

“making statements regarding the efficacy of masks”…

Bill text, Senate committee report version (S)

The bill shields licensed medical professionals from board investigation or discipline for what they say about masks and COVID-19.

SIGNED FOR BY

Senate · 20 yea · 11 nay

Sources

Senate: Final passage · May 6, 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

Bob Hall

Donors

Texans for Lawsuit Reform PAC$135K Texans United for a Conservative Majority PAC$116K Bryan Hughes Campaign$100K

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 1, 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.

Texans for Lawsuit Reform PAC$135,000.00

Texans for Lawsuit Reform PAC

$135,000.00

Cash: $129,000.00
Paid by others: $6,000.00
Total: $135,000.00

polling $6,000.00

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 · Sep 12, 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.

Report IDs: 100987789, 101010195, 101040645, 101069307, 101073278.

Texans United for a Conservative Majority PAC$116,000.00

Texans United for a Conservative Majority PAC

$116,000.00

Cash: $110,000.00
Paid by others: $6,000.00
Total: $116,000.00

polling $6,000.00

Also funds 30 other sitting lawmakers.

Derived recipient stock · Sep 3, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · Jun 27, 2025 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: 101010195, 101033131, 101073278.

Bryan Hughes Campaign$100,000.00

Bryan Hughes Campaign

$100,000.00

Cash: $100,000.00
Paid by others: $0.00
Total: $100,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 29, 2026 to Oct 5, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Sep 29, 2026 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: 101073278.

Money

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

×

Texans for Lawsuit Reform PAC

$135,000.00

Cash: $129,000.00
Paid by others: $6,000.00
Total: $135,000.00

polling $6,000.00

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 · Sep 12, 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.

Report IDs: 100987789, 101010195, 101040645, 101069307, 101073278.

×

Texans United for a Conservative Majority PAC

$116,000.00

Cash: $110,000.00
Paid by others: $6,000.00
Total: $116,000.00

polling $6,000.00

Also funds 30 other sitting lawmakers.

Derived recipient stock · Sep 3, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team

Sources

Derived itemized flow · Jun 27, 2025 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: 101010195, 101033131, 101073278.

×

Bryan Hughes Campaign

$100,000.00

Cash: $100,000.00
Paid by others: $0.00
Total: $100,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Sep 29, 2026 to Oct 5, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Sep 29, 2026 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: 101073278.

Votes4

Senate May 6, 2025

Yea: 20
Nay: 11
Present, not voting: Not printed
Absent: 0
Excused: 0

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 20, Nays 11. (Same as previous roll call)

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

Yea: 20 (published)
Nay: 11 (published)
Present, not voting: Not printed
Absent: 0 (derived from named list)
Excused: 0 (derived from named list)

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

Senate May 6, 2025

Yea: 20
Nay: 11
Present, not voting: Not printed
Absent: 0
Excused: 0

Names

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

Senate journal

Sources

Senator Hall moved to suspend the regular order of business to take up for consideration CSSB 2422 at this time on its third reading and final passage: CSSB 2422, Relating to investigations and disciplinary or punitive action by the Texas Medical Board regarding certain treatments or practices regarding COVID-19 and to the required expungement of certain records. The motion prevailed by the following vote: Yeas 20, Nays 11.

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

Yea: 20 (published)
Nay: 11 (published)
Present, not voting: Not printed
Absent: 0 (derived from named list)
Excused: 0 (derived from named list)

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

Senate May 5, 2025

Yea: 21
Nay: 10
Present, not voting: Not printed
Absent: 0
Excused: 0

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 21, Nays 10. (Same as previous roll call)

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

Yea: 21 (published)
Nay: 10 (published)
Present, not voting: Not printed
Absent: 0 (derived from named list)
Excused: 0 (derived from named list)

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

Senate May 5, 2025

Yea: 21
Nay: 10
Present, not voting: Not printed
Absent: 0
Excused: 0

Names

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

Senate journal

Sources

Senator Hall moved to suspend the regular order of business to take up for consideration CSSB 2422 at this time on its second reading: CSSB 2422, Relating to investigations and disciplinary or punitive action by the Texas Medical Board regarding certain treatments or practices regarding COVID-19 and to the required expungement of certain records. The motion prevailed by the following vote: Yeas 21, Nays 10.

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

Yea: 21 (published)
Nay: 10 (published)
Present, not voting: Not printed
Absent: 0 (derived from named list)
Excused: 0 (derived from named list)

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

Witnesses5

For: 4
Against: 0
On: 1

Names

For

Make Texans Healthy Again1 registration
Self2 registrations
Self; Texans for Vaccine Choice1 registration

On

Texas Medical Board1 registration

Sources

5 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 S · source

Sources

Fiscal note · version S · April 26, 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 S by claude-opus-5-5, Oct 22, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R SB 514

by Sen. Hall, same lead author · Died in committee · reworked

Introduced text

Last action, Feb 17, 2023: Referred to Health & Human Services

Relating to investigations and disciplinary action by the Texas Medical Board regarding certain treatments or practices during the COVID-19 pandemic.

Caption, 88R bill history

Sources

Texas Senate · Filed Mar 13, 2025

05/08/2025 H Referred to Public Health: May 8 2025 11:58PM

Texas Legislature Online · Introduced · Senate Committee Report · Engrossed

Data snapshot Nov 1, 2026 at 6:27 PM CST. Grades, charges, quotes and corrections follow the published record.

Coauthors

Brent HagenbuchRSenate 30

Adam HinojosaRSenate 27

Mayes MiddletonRSenate 11

Kevin SparksRSenate 31

House committee · Public Health · Final status: Died in committee

Senate committee · Health & Human Services · Committee vote 8 aye, 1 nay · Out of committee

Subjects

Health Care Providers

Occupational Regulation--Health Occupations

COVID-19 (SB9YM)

EXPUNCTION OF RECORDS

MEDICINE & PRESCRIPTION DRUGS

MEDICAL BOARD, TEXAS

Text

The text as introduced · 355 words

89R16147 JTZ-D

By: Hall
S.B. No. 2422

A BILL TO BE ENTITLED

AN ACT

relating to investigations and disciplinary or punitive action by

the Texas Medical Board regarding certain treatments or practices

regarding COVID-19 and to the required expungement of certain

records.

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

SECTION 1. Subchapter A, Chapter 153, Occupations Code, is

amended by adding Section 153.017 to read as follows:

Sec. 153.017. LIMITATION ON INVESTIGATIVE AND DISCIPLINARY

AUTHORITY. The board may not investigate or take disciplinary or

other punitive action against a person regulated by the board for:

(1) prescribing or advocating for the use of

ivermectin, hydroxychloroquine, or budesonide in the prevention or

treatment of COVID-19;

(2) making statements regarding the efficacy of masks

in preventing the transmission of COVID-19; or

(3) failing to wear or require others to wear masks

intended to prevent the transmission of COVID-19 in connection with

the person's practice, other than in areas where it was customary to

wear masks before the COVID-19 pandemic.

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

Medical Board shall:

(1) review its records and expunge any record created

on or after January 1, 2020, related to the investigation of or

disciplinary or other punitive action taken against a person

regulated by the board if the record contains any of the following

words:

(A) budesonide;

(B) hydroxychloroquine;

(C) ivermectin; or

(D) mask; and

(2) in connection with each record expunged under

Subdivision (1):

(A) vacate any disciplinary action imposed and

rescind any other punitive action taken by the board;

(B) refund, out of existing funds, all fines

collected from the person and dismiss any unpaid fines; and

(C) reimburse, out of existing funds, the person

for all legal fees incurred as a result of the investigation or

disciplinary or punitive action.

SECTION 3. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2025.

Verdict: No flags

The receipt

SOLD BY

ITEM

WHAT IT DOES

CHARGES

TOTAL

HISTORY

SIGNED FOR BY

Donors

Texans for Lawsuit Reform PAC

Texans United for a Conservative Majority PAC

Bryan Hughes Campaign

Texans for Lawsuit Reform PAC

Texans United for a Conservative Majority PAC

Bryan Hughes Campaign

Senate May 6, 2025

Senate May 6, 2025

Senate May 5, 2025

Senate May 5, 2025

For

On

88R SB 514