The bill, S.B. No. 1188, introduces Chapter 183 to the Health and Safety Code, establishing new requirements for electronic health records (EHR) in Texas. Key provisions include mandates for medical facilities, health care practitioners, and governmental entities to store all EHR information of Texas residents exclusively within the United States and ensure that such information is inaccessible to individuals outside the country. Additionally, the bill specifies that EHRs must include comprehensive medical history, communications regarding metabolic health and diet, and prohibits the collection of information related to an individual's credit score or voter registration status. It also outlines the use of artificial intelligence in EHRs, requiring practitioners to verify the accuracy of AI-generated information before it is recorded.

Furthermore, the bill emphasizes the documentation of biological sex in EHRs, requiring a designated space for health care practitioners to record an individual's biological sex and any related sexual development disorders. Amendments to biological sex information are permitted only under specific circumstances, such as correcting clerical errors or diagnosing a sexual development disorder. The bill also stipulates disciplinary actions for violations, including potential ineligibility for Medicaid reimbursement. The provisions of this act will take effect on September 1, 2025, with certain storage requirements applying from January 1, 2026.

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