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---
type: "Bill"
title: "Relating to the provision of benefits under the Medicaid program, including to recipients with complex medical needs."
description: "Relating to the provision of benefits under the Medicaid program, including to recipients with complex medical needs."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "87"
identifier: "SB 1648"
citation: "Texas SB 1648 (87)"
classification: ["bill"]
subjects: ["FAMILY & PROTECTIVE SERVICES", "DEPARTMENT OF (V0461)", "FOSTER CARE (S0064)", "HEALTH & HUMAN SERVICES COMMISSION (V0177)", "Human Services--Medical Assistance (I0905)", "Insurance--Health & Accident (I0422)", "MEDICAID (S4885)"]
status: "enacted"
primary_sponsors: ["Krause", "Leach", "Meyer", "Oliverson", "Parker", "Perry"]
version_count: 5
action_count: 79
vote_count: 4
first_action: "2021-03-11"
last_action: "2021-06-18"
source: "openstates"
source_identifier: "ocd-bill/f89406ce-da12-4199-961f-e387284dfcf1"
source_url: "ftp://ftp.legis.state.tx.us/bills/87R/billhistory/senate_bills/SB01600_SB01699/SB 1648.xml"
source_hash: "1516ee5772700f9c1ae97e3fa114e472361a76501724c464fbf58cd1f3eceacb"
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 1648 (87) — Relating to the provision of benefits under the Medicaid program, including to recipients with complex medical needs.
## 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/87R/billtext/html/SB01648I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/SB01648E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/SB01648H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/SB01648S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/87R/billtext/html/SB01648F.HTM)
## Votes
- passage — **1411** (pass) · lower
- other — **1370** (fail) · upper
- other — **00** (fail) · upper
- other — **00** (fail) · upper
## Sponsors
- Krause — primary (person)
- Leach — primary (person)
- Meyer — primary (person)
- Oliverson — primary (person)
- Parker — primary (person)
- Perry — primary (person)
- Cook — cosponsor (person)
- Minjarez — cosponsor (person)
- Moody — cosponsor (person)
- Noble — cosponsor (person)
- Rose — cosponsor (person)
- Zwiener — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-03-11** Received by the Secretary of the Senate `filing`
- **2021-03-11** Filed `filing`
- **2021-03-24** Read first time `introduction, reading-1`
- **2021-03-24** Referred to Health & Human Services `referral-committee`
- **2021-04-14** Scheduled for public hearing on . . .
- **2021-04-14** Considered in public hearing
- **2021-04-14** Testimony taken in committee
- **2021-04-14** Left pending in committee
- **2021-04-28** Considered in public hearing
- **2021-05-03** Reported favorably as substituted `committee-passage-favorable`
- **2021-05-03** Committee report printed and distributed
- **2021-05-04** Placed on intent calendar
- **2021-05-12** Rules suspended-Regular order of business
- **2021-05-12** Read 2nd time `reading-2`
- **2021-05-12** Amendment(s) offered `amendment-introduction`
- **2021-05-12** Amended `amendment-passage`
- **2021-05-12** Vote recorded in Journal
- **2021-05-12** Passed to engrossment as amended
- **2021-05-12** Vote recorded in Journal
- **2021-05-12** Three day rule suspended
- **2021-05-12** Record vote
- **2021-05-12** Read 3rd time `reading-3`
- **2021-05-12** Passed `passage`
- **2021-05-12** Record vote
- **2021-05-12** Reported engrossed
- **2021-05-12** Received from the Senate `introduction`
- **2021-05-13** Read first time `introduction, reading-1`
- **2021-05-13** Referred to Insurance `referral-committee`
- **2021-05-18** Considered in public hearing
- **2021-05-18** Testimony taken/registration(s) recorded in committee
- **2021-05-18** Reported favorably w/o amendment(s) `committee-passage`
- **2021-05-19** Comte report filed with Committee Coordinator
- **2021-05-19** Committee report distributed
- **2021-05-20** Committee report sent to Calendars
- **2021-05-20** Considered in Calendars
- **2021-05-23** Placed on General State Calendar
- **2021-05-23** Read 2nd time `reading-2`
- **2021-05-23** Amended `amendment-passage`
- **2021-05-23** Amended `amendment-passage`
- **2021-05-23** Amended `amendment-passage`
- **2021-05-23** Amended `amendment-passage`
- **2021-05-23** Amended `amendment-passage`
- **2021-05-23** Passed to 3rd reading as amended
- **2021-05-24** Read 3rd time `reading-3`
- **2021-05-24** Amended `amendment-passage`
- **2021-05-24** Amended `amendment-passage`
- **2021-05-24** Passed as amended `passage`
- **2021-05-24** Record vote
- **2021-05-24** Statement(s) of vote recorded in Journal
- **2021-05-24** House passage as amended reported
- **2021-05-27** House amendment(s) laid before the Senate
- **2021-05-27** Read
- **2021-05-27** Senate refuses to concur
- **2021-05-27** Senate requests conference committee
- **2021-05-27** Senate appoints conferees
- **2021-05-27** Senate refuses to concur-reported
- **2021-05-27** Senate requests conference committee-reported
- **2021-05-27** Senate appoints conferees-reported
- **2021-05-28** House grants request for conference committee
- **2021-05-28** House appoints conferees
- **2021-05-28** House grants request for conf comm-reported
- **2021-05-28** House appoints conferees-reported
- **2021-05-29** Conference committee report filed
- **2021-05-30** Conf. Comm. Report distributed
- **2021-05-30** Rules suspended
- **2021-05-30** House adopts conference committee report
- **2021-05-30** Statement of Leg. Intent Recorded in Journal
- **2021-05-30** Record vote
- **2021-05-30** Statement(s) of vote recorded in Journal
- **2021-05-30** House adopts conf. comm. report-reported
- **2021-05-30** Senate adopts conference committee report
- **2021-05-30** Record vote
- **2021-05-31** Senate adopts conf. comm. report-reported
- **2021-05-31** Reported enrolled
- **2021-05-31** Signed in the House
- **2021-05-31** Signed in the Senate
- **2021-06-01** Sent to the Governor `executive-receipt`
- **2021-06-18** Signed by the Governor `executive-signature`
- **2021-06-18** Effective on 9/1/21 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f89406ce-da12-4199-961f-e387284dfcf1`. Confidence: reported (aggregated from official Texas legislature records).