---
type: "Bill"
title: "Relating to the continuation and operations of a health care provider participation program by the El Paso County Hospital District."
description: "Relating to the continuation and operations of a health care provider participation program by the El Paso County Hospital District."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "88"
identifier: "SB 849"
citation: "Texas SB 849 (88)"
classification: ["bill"]
subjects: ["EL PASO COUNTY HOSPITAL DISTRICT (D0174)", "Health Care Providers (I0387)", "Hospitals (I0400)", "Special Districts & Authorities--Hospital (I0750)"]
status: "enacted"
primary_sponsors: ["Blanco", "Moody"]
version_count: 5
action_count: 47
vote_count: 2
first_action: "2023-02-10"
last_action: "2023-06-02"
source: "openstates"
source_identifier: "ocd-bill/0b888a32-4cc7-4569-ab1b-c0bbb836934e"
source_url: "ftp://ftp.legis.state.tx.us/bills/88R/billhistory/senate_bills/SB00800_SB00899/SB 849.xml"
source_hash: "5b14c6c36f3a7b90595f6b4662cde3ff9d977e0412bce158e58b00ddbe19319f"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-tx"]
---

# Texas SB 849 (88) — Relating to the continuation and operations of a health care provider participation program by the El Paso County Hospital District.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00849I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00849E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00849H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00849S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/SB00849F.HTM)

## Votes

- passage — **106–34** (pass) · lower
- passage — **105–21** (pass) · lower

## Sponsors

- Blanco — primary (person)
- Moody — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-02-10** Received by the Secretary of the Senate `filing, introduction`
- **2023-02-10** Filed `filing`
- **2023-03-01** Read first time `introduction, reading-1`
- **2023-03-01** Referred to Local Government `referral-committee`
- **2023-04-18** Scheduled for public hearing on . . .
- **2023-04-18** Considered in public hearing
- **2023-04-18** Left pending in committee
- **2023-04-20** Considered in public hearing
- **2023-04-20** Vote taken in committee
- **2023-04-24** Reported favorably as substituted `committee-passage-favorable`
- **2023-04-24** Recommended for local & uncontested calendar
- **2023-04-24** Committee report printed and distributed
- **2023-04-27** Placed on local & uncontested calendar
- **2023-04-27** Laid before the Senate `receipt`
- **2023-04-27** Read 2nd time & passed to engrossment `reading-2`
- **2023-04-27** Vote recorded in Journal
- **2023-04-27** Three day rule suspended
- **2023-04-27** Record vote
- **2023-04-27** Read 3rd time `reading-3`
- **2023-04-27** Passed `passage`
- **2023-04-27** Record vote
- **2023-04-27** Reported engrossed
- **2023-04-27** Received from the Senate `introduction`
- **2023-04-28** Read first time `introduction, reading-1`
- **2023-04-28** Referred to County Affairs `referral-committee`
- **2023-05-03** Considered in formal meeting
- **2023-05-03** Reported favorably w/o amendment(s) `committee-passage, committee-passage-favorable`
- **2023-05-08** Comte report filed with Committee Coordinator `filing`
- **2023-05-08** Committee report distributed
- **2023-05-09** Committee report sent to Calendars
- **2023-05-12** Considered in Calendars
- **2023-05-16** Placed on General State Calendar
- **2023-05-16** Read 2nd time `reading-2`
- **2023-05-16** Passed to 3rd reading
- **2023-05-16** Record vote
- **2023-05-16** Statement(s) of vote recorded in Journal
- **2023-05-17** Read 3rd time `reading-3`
- **2023-05-17** Passed `passage`
- **2023-05-17** Record vote
- **2023-05-17** Statement(s) of vote recorded in Journal
- **2023-05-17** House passage reported `passage`
- **2023-05-17** Reported enrolled `enrolled`
- **2023-05-18** Signed in the Senate `passage`
- **2023-05-19** Signed in the House `passage`
- **2023-05-19** Sent to the Governor `executive-receipt`
- **2023-06-02** Signed by the Governor `executive-signature`
- **2023-06-02** Effective immediately `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0b888a32-4cc7-4569-ab1b-c0bbb836934e`. Confidence: reported (aggregated from official Texas legislature records).