---
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).