Monitoring the SessionSB 490
Died in committee
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
relating to the adoption and implementation of a surgical smoke evacuation system policy at certain health care facilities.
Caption from analyzed text · version I.
A policy and the equipment for planned operating-room surgeries.
The bill requires hospitals and surgery centers in Texas to adopt and follow a policy that uses surgical smoke evacuation equipment during planned operating-room surgeries likely to produce surgical smoke. It covers state-licensed or state-run hospitals and licensed ambulatory surgical centers, along with the patients and staff in their operating rooms. Each facility must have the policy in place by January 1, 2026, and may choose any evacuation system that protects patients and providers.
Labels: ZOMBIE BILL. Died 2 times: 88R SB 707 (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 707 (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.NEVER GOT A HEARING. Filed Nov 22, 2024 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.
89R-SB490 · 2024-11-22
relating to the adoption and implementation of a surgical smoke evacuation system policy at certain health care facilities.
A policy and the equipment for planned operating-room surgeries.
The bill requires hospitals and surgery centers in Texas to adopt and follow a policy that uses surgical smoke evacuation equipment during planned operating-room surgeries likely to produce surgical smoke. It covers state-licensed or state-run hospitals and licensed ambulatory surgical centers, along with the patients and staff in their operating rooms. Each facility must have the policy in place by January 1, 2026, and may choose any evacuation system that protects patients and providers.
[ ] NONE FOUND
No fiscal note in the loaded record.
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
Not tied to this bill.
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Sep 4, 2024 to Nov 30, 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.
$15,000.00
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.
TeamDerived itemized flow · Oct 25, 2024 to Nov 3, 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: 100990780, 101043817.
$10,000.00
Also funds 131 other sitting lawmakers.
Derived recipient stock · Jul 8, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · on Oct 24, 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: 101043817.
$8,833.00
Also funds 3 other sitting lawmakers.
Derived recipient stock · Sep 1, 2024 to Sep 4, 2025. State data as of Nov 4, 2026.
TEC account match.
Derived itemized flow · on Nov 1, 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: 100990780.
Missing data does not establish zero giving. Display amounts are rounded.
$15,000.00
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.
TeamDerived itemized flow · Oct 25, 2024 to Nov 3, 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: 100990780, 101043817.
$10,000.00
Also funds 131 other sitting lawmakers.
Derived recipient stock · Jul 8, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · on Oct 24, 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: 101043817.
$8,833.00
Also funds 3 other sitting lawmakers.
Derived recipient stock · Sep 1, 2024 to Sep 4, 2025. State data as of Nov 4, 2026.
TEC account match.
Derived itemized flow · on Nov 1, 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: 100990780.
No floor vote loaded for this bill.
No fiscal note in the loaded record.
Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.
Filed 2 times: 88R and 89R. Checked against 88R only.
by Sen. Miles, same lead author · Died in committee · reworked
Introduced textLast action, Mar 1, 2023: Referred to Health & Human Services
Relating to the adoption and implementation of a surgical smoke evacuation system policy at certain health care facilities.
Caption, 88R bill history
Texas Senate · Filed Nov 22, 2024
02/03/2025 S Referred to Health & Human Services
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
Senate committee · Health & Human Services · Final status: Died in committee
HB 513 by Johnson (identical)
Health--General
Hospitals
Safety
The text as introduced · 345 words
89R1435 MPF-F By: Miles S.B. No. 490 A BILL TO BE ENTITLED AN ACT relating to the adoption and implementation of a surgical smoke evacuation system policy at certain health care facilities. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 222, Health and Safety Code, is amended by adding Subchapter D to read as follows: SUBCHAPTER D. SURGICAL SMOKE EVACUATION SYSTEM POLICY AT CERTAIN HEALTH CARE FACILITIES Sec. 222.061. DEFINITIONS. In this subchapter: (1) "Health care facility" means: (A) a hospital licensed under Chapter 241 or maintained or operated by this state; and (B) an ambulatory surgical center licensed under Chapter 243. (2) "Surgical smoke" means the gaseous by-product, including surgical plume, smoke plume, bio-aerosols, laser-generated airborne contaminants, or lung-damaging dust, produced by an energy-generating device used in connection with a surgical procedure. (3) "Surgical smoke evacuation system" means equipment that may be used to capture, filter, and remove surgical smoke before the surgical smoke makes contact with the eyes or respiratory tract of an individual, including a patient or health care provider, occupying a room where a surgical procedure is performed. The term includes equipment integrated with or separated from the energy-generating device. Sec. 222.062. SURGICAL SMOKE EVACUATION SYSTEM POLICY. (a) A health care facility shall adopt and implement a policy to mitigate an individual's exposure to surgical smoke through the use of a surgical smoke evacuation system during each planned surgical procedure that is performed in an operating room and is likely to generate surgical smoke. (b) A health care facility may use any surgical smoke evacuation system that provides protection to patients and health care providers, based on the types of surgical techniques and procedures performed at the facility. SECTION 2. Not later than January 1, 2026, a health care facility, as that term is defined by Section 222.061, Health and Safety Code, as added by this Act, shall adopt and implement the policy required by Section 222.062, Health and Safety Code, as added by this Act. SECTION 3. This Act takes effect September 1, 2025.