---
type: "Bill"
title: "Relating to the creation and operations of health care provider participation programs in certain counties."
description: "Relating to the creation and operations of health care provider participation programs in certain counties."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "86"
identifier: "HB 4548"
citation: "Texas HB 4548 (86)"
classification: ["bill"]
subjects: ["County Government--General (I0096)", "Health Care Providers (I0387)", "Hospitals (I0400)", "MEDICAID (S4885)"]
status: "enacted"
primary_sponsors: ["Birdwell", "Wray"]
version_count: 1
action_count: 49
vote_count: 1
first_action: "2019-03-08"
last_action: "2019-06-02"
source: "openstates"
source_identifier: "ocd-bill/51998fc0-04c3-412e-b11c-f6554d36f4f8"
source_url: "ftp://ftp.legis.state.tx.us/bills/86R/billhistory/house_bills/HB04500_HB04599/HB 4548.xml"
source_hash: "bf16be855c7246923deedec48a1102ab77b1201163cfb2672420741ede8bede3"
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 4548 (86) — Relating to the creation and operations of health care provider participation programs in certain counties.

## 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/HB04548I.HTM)

## Votes

- passage — **142–6** (pass) · lower

## Sponsors

- Birdwell — primary (person)
- Wray — 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 County Affairs `referral-committee`
- **2019-04-04** Considered in public hearing
- **2019-04-04** Committee substitute considered in committee
- **2019-04-04** Testimony taken/registration(s) recorded in committee
- **2019-04-04** Left pending in committee
- **2019-04-16** Considered in formal meeting
- **2019-04-16** Committee substitute considered in committee
- **2019-04-16** Reported favorably as substituted `committee-passage-favorable`
- **2019-04-22** Comte report filed with Committee Coordinator
- **2019-04-22** Committee report distributed
- **2019-04-23** Committee report sent to Calendars
- **2019-04-30** Considered in Calendars
- **2019-05-02** Placed on General State Calendar
- **2019-05-06** Read 2nd time `reading-2`
- **2019-05-06** Amended `amendment-passage`
- **2019-05-06** Passed to engrossment as amended
- **2019-05-06** Nonrecord vote recorded in Journal
- **2019-05-07** Read 3rd time `reading-3`
- **2019-05-07** Passed `passage`
- **2019-05-07** Record vote
- **2019-05-07** Statement(s) of vote recorded in Journal
- **2019-05-07** Reported engrossed
- **2019-05-07** Received from the House `introduction`
- **2019-05-08** Read first time `introduction, reading-1`
- **2019-05-08** Referred to Intergovernmental Relations `referral-committee`
- **2019-05-13** Scheduled for public hearing on . . .
- **2019-05-13** Considered in public hearing
- **2019-05-15** Reported favorably w/o amendments `committee-passage-favorable`
- **2019-05-15** Recommended for local & uncontested calendar
- **2019-05-15** Committee report printed and distributed
- **2019-05-17** Placed on intent calendar
- **2019-05-20** Placed on local & uncontested calendar
- **2019-05-19** Rules suspended-Regular order of business
- **2019-05-19** Read 2nd time & passed to 3rd reading
- **2019-05-19** Vote recorded in Journal
- **2019-05-19** Three day rule suspended
- **2019-05-19** Record vote
- **2019-05-19** Read 3rd time `reading-3`
- **2019-05-19** Passed `passage`
- **2019-05-19** Record vote
- **2019-05-20** Senate passage reported
- **2019-05-20** Reported enrolled
- **2019-05-21** Signed in the House
- **2019-05-21** Signed in the Senate
- **2019-05-22** Sent to the Governor `executive-receipt`
- **2019-06-02** Signed by the Governor `executive-signature`
- **2019-06-02** Effective immediately

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/51998fc0-04c3-412e-b11c-f6554d36f4f8`. Confidence: reported (aggregated from official Texas legislature records).