---
type: "Bill"
title: "Relating to patient safety practices regarding placenta accreta spectrum disorder."
description: "Relating to patient safety practices regarding placenta accreta spectrum disorder."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "87"
identifier: "HB 1164"
citation: "Texas HB 1164 (87)"
classification: ["bill"]
subjects: ["Education--Higher--Health Institutions (I0237)", "Education--Higher--Institutions & Programs (I0223)", "HEALTH & HUMAN SERVICES COMMISSION (V0177)", "Health--Other Diseases & Medical Conditions (I0383)", "Hospitals (I0400)", "PERINATAL ADVISORY COUNCIL (V1205)", "PREGNANCY & CHILDBIRTH (S0294)", "STATE HEALTH SERVICES", "DEPARTMENT OF (V0463)", "TEXAS MATERNAL MORTALITY AND MORBIDITY REVIEW COMMITTEE (V1186)", "Women (I0925)"]
status: "enacted"
primary_sponsors: ["Buckingham", "Collier", "Howard", "Hull", "Oliverson", "Thierry"]
version_count: 5
action_count: 56
vote_count: 3
first_action: "2021-01-19"
last_action: "2021-06-15"
source: "openstates"
source_identifier: "ocd-bill/e9938ca8-3438-4e80-aae3-3e3dc1f5bcfa"
source_url: "ftp://ftp.legis.state.tx.us/bills/87R/billhistory/house_bills/HB01100_HB01199/HB 1164.xml"
source_hash: "43f88e5ecbfaf966004a79907407a51371ff18158c3bb5d72830751d6dfe21f4"
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 HB 1164 (87) — Relating to patient safety practices regarding placenta accreta spectrum disorder.

## 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/87R/billtext/html/HB01164I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB01164E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB01164H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB01164S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB01164F.HTM)

## Votes

- passage — **137–5** (pass) · lower
- other — **139–5** (fail) · upper
- passage — **139–5** (pass) · lower

## Sponsors

- Buckingham — primary (person)
- Collier — primary (person)
- Howard — primary (person)
- Hull — primary (person)
- Oliverson — primary (person)
- Thierry — primary (person)
- Johnson, Ann — cosponsor (person)
- Miles — cosponsor (person)
- Minjarez — cosponsor (person)
- Zwiener — cosponsor (person)

## Timeline

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

- **2021-01-19** Filed `filing`
- **2021-03-04** Read first time `introduction, reading-1`
- **2021-03-04** Referred to Public Health `referral-committee`
- **2021-03-17** Considered in public hearing
- **2021-03-17** Testimony taken/registration(s) recorded in committee
- **2021-03-17** Left pending in committee
- **2021-04-15** Considered in formal meeting
- **2021-04-15** Committee substitute considered in committee
- **2021-04-15** Reported favorably as substituted `committee-passage-favorable`
- **2021-04-19** Comte report filed with Committee Coordinator
- **2021-04-20** Committee report distributed
- **2021-04-20** Committee report sent to Calendars
- **2021-04-23** Considered in Calendars
- **2021-04-27** Placed on General State Calendar
- **2021-04-27** Read 2nd time `reading-2`
- **2021-04-27** Passed to engrossment
- **2021-04-27** Record vote
- **2021-04-27** Statement(s) of vote recorded in Journal
- **2021-04-28** Read 3rd time `reading-3`
- **2021-04-28** Passed `passage`
- **2021-04-28** Record vote
- **2021-04-28** Statement(s) of vote recorded in Journal
- **2021-04-28** Reported engrossed
- **2021-04-28** Received from the House `introduction`
- **2021-05-06** Read first time `introduction, reading-1`
- **2021-05-06** Referred to Health & Human Services `referral-committee`
- **2021-05-21** Scheduled for public hearing on . . .
- **2021-05-21** Considered in public hearing
- **2021-05-21** Testimony taken in committee
- **2021-05-24** Reported favorably as substituted `committee-passage-favorable`
- **2021-05-24** Committee report printed and distributed
- **2021-05-24** Corrected comm. report printed & distributed
- **2021-05-25** Co-sponsor authorized
- **2021-05-25** Placed on intent calendar
- **2021-05-25** Rules suspended-Regular order of business
- **2021-05-25** Read 2nd time & passed to 3rd reading
- **2021-05-25** Vote recorded in Journal
- **2021-05-25** Three day rule suspended
- **2021-05-25** Record vote
- **2021-05-25** Read 3rd time `reading-3`
- **2021-05-25** Passed `passage`
- **2021-05-25** Record vote
- **2021-05-27** Senate passage as amended reported
- **2021-05-27** Senate Amendments distributed
- **2021-05-27** Senate Amendments Analysis distributed
- **2021-05-28** House concurs in Senate amendment(s)
- **2021-05-28** Record vote
- **2021-05-28** Statement(s) of vote recorded in Journal
- **2021-05-28** Text of Senate Amendment(s)
- **2021-05-28** House concurs in Senate amendment(s)-reported
- **2021-05-29** Reported enrolled
- **2021-05-30** Signed in the House
- **2021-05-31** Signed in the Senate
- **2021-05-31** Sent to the Governor `executive-receipt`
- **2021-06-15** Signed by the Governor `executive-signature`
- **2021-06-15** Effective on 9/1/21 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e9938ca8-3438-4e80-aae3-3e3dc1f5bcfa`. Confidence: reported (aggregated from official Texas legislature records).