Monitoring the Session

SB 904

hearing aid rules lose their advisory boards

Became law, effective Sep 1, 2025

Verdict: No flags

No flagsInitial review
Sen. Judith ZaffiriniDSenate 21

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 licensing and regulation of hearing instrument fitters and dispensers.

Caption from analyzed text · version I.

Summary

The commission writes the rules on its own now.

The bill drops the advisory boards from the rulemaking process for hearing aid sales rules, so the commission writes those rules on its own. It also ends the continuing-education exemption for first-time hearing instrument fitters and dispensers, leaving only the illness exemption, and it clarifies that any licensed physician can sign the medical statement needed before a minor buys a hearing aid. Hearing aid sellers, new licensees, and families of children with hearing loss are affected starting September 1, 2025.

Labels

Labels: BUZZER BEATER. Final vote May 30, 2025: the Senate concurred in the House amendments. 3 days before the session ended Jun 2, 2025.CROSS-PARTY HANDOFF. Lead author Judith Zaffirini (D) in the Senate. Lead sponsor Charles Cunningham (R) in the House. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-SB904 · 2025-01-24

SOLD BY

ITEM

relating to the licensing and regulation of hearing instrument fitters and dispensers.

WHAT IT DOES

The commission writes the rules on its own now.

The bill drops the advisory boards from the rulemaking process for hearing aid sales rules, so the commission writes those rules on its own. It also ends the continuing-education exemption for first-time hearing instrument fitters and dispensers, leaving only the illness exemption, and it clarifies that any licensed physician can sign the medical statement needed before a minor buys a hearing aid. Hearing aid sellers, new licensees, and families of children with hearing loss are affected 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 28, 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. Left pending in committee
  8. Considered in public hearing
  9. Vote taken in committee
  10. Reported favorably as substituted
  11. Recommended for local & uncontested calendar
  12. Committee report printed and distributed
  13. Placed on intent calendar
  14. Rules suspended-Regular order of business
  15. Record vote
  16. Read 2nd time & passed to engrossment
  17. Record vote
  18. Three day rule suspended
  19. Record vote
  20. Read 3rd time
  21. Passed
  22. Record vote
  23. Reported engrossed
  24. Received from the Senate
  25. Read first time
  26. Referred to Public Health
  27. Posting rule suspended
  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. Vote reconsidered in committee
  34. Recommended to be sent to Local & Consent
  35. Reported favorably w/o amendment(s)
  36. Comte report filed with Committee Coordinator
  37. Committee report distributed
  38. Comm. report sent to Local & Consent Calendar
  39. Considered in Local & Consent Calendars
  40. Placed on Local, Consent, and Res. Calendar
  41. Read 2nd time
  42. Amended 1-Cunningham
  43. Passed to 3rd reading as amended
  44. Nonrecord vote recorded in Journal
  45. Read 3rd time
  46. Passed
  47. Record vote RV#3832
  48. Statement(s) of vote recorded in Journal
  49. Nonrecord vote recorded in Journal
  50. House passage as amended reported
  51. House amendment(s) laid before the Senate
  52. Read
  53. Senate concurs in House amendment(s)
  54. Record vote
  55. Senate concurs in House amendment(s)-reported
  56. Reported enrolled
  57. Signed in the Senate
  58. Signed in the House
  59. Sent to the Governor
  60. Signed by the Governor
  61. Effective on 9/1/25
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 124 yea · 17 nay

Senate · 28 yea · 3 nay

Sources

House: Final passage · May 28, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · May 1, 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.

Carlos M. Zaffirini Jr$110,000.00
Killam Development Ltd.$72,700.00

Killam Development Ltd.

$72,700.00

Cash
$10,000.00
Paid by others
$62,700.00
Total
$72,700.00
advertising $33,000.00media $29,700.00

Also funds 3 other sitting lawmakers.

Derived recipient stock · Dec 9, 2024 to Sep 28, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Dec 16, 2025 to Aug 20, 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: 101011018, 101057658.

Texas Trial Lawyers Association PAC$60,000.00

Texas Trial Lawyers Association PAC

$60,000.00

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

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.

Team
Sources

Derived itemized flow · Nov 11, 2024 to Aug 31, 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: 100959783, 100987492, 101011018, 101035338, 101057658.

Money

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

×

Killam Development Ltd.

$72,700.00

Cash
$10,000.00
Paid by others
$62,700.00
Total
$72,700.00
advertising $33,000.00media $29,700.00

Also funds 3 other sitting lawmakers.

Derived recipient stock · Dec 9, 2024 to Sep 28, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Dec 16, 2025 to Aug 20, 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: 101011018, 101057658.

×

Texas Trial Lawyers Association PAC

$60,000.00

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

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.

Team
Sources

Derived itemized flow · Nov 11, 2024 to Aug 31, 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: 100959783, 100987492, 101011018, 101035338, 101057658.

Votes6

Senate May 30, 2025

Yea
28
Nay
3
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Zaffirini moved to concur in the House amendment to SB 904. The motion prevailed by the following vote: Yeas 28, Nays 3.

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

  • Yea: 28 (published)
  • Nay: 3 (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 May 28, 2025

Yea
124
Nay
17
Present, not voting
2
Absent
2
Excused
5
Names

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

House journal

Sources

Record 3832

SB 904 (Ashby, Cain, DeAyala, Geren, Hefner, Hull, Isaac, Landgraf, Leach, Lowe, Luther, Metcalf, Money, Patterson, Schatzline, Slawson, and Toth - no) (124 - 17 - 2)

Shared roll motion

The following bills which were considered on second reading on the previous legislative day on the local, consent, and resolutions calendar were laid before the house, read third time, and passed by the following record vote (members registering votes and the results of the vote are shown following the bill number). (Record 3832): 141 Yeas, 0 Nays, 2 Present, not voting.

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

  • Yea: 124 (published)
  • Nay: 17 (published)
  • Present, not voting: 2 (published)
  • Absent: 2 (derived from named list)
  • Excused: 5 (derived from named list)

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

Senate May 1, 2025

Yea
28
Nay
3
Present, not voting
Not printed
Absent
0
Excused
0
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 28, Nays 3. (Same as previous roll call)

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

  • Yea: 28 (published)
  • Nay: 3 (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.

Senate May 1, 2025

Yea
28
Nay
3
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Zaffirini moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSSB 904 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 28, Nays 3.

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

  • Yea: 28 (published)
  • Nay: 3 (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.

Senate May 1, 2025

Yea
28
Nay
3
Present, not voting
Not printed
Absent
0
Excused
0
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 28, Nays 3. (Same as previous roll call)

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

  • Yea: 28 (published)
  • Nay: 3 (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.

Senate May 1, 2025

Yea
28
Nay
3
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Zaffirini moved to suspend the regular order of business to take up for consideration CSSB 904 at this time on its second reading: CSSB 904, Relating to the licensing and regulation of hearing instrument fitters and dispensers. The motion prevailed by the following vote: Yeas 28, Nays 3.

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

  • Yea: 28 (published)
  • Nay: 3 (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.

Witnesses3
For
2
Against
0
On
1
Names

For

  • AARP TX1 registration
  • Self1 registration

On

  • Texas Department of Licensing and Regulation1 registration
Sources

3 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 28, 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.

Sources

Texas Senate · Filed Jan 24, 2025

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.

Sponsors

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

Senate committee · Health & Human Services · Committee vote 8 aye, 0 nay, 1 absent · Out of committee

Subjects

Occupational Regulation--Health Occupations

HEARING DISORDERS

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 602 words

89R5472 RAL-F

By: Zaffirini
S.B. No. 904

A BILL TO BE ENTITLED

AN ACT

relating to the licensing and regulation of hearing instrument

fitters and dispensers.

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

SECTION 1. Section 401.2021, Occupations Code, is amended

to read as follows:

Sec. 401.2021. RULES FOR HEARING INSTRUMENTS. The [ With

the assistance of the advisory board and the Hearing Instrument

Fitters and Dispensers Advisory Board, the ] commission shall adopt

rules to establish requirements for each sale of a hearing

instrument for purposes of this chapter and Chapter 402. The rules

must:

(1) address:

(A) the information and other provisions

required in each written contract for the purchase of a hearing

instrument;

(B) records that must be retained under this

chapter or Chapter 402; and

(C) guidelines for the 30-day trial period during

which a person may cancel the purchase of a hearing instrument; and

(2) require that the written contract and 30-day trial

period information provided to a purchaser of a hearing instrument

be in plain language designed to be easily understood by the average

consumer.

SECTION 2. Section 402.1021, Occupations Code, is amended

to read as follows:

Sec. 402.1021. RULES FOR HEARING INSTRUMENTS. The [ With

the assistance of the advisory board and the Speech-Language

Pathologists and Audiologists Advisory Board, the ] commission

shall adopt rules to establish requirements for each sale of a

hearing instrument for purposes of this chapter and Chapter 401.

The rules must:

(1) address:

(A) the information and other provisions

required in each written contract for the purchase of a hearing

instrument;

(B) records that must be retained under this

chapter or Chapter 401; and

(C) guidelines for the 30-day trial period during

which a person may cancel the purchase of a hearing instrument; and

(2) require that the written contract and 30-day trial

period information provided to a purchaser of a hearing instrument

be in plain language designed to be easily understood by the average

consumer.

SECTION 3. Section 402.305, Occupations Code, is amended to

read as follows:

Sec. 402.305. CONTINUING EDUCATION EXEMPTIONS. The

department may renew the license of a license holder who does not

comply with the applicable continuing education requirements if the

license holder[ :

[ (1) was licensed for the first time during the 24

months before the reporting date; or

[ (2) ] submits proof from an attending physician that

the license holder suffered a serious or disabling illness or

physical disability that prevented compliance with the continuing

education requirements during the 24 months before the reporting

date.

SECTION 4. Section 402.402(a), Occupations Code, is amended

to read as follows:

(a) A licensed hearing instrument fitter and dispenser may

not sell a hearing instrument to a person under 18 years of age

unless the prospective user or a parent or guardian of the

prospective user has presented to the hearing instrument fitter and

dispenser a written statement[ , ] signed by a licensed physician ,

including a physician who specializes [ specializing ] in diseases of

the ear, that states that the patient's hearing loss has been

medically evaluated and that the patient may be considered a

candidate for a hearing instrument.

SECTION 5. Section 402.402(a), Occupations Code, as amended

by this Act, applies only to conduct that occurs on or after the

effective date of this Act. Conduct that occurs before the

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

date the conduct occurred, and the former law is continued in effect

for that purpose.

SECTION 6. This Act takes effect September 1, 2025.