---
type: "Bill"
title: "Relating to required health benefit plan coverage for gender transition adverse effects and reversals."
description: "Relating to required health benefit plan coverage for gender transition adverse effects and reversals."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "89R"
identifier: "SB 1257"
citation: "Texas SB 1257 (89R)"
classification: ["bill"]
subjects: ["GENDER IDENTITY & EXPRESSION (S0767)", "Health--Other Diseases & Medical Conditions (I0383)", "Insurance--Health & Accident (I0422)"]
status: "enacted"
primary_sponsors: ["Hughes", "Leach"]
version_count: 5
action_count: 64
vote_count: 4
first_action: "2025-02-13"
last_action: "2025-05-24"
source: "openstates"
source_identifier: "ocd-bill/f8e6f2e2-7486-46a4-999e-639cff984a3f"
source_url: "ftp://ftp.legis.state.tx.us/bills/89R/billhistory/senate_bills/SB01200_SB01299/SB 1257.xml"
source_hash: "558ff418bce315f27d4326a2faa78d86e99cc25af44a5164922a1dfe66ffd418"
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 1257 (89R) — Relating to required health benefit plan coverage for gender transition adverse effects and reversals.

## 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/89R/billtext/html/SB01257I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB01257E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB01257H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB01257S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB01257F.HTM)

## Votes

- passage — **82–37** (pass) · lower
- passage — **20–11** (pass) · upper
- passage — **87–58** (pass) · lower
- passage — **20–11** (pass) · upper

## Sponsors

- Hughes — primary (person)
- Leach — primary (person)
- Hall — cosponsor (person)
- Kerwin — cosponsor (person)
- Sparks — cosponsor (person)

## Timeline

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

- **2025-02-13** Received by the Secretary of the Senate `filing, introduction`
- **2025-02-13** Filed `filing`
- **2025-02-28** Read first time `introduction, reading-1`
- **2025-02-28** Referred to Health & Human Services `referral-committee`
- **2025-03-26** Scheduled for public hearing on . . .
- **2025-03-26** Considered in public hearing
- **2025-03-26** Testimony taken in committee
- **2025-03-26** Left pending in committee
- **2025-04-02** Considered in public hearing
- **2025-04-02** Vote taken in committee
- **2025-04-07** Reported favorably as substituted `committee-passage-favorable`
- **2025-04-07** Committee report printed and distributed
- **2025-04-09** Co-author authorized
- **2025-04-22** Placed on intent calendar
- **2025-04-23** Rules suspended-Regular order of business
- **2025-04-23** Record vote
- **2025-04-23** Read 2nd time & passed to engrossment `reading-2`
- **2025-04-23** Record vote
- **2025-04-24** Rules suspended-Regular order of business
- **2025-04-24** Record vote
- **2025-04-24** Read 3rd time `reading-3`
- **2025-04-24** Passed `passage`
- **2025-04-24** Record vote
- **2025-04-24** Reported engrossed
- **2025-04-25** Received from the Senate `introduction`
- **2025-04-28** Read first time `introduction, reading-1`
- **2025-04-28** Referred to Insurance `referral-committee`
- **2025-05-09** Considered in formal meeting
- **2025-05-09** Reported favorably w/o amendment(s) `committee-passage, committee-passage-favorable`
- **2025-05-09** Comte report filed with Committee Coordinator `filing`
- **2025-05-09** Committee report distributed
- **2025-05-10** Committee report sent to Calendars
- **2025-05-10** Laid out in lieu of companion
- **2025-05-10** Read 2nd time `reading-2`
- **2025-05-10** Amendment fails of adoption `amendment-failure`
- **2025-05-10** Record vote
- **2025-05-10** Statement(s) of vote recorded in Journal
- **2025-05-10** Amendment fails of adoption `amendment-failure`
- **2025-05-10** Record vote
- **2025-05-10** Statement(s) of vote recorded in Journal
- **2025-05-10** Amendment fails of adoption `amendment-failure`
- **2025-05-10** Record vote
- **2025-05-10** Amendment fails of adoption `amendment-failure`
- **2025-05-10** Record vote
- **2025-05-10** Amendment fails of adoption `amendment-failure`
- **2025-05-10** Record vote
- **2025-05-10** Point of order withdrawn `withdrawal`
- **2025-05-10** Amendment fails of adoption `amendment-failure`
- **2025-05-10** Record vote
- **2025-05-10** Amendment withdrawn `amendment-withdrawal, withdrawal`
- **2025-05-10** Passed to 3rd reading
- **2025-05-10** Record vote
- **2025-05-10** Statement(s) of vote recorded in Journal
- **2025-05-12** Read 3rd time `reading-3`
- **2025-05-12** Passed `passage`
- **2025-05-12** Record vote
- **2025-05-12** Statement(s) of vote recorded in Journal
- **2025-05-12** House passage reported `passage`
- **2025-05-12** Reported enrolled `enrolled`
- **2025-05-13** Signed in the Senate `passage`
- **2025-05-13** Signed in the House `passage`
- **2025-05-13** Sent to the Governor `executive-receipt`
- **2025-05-24** Signed by the Governor `executive-signature`
- **2025-05-24** Effective on 9/1/25 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f8e6f2e2-7486-46a4-999e-639cff984a3f`. Confidence: reported (aggregated from official Texas legislature records).