Fabio
195 lines
8.4 KiB
Markdown
195 lines
8.4 KiB
Markdown
---
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type: "Bill"
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title: "Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status."
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description: "Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status."
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jurisdiction: "us/states/tx"
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legislature: "Texas Legislature"
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session: "88"
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identifier: "HB 44"
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citation: "Texas HB 44 (88)"
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classification: ["bill"]
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subjects: ["DISCRIMINATION (S0052)", "HEALTH & HUMAN SERVICES COMMISSION (V0177)", "Health Care Providers (I0387)", "Health--Children's Insurance (I0388)", "Health--Other Diseases & Medical Conditions (I0383)", "Human Services--Medical Assistance (I0905)", "IMMUNIZATIONS (S4341)", "MEDICAID (S4885)"]
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status: "enacted"
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primary_sponsors: ["Hefner", "Klick", "Middleton", "Morales Shaw", "Slawson", "Swanson"]
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version_count: 5
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action_count: 76
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vote_count: 9
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first_action: "2022-11-14"
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last_action: "2023-06-12"
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source: "openstates"
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source_identifier: "ocd-bill/eddf0898-5191-4cee-8936-bbfb92ea5406"
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source_url: "ftp://ftp.legis.state.tx.us/bills/88R/billhistory/house_bills/HB00001_HB00099/HB 44.xml"
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source_hash: "fe6288859dc8b191ab0ad0784f3d5aeb2396091341612b21ca3d786cd1060104"
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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 44 (88) — Relating to provider discrimination against a Medicaid recipient or child health plan program enrollee based on immunization status.
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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/88R/billtext/html/HB00044I.HTM)
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2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044E.HTM)
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3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044H.HTM)
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4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044S.HTM)
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5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/88R/billtext/html/HB00044F.HTM)
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## Votes
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- passage — **93–54** (pass) · lower
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- passage — **19–11** (pass) · upper
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- passage — **18–12** (pass) · upper
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- passage — **104–32** (pass) · upper
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- other — **10–20** (fail) · upper
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- adoption of Floor Amendment No. 2 — **0–0** (pass) · upper
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- passage — **104–32** (pass) · lower
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- passage — **93–51** (pass) · lower
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- passage — **18–12** (pass) · upper
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## Sponsors
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- Hefner — primary (person)
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- Klick — primary (person)
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- Middleton — primary (person)
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- Morales Shaw — primary (person)
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- Slawson — primary (person)
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- Swanson — primary (person)
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- Allison — cosponsor (person)
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- Anderson — cosponsor (person)
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- Bell, Cecil — cosponsor (person)
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- Bonnen — cosponsor (person)
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- Bumgarner — cosponsor (person)
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- Cain — cosponsor (person)
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- Campos — cosponsor (person)
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- Clardy — cosponsor (person)
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- Cook — cosponsor (person)
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- Creighton — cosponsor (person)
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- Dutton — cosponsor (person)
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- Frazier — cosponsor (person)
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- Garcia — cosponsor (person)
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- Gerdes — cosponsor (person)
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- Guillen — cosponsor (person)
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- Hall — cosponsor (person)
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- Harris, Caroline — cosponsor (person)
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- Harrison — cosponsor (person)
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- Hayes — cosponsor (person)
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- Hull — cosponsor (person)
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- Isaac — cosponsor (person)
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- Jetton — cosponsor (person)
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- Kitzman — cosponsor (person)
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- Kolkhorst — cosponsor (person)
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- Lambert — cosponsor (person)
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- Leo-Wilson — cosponsor (person)
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- Lopez, Janie — cosponsor (person)
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- Metcalf — cosponsor (person)
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- Noble — cosponsor (person)
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- Oliverson — cosponsor (person)
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- Orr — cosponsor (person)
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- Patterson — cosponsor (person)
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- Rogers — cosponsor (person)
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- Schaefer — cosponsor (person)
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- Schatzline — cosponsor (person)
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- Shaheen — cosponsor (person)
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- Smith — cosponsor (person)
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- Spiller — cosponsor (person)
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- Stucky — cosponsor (person)
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- Tepper — cosponsor (person)
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- Thimesch — 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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- Troxclair — cosponsor (person)
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- Vasut — cosponsor (person)
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- Wilson — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2022-11-14** Filed `filing`
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- **2023-02-23** Read first time `introduction, reading-1`
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- **2023-02-23** Referred to Public Health `referral-committee`
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- **2023-03-20** Considered in public hearing
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- **2023-03-20** Testimony taken/registration(s) recorded in committee
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- **2023-03-20** Left pending in committee
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- **2023-04-03** Considered in public hearing
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- **2023-04-03** Committee substitute considered in committee `substitution`
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- **2023-04-03** Reported favorably as substituted `committee-passage-favorable`
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- **2023-04-05** Comte report filed with Committee Coordinator `filing`
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- **2023-04-05** Committee report distributed
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- **2023-04-06** Committee report sent to Calendars
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- **2023-04-19** Considered in Calendars
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- **2023-04-24** Placed on General State Calendar
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- **2023-04-24** Read 2nd time `reading-2`
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- **2023-04-24** Amendment fails of adoption `amendment-failure`
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- **2023-04-24** Record vote
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- **2023-04-24** Statement(s) of vote recorded in Journal
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- **2023-04-24** Amendment fails of adoption `amendment-failure`
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- **2023-04-24** Record vote
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- **2023-04-24** Amendment fails of adoption `amendment-failure`
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- **2023-04-24** Record vote
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- **2023-04-24** Point of order overruled
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- **2023-04-24** Amended `amendment-passage`
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- **2023-04-24** Passed to engrossment as amended `amendment-passage`
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- **2023-04-24** Record vote
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- **2023-04-24** Statement(s) of vote recorded in Journal
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- **2023-04-25** Read 3rd time `reading-3`
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- **2023-04-25** Passed `passage`
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- **2023-04-25** Record vote
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- **2023-04-25** Reported engrossed
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- **2023-04-26** Received from the House `introduction`
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- **2023-04-26** Read first time `introduction, reading-1`
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- **2023-04-26** Referred to Health & Human Services `referral-committee`
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- **2023-05-10** Co-sponsor authorized
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- **2023-05-10** Scheduled for public hearing on . . .
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- **2023-05-10** Considered in public hearing
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- **2023-05-10** Testimony taken in committee
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- **2023-05-10** Left pending in committee
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- **2023-05-17** Considered in public hearing
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- **2023-05-17** Vote taken in committee
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- **2023-05-19** Co-sponsor authorized
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- **2023-05-21** Reported favorably as substituted `committee-passage-favorable`
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- **2023-05-21** Committee report printed and distributed
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- **2023-05-22** Placed on intent calendar
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- **2023-05-23** Co-sponsor authorized
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- **2023-05-24** Rules suspended-Regular order of business
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- **2023-05-24** Record vote
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- **2023-05-24** Read 2nd time `reading-2`
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- **2023-05-24** Amendment(s) offered `amendment-introduction`
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- **2023-05-24** Amendment fails of adoption `amendment-failure`
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- **2023-05-24** Record vote
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- **2023-05-24** Amendment(s) offered `amendment-introduction`
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- **2023-05-24** Amended `amendment-passage`
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- **2023-05-24** Vote recorded in Journal
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- **2023-05-24** Passed to 3rd reading as amended `amendment-passage`
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- **2023-05-24** Record vote
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- **2023-05-24** Rules suspended-Regular order of business
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- **2023-05-24** Record vote
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- **2023-05-24** Read 3rd time `reading-3`
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- **2023-05-24** Passed `passage`
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- **2023-05-24** Record vote
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- **2023-05-25** Senate passage as amended reported `amendment-passage`
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- **2023-05-25** Senate Amendments distributed
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- **2023-05-25** Senate Amendments Analysis distributed
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- **2023-05-26** House concurs in Senate amendment(s)
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- **2023-05-26** Record vote
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- **2023-05-26** Statement(s) of vote recorded in Journal
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- **2023-05-26** Text of Senate Amendment(s)
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- **2023-05-26** House concurs in Senate amendment(s)-reported
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- **2023-05-28** Reported enrolled `enrolled`
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- **2023-05-28** Signed in the House `passage`
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- **2023-05-29** Signed in the Senate `passage`
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- **2023-05-30** Sent to the Governor `executive-receipt`
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- **2023-06-12** Signed by the Governor `executive-signature`
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- **2023-06-12** Effective on 9/1/23 `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/eddf0898-5191-4cee-8936-bbfb92ea5406`. Confidence: reported (aggregated from official Texas legislature records).
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