Monitoring the Session

SB 269

doctors must report adverse events after emergency-use vaccines

Became law, effective Sep 1, 2025

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 required reports of certain vaccine-related or drug-related adverse events.

Caption from analyzed text · version I.

Summary

Death, hospitalization or birth defects, within the past year.

The bill requires Texas doctors to report serious adverse events, such as death, hospitalization or birth defects, to federal reporting systems when a patient had an experimental or emergency-use vaccine or drug within the past year. It covers physicians who diagnose a related condition and know about the shot or drug, though it does not cover vaccines or drugs given in a clinical trial. A first miss brings non-disciplinary corrective action from the Texas Medical Board, and later misses bring discipline, with every violation kept on the doctor's permanent record starting September 1, 2025.

Labels

Labels: DO-OVER. Reworked text of a bill filed before that died: 88R SB 265 (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.

Receipt

The receipt

89R-SB269 · 2024-11-12

SOLD BY

+ 2 coauthors

ITEM

relating to required reports of certain vaccine-related or drug-related adverse events.

WHAT IT DOES

Death, hospitalization or birth defects, within the past year.

The bill requires Texas doctors to report serious adverse events, such as death, hospitalization or birth defects, to federal reporting systems when a patient had an experimental or emergency-use vaccine or drug within the past year. It covers physicians who diagnose a related condition and know about the shot or drug, though it does not cover vaccines or drugs given in a clinical trial. A first miss brings non-disciplinary corrective action from the Texas Medical Board, and later misses bring discipline, with every violation kept on the doctor's permanent record starting September 1, 2025.

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 22, 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 w/o amendments
  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. Testimony taken/registration(s) recorded in committee
  31. Left pending in committee
  32. Considered in formal meeting
  33. Reported favorably w/o amendment(s)
  34. Comte report filed with Committee Coordinator
  35. Committee report distributed
  36. Committee report sent to Calendars
  37. Considered in Calendars
  38. Placed on General State Calendar
  39. Read 2nd time
  40. Amended 1-Frank
  41. Amendment(s) offered 2-Tinderholt
  42. Point of order withdrawn (amendment) Rule 11, Section 2
  43. Amendment withdrawn 2-Tinderholt
  44. Passed to 3rd reading as amended
  45. Record vote RV#3168
  46. Statement(s) of vote recorded in Journal
  47. Rules suspended
  48. Additional sponsor(s) authorized
  49. Read 3rd time
  50. Passed
  51. Record vote RV#3200
  52. Statement(s) of vote recorded in Journal
  53. House passage as amended reported
  54. House amendment(s) laid before the Senate
  55. Read
  56. Senate concurs in House amendment(s)
  57. Record vote
  58. Senate concurs in House amendment(s)-reported
  59. Reported enrolled
  60. Signed in the Senate
  61. Signed in the House
  62. Sent to the Governor
  63. Signed by the Governor
  64. Effective on 9/1/25
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 104 yea · 37 nay

Senate · 31 yea · 0 nay

Sources

House: Final passage · May 22, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · Apr 24, 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

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.

Votes6

Senate May 26, 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 Perry moved to concur in the House amendment to SB 269. 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.

House May 22, 2025

Yea
104
Nay
37
Present, not voting
3
Absent
4
Excused
2
Names

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

House journal

Sources

Record 3200

SB 269 was passed by (Record 3200): 104 Yeas, 37 Nays, 3 Present, not voting.

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

  • Yea: 104 (published)
  • Nay: 37 (published)
  • Present, not voting: 3 (published)
  • Absent: 4 (derived from named list)
  • Excused: 2 (derived from named list)

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

House May 21, 2025

Yea
90
Nay
50
Present, not voting
3
Absent
5
Excused
2
Names

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

House journal

Sources

Record 3168

SB 269, as amended, was passed to third reading by (Record 3168): 90 Yeas, 50 Nays, 3 Present, not voting.

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

  • Yea: 90 (published)
  • Nay: 50 (published)
  • Present, not voting: 3 (published)
  • Absent: 5 (derived from named list)
  • Excused: 2 (derived from named list)

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

Senate Apr 24, 2025

Final passage

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.

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 269 (Perry) Relating to required reports of certain vaccine-related or drug-related adverse events. (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.

Senate Apr 24, 2025

Suspension of the three-day rule

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.

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 269 (Perry) Relating to required reports of certain vaccine-related or drug-related adverse events. (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.

Senate Apr 24, 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

SB 269 (Perry) Relating to required reports of certain vaccine-related or drug-related adverse events. (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.

Witnesses28
For
21
Against
0
On
7
Names

For

  • Make Texans Healthy Again1 registration
  • Self4 registrations
  • Self; Texans for Medical Freedom1 registration
  • Self; Texans for medical freedom1 registration
  • Self; Texans For Vaccine Choice1 registration
  • Self; Texans for Vaccine Choice6 registrations
  • Self; Texas Constitutional Enforcement1 registration
  • Self; Texas Eagle Forum1 registration
  • Self; Texas For Vaccine Choice1 registration
  • Self; Texas for Vaccine Choice1 registration
  • Self; True Texas Project3 registrations

On

  • Department of State Health Services2 registrations
  • Self1 registration
  • Texas Medical Association2 registrations
  • Texas Pediatric Society2 registrations
Sources

28 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 22, 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 265

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

Introduced text

Last action, Apr 28, 2023: Referred to Public Health

Relating to required reports of certain vaccine-related or drug-related adverse events.

Caption, 88R bill history

Sources

Texas Senate · Filed Nov 12, 2024

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
Cosponsors

House committee · Public Health · Committee vote 11 aye, 1 nay, 1 absent · Out of committee

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

Subjects

Electronic Information Systems

Health Care Providers

Health--Other Diseases & Medical Conditions

IMMUNIZATIONS

MEDICINE & PRESCRIPTION DRUGS

PHYSICIANS

HEALTH & HUMAN SERVICES COMMISSION

MEDICAL BOARD, TEXAS

Text

The text as introduced · 821 words

89R1137 MCF-D

By: Perry
S.B. No. 269

A BILL TO BE ENTITLED

AN ACT

relating to required reports of certain vaccine-related or

drug-related adverse events.

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

SECTION 1. Subchapter A, Chapter 161, Health and Safety

Code, is amended by adding Section 161.0103 to read as follows:

Sec. 161.0103. REQUIRED REPORT OF CERTAIN VACCINE-RELATED

ADVERSE EVENTS. (a) In this section, "serious adverse event" means

an event that:

(1) results in death;

(2) is considered life-threatening;

(3) results in inpatient hospitalization or an

extension of the duration of an existing hospitalization;

(4) results in a persistent or significant incapacity

or substantial disruption of an individual's ability to perform

normal life functions;

(5) results in a congenital anomaly or birth defect;

or

(6) results in a medically important condition that,

based on the physician's reasonable medical judgment, may require

medical or surgical intervention to prevent an outcome described by

Subdivisions (1) through (5).

(b) This section applies only to a vaccine that is:

(1) experimental or investigational; or

(2) approved or authorized for emergency use by the

United States Food and Drug Administration.

(c) Notwithstanding Subsection (b), this section does not

apply to a vaccine administered as part of a clinical trial.

(d) Notwithstanding any other law, a physician shall report

to the federal Vaccine Adverse Event Reporting System any serious

adverse event the physician's patient suffers if:

(1) the physician:

(A) diagnoses the patient with a condition

related to the serious adverse event; and

(B) knows the patient received a vaccination to

which this section applies; and

(2) the patient suffers the serious adverse event

before the first anniversary of the date the patient was

vaccinated.

(e) A physician who violates this section is subject to:

(1) for an initial violation, non-disciplinary

corrective action by the Texas Medical Board; and

(2) for each subsequent violation, disciplinary

action by the Texas Medical Board as if the physician violated

Subtitle B, Title 3, Occupations Code.

(f) For purposes of non-disciplinary corrective action or

disciplinary action imposed under Subsection (e), the Texas Medical

Board may not consider a violation of this section after the third

anniversary of the date of the violation. The Texas Medical Board

shall retain information on each violation of this section in the

physician's permanent record.

(g) The executive commissioner shall adopt rules necessary

to implement this section.

SECTION 2. Subchapter E, Chapter 431, Health and Safety

Code, is amended by adding Section 431.1145 to read as follows:

Sec. 431.1145. REQUIRED REPORT OF CERTAIN DRUG-RELATED

ADVERSE EVENTS. (a) In this section, "serious adverse event" means

an event that:

(1) results in death;

(2) is considered life-threatening;

(3) results in inpatient hospitalization or an

extension of the duration of an existing hospitalization;

(4) results in a persistent or significant incapacity

or substantial disruption of an individual's ability to perform

normal life functions;

(5) results in a congenital anomaly or birth defect;

or

(6) results in a medically important medical condition

that, based on the physician's reasonable medical judgment, may

require medical or surgical intervention to prevent an outcome

described by Subdivisions (1) through (5).

(b) This section applies only to a drug that is:

(1) experimental or investigational; or

(2) approved or authorized for emergency use by the

United States Food and Drug Administration.

(c) Notwithstanding Subsection (b), this section does not

apply to a drug that is administered or used as part of a clinical

trial.

(d) Notwithstanding any other law, a physician shall report

to the United States Food and Drug Administration through the

MedWatch reporting program any serious adverse event the

physician's patient suffers if:

(1) the physician:

(A) diagnoses the patient with a condition

related to the serious adverse event; and

(B) knows the patient was administered or used a

drug to which this section applies; and

(2) the patient suffers the serious adverse event

before the first anniversary of the date the patient was

administered or used the drug.

(e) A physician who violates this section is subject to:

(1) for an initial violation, non-disciplinary

corrective action by the Texas Medical Board; and

(2) for each subsequent violation, disciplinary

action by the Texas Medical Board as if the physician violated

Subtitle B, Title 3, Occupations Code.

(f) For purposes of non-disciplinary corrective action or

disciplinary action imposed under Subsection (e), the Texas Medical

Board may not consider a violation of this section after the third

anniversary of the date of the violation. The Texas Medical Board

shall retain information on each violation of this section in the

physician's permanent record.

(g) The executive commissioner shall adopt rules necessary

to implement this section.

SECTION 3. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall adopt rules necessary to implement the

changes in law made by this Act.

SECTION 4. This Act takes effect September 1, 2025.