---
type: "Bill"
title: "Relating to claims processes and reimbursement for, and overpayment recoupment processes imposed on, health care providers under Medicaid."
description: "Relating to claims processes and reimbursement for, and overpayment recoupment processes imposed on, health care providers under Medicaid."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "86"
identifier: "SB 1991"
citation: "Texas SB 1991 (86)"
classification: ["bill"]
subjects: ["Electronic Information Systems (I0311)", "Health Care Providers (I0387)", "Human Services--Medical Assistance (I0905)", "MANAGED CARE (S0454)", "MEDICAID (S4885)", "HEALTH & HUMAN SERVICES COMMISSION (V0177)"]
status: "enacted"
primary_sponsors: ["Buckingham", "Klick"]
version_count: 1
action_count: 70
vote_count: 3
first_action: "2019-03-07"
last_action: "2019-06-10"
source: "openstates"
source_identifier: "ocd-bill/1dcd2f62-0fdd-49d5-97bb-2f1552463fef"
source_url: "ftp://ftp.legis.state.tx.us/bills/86R/billhistory/senate_bills/SB01900_SB01999/SB 1991.xml"
source_hash: "8581175bc1a1febd40d57e5a145766477b25ef97bafe6cbe7c7b332f2753e148"
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 SB 1991 (86) — Relating to claims processes and reimbursement for, and overpayment recoupment processes imposed on, health care providers under Medicaid.

## 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/SB01991I.HTM)

## Votes

- other — **142–1** (fail) · upper
- passage — **141–1** (pass) · lower
- passage — **142–0** (pass) · lower

## Sponsors

- Buckingham — primary (person)
- Klick — primary (person)
- Hinojosa — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-03-07** Received by the Secretary of the Senate `filing`
- **2019-03-07** Filed `filing`
- **2019-03-19** Read first time `introduction, reading-1`
- **2019-03-19** Referred to Health & Human Services `referral-committee`
- **2019-04-16** Scheduled for public hearing on . . .
- **2019-04-16** Considered in public hearing
- **2019-04-16** Testimony taken in committee
- **2019-04-16** Left pending in committee
- **2019-04-23** Considered in public hearing
- **2019-04-25** Reported favorably as substituted `committee-passage-favorable`
- **2019-04-25** Committee report printed and distributed
- **2019-04-30** Placed on intent calendar
- **2019-05-01** Co-author authorized
- **2019-05-01** Rules suspended-Regular order of business
- **2019-05-01** Read 2nd time & passed to engrossment
- **2019-05-01** Vote recorded in Journal
- **2019-05-01** Three day rule suspended
- **2019-05-01** Record vote
- **2019-05-01** Read 3rd time `reading-3`
- **2019-05-01** Passed `passage`
- **2019-05-01** Record vote
- **2019-05-01** Reported engrossed
- **2019-05-01** Received from the Senate `introduction`
- **2019-05-02** Read first time `introduction, reading-1`
- **2019-05-02** Referred to Human Services `referral-committee`
- **2019-05-16** Considered in formal meeting
- **2019-05-16** Reported favorably w/o amendment(s) `committee-passage`
- **2019-05-16** Comte report filed with Committee Coordinator
- **2019-05-16** Committee report distributed
- **2019-05-17** Committee report sent to Calendars
- **2019-05-19** Considered in Calendars
- **2019-05-21** Placed on General State Calendar
- **2019-05-21** Read 2nd time `reading-2`
- **2019-05-21** Amended `amendment-passage`
- **2019-05-21** Record vote
- **2019-05-21** Amended `amendment-passage`
- **2019-05-21** Record vote
- **2019-05-21** Passed to 3rd reading as amended
- **2019-05-21** Record vote
- **2019-05-22** Read 3rd time `reading-3`
- **2019-05-22** Passed `passage`
- **2019-05-22** Record vote
- **2019-05-22** House passage as amended reported
- **2019-05-23** House amendment(s) laid before the Senate
- **2019-05-23** Read
- **2019-05-23** Senate refuses to concur
- **2019-05-23** Senate requests conference committee
- **2019-05-23** Senate appoints conferees
- **2019-05-23** Senate refuses to concur-reported
- **2019-05-23** Senate requests conference committee-reported
- **2019-05-23** Senate appoints conferees-reported
- **2019-05-23** House grants request for conference committee
- **2019-05-23** House appoints conferees
- **2019-05-23** House grants request for conf comm-reported
- **2019-05-23** House appoints conferees-reported
- **2019-05-25** Conference committee report filed
- **2019-05-25** Conf. Comm. Report distributed
- **2019-05-26** Senate adopts conference committee report
- **2019-05-26** Record vote
- **2019-05-26** Remarks ordered printed
- **2019-05-26** Senate adopts conf. comm. report-reported
- **2019-05-26** House adopts conference committee report
- **2019-05-26** Record vote
- **2019-05-26** House adopts conf. comm. report-reported
- **2019-05-26** Reported enrolled
- **2019-05-27** Signed in the Senate
- **2019-05-27** Signed in the House
- **2019-05-28** Sent to the Governor `executive-receipt`
- **2019-06-10** Signed by the Governor `executive-signature`
- **2019-06-10** 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/1dcd2f62-0fdd-49d5-97bb-2f1552463fef`. Confidence: reported (aggregated from official Texas legislature records).