Nelson was the highest-ranking Republican woman in the Texas Senate. The tenth woman ever elected to the Texas Senate, she was the first Republican woman ever appointed chair of a standing committee and held the distinction of being longest-serving chair of the Senate Health and Human Services Committee in Texas history. In 2015, she was appointed chair of the Senate Finance Committee, being the first woman to hold the position in the history of the Texas Senate. She also served as chair of the Sunset Advisory Commission.
During the 2013 legislative session, Nelson authored 40 bills that were passed into law by the Legislature, and she served as the Senate sponsor on 30 successful bills authored by House members. She served on 19 conference committees, including for SB 1, the appropriations bill. Nelson chaired the Article II workgroup, which increased the women's health budget by $100 million and made significant new investments in mental health and Child Protective Services.[citation needed]
In October 2019, the Texas Parent Teacher Association named Nelson a Texas PTA Champion for Children for her leadership during the 86th Legislative Session.[5]
In July 2021, Nelson announced she would not seek an 11th term to the Texas Senate.[6]
Senate Health and Human Services Committee
In July 2013, Nelson presided over a 16-hour hearing on an abortion bill that drew testimony from over 3,800 people, including 357 who provided oral testimony. The bill, HB 3, sought to ban abortions after 20 weeks of pregnancy. The bill also required abortion facilities to upgrade to ambulatory surgical standards.[citation needed]
Senate Finance Committee
In 2014 Senator Nelson was appointed chair of the Senate Finance Committee, the first woman of either party to hold that position. In that capacity she authored four state budgets. Her chairmanship ended in January 2022.[7] In June 2022, the Senate Finance committee dedicated its conference room to Senator Nelson in her honor.[8]
1 ▌New Progressive (1 territory) Italics indicate no secretary of state in this state, closest equivalent listed An asterisk (*) indicates that the officeholder is serving in an acting capacity.