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/88/hb-44.md

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+---
+type: "Bill"
+title: "Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status."
+description: "Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status."
+jurisdiction: "us/states/tx"
+legislature: "Texas Legislature"
+session: "88"
+identifier: "HB 44"
+citation: "Texas HB 44 (88)"
+classification: ["bill"]
+subjects: ["DISCRIMINATION (S0052)", "HEALTH & HUMAN SERVICES COMMISSION (V0177)", "Health Care Providers (I0387)", "Health--Children's Insurance (I0388)", "Health--Other Diseases & Medical Conditions (I0383)", "Human Services--Medical Assistance (I0905)", "IMMUNIZATIONS (S4341)", "MEDICAID (S4885)"]
+status: "enacted"
+primary_sponsors: ["Hefner", "Klick", "Middleton", "Morales Shaw", "Slawson", "Swanson"]
+version_count: 5
+action_count: 76
+vote_count: 9
+first_action: "2022-11-14"
+last_action: "2023-06-12"
+source: "openstates"
+source_identifier: "ocd-bill/eddf0898-5191-4cee-8936-bbfb92ea5406"
+source_url: "ftp://ftp.legis.state.tx.us/bills/88R/billhistory/house_bills/HB00001_HB00099/HB 44.xml"
+source_hash: "fe6288859dc8b191ab0ad0784f3d5aeb2396091341612b21ca3d786cd1060104"
+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 44 (88) — Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044I.HTM)
+2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044E.HTM)
+3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044H.HTM)
+4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044S.HTM)
+5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044F.HTM)
+
+## Votes
+
+- passage — **93–54** (pass) · lower
+- passage — **19–11** (pass) · upper
+- passage — **18–12** (pass) · upper
+- passage — **104–32** (pass) · upper
+- other — **10–20** (fail) · upper
+- adoption of Floor Amendment No. 2 — **0–0** (pass) · upper
+- passage — **104–32** (pass) · lower
+- passage — **93–51** (pass) · lower
+- passage — **18–12** (pass) · upper
+
+## Sponsors
+
+- Hefner — primary (person)
+- Klick — primary (person)
+- Middleton — primary (person)
+- Morales Shaw — primary (person)
+- Slawson — primary (person)
+- Swanson — primary (person)
+- Allison — cosponsor (person)
+- Anderson — cosponsor (person)
+- Bell, Cecil — cosponsor (person)
+- Bonnen — cosponsor (person)
+- Bumgarner — cosponsor (person)
+- Cain — cosponsor (person)
+- Campos — cosponsor (person)
+- Clardy — cosponsor (person)
+- Cook — cosponsor (person)
+- Creighton — cosponsor (person)
+- Dutton — cosponsor (person)
+- Frazier — cosponsor (person)
+- Garcia — cosponsor (person)
+- Gerdes — cosponsor (person)
+- Guillen — cosponsor (person)
+- Hall — cosponsor (person)
+- Harris, Caroline — cosponsor (person)
+- Harrison — cosponsor (person)
+- Hayes — cosponsor (person)
+- Hull — cosponsor (person)
+- Isaac — cosponsor (person)
+- Jetton — cosponsor (person)
+- Kitzman — cosponsor (person)
+- Kolkhorst — cosponsor (person)
+- Lambert — cosponsor (person)
+- Leo-Wilson — cosponsor (person)
+- Lopez, Janie — cosponsor (person)
+- Metcalf — cosponsor (person)
+- Noble — cosponsor (person)
+- Oliverson — cosponsor (person)
+- Orr — cosponsor (person)
+- Patterson — cosponsor (person)
+- Rogers — cosponsor (person)
+- Schaefer — cosponsor (person)
+- Schatzline — cosponsor (person)
+- Shaheen — cosponsor (person)
+- Smith — cosponsor (person)
+- Spiller — cosponsor (person)
+- Stucky — cosponsor (person)
+- Tepper — cosponsor (person)
+- Thimesch — cosponsor (person)
+- Thompson, Ed — cosponsor (person)
+- Tinderholt — cosponsor (person)
+- Toth — cosponsor (person)
+- Troxclair — cosponsor (person)
+- Vasut — cosponsor (person)
+- Wilson — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2022-11-14** Filed `filing`
+- **2023-02-23** Read first time `introduction, reading-1`
+- **2023-02-23** Referred to Public Health `referral-committee`
+- **2023-03-20** Considered in public hearing
+- **2023-03-20** Testimony taken/registration(s) recorded in committee
+- **2023-03-20** Left pending in committee
+- **2023-04-03** Considered in public hearing
+- **2023-04-03** Committee substitute considered in committee `substitution`
+- **2023-04-03** Reported favorably as substituted `committee-passage-favorable`
+- **2023-04-05** Comte report filed with Committee Coordinator `filing`
+- **2023-04-05** Committee report distributed
+- **2023-04-06** Committee report sent to Calendars
+- **2023-04-19** Considered in Calendars
+- **2023-04-24** Placed on General State Calendar
+- **2023-04-24** Read 2nd time `reading-2`
+- **2023-04-24** Amendment fails of adoption `amendment-failure`
+- **2023-04-24** Record vote
+- **2023-04-24** Statement(s) of vote recorded in Journal
+- **2023-04-24** Amendment fails of adoption `amendment-failure`
+- **2023-04-24** Record vote
+- **2023-04-24** Amendment fails of adoption `amendment-failure`
+- **2023-04-24** Record vote
+- **2023-04-24** Point of order overruled
+- **2023-04-24** Amended `amendment-passage`
+- **2023-04-24** Passed to engrossment as amended `amendment-passage`
+- **2023-04-24** Record vote
+- **2023-04-24** Statement(s) of vote recorded in Journal
+- **2023-04-25** Read 3rd time `reading-3`
+- **2023-04-25** Passed `passage`
+- **2023-04-25** Record vote
+- **2023-04-25** Reported engrossed
+- **2023-04-26** Received from the House `introduction`
+- **2023-04-26** Read first time `introduction, reading-1`
+- **2023-04-26** Referred to Health & Human Services `referral-committee`
+- **2023-05-10** Co-sponsor authorized
+- **2023-05-10** Scheduled for public hearing on . . .
+- **2023-05-10** Considered in public hearing
+- **2023-05-10** Testimony taken in committee
+- **2023-05-10** Left pending in committee
+- **2023-05-17** Considered in public hearing
+- **2023-05-17** Vote taken in committee
+- **2023-05-19** Co-sponsor authorized
+- **2023-05-21** Reported favorably as substituted `committee-passage-favorable`
+- **2023-05-21** Committee report printed and distributed
+- **2023-05-22** Placed on intent calendar
+- **2023-05-23** Co-sponsor authorized
+- **2023-05-24** Rules suspended-Regular order of business
+- **2023-05-24** Record vote
+- **2023-05-24** Read 2nd time `reading-2`
+- **2023-05-24** Amendment(s) offered `amendment-introduction`
+- **2023-05-24** Amendment fails of adoption `amendment-failure`
+- **2023-05-24** Record vote
+- **2023-05-24** Amendment(s) offered `amendment-introduction`
+- **2023-05-24** Amended `amendment-passage`
+- **2023-05-24** Vote recorded in Journal
+- **2023-05-24** Passed to 3rd reading as amended `amendment-passage`
+- **2023-05-24** Record vote
+- **2023-05-24** Rules suspended-Regular order of business
+- **2023-05-24** Record vote
+- **2023-05-24** Read 3rd time `reading-3`
+- **2023-05-24** Passed `passage`
+- **2023-05-24** Record vote
+- **2023-05-25** Senate passage as amended reported `amendment-passage`
+- **2023-05-25** Senate Amendments distributed
+- **2023-05-25** Senate Amendments Analysis distributed
+- **2023-05-26** House concurs in Senate amendment(s)
+- **2023-05-26** Record vote
+- **2023-05-26** Statement(s) of vote recorded in Journal
+- **2023-05-26** Text of Senate Amendment(s)
+- **2023-05-26** House concurs in Senate amendment(s)-reported
+- **2023-05-28** Reported enrolled `enrolled`
+- **2023-05-28** Signed in the House `passage`
+- **2023-05-29** Signed in the Senate `passage`
+- **2023-05-30** Sent to the Governor `executive-receipt`
+- **2023-06-12** Signed by the Governor `executive-signature`
+- **2023-06-12** Effective on 9/1/23 `became-law`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/eddf0898-5191-4cee-8936-bbfb92ea5406`. Confidence: reported (aggregated from official Texas legislature records).
+