Monitoring the Session

SB 883

Off-Label COVID-19 Shield Holds Only Within The Standard Of Care

Died in committee

Verdict: Smells

SmellsInitial review
Sen. Angela PaxtonRSenate 8
Why it's charged
The hole

THE TEXT

…“provided the physician's treatment of the patient meets the medical standard of care”

Bill text, introduced version (I)

The license protection holds only if the treatment meets the standard of care. The board can still act if it finds that a disfavored off-label COVID-19 prescription falls below that standard, which is the main case the bill is pitched to protect.

The hole

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 patient access to prescription drugs for off-label use for COVID-19 treatment.

Caption from analyzed text · version I.

Summary

The board can still act if it finds a prescription falls below that standard.

The bill bars state officials, employees and agents from stopping or limiting a Texas doctor from prescribing an FDA-approved drug off-label to treat a patient exposed to or diagnosed with COVID-19. It also bars the Texas Medical Board from disciplining a doctor's license based solely on that kind of prescribing, as long as the treatment meets the medical standard of care. It touches doctors, COVID-19 patients and state regulators, and it takes effect immediately with a two-thirds vote or otherwise on September 1, 2025.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R SB 426 (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 426 (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 Apr 10, 2025. Died in the House: never got out of the Public Health committee.

Receipt

The receipt

89R-SB883 · 2025-01-23

SOLD BY

+ 2 coauthors

ITEM

relating to patient access to prescription drugs for off-label use for COVID-19 treatment.

WHAT IT DOES

The board can still act if it finds a prescription falls below that standard.

The bill bars state officials, employees and agents from stopping or limiting a Texas doctor from prescribing an FDA-approved drug off-label to treat a patient exposed to or diagnosed with COVID-19. It also bars the Texas Medical Board from disciplining a doctor's license based solely on that kind of prescribing, as long as the treatment meets the medical standard of care. It touches doctors, COVID-19 patients and state regulators, and it takes effect immediately with a two-thirds vote or otherwise on September 1, 2025.

CHARGES

[x] THE HOLEanalysis confidence 50%

THE TEXT

…“provided the physician's treatment of the patient meets the medical standard of care”

Bill text, introduced version (I)

The license protection holds only if the treatment meets the standard of care. The board can still act if it finds that a disfavored off-label COVID-19 prescription falls below that standard, which is the main case the bill is pitched to protect.

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · March 30, 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. Co-author authorized
  6. Scheduled for public hearing on . . .
  7. Considered in public hearing
  8. Testimony taken in committee
  9. Left pending in committee
  10. Considered in public hearing
  11. Vote taken in committee
  12. Reported favorably w/o amendments
  13. Committee report printed and distributed
  14. Placed on intent calendar
  15. Co-author authorized
  16. Rules suspended-Regular order of business
  17. Record vote
  18. Read 2nd time & passed to engrossment
  19. Record vote
  20. Rules suspended-Regular order of business
  21. Record vote
  22. Read 3rd time
  23. Passed
  24. Record vote
  25. Reported engrossed
  26. Received from the Senate
  27. Read first time
  28. Referred to Public Health
FILED UNDER

No verified beat found.

SIGNED FOR BY

Senate · 23 yea · 7 nay

Sources

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.

Smells

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

James Stanton$47,500Texans for Lawsuit Reform PAC$40KGary Blake$30,000

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 · Oct 27, 2024 to Jun 30, 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.

James Stanton$47,500.00
Texans for Lawsuit Reform PAC$40,000.00

Texans for Lawsuit Reform PAC

$40,000.00

Cash
$40,000.00
Paid by others
$0.00
Total
$40,000.00

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 · Dec 11, 2024 to Jun 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.

Report IDs: 100982305, 101012314.

Gary Blake$30,000.00
Money

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

×

Texans for Lawsuit Reform PAC

$40,000.00

Cash
$40,000.00
Paid by others
$0.00
Total
$40,000.00

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 · Dec 11, 2024 to Jun 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.

Report IDs: 100982305, 101012314.

Votes4

Senate Apr 10, 2025

Yea
23
Nay
7
Present, not voting
Not printed
Absent
0
Excused
1
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 23, Nays 7. (Same as previous roll call)

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

  • Yea: 23 (published)
  • Nay: 7 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 1 (derived from named list)

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

Senate Apr 10, 2025

Yea
23
Nay
7
Present, not voting
Not printed
Absent
0
Excused
1
Names

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

Senate journal

Sources

Senator Paxton moved to suspend the regular order of business to take up for consideration SB 883 at this time on its third reading and final passage: SB 883, Relating to patient access to prescription drugs for off-label use for COVID-19 treatment. The motion prevailed by the following vote: Yeas 23, Nays 7.

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

  • Yea: 23 (published)
  • Nay: 7 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 1 (derived from named list)

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

Senate Apr 10, 2025

Yea
23
Nay
7
Present, not voting
Not printed
Absent
0
Excused
1
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 23, Nays 7. (Same as previous roll call)

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

  • Yea: 23 (published)
  • Nay: 7 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 1 (derived from named list)

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

Senate Apr 10, 2025

Yea
23
Nay
7
Present, not voting
Not printed
Absent
0
Excused
1
Names

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

Senate journal

Sources

Senator Paxton moved to suspend the regular order of business to take up for consideration SB 883 at this time on its second reading: SB 883, Relating to patient access to prescription drugs for off-label use for COVID-19 treatment. The motion prevailed by the following vote: Yeas 23, Nays 7.

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

  • Yea: 23 (published)
  • Nay: 7 (published)
  • Present, not voting: Not printed
  • Absent: 0 (derived from named list)
  • Excused: 1 (derived from named list)

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

Witnesses6
For
4
Against
1
On
1
Names

For

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

Against

  • Self1 registration

On

  • Texas Medical Board1 registration
Sources

6 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 I · source

Sources

Fiscal note · version I · March 30, 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 426

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

Introduced text

Last action, Apr 17, 2023: Referred to Public Health

Relating to patient access to prescription drugs for off-label use for COVID-19 treatment.

Caption, 88R bill history

Sources

Texas Senate · Filed Jan 23, 2025

04/22/2025 H Referred to Public Health: Apr 22 2025 3:20PM

Texas Legislature Online · Introduced · Senate Committee Report · Engrossed

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

Coauthors

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

Health--General

Health--Other Diseases & Medical Conditions

RIGHT TO TREAT ACT (P17XY)

COVID-19 (SB9YM)

MEDICINE & PRESCRIPTION DRUGS

PHYSICIANS

MEDICAL BOARD, TEXAS

Text

The text as introduced · 501 words

89R3416 EAS-F

By: Paxton, Hall
S.B. No. 883

A BILL TO BE ENTITLED

AN ACT

relating to patient access to prescription drugs for off-label use

for COVID-19 treatment.

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

SECTION 1. (a) This Act shall be known as the Right to Treat

Act.

(b) The legislature finds that:

(1) the relationship between a physician and patient

is valued;

(2) during the COVID-19 pandemic, many patients have

been frustrated to learn that their physicians are discouraged from

prescribing for off-label use prescription drugs that may aid in

the patient's treatment of and recovery from COVID-19; and

(3) this Act is intended to enable a patient to access

and a physician to prescribe for off-label use prescription drugs

that may aid in the patient's treatment of and recovery from

COVID-19.

SECTION 2. Subtitle C, Title 6, Health and Safety Code, is

amended by adding Chapter 491 to read as follows:

CHAPTER 491. OFF-LABEL USE OF PRESCRIPTION DRUGS FOR COVID-19

TREATMENT

Sec. 491.001. DEFINITIONS. In this chapter:

(1) "COVID-19" means the 2019 novel coronavirus

disease.

(2) "Off-label use" means the use of a prescription

drug approved for use by the United States Food and Drug

Administration in a manner other than the approved use.

(3) "Physician" means an individual licensed to

practice medicine in this state.

Sec. 491.002. APPLICABILITY. This chapter applies only to

the prescribing of a prescription drug the United States Food and

Drug Administration has approved for human use.

Sec. 491.003. PROHIBITED STATE INTERFERENCE WITH PATIENT

ACCESS TO OFF-LABEL USE OF PRESCRIPTION DRUG. An official,

employee, or agent of this state may not prohibit or restrict a

physician from prescribing for off-label use a prescription drug to

treat a patient who is exposed to or diagnosed with COVID-19.

Sec. 491.004. NO CAUSE OF ACTION CREATED. This chapter does

not create a private or state cause of action against a manufacturer

of a prescription drug approved by the United States Food and Drug

Administration or against a physician or any other person involved

in the care of a patient who is exposed to or diagnosed with

COVID-19 for any harm to the patient resulting from the off-label

use of the drug in the treatment of COVID-19.

Sec. 491.005. PROHIBITED ACTION AGAINST PHYSICIAN'S

LICENSE. Notwithstanding any other law, the Texas Medical Board

may not revoke, fail to renew, suspend, or take any other adverse

action against a physician's license under Subchapter B, Chapter

164, Occupations Code, based solely on the physician's prescribing

a prescription drug for off-label use to treat a patient who is

exposed to or diagnosed with COVID-19, provided the physician's

treatment of the patient meets the medical standard of care.

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.