df176ce612
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
120 lines
5.3 KiB
Markdown
120 lines
5.3 KiB
Markdown
---
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type: "Bill"
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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."
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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."
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jurisdiction: "us/states/tx"
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legislature: "Texas Legislature"
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session: "86"
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identifier: "HB 4533"
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citation: "Texas HB 4533 (86)"
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classification: ["bill"]
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subjects: ["Disabilities", "Persons with (I0380)", "Human Services--Medical Assistance (I0905)", "MANAGED CARE (S0454)", "MEDICAID (S4885)", "HEALTH & HUMAN SERVICES COMMISSION (V0177)"]
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status: "enacted"
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primary_sponsors: ["Klick", "Kolkhorst", "Raymond"]
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version_count: 1
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action_count: 61
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vote_count: 3
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first_action: "2019-03-08"
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last_action: "2019-06-14"
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source: "openstates"
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source_identifier: "ocd-bill/524cb52b-1e53-4270-896c-b66bc9525a3e"
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source_url: "ftp://ftp.legis.state.tx.us/bills/86R/billhistory/house_bills/HB04500_HB04599/HB 4533.xml"
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source_hash: "837e01a9d27d6b54325a4d41215e99ccc1b8ab69f25b1a82eea48c187ea306a0"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-tx"]
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---
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# 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.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](http://www.legis.state.tx.us/tlodocs/86R/billtext/html/HB04533I.HTM)
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## Votes
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- passage — **134–5** (pass) · lower
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- passage — **142–0** (pass) · lower
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- other — **142–0** (fail) · upper
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## Sponsors
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- Klick — primary (person)
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- Kolkhorst — primary (person)
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- Raymond — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2019-03-08** Filed `filing`
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- **2019-03-26** Read first time `introduction, reading-1`
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- **2019-03-26** Referred to Human Services `referral-committee`
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- **2019-04-02** Considered in public hearing
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- **2019-04-02** Testimony taken/registration(s) recorded in committee
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- **2019-04-02** Left pending in committee
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- **2019-04-16** Considered in public hearing
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- **2019-04-16** Committee substitute considered in committee
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- **2019-04-16** Reported favorably as substituted `committee-passage-favorable`
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- **2019-04-24** Comte report filed with Committee Coordinator
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- **2019-04-24** Committee report distributed
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- **2019-04-25** Committee report sent to Calendars
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- **2019-05-06** Considered in Calendars
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- **2019-05-08** Placed on General State Calendar
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- **2019-05-09** Read 2nd time `reading-2`
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- **2019-05-09** Passed to engrossment
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- **2019-05-10** Read 3rd time `reading-3`
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- **2019-05-10** Amended `amendment-passage`
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- **2019-05-10** Passed as amended `passage`
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- **2019-05-10** Record vote
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- **2019-05-10** Statement(s) of vote recorded in Journal
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- **2019-05-13** Reported engrossed
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- **2019-05-13** Received from the House `introduction`
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- **2019-05-13** Read first time `introduction, reading-1`
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- **2019-05-13** Referred to Health & Human Services `referral-committee`
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- **2019-05-15** Scheduled for public hearing on . . .
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- **2019-05-15** Considered in public hearing
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- **2019-05-15** Testimony taken in committee
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- **2019-05-15** Left pending in committee
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- **2019-05-17** Considered in public hearing
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- **2019-05-17** Reported favorably w/o amendments `committee-passage-favorable`
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- **2019-05-17** Committee report printed and distributed
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- **2019-05-20** Placed on intent calendar
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- **2019-05-20** Rules suspended-Regular order of business
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- **2019-05-20** Read 2nd time `reading-2`
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- **2019-05-20** Amendment(s) offered `amendment-introduction`
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- **2019-05-20** Amended `amendment-passage`
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- **2019-05-20** Vote recorded in Journal
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- **2019-05-20** Amendment(s) offered `amendment-introduction`
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- **2019-05-20** Amended `amendment-passage`
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- **2019-05-20** Vote recorded in Journal
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- **2019-05-20** Passed to 3rd reading as amended
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- **2019-05-20** Vote recorded in Journal
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- **2019-05-20** Three day rule suspended
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- **2019-05-20** Record vote
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- **2019-05-20** Read 3rd time `reading-3`
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- **2019-05-20** Passed `passage`
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- **2019-05-20** Record vote
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- **2019-05-21** Senate passage as amended reported
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- **2019-05-22** Senate Amendments distributed
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- **2019-05-22** Senate Amendments Analysis distributed
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- **2019-05-24** House concurs in Senate amendment(s)
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- **2019-05-24** Record vote
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- **2019-05-24** Text of Senate Amendment(s)
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- **2019-05-24** House concurs in Senate amendment(s)-reported
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- **2019-05-25** Reported enrolled
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- **2019-05-26** Signed in the House
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- **2019-05-27** Signed in the Senate
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- **2019-05-29** Sent to the Governor `executive-receipt`
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- **2019-06-14** Signed by the Governor `executive-signature`
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- **2019-06-14** Effective on 9/1/19 `became-law`
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## Source
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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).
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