Fabio
207 lines
8.6 KiB
Markdown
207 lines
8.6 KiB
Markdown
---
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type: "Bill"
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title: "Relating to the provision and delivery of certain health care services in this state, including services under Medicaid and other public benefits programs, using telecommunications or information technology and to reimbursement for some of those services."
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description: "Relating to the provision and delivery of certain health care services in this state, including services under Medicaid and other public benefits programs, using telecommunications or information technology and to reimbursement for some of those services."
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jurisdiction: "us/states/tx"
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legislature: "Texas Legislature"
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session: "87"
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identifier: "HB 4"
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citation: "Texas HB 4 (87)"
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classification: ["bill"]
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subjects: ["HEALTH & HUMAN SERVICES COMMISSION (V0177)", "Health--Rural (I0381)", "Human Services--Medical Assistance (I0905)", "MANAGED CARE (S0454)", "MEDICAID (S4885)", "TELEMEDICINE (S0219)"]
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status: "enacted"
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primary_sponsors: ["Ashby", "Buckingham", "Coleman", "Guillen", "Oliverson", "Price"]
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version_count: 5
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action_count: 56
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vote_count: 5
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first_action: "2021-02-25"
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last_action: "2021-06-15"
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source: "openstates"
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source_identifier: "ocd-bill/e19309f3-92c9-41ca-a750-f748dc4723ba"
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source_url: "ftp://ftp.legis.state.tx.us/bills/87R/billhistory/house_bills/HB00001_HB00099/HB 4.xml"
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source_hash: "fa240aafea79926922cd8864f6e657dec08a370c61ebef7f3bf7e54bc90d009e"
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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 4 (87) — Relating to the provision and delivery of certain health care services in this state, including services under Medicaid and other public benefits programs, using telecommunications or information technology and to reimbursement for some of those services.
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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://capitol.texas.gov/tlodocs/87R/billtext/html/HB00004I.HTM)
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2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB00004E.HTM)
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3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB00004H.HTM)
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4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB00004S.HTM)
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5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/HB00004F.HTM)
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## Votes
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- passage — **145–0** (pass) · lower
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- passage — **147–0** (pass) · lower
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- other — **0–0** (fail) · upper
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- other — **147–0** (fail) · upper
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- other — **0–0** (fail) · upper
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## Sponsors
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- Ashby — primary (person)
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- Buckingham — primary (person)
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- Coleman — primary (person)
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- Guillen — primary (person)
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- Oliverson — primary (person)
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- Price — primary (person)
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- Allen — cosponsor (person)
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- Allison — cosponsor (person)
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- Anderson — cosponsor (person)
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- Beckley — cosponsor (person)
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- Bell, Keith — cosponsor (person)
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- Biedermann — cosponsor (person)
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- Blanco — cosponsor (person)
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- Bonnen — cosponsor (person)
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- Burns — cosponsor (person)
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- Burrows — cosponsor (person)
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- Button — cosponsor (person)
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- Cain — cosponsor (person)
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- Campos — cosponsor (person)
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- Canales — cosponsor (person)
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- Capriglione — cosponsor (person)
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- Clardy — cosponsor (person)
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- Cole — cosponsor (person)
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- Collier — cosponsor (person)
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- Cook — cosponsor (person)
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- Cortez — cosponsor (person)
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- Cyrier — cosponsor (person)
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- Darby — cosponsor (person)
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- Dean — cosponsor (person)
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- Ellzey — cosponsor (person)
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- Fierro — cosponsor (person)
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- Frank — cosponsor (person)
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- Frullo — cosponsor (person)
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- Geren — cosponsor (person)
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- González, Mary — cosponsor (person)
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- Guerra — cosponsor (person)
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- Hancock — cosponsor (person)
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- Hefner — cosponsor (person)
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- Herrero — cosponsor (person)
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- Hinojosa — cosponsor (person)
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- Howard — cosponsor (person)
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- Hull — cosponsor (person)
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- Jetton — cosponsor (person)
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- Johnson, Julie — cosponsor (person)
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- Kacal — cosponsor (person)
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- King, Ken — cosponsor (person)
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- King, Phil — cosponsor (person)
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- Lambert — cosponsor (person)
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- Landgraf — cosponsor (person)
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- Leach — cosponsor (person)
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- Leman — cosponsor (person)
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- Lopez — cosponsor (person)
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- Martinez — cosponsor (person)
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- Meza — cosponsor (person)
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- Middleton — cosponsor (person)
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- Minjarez — cosponsor (person)
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- Morales Shaw — cosponsor (person)
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- Morales, Christina — cosponsor (person)
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- Morales, Eddie — cosponsor (person)
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- Murr — cosponsor (person)
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- Neave — cosponsor (person)
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- Ordaz Perez — cosponsor (person)
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- Ortega — cosponsor (person)
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- Pacheco — cosponsor (person)
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- Parker — cosponsor (person)
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- Paul — cosponsor (person)
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- Ramos — cosponsor (person)
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- Raney — cosponsor (person)
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- Raymond — cosponsor (person)
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- Rodriguez — cosponsor (person)
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- Rogers — cosponsor (person)
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- Romero, Jr. — cosponsor (person)
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- Rose — cosponsor (person)
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- Shaheen — cosponsor (person)
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- Shine — cosponsor (person)
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- Slaton — cosponsor (person)
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- Smith — cosponsor (person)
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- Spiller — cosponsor (person)
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- Thompson, Ed — cosponsor (person)
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- Tinderholt — cosponsor (person)
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- Toth — cosponsor (person)
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- Turner, Chris — cosponsor (person)
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- Turner, John — cosponsor (person)
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- VanDeaver — cosponsor (person)
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- Vasut — cosponsor (person)
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- White — cosponsor (person)
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- Wilson — cosponsor (person)
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- Wu — cosponsor (person)
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- Zwiener — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2021-02-25** Filed `filing`
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- **2021-03-01** Read first time `introduction, reading-1`
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- **2021-03-01** Referred to Public Health `referral-committee`
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- **2021-03-31** Considered in public hearing
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- **2021-03-31** Committee substitute considered in committee
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- **2021-03-31** Testimony taken/registration(s) recorded in committee
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- **2021-03-31** Reported favorably as substituted `committee-passage-favorable`
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- **2021-04-06** Comte report filed with Committee Coordinator
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- **2021-04-06** Committee report distributed
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- **2021-04-06** Committee report sent to Calendars
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- **2021-04-12** Considered in Calendars
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- **2021-04-14** Placed on Major State Calendar
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- **2021-04-14** Read 2nd time `reading-2`
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- **2021-04-14** Passed to engrossment
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- **2021-04-15** Read 3rd time `reading-3`
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- **2021-04-15** Passed `passage`
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- **2021-04-15** Record vote
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- **2021-04-15** Reported engrossed
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- **2021-04-19** Received from the House `introduction`
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- **2021-04-19** Read first time `introduction, reading-1`
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- **2021-04-19** Referred to Health & Human Services `referral-committee`
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- **2021-05-12** Scheduled for public hearing on . . .
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- **2021-05-12** Considered in public hearing
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- **2021-05-12** Testimony taken in committee
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- **2021-05-12** Left pending in committee
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- **2021-05-18** Considered in public hearing
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- **2021-05-20** Reported favorably as substituted `committee-passage-favorable`
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- **2021-05-20** Committee report printed and distributed
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- **2021-05-22** Co-sponsor authorized
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- **2021-05-22** Placed on intent calendar
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- **2021-05-24** Co-sponsor authorized
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- **2021-05-24** Rules suspended-Regular order of business
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- **2021-05-24** Read 2nd time `reading-2`
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- **2021-05-24** Amendment(s) offered `amendment-introduction`
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- **2021-05-24** Amended `amendment-passage`
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- **2021-05-24** Vote recorded in Journal
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- **2021-05-24** Passed to 3rd reading as amended
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- **2021-05-24** Vote recorded in Journal
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- **2021-05-24** Three day rule suspended
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- **2021-05-24** Record vote
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- **2021-05-24** Read 3rd time `reading-3`
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- **2021-05-24** Passed `passage`
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- **2021-05-24** Record vote
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- **2021-05-26** Senate passage as amended reported
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- **2021-05-27** Senate Amendments distributed
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- **2021-05-27** Senate Amendments Analysis distributed
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- **2021-05-28** House concurs in Senate amendment(s)
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- **2021-05-28** Record vote
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- **2021-05-28** Text of Senate Amendment(s)
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- **2021-05-28** House concurs in Senate amendment(s)-reported
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- **2021-05-29** Reported enrolled
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- **2021-05-29** Signed in the House
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- **2021-05-31** Signed in the Senate
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- **2021-05-31** Sent to the Governor `executive-receipt`
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- **2021-06-15** Signed by the Governor `executive-signature`
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- **2021-06-15** Effective immediately `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/e19309f3-92c9-41ca-a750-f748dc4723ba`. Confidence: reported (aggregated from official Texas legislature records).
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