SB 257
bill requiring picture boards in every ambulance
Filed
Verdict: No flags
Initial review · graded Nov 9, 2026 · How we grade
Caption
relating to the required provision of visual communication equipment to emergency medical services personnel.
Caption from analyzed text · version I.
Summary
Crews get laminated picture boards. Starting September 1, 2027.
The bill requires every ambulance and emergency medical services provider in Texas to give its crews simple visual communication tools, like a laminated picture board, and adds those tools to the list of equipment a provider must own or lease. The tools are meant to help crews talk with young children, people who do not speak their language, patients in a crisis, and people with autism or similar conditions. The state health commission must write rules to carry this out, and the law takes effect September 1, 2027.
Receipt
The receipt
90R-SB257 · 2026-11-09
SOLD BY
ITEM
relating to the required provision of visual communication equipment to emergency medical services personnel.
WHAT IT DOES
Crews get laminated picture boards. Starting September 1, 2027.
The bill requires every ambulance and emergency medical services provider in Texas to give its crews simple visual communication tools, like a laminated picture board, and adds those tools to the list of equipment a provider must own or lease. The tools are meant to help crews talk with young children, people who do not speak their language, patients in a crisis, and people with autism or similar conditions. The state health commission must write rules to carry this out, and the law takes effect September 1, 2027.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Received by the Secretary of the Senate
- Filed
ALSO NOTED · NOT CHARGED (1)
RENAMING AND CEREMONIAL · analysis confidence 30%
The bill gives itself a commemorative short title. It also does real work, so this tag does not change the grade.
FILED UNDER
No verified beat found.
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 · Jun 9, 2025 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.
Texas Majority PAC$267,218.00
Texas Majority PAC
$267,218.00
- Cash
- $0.00
- Paid by others
- $267,218.00
- Total
- $267,218.00
Also funds 2 other sitting lawmakers.
Derived recipient stock · Sep 2, 2025 to Oct 19, 2026. State data as of Nov 4, 2026.
TEC account match.
Sources
Derived itemized flow · Sep 2, 2025 to Feb 22, 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: 101018487, 101034436, 101062455.
Texas Trial Lawyers Association PAC$80,000.00
Texas Trial Lawyers Association PAC
$80,000.00
- Cash
- $80,000.00
- Paid by others
- $0.00
- Total
- $80,000.00
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.
TeamSources
Derived itemized flow · Feb 19, 2026 to Oct 13, 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: 101062455, 101072804.
Missing data does not establish zero giving. Display amounts are rounded.
Texas Majority PAC
$267,218.00
- Cash
- $0.00
- Paid by others
- $267,218.00
- Total
- $267,218.00
Also funds 2 other sitting lawmakers.
Derived recipient stock · Sep 2, 2025 to Oct 19, 2026. State data as of Nov 4, 2026.
TEC account match.
Sources
Derived itemized flow · Sep 2, 2025 to Feb 22, 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: 101018487, 101034436, 101062455.
Texas Trial Lawyers Association PAC
$80,000.00
- Cash
- $80,000.00
- Paid by others
- $0.00
- Total
- $80,000.00
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.
TeamSources
Derived itemized flow · Feb 19, 2026 to Oct 13, 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: 101062455, 101072804.
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 a super-expensive superintelligence, Nov 9, 2026, against the published rubric.
Sources
Texas Senate · Filed Nov 9, 2026
11/09/2026 S Filed
Texas Legislature Online · Introduced
Data snapshot Nov 10, 2026 at 2:41 AM CST. Grades, charges, quotes and corrections follow the published record.
Subjects
Fire Fighters & Police--General
Health Care Providers
Health--Emergency Services & Personnel
ELLIOTT'S LAW (PQ21U)
AUTISM & PERVASIVE DEVELOPMENTAL DISORDERS
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 485 words
90R4239 KRM-D By: Rehmet S.B. No. 257 A BILL TO BE ENTITLED AN ACT relating to the required provision of visual communication equipment to emergency medical services personnel. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. This Act may be cited as "Elliott's Law." SECTION 2. Section 773.05716(a), Health and Safety Code, is amended to read as follows: (a) An emergency medical services provider must own or hold a long-term lease for all equipment necessary for the safe operation of an emergency medical services provider, including emergency medical services vehicles, heart rate monitors, defibrillators, stretchers, visual communication equipment described by Section 773.05717, and any other equipment the department determines is required. SECTION 3. Subchapter C, Chapter 773, Health and Safety Code, is amended by adding Section 773.05717 to read as follows: Sec. 773.05717. REQUIRED VISUAL COMMUNICATION EQUIPMENT. (a) In this section, "person with a communication disorder" means a person with: (1) autism; or (2) another neurodevelopmental disorder that may impede: (A) the person's sensory processing during an interaction with emergency medical services personnel; or (B) effective communication with emergency medical services personnel. (b) The executive commissioner shall adopt rules requiring each emergency medical services provider to provide its emergency medical services personnel with visual communication equipment to facilitate communication with any: (1) child who lacks the verbal skills necessary to communicate effectively during an emergency; (2) individual who is not fluent in a language spoken by emergency medical services personnel; (3) patient experiencing a medical crisis that impedes the patient's ability to communicate effectively; or (4) person with a communication disorder. (c) Visual communication equipment under this section must: (1) depict a simple diagram of the human body allowing a patient to point to a corresponding area on the diagram and indicate where the patient is experiencing pain; and (2) allow a patient to communicate essential needs and important information by pointing to a message or picture to: (A) convey that the patient is a person with a communication disorder; (B) request additional time or request that emergency medical services personnel pause the provision of emergency medical care; (C) indicate "yes" or "no" in response to a question; and (D) express that the patient is experiencing pain or requires immediate help. (d) Visual communication equipment may consist of any communication device that allows emergency medical services personnel to communicate effectively with a patient in a timely manner, including: (1) a laminated paper sign; (2) a communication board; or (3) another similar low-tech tool that allows emergency medical services personnel to communicate with a patient in the manner described by this section. SECTION 4. 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 Section 773.05717, Health and Safety Code, as added by this Act. SECTION 5. This Act takes effect September 1, 2027.