[2] Subsequent decorations are conferred by a gold twig of four oak leaves with three acorns on the stem device.

[2] The Texas Legislative Medal of Honor shall be conferred to a member of the Texas Military Forces or United States Armed Forces (effective June 20, 2003) designated by concurrent resolution of the legislature who voluntarily performs a deed of personal bravery or self-sacrifice involving risk of life that is so conspicuous as to clearly distinguish the person for gallantry and intrepidity above the person's comrades.

[2] Initially, the law permitted one person to be selected from various nominees for the decoration by a 5-member nominating committee (effective June 20, 2003) every two years since 1997.

The legislature may direct the medal to be conferred only during a In 2013, HB 1589 was signed into law by Governor Rick Perry amending the statute for the bestowal of two Texas Legislative Medals of Honor each legislative session, one for service pre-1956 and one for service post-1957.

[1] The Texas Legislative Medal of Honor was authorized by the Fifty-eighth Texas Legislature in Senate Bill Number 279 by Senator Babe Schwartz and was approved by the Governor John Connally on May 3, 1963, effective August 23, 1963.