republic-os/legislation/us/states/tx/88/hb-3456.md

---
type: "Bill"
title: "Relating to the continuation of certain health care provider participation programs in this state."
description: "Relating to the continuation of certain health care provider participation programs in this state."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "88"
identifier: "HB 3456"
citation: "Texas HB 3456 (88)"
classification: ["bill"]
subjects: ["BEXAR COUNTY HOSPITAL DISTRICT (D0139)", "DALLAS COUNTY HOSPITAL DISTRICT (D0796)", "EL PASO COUNTY HOSPITAL DISTRICT (D0174)", "HARRIS COUNTY HOSPITAL DISTRICT (D0010)", "Health Care Providers (I0387)", "Hospitals (I0400)", "Special Districts & Authorities--Hospital (I0750)", "TARRANT COUNTY HOSPITAL DISTRICT (D0418)"]
status: "enacted"
primary_sponsors: ["Ashby", "Hinojosa"]
version_count: 5
action_count: 58
vote_count: 4
first_action: "2023-03-03"
last_action: "2023-06-13"
source: "openstates"
source_identifier: "ocd-bill/6da93470-c6cf-44d7-bd4b-5b4f10154945"
source_url: "ftp://ftp.legis.state.tx.us/bills/88R/billhistory/house_bills/HB03400_HB03499/HB 3456.xml"
source_hash: "e59e3f04c483d58c43af0676af6d52cd6926d2a7a8f800addfa6c3f90890e14f"
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 3456 (88) — Relating to the continuation of certain health care provider participation programs in this state.

## 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/HB03456I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB03456E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB03456H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB03456S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB03456F.HTM)

## Votes

- Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that CSHB 3456 be placed on its third reading and final passage. — **30–1** (pass) · upper
- passage — **121–24** (pass) · lower
- passage — **118–15** (pass) · upper
- passage — **118–15** (pass) · lower

## Sponsors

- Ashby — primary (person)
- Hinojosa — primary (person)
- Zaffirini — cosponsor (person)

## Timeline

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

- **2023-03-03** Filed `filing`
- **2023-03-16** Read first time `introduction, reading-1`
- **2023-03-16** Referred to County Affairs `referral-committee`
- **2023-04-05** Considered in public hearing
- **2023-04-05** Committee substitute considered in committee `substitution`
- **2023-04-05** Testimony taken/registration(s) recorded in committee
- **2023-04-05** Left pending in committee
- **2023-04-12** Considered in public hearing
- **2023-04-12** Committee substitute considered in committee `substitution`
- **2023-04-12** Reported favorably as substituted `committee-passage-favorable`
- **2023-04-24** Comte report filed with Committee Coordinator `filing`
- **2023-04-25** Committee report distributed
- **2023-04-25** Committee report sent to Calendars
- **2023-04-26** Considered in Calendars
- **2023-04-28** Placed on General State Calendar
- **2023-05-01** Read 2nd time `reading-2`
- **2023-05-01** Passed to engrossment
- **2023-05-02** Read 3rd time `reading-3`
- **2023-05-02** Passed `passage`
- **2023-05-02** Record vote
- **2023-05-02** Statement(s) of vote recorded in Journal
- **2023-05-02** Reported engrossed
- **2023-05-03** Received from the House `introduction`
- **2023-05-04** Read first time `introduction, reading-1`
- **2023-05-04** Referred to Health & Human Services `referral-committee`
- **2023-05-17** Scheduled for public hearing on . . .
- **2023-05-17** Considered in public hearing
- **2023-05-17** Left pending in committee
- **2023-05-19** Considered in public hearing
- **2023-05-19** Vote taken in committee
- **2023-05-21** Reported favorably as substituted `committee-passage-favorable`
- **2023-05-21** Recommended for local & uncontested calendar
- **2023-05-21** Committee report printed and distributed
- **2023-05-23** Placed on intent calendar
- **2023-05-23** Rules suspended-Regular order of business
- **2023-05-23** Vote recorded in Journal
- **2023-05-23** Read 2nd time & passed to 3rd reading `reading-2`
- **2023-05-23** Vote recorded in Journal
- **2023-05-23** Three day rule suspended
- **2023-05-23** Record vote
- **2023-05-23** Read 3rd time `reading-3`
- **2023-05-23** Passed `passage`
- **2023-05-23** Record vote
- **2023-05-24** Co-sponsor authorized
- **2023-05-24** Senate passage as amended reported `amendment-passage`
- **2023-05-24** Senate Amendments distributed
- **2023-05-24** 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`
- **2023-05-29** Signed in the House `passage`
- **2023-05-29** Signed in the Senate `passage`
- **2023-05-30** Sent to the Governor `executive-receipt`
- **2023-06-13** Signed by the Governor `executive-signature`
- **2023-06-13** Effective immediately `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6da93470-c6cf-44d7-bd4b-5b4f10154945`. Confidence: reported (aggregated from official Texas legislature records).