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republic-os/legislation/us/states/tx/89r/hb-136.md
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---
type: "Bill"
title: "Relating to Medicaid coverage and reimbursement for lactation consultation services."
description: "Relating to Medicaid coverage and reimbursement for lactation consultation services."
jurisdiction: "us/states/tx"
legislature: "Texas Legislature"
session: "89R"
identifier: "HB 136"
citation: "Texas HB 136 (89R)"
classification: ["bill"]
subjects: ["HEALTH & HUMAN SERVICES COMMISSION (V0177)", "Human Services--Medical Assistance (I0905)", "Insurance--Life", "Health & Accident (I0440)", "LACTATION CONSULTANTS (S0360)", "MEDICAID (S4885)"]
status: "enacted"
primary_sponsors: ["Alvarado", "Hull", "Noble", "Richardson", "Rose", "Swanson"]
version_count: 5
action_count: 53
vote_count: 4
first_action: "2025-03-11"
last_action: "2025-05-24"
source: "openstates"
source_identifier: "ocd-bill/7b6ce196-471e-4dbc-9753-f416b15494f8"
source_url: "ftp://ftp.legis.state.tx.us/bills/89R/billhistory/house_bills/HB00100_HB00199/HB 136.xml"
source_hash: "bc18fe2100fd875492b220d979a0541a9d40da0105f68ed2b3649d0a7e35b9f7"
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 136 (89R) — Relating to Medicaid coverage and reimbursement for lactation consultation services.
## 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/89R/billtext/html/HB00136I.HTM)
2. **Engrossed** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB00136E.HTM)
3. **House Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB00136H.HTM)
4. **Senate Committee Report** (committee substitute) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB00136S.HTM)
5. **Enrolled** (enrolled) — [source](http://capitol.texas.gov/tlodocs/89R/billtext/html/HB00136F.HTM)
## Votes
- passage — **133–13** (pass) · lower
- passage — **28–3** (pass) · upper
- Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 136 be placed on its third reading and final passage. — **28–3** (pass) · upper
- passage — **130–16** (pass) · lower
## Sponsors
- Alvarado — primary (person)
- Hull — primary (person)
- Noble — primary (person)
- Richardson — primary (person)
- Rose — primary (person)
- Swanson — primary (person)
- Blanco — cosponsor (person)
- Davis, Aicha — cosponsor (person)
- Eckhardt — cosponsor (person)
- Flores — cosponsor (person)
- Jones, Jolanda — cosponsor (person)
- Plesa — cosponsor (person)
- Shofner — cosponsor (person)
- West — cosponsor (person)
- Zaffirini — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-03-11** Filed `filing`
- **2025-03-12** Read first time `introduction, reading-1`
- **2025-03-12** Referred to Human Services `referral-committee`
- **2025-03-25** Considered in public hearing
- **2025-03-25** Testimony taken/registration(s) recorded in committee
- **2025-03-25** Left pending in committee
- **2025-04-01** Considered in public hearing
- **2025-04-01** Committee substitute considered in committee `substitution`
- **2025-04-01** Reported favorably as substituted `committee-passage-favorable`
- **2025-04-07** Comte report filed with Committee Coordinator `filing`
- **2025-04-07** Committee report distributed
- **2025-04-08** Committee report sent to Calendars
- **2025-04-17** Considered in Calendars
- **2025-04-22** Placed on General State Calendar
- **2025-04-22** Read 2nd time `reading-2`
- **2025-04-22** Passed to engrossment
- **2025-04-22** Record vote
- **2025-04-22** Statement(s) of vote recorded in Journal
- **2025-04-23** Read 3rd time `reading-3`
- **2025-04-23** Passed `passage`
- **2025-04-23** Record vote
- **2025-04-23** Reported engrossed
- **2025-04-23** Received from the House `introduction`
- **2025-04-24** Read first time `introduction, reading-1`
- **2025-04-24** Referred to Health & Human Services `referral-committee`
- **2025-04-30** Scheduled for public hearing on . . .
- **2025-04-30** Considered in public hearing
- **2025-04-30** Testimony taken in committee
- **2025-04-30** Left pending in committee
- **2025-05-05** Considered in public hearing
- **2025-05-05** Vote taken in committee
- **2025-05-06** Co-sponsor authorized
- **2025-05-06** Reported favorably w/o amendments `committee-passage-favorable`
- **2025-05-06** Committee report printed and distributed
- **2025-05-08** Co-sponsor authorized
- **2025-05-08** Placed on intent calendar
- **2025-05-08** Rules suspended-Intent Calendar
- **2025-05-08** Rules suspended-Regular order of business
- **2025-05-08** Record vote
- **2025-05-08** Read 2nd time & passed to 3rd reading `reading-2`
- **2025-05-08** Record vote
- **2025-05-08** Three day rule suspended
- **2025-05-08** Record vote
- **2025-05-08** Read 3rd time `reading-3`
- **2025-05-08** Passed `passage`
- **2025-05-08** Record vote
- **2025-05-08** Senate passage reported `passage`
- **2025-05-09** Reported enrolled `enrolled`
- **2025-05-12** Signed in the House `passage`
- **2025-05-12** Signed in the Senate `passage`
- **2025-05-13** Sent to the Governor `executive-receipt`
- **2025-05-24** Signed by the Governor `executive-signature`
- **2025-05-24** Effective on 9/1/25 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7b6ce196-471e-4dbc-9753-f416b15494f8`. Confidence: reported (aggregated from official Texas legislature records).