Monitoring the Session

SB 257

bill requiring picture boards in every ambulance

Filed

Verdict: No flags

No flagsInitial review
Sen. Taylor RehmetDSenate 9

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

  1. Received by the Secretary of the Senate
  2. Filed
ALSO NOTED · NOT CHARGED (1)

RENAMING AND CEREMONIAL · analysis confidence 30%

THE TEXT

“This Act may be cited as "Elliott's Law."”…

Bill text, introduced version (I)

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.

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 · 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
Other filed descriptions $141,250.00advertising $100,000.00texting $24,034.00text $1,934.00

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.

Team
Sources

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.

Daniel Cocanougher$70,000.00
Money

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
Other filed descriptions $141,250.00advertising $100,000.00texting $24,034.00text $1,934.00

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.

Team
Sources

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.