Legislation: batch D — NY OH OK OR PA RI SC SD TX UT

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/tx/86/hb-4533.md

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+---
+type: "Bill"
+title: "Relating to the administration and operation of Medicaid, including Medicaid managed care and the delivery of Medicaid acute care services and long-term services and supports to certain persons."
+description: "Relating to the administration and operation of Medicaid, including Medicaid managed care and the delivery of Medicaid acute care services and long-term services and supports to certain persons."
+jurisdiction: "us/states/tx"
+legislature: "Texas Legislature"
+session: "86"
+identifier: "HB 4533"
+citation: "Texas HB 4533 (86)"
+classification: ["bill"]
+subjects: ["Disabilities", "Persons with (I0380)", "Human Services--Medical Assistance (I0905)", "MANAGED CARE (S0454)", "MEDICAID (S4885)", "HEALTH & HUMAN SERVICES COMMISSION (V0177)"]
+status: "enacted"
+primary_sponsors: ["Klick", "Kolkhorst", "Raymond"]
+version_count: 1
+action_count: 61
+vote_count: 3
+first_action: "2019-03-08"
+last_action: "2019-06-14"
+source: "openstates"
+source_identifier: "ocd-bill/524cb52b-1e53-4270-896c-b66bc9525a3e"
+source_url: "ftp://ftp.legis.state.tx.us/bills/86R/billhistory/house_bills/HB04500_HB04599/HB 4533.xml"
+source_hash: "837e01a9d27d6b54325a4d41215e99ccc1b8ab69f25b1a82eea48c187ea306a0"
+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 HB 4533 (86) — Relating to the administration and operation of Medicaid, including Medicaid managed care and the delivery of Medicaid acute care services and long-term services and supports to certain persons.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](http://www.legis.state.tx.us/tlodocs/86R/billtext/html/HB04533I.HTM)
+
+## Votes
+
+- passage — **134–5** (pass) · lower
+- passage — **142–0** (pass) · lower
+- other — **142–0** (fail) · upper
+
+## Sponsors
+
+- Klick — primary (person)
+- Kolkhorst — primary (person)
+- Raymond — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2019-03-08** Filed `filing`
+- **2019-03-26** Read first time `introduction, reading-1`
+- **2019-03-26** Referred to Human Services `referral-committee`
+- **2019-04-02** Considered in public hearing
+- **2019-04-02** Testimony taken/registration(s) recorded in committee
+- **2019-04-02** Left pending in committee
+- **2019-04-16** Considered in public hearing
+- **2019-04-16** Committee substitute considered in committee
+- **2019-04-16** Reported favorably as substituted `committee-passage-favorable`
+- **2019-04-24** Comte report filed with Committee Coordinator
+- **2019-04-24** Committee report distributed
+- **2019-04-25** Committee report sent to Calendars
+- **2019-05-06** Considered in Calendars
+- **2019-05-08** Placed on General State Calendar
+- **2019-05-09** Read 2nd time `reading-2`
+- **2019-05-09** Passed to engrossment
+- **2019-05-10** Read 3rd time `reading-3`
+- **2019-05-10** Amended `amendment-passage`
+- **2019-05-10** Passed as amended `passage`
+- **2019-05-10** Record vote
+- **2019-05-10** Statement(s) of vote recorded in Journal
+- **2019-05-13** Reported engrossed
+- **2019-05-13** Received from the House `introduction`
+- **2019-05-13** Read first time `introduction, reading-1`
+- **2019-05-13** Referred to Health & Human Services `referral-committee`
+- **2019-05-15** Scheduled for public hearing on . . .
+- **2019-05-15** Considered in public hearing
+- **2019-05-15** Testimony taken in committee
+- **2019-05-15** Left pending in committee
+- **2019-05-17** Considered in public hearing
+- **2019-05-17** Reported favorably w/o amendments `committee-passage-favorable`
+- **2019-05-17** Committee report printed and distributed
+- **2019-05-20** Placed on intent calendar
+- **2019-05-20** Rules suspended-Regular order of business
+- **2019-05-20** Read 2nd time `reading-2`
+- **2019-05-20** Amendment(s) offered `amendment-introduction`
+- **2019-05-20** Amended `amendment-passage`
+- **2019-05-20** Vote recorded in Journal
+- **2019-05-20** Amendment(s) offered `amendment-introduction`
+- **2019-05-20** Amended `amendment-passage`
+- **2019-05-20** Vote recorded in Journal
+- **2019-05-20** Passed to 3rd reading as amended
+- **2019-05-20** Vote recorded in Journal
+- **2019-05-20** Three day rule suspended
+- **2019-05-20** Record vote
+- **2019-05-20** Read 3rd time `reading-3`
+- **2019-05-20** Passed `passage`
+- **2019-05-20** Record vote
+- **2019-05-21** Senate passage as amended reported
+- **2019-05-22** Senate Amendments distributed
+- **2019-05-22** Senate Amendments Analysis distributed
+- **2019-05-24** House concurs in Senate amendment(s)
+- **2019-05-24** Record vote
+- **2019-05-24** Text of Senate Amendment(s)
+- **2019-05-24** House concurs in Senate amendment(s)-reported
+- **2019-05-25** Reported enrolled
+- **2019-05-26** Signed in the House
+- **2019-05-27** Signed in the Senate
+- **2019-05-29** Sent to the Governor `executive-receipt`
+- **2019-06-14** Signed by the Governor `executive-signature`
+- **2019-06-14** Effective on 9/1/19 `became-law`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/524cb52b-1e53-4270-896c-b66bc9525a3e`. Confidence: reported (aggregated from official Texas legislature records).
+