---
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).