---
type: "Bill"
title: "Relating to the elections and operations of certain hospital districts."
description: "Relating to the elections and operations of certain hospital districts."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "88"
identifier: "HB 3191"
citation: "Texas HB 3191 (88)"
classification: ["bill"]
subjects: ["Elections--General (I0310)", "Special Districts & Authorities--Hospital (I0750)"]
status: "enacted"
primary_sponsors: ["Rogers", "Spiller", "Springer"]
version_count: 5
action_count: 55
vote_count: 1
first_action: "2023-03-01"
last_action: "2023-06-13"
source: "openstates"
source_identifier: "ocd-bill/edce425a-d548-4834-8504-9c4f7aad0803"
source_url: "ftp://ftp.legis.state.tx.us/bills/88R/billhistory/house_bills/HB03100_HB03199/HB 3191.xml"
source_hash: "c4c24f0ba63e2b65c26acd012f61ac2b218de69aaa4543cbbd53b9082429f4b4"
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 3191 (88) — Relating to the elections and operations of certain hospital districts.

## 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/HB03191I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB03191E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB03191H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB03191S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB03191F.HTM)

## Votes

- passage — **129–11** (pass) · lower

## Sponsors

- Rogers — primary (person)
- Spiller — primary (person)
- Springer — primary (person)

## Timeline

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

- **2023-03-01** Filed `filing`
- **2023-03-15** Read first time `introduction, reading-1`
- **2023-03-15** Referred to County Affairs `referral-committee`
- **2023-04-19** Considered in public hearing
- **2023-04-19** Committee substitute considered in committee `substitution`
- **2023-04-19** Testimony taken/registration(s) recorded in committee
- **2023-04-19** Left pending in committee
- **2023-04-26** Considered in public hearing
- **2023-04-26** Committee substitute considered in committee `substitution`
- **2023-04-26** Reported favorably as substituted `committee-passage-favorable`
- **2023-05-03** Considered in formal meeting
- **2023-05-03** Vote reconsidered in committee
- **2023-05-03** Recommended to be sent to Local & Consent `referral-committee`
- **2023-05-03** Reported favorably as substituted `committee-passage-favorable`
- **2023-05-05** Comte report filed with Committee Coordinator `filing`
- **2023-05-06** Committee report distributed
- **2023-05-06** Comm. report sent to Local & Consent Calendar
- **2023-05-10** Considered in Local & Consent Calendars
- **2023-05-12** Placed on Local, Consent, and Res. Calendar
- **2023-05-12** Read 2nd time `reading-2`
- **2023-05-12** Passed to engrossment
- **2023-05-12** Nonrecord vote recorded in Journal
- **2023-05-12** Read 3rd time `reading-3`
- **2023-05-12** Passed `passage`
- **2023-05-12** Record vote
- **2023-05-12** Nonrecord vote recorded in Journal
- **2023-05-12** Reported engrossed
- **2023-05-15** Received from the House `introduction`
- **2023-05-15** Read first time `introduction, reading-1`
- **2023-05-15** Referred to Local Government `referral-committee`
- **2023-05-18** Posting rule suspended
- **2023-05-19** Scheduled for public hearing on . . .
- **2023-05-19** Considered in public hearing
- **2023-05-19** Testimony taken in committee
- **2023-05-19** Vote taken in committee
- **2023-05-19** Reported favorably w/o amendments `committee-passage-favorable`
- **2023-05-19** Recommended for local & uncontested calendar
- **2023-05-20** Committee report printed and distributed
- **2023-05-24** Placed on local & uncontested calendar
- **2023-05-24** Placed on intent calendar
- **2023-05-24** Laid before the Senate `receipt`
- **2023-05-24** Read 2nd time & passed to 3rd reading `reading-2`
- **2023-05-24** Vote recorded in Journal
- **2023-05-24** Three day rule suspended
- **2023-05-24** Record vote
- **2023-05-24** Read 3rd time `reading-3`
- **2023-05-24** Passed `passage`
- **2023-05-24** Record vote
- **2023-05-25** Senate passage reported `passage`
- **2023-05-26** Reported enrolled `enrolled`
- **2023-05-27** Signed in the House `passage`
- **2023-05-29** Signed in the Senate `passage`
- **2023-05-30** Sent to the Governor `executive-receipt`
- **2023-06-13** Signed by the Governor `executive-signature`
- **2023-06-13** Effective on 9/1/23 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/edce425a-d548-4834-8504-9c4f7aad0803`. Confidence: reported (aggregated from official Texas legislature records).