Relating to human trafficking prevention, including training for first responders, disclosure of human trafficking information by certain health care facilities, and protection for facility employees who report human trafficking.
ModeratePlan for compliance
Low Cost
Effective:2025-06-20
Enforcing Agencies
Health and Human Services Commission • Office of the Attorney General
01
Compliance Analysis
Key implementation requirements and action items for compliance with this legislation
Implementation Timeline
Effective Date:June 20, 2025 (Immediate effect triggered by supermajority vote, overriding the standard September 1 date).
Compliance Deadline:Immediate for non-retaliation policies. Pending for signage and training, contingent upon agency releases.
Agency Rulemaking: The Health and Human Services Commission (HHSC) and Office of the Attorney General (OAG) are directed to adopt rules and designs "as soon as practicable." Facilities are currently in a regulatory gray zone where the law is active, but the compliance tools (signs/courses) are unavailable.
Immediate Action Plan
Legal: Draft and implement the updated non-retaliation policy for the Employee Handbook immediately.
HR: Conduct a primary language audit of all facility staff to determine signage translation needs.
Compliance: Assign a specific staff member to monitor the OAG website weekly for the release of the mandatory sign design.
Operations: If you manage First Responders, prepare a roster of active duty personnel ready for enrollment once HHSC releases the approved course list.
Operational Changes Required
Contracts
Employee Handbooks: Must be amended immediately to include a specific non-retaliation policy protecting employees who report suspected human trafficking in good faith.
Vendor MSAs (EMS/Fire): Hospitals or municipalities contracting with third-party EMS providers must amend Master Services Agreements to require vendor certification of compliance with Chapter 763 (First Responder Training). Indemnification clauses should be updated to cover failure to train.
Hiring/Training
First Responders (Fire & EMS): Mandatory completion of an HHSC-approved human trafficking prevention course.
Scheduling: Agencies must budget paid time for staff to attend training once the approved course list is released. At least one "no-cost" course option is statutorily required.
Reporting & Record-Keeping
Training Verification: EMS and Fire agencies must retain certificates of completion in every employee’s personnel file for state licensure surveys.
Language Audit: Emergency facilities must document an internal audit of employee primary languages. If 10% or more of the workforce speaks a language other than English or Spanish, a third translation of the mandatory signage is required.
Fees & Costs
Direct Costs: Minimal. Limited to printing costs for 11x17 signage and paid staff time for training.
Liability Costs: Potential increase in Employment Practices Liability Insurance (EPLI) risk due to the new statutory cause of action for whistleblower retaliation.
Strategic Ambiguities & Considerations
The "Practicable" Gap: The law requires posting a sign prescribed by the Attorney General, but the design has not been released. You cannot comply until the OAG acts. Document your monitoring of the OAG website to demonstrate good faith.
The 10% Calculation: The requirement to translate signs for languages spoken by "10% of employees" does not specify if this applies to total headcount or clinical staff only. Legal counsel should advise interpreting this broadly (total headcount) to minimize risk.
Training Windows: The statute requires training "within the time prescribed" by HHSC rule. This deadline (e.g., 30 days vs. 90 days post-hire) is currently undefined.
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The bill author informed the committee that first responders may be the only personnel to encounter a human trafficking victim after an emergency, act of violence, or other adverse experience, as such victims may decline transit to a healthcare facility or any other further intervention due to fear or coercion. While certain medical professionals are trained on the signs of human trafficking in accordance with current law, trafficking victims who fear or are controlled by their trafficker may never come into contact with these professionals. H.B. 742 seeks to combat human trafficking and ensure that first responders, including fire protection personnel and emergency medical services personnel, are able to identify and report human trafficking to the appropriate authorities by requiring such individuals to complete a training course on identifying, assisting, and reporting victims of human trafficking; by requiring hospital emergency departments to display signs regarding the requisite training; and by prohibiting hospitals from retaliating against an employee who reports suspected trafficking in good faith.
CRIMINAL JUSTICE IMPACT
It is the committee's opinion that this bill does not expressly create a criminal offense, increase the punishment for an existing criminal offense or category of offenses, or change the eligibility of a person for community supervision, parole, or mandatory supervision.
RULEMAKING AUTHORITY
It is the committee's opinion that rulemaking authority is expressly granted to the executive commissioner of the Health and Human Services Commission in SECTION 1 of this bill.
ANALYSIS
H.B. 742 amends the Health and Safety Code to require a first responder, within the time prescribed by Health and Human Services Commission (HHSC) rule, to successfully complete a training course approved by the executive commissioner of HHSC on identifying, assisting, and reporting victims of human trafficking. The bill requires the executive commissioner to do the following:
·approve training courses on human trafficking prevention, including at least one course available without charge;
·post a list of the approved training courses on the HHSC website and update the list as necessary; and
·consider for approval training courses conducted by health care facilities.
The bill requires the executive commissioner, as soon as practicable after the bill's effective date, to approve and post on the HHSC website the list of approved human trafficking prevention training courses and to adopt rules necessary to implement the bill's provisions relating to human trafficking prevention training.
H.B. 742 defines, for purposes of those bill provisions, "first responder" as a public safety employee whose duties include responding rapidly to an emergency. The term includes fire protection personnel and emergency medical services personnel, as those terms are defined by applicable state law, but does not include volunteer emergency services personnel, an emergency medical services volunteer, or a peace officer or reserve law enforcement officer, as those terms are defined by applicable state law, who is performing law enforcement duties.
H.B. 742 removes a requirement for an emergency department of a hospital to display separate signs in English and Spanish that comply with human trafficking sign requirements for an abortion facility and requires an emergency department and a freestanding emergency medical care facility to display a human trafficking sign in the form prescribed by the attorney general. The bill sets out the size, font, and contents of the sign and requires the sign to be posted in a location easily visible to all hospital or facility employees and separately in English, Spanish, and any other primary language spoken by 10 percent or more of the hospital's or facility's employees, as applicable. The bill requires the attorney general to design the sign as soon as practicable after the bill's effective date.
H.B. 742 prohibits a hospital or a freestanding emergency medical care facility from disciplining, retaliating against, or otherwise discriminating against a hospital or facility employee, as applicable, who in good faith reports a suspected act of human trafficking to the hospital or the facility, a law enforcement agency, the National Human Trafficking Resource Center, the attorney general, or any other appropriate authority.
Honorable Gary VanDeaver, Chair, House Committee on Public Health
FROM:
Jerry McGinty, Director, Legislative Budget Board
IN RE:
HB742 by Thompson (Relating to human trafficking prevention, including training for first responders, disclosure of human trafficking information by certain health care facilities, and protection for facility employees who report human trafficking.), As Introduced
No significant fiscal implication to the State is anticipated.
It is assumed that any costs associated with the bill could be absorbed using existing resources.
Local Government Impact
No significant fiscal implication to units of local government is anticipated.
Source Agencies: b > td >
302 Office of the Attorney General, 405 Department of Public Safety, 503 Texas Medical Board, 507 Texas Board of Nursing, 529 Health and Human Services Commission, 537 State Health Services, Department of
LBB Staff: b > td >
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HB742 is effective immediately, mandating human trafficking prevention training for first responders and specific signage for hospital and freestanding emergency departments. Crucially, it establishes statutory liability protections for employees reporting trafficking, creating new employment litigation risks for healthcare facilities that fail to update non-retaliation policies. Implementation Timeline Effective Date: June 20, 2025 (Immediate effect triggered by supermajority vote, overriding the standard September 1 date).
Q
Who authored HB742?
HB742 was authored by Texas Representative Senfronia Thompson during the Regular Session.
Q
When was HB742 signed into law?
HB742 was signed into law by Governor Greg Abbott on June 20, 2025.
Q
Which agencies enforce HB742?
HB742 is enforced by Health and Human Services Commission and Office of the Attorney General.
Q
How urgent is compliance with HB742?
The compliance urgency for HB742 is rated as "moderate". Businesses and organizations should review the requirements and timeline to ensure timely compliance.
Q
What is the cost impact of HB742?
The cost impact of HB742 is estimated as "low". This may vary based on industry and implementation requirements.
Q
What topics does HB742 address?
HB742 addresses topics including crimes, crimes--against persons, crimes--against persons--general, crimes--against persons--sexual and health.
Legislative data provided by LegiScanLast updated: November 25, 2025
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