Monitoring the Session

SB 268

complaints go to the practitioner’s own licensing board

Vetoed

Verdict: No flags

No flagsInitial review
Sen. Charles PerryRSenate 28

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 the procedure for certain complaints against health care practitioners.

Caption from analyzed text · version I.

Summary

Other boards can’t discipline unless the home board sends it back.

The bill requires a Texas health licensing board that gets a complaint about a practitioner licensed by a different board to forward that complaint to the practitioner's own board. It also bars the receiving board from disciplining that practitioner on that complaint unless the home board sends the complaint back for it to investigate and resolve. This touches health care practitioners, the licensing boards and people who file complaints, and it means one board can no longer discipline another board's licensee without the home board's consent.

Labels

Labels: BUZZER BEATER. Final vote Jun 1, 2025: both chambers adopted the conference committee report. 1 day before the session ended Jun 2, 2025.ZOMBIE BILL. Died 2 times: 88R SB 161 (Died in committee) and this bill (Vetoed). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R SB 161 (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.CROSS-PARTY HANDOFF. Lead author Charles Perry (R) in the Senate. Lead sponsor Donna Howard (D) in the House. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-SB268 · 2024-11-12

SOLD BY

Sen. Charles PerryRSenate 28

+ 1 coauthor

ITEM

relating to the procedure for certain complaints against health care practitioners.

WHAT IT DOES

Other boards can’t discipline unless the home board sends it back.

The bill requires a Texas health licensing board that gets a complaint about a practitioner licensed by a different board to forward that complaint to the practitioner's own board. It also bars the receiving board from disciplining that practitioner on that complaint unless the home board sends the complaint back for it to investigate and resolve. This touches health care practitioners, the licensing boards and people who file complaints, and it means one board can no longer discipline another board's licensee without the home board's consent.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version F · source

Sources

Fiscal note · version F · May 31, 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. Recommended for local & uncontested calendar
  13. Committee report printed and distributed
  14. Co-author authorized
  15. Placed on local & uncontested calendar
  16. Laid before the Senate
  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. Scheduled for public hearing on . . .
  29. Considered in public hearing
  30. Committee substitute considered in committee
  31. Testimony taken/registration(s) recorded in committee
  32. Left pending in committee
  33. Considered in formal meeting
  34. Failed to receive affirmative vote in comm.
  35. Considered in public hearing
  36. Vote reconsidered in committee
  37. Committee substitute considered in committee
  38. Reported favorably as substituted
  39. Considered in formal meeting
  40. Vote reconsidered in committee
  41. Reported favorably w/o amendment(s)
  42. Comte report filed with Committee Coordinator
  43. Committee report distributed
  44. Committee report sent to Calendars
  45. Considered in Calendars
  46. Placed on General State Calendar
  47. Read 2nd time
  48. Amended 1-Oliverson
  49. Record vote RV#3818
  50. Statement(s) of vote recorded in Journal
  51. Passed to 3rd reading as amended
  52. Record vote RV#3819
  53. Statement(s) of vote recorded in Journal
  54. Read 3rd time
  55. Amended 1-Howard
  56. Passed as amended
  57. Record vote RV#3916
  58. Statement(s) of vote recorded in Journal
  59. House passage as amended reported
  60. House amendment(s) laid before the Senate
  61. Read
  62. Senate refuses to concur
  63. Senate requests conference committee
  64. Senate appoints conferees
  65. Senate refuses to concur-reported
  66. Senate requests conference committee-reported
  67. Senate appoints conferees-reported
  68. House grants request for conference committee
  69. House appoints conferees
  70. House grants request for conf comm-reported
  71. House appoints conferees-reported
  72. Conference committee report filed
  73. Conf. Comm. Report distributed
  74. House adopts conference committee report
  75. Record vote RV#4144
  76. Statement(s) of vote recorded in Journal
  77. Senate adopts conference committee report
  78. Record vote
  79. Remarks ordered printed
  80. House adopts conf. comm. report-reported
  81. Reported enrolled
  82. Senate adopts conf. comm. report-reported
  83. Signed in the Senate
  84. Signed in the House
  85. Sent to the Governor
  86. Vetoed by the Governor
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 120 yea · 14 nay

Senate · 30 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 10, 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

Charles Perry

Donors

Texans for Lawsuit Reform PAC$60KRyan Texas PAC$35KFort Stockton Holdings LP$25K

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$60,000.00

Texans for Lawsuit Reform PAC

$60,000.00

Cash
$60,000.00
Paid by others
$0.00
Total
$60,000.00

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 · Nov 13, 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: 100983698, 101007598, 101030579, 101072377.

Ryan Texas PAC$35,000.00

Ryan Texas PAC

$35,000.00

Cash
$35,000.00
Paid by others
$0.00
Total
$35,000.00

Also funds 25 other sitting lawmakers.

Derived recipient stock · Sep 23, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 13, 2024 to Mar 12, 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: 100983698, 101057700.

Fort Stockton Holdings LP$25,000.00

Fort Stockton Holdings LP

$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 Nov 23, 2024. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Nov 23, 2024. 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: 100983698.

Money

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

×

Texans for Lawsuit Reform PAC

$60,000.00

Cash
$60,000.00
Paid by others
$0.00
Total
$60,000.00

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 · Nov 13, 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: 100983698, 101007598, 101030579, 101072377.

×

Ryan Texas PAC

$35,000.00

Cash
$35,000.00
Paid by others
$0.00
Total
$35,000.00

Also funds 25 other sitting lawmakers.

Derived recipient stock · Sep 23, 2024 to Oct 22, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 13, 2024 to Mar 12, 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: 100983698, 101057700.

×

Fort Stockton Holdings LP

$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 Nov 23, 2024. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Nov 23, 2024. 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: 100983698.

Votes8

Senate Jun 1, 2025

Yea
19
Nay
12
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

On motion of Senator Perry, the Conference Committee Report was adopted by the following vote: Yeas 19, Nays 12.

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

  • Yea: 19 (published)
  • Nay: 12 (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.

House Jun 1, 2025

Yea
79
Nay
46
Present, not voting
2
Absent
19
Excused
4
Names

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

House journal

Sources

Record 4144

Representative Howard moved to adopt the conference committee report on SB 268. The motion to adopt the conference committee report on SB 268 prevailed by (Record 4144): 79 Yeas, 46 Nays, 2 Present, not voting.

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

  • Yea: 79 (published)
  • Nay: 46 (published)
  • Present, not voting: 2 (published)
  • Absent: 19 (derived from named list)
  • Excused: 4 (derived from named list)

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

House May 28, 2025

Yea
120
Nay
14
Present, not voting
2
Absent
7
Excused
7
Names

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

House journal

Sources

Record 3916

SB 268, as amended, was passed by (Record 3916): 120 Yeas, 14 Nays, 2 Present, not voting.

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

  • Yea: 120 (published)
  • Nay: 14 (published)
  • Present, not voting: 2 (published)
  • Absent: 7 (derived from named list)
  • Excused: 7 (derived from named list)

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

House May 27, 2025

Yea
69
Nay
50
Present, not voting
2
Absent
26
Excused
3
Names

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

House journal

Sources

Record 3819

CSSB 268, as amended, was passed to third reading by (Record 3819): 69 Yeas, 50 Nays, 2 Present, not voting.

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

  • Yea: 69 (published)
  • Nay: 50 (published)
  • Present, not voting: 2 (published)
  • Absent: 26 (derived from named list)
  • Excused: 3 (derived from named list)

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

House May 27, 2025

Yea
101
Nay
29
Present, not voting
2
Absent
15
Excused
3
Names

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

House journal

Sources

Record 3818

Amendment No. 1 was adopted by (Record 3818): 101 Yeas, 29 Nays, 2 Present, not voting.

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

  • Yea: 101 (published)
  • Nay: 29 (published)
  • Present, not voting: 2 (published)
  • Absent: 15 (derived from named list)
  • Excused: 3 (derived from named list)

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

Senate Apr 10, 2025

Final passage

Yea
30
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.

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

CSSB 268 (Perry) Relating to the procedure for certain complaints against health care practitioners. (viva voce vote) (30-0) (30-0)

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

  • Yea: 30 (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 10, 2025

Suspension of the three-day rule

Yea
30
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.

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

CSSB 268 (Perry) Relating to the procedure for certain complaints against health care practitioners. (viva voce vote) (30-0) (30-0)

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

  • Yea: 30 (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 10, 2025

Passage to engrossment

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.

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

CSSB 268 (Perry) Relating to the procedure for certain complaints against health care practitioners. (viva voce vote) (30-0) (30-0)

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.

Witnesses27
For
19
Against
6
On
2
Names

For

  • Make Texans Healthy Again1 registration
  • Nursing Legislative Agenda Coalition1 registration
  • Self7 registrations
  • Self; Texas Chiropractic Association1 registration
  • Self; Texas Chiroptactic Association1 registration
  • Self; Texas Nurses Association1 registration
  • Self; Texas Right To Know1 registration
  • Self; Texas School Nurses Organization2 registrations
  • Texas Association of Nurse Anesthetists1 registration
  • Texas Nurse Practitioners1 registration
  • Texas Nurses Association1 registration
  • Texas Optometry Association1 registration

Against

  • Self; Texas Medical Association1 registration
  • Texas Chapter American College of Physicians1 registration
  • Texas Medical Association1 registration
  • Texas Orthopaedic Association2 registrations
  • Texas Society of Anesthesiologists1 registration

On

  • Texa Board of Chiropractic Examiners1 registration
  • Texas Medical Board1 registration
Sources

27 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 F · source

Sources

Fiscal note · version F · May 31, 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.

FILED BEFORE

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

88R SB 161

by Sen. Perry, same lead author · Died in committee · same text

Introduced text

Last action, Apr 21, 2023: Referred to Public Health

Relating to the procedure for certain complaints against health care practitioners.

Caption, 88R bill history

Sources

Texas Senate · Filed Nov 12, 2024

06/22/2025 E Vetoed by the Governor

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
César BlancoDSenate 29
Sponsors
Donna HowardDHouse 48

House committee · Public Health · Committee vote 9 aye, 0 nay, 4 absent · Out of committee

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

Companion

HB 861 by Howard (identical)

Subjects

Health Care Providers

Occupational Regulation--Health Occupations

Text

The text as introduced · 270 words

89R1049 JDK-F

By: Perry
S.B. No. 268

A BILL TO BE ENTITLED

AN ACT

relating to the procedure for certain complaints against health

care practitioners.

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

SECTION 1. Chapter 112, Occupations Code, is amended by

adding Subchapter C to read as follows:

SUBCHAPTER C. COMPLAINT REFERRALS

Sec. 112.101. COMPLAINTS AGAINST HEALTH CARE PRACTITIONER

LICENSED BY DIFFERENT LICENSING ENTITY. (a) Notwithstanding any

other law, a licensing entity that receives a complaint concerning

a health care practitioner who holds a license issued by a different

licensing entity shall promptly forward a copy of the complaint to

that licensing entity.

(b) A licensing entity may not take disciplinary action

based on a complaint against a health care practitioner who holds a

license issued by a different licensing entity unless that

licensing entity refers the complaint back to the licensing entity

that received the complaint for investigation and resolution.

SECTION 2. The changes in law made by this Act apply only to

a complaint filed against a health care practitioner on or after the

effective date of this Act. A complaint filed before the effective

date of this Act is governed by the law in effect on the date the

complaint was filed, and the former law is continued in effect for

that purpose.

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.