Monitoring the Session

SB 641

Johnson Bill Orders A Health Literacy Plan Every Two Years

Died in committee

Verdict: Smells

SmellsInitial review
Sen. Nathan JohnsonDSenate 16
Why it's charged
Study, task force, commission, report

THE TEXT

…“health coordinating council shall develop a long-range plan for”…

Bill text, introduced version (I)

The only duty in the bill is for an existing council to study health literacy and write a plan and report, with no program, funding, or required action that follows from it. The caption honestly says this is a plan bill.

Study, task force, commission, report

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 a health literacy plan developed by the statewide health coordinating council and the inclusion of health literacy in the state health plan.

Caption from analyzed text · version I.

Summary

No program, no funding, no required action. Nothing changes for patients until someone acts on it.

The bill orders the existing statewide health coordinating council to write a long-range plan on health literacy, meaning how well people can find, understand, and use health information. The council must study the cost of low health literacy and update the plan every two years, sending it to state leaders and lawmakers by November 1 of each even-numbered year. It also adds health literacy to the topics the state health plan must cover, but nothing changes for patients or providers until someone acts on the plan.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R SB 589 (Died in committee) and this bill (Died in committee). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R SB 589 (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 Dec 18, 2024 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB641 · 2024-12-18

SOLD BY

ITEM

relating to a health literacy plan developed by the statewide health coordinating council and the inclusion of health literacy in the state health plan.

WHAT IT DOES

No program, no funding, no required action. Nothing changes for patients until someone acts on it.

The bill orders the existing statewide health coordinating council to write a long-range plan on health literacy, meaning how well people can find, understand, and use health information. The council must study the cost of low health literacy and update the plan every two years, sending it to state leaders and lawmakers by November 1 of each even-numbered year. It also adds health literacy to the topics the state health plan must cover, but nothing changes for patients or providers until someone acts on the plan.

CHARGES

[x] STUDY, TASK FORCE, COMMISSION, REPORTanalysis confidence 60%

THE TEXT

…“health coordinating council shall develop a long-range plan for”…

Bill text, introduced version (I)

The only duty in the bill is for an existing council to study health literacy and write a plan and report, with no program, funding, or required action that follows from it. The caption honestly says this is a plan bill.

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to Health & Human Services
FILED UNDER

No verified beat found.

Smells

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Daniel Cocanougher$250,000Texas Sands PAC$130KMarguerite Hoffman$125,000

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 24, 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.

Daniel Cocanougher$250,000.00
Texas Sands PAC$129,500.00

Texas Sands PAC

$129,500.00

Cash
$129,500.00
Paid by others
$0.00
Total
$129,500.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Nov 27, 2024 to May 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: 100990378, 101033698, 101040111, 101052272.

Marguerite Hoffman$125,000.00
Money

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

×

Texas Sands PAC

$129,500.00

Cash
$129,500.00
Paid by others
$0.00
Total
$129,500.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Nov 27, 2024 to May 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: 100990378, 101033698, 101040111, 101052272.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

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 589

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

Introduced text

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

Relating to a health literacy plan developed by the statewide health coordinating council and the inclusion of health literacy in the state health plan.

Caption, 88R bill history

Sources

Texas Senate · Filed Dec 18, 2024

02/03/2025 S Referred to Health & Human Services

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

Senate committee · Health & Human Services · Final status: Died in committee

Companion

HB 1295 by Plesa (identical)

Subjects

Health--General

STATEWIDE HEALTH COORDINATING COUNCIL

Text

The text as introduced · 546 words

89R1029 SRA-F

By: Johnson
S.B. No. 641

A BILL TO BE ENTITLED

AN ACT

relating to a health literacy plan developed by the statewide

health coordinating council and the inclusion of health literacy in

the state health plan.

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

SECTION 1. Section 104.002, Health and Safety Code, is

amended by adding Subdivision (6) to read as follows:

(6) "Health literacy" means the degree to which an

individual has the capacity to find, understand, and use health

information and services to inform health-related decisions and

actions.

SECTION 2. Subchapter B, Chapter 104, Health and Safety

Code, is amended by adding Section 104.0156 to read as follows:

Sec. 104.0156. HEALTH LITERACY PLAN. (a) The statewide

health coordinating council shall develop a long-range plan for

improving health literacy in this state. The council shall update

the plan at least once every two years.

(b) In developing the long-range plan, the statewide health

coordinating council shall study the economic impact of low health

literacy on state health programs and health insurance coverage for

state residents. The council shall:

(1) identify primary risk factors contributing to low

health literacy;

(2) examine methods for health care practitioners,

health care facilities, and other persons to address the health

literacy of patients and other health care consumers;

(3) examine the effectiveness of using quality

measures in state health programs to improve health literacy;

(4) identify strategies for expanding the use of plain

language instructions for patients; and

(5) examine the impact of improved health literacy on

enhancing patient safety, reducing preventable events, and

increasing medication adherence to attain greater

cost-effectiveness and better patient outcomes in the provision of

health care.

(c) Not later than November 1 of each even-numbered year,

the statewide health coordinating council shall submit the

long-range plan developed or updated under this section to the

governor, the lieutenant governor, the speaker of the house of

representatives, and each member of the legislature.

SECTION 3. Sections 104.022(e) and (f), Health and Safety

Code, are amended to read as follows:

(e) The state health plan shall be developed and used in

accordance with applicable state and federal law. The plan must

identify:

(1) major statewide health concerns , including the

prevalence of low health literacy among health care consumers ;

(2) the availability and use of current health

resources of the state, including resources associated with

information technology and state-supported institutions of higher

education; and

(3) future health service, information technology,

and facility needs of the state.

(f) The state health plan must:

(1) propose strategies for :

(A) correcting [ the correction of ] major

deficiencies in the service delivery system;

(B) improving health literacy to attain greater

cost-effectiveness and better patient outcomes in the provision of

health care;

(C) [ (2) propose strategies for ] incorporating

information technology in the service delivery system; and

(D) [ (3) propose strategies for ] involving

state-supported institutions of higher education in providing

health services and for coordinating those efforts with health and

human services agencies in order to close gaps in services; and

(2) [ (4) ] provide direction for the state's

legislative and executive decision-making processes to implement

the strategies proposed by the plan.

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