HB 1266 Texas House · 89th Legislature (2025)

Relating to expedited credentialing of certain physician assistants and advanced practice nurses by managed care plan issuers.

HB 1266 creates a new expedited process for credentialing physician assistants and advanced practice nurses (APNs) who join established medical groups already contracted with managed care plans. It allows these healthcare providers to bypass standard credentialing delays if they work for a medical group that has existing contracted rates for similar providers under a managed care plan. The bill requires providers to be licensed in good standing in Texas and submit required documentation, directly affecting PA/APN employees in qualifying medical groups and streamlining their access to managed care networks.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
Apr 2025
Senate Passage
Governor
Introduced Mar 10, 2025 Last action May 1, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 3 edits · Apr 30, 2025
MINOR
The bill text was reformatted and cleaned up, removing placeholder text and page numbers while preserving the core legislative content. No substantive policy changes were made to the actual law regarding expedited credentialing for physician assistants and advanced practice nurses.
TECHNICAL

Removed draft annotations, page numbers, and placeholder text like 'AAGuillen' and '89R37 CJD-F' that were present in the introduced version.

Standardized the formatting of section headers and definitions to match proper legislative style, converting inconsistent spacing and line breaks into clean, readable text.

Added a new Section 2 establishing that the Act takes effect on September 1, 2025, which was not present in the introduced version.

Floor votes · House Apr 30, 2025

How they voted

1311
Passed · 12 other
Total votes 144
Apr 30, 2025
D Democratic58
56 Yea 2
96% Yea
R Republican86
75 Yea 1 Nay 10
87% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
29
Key actions
8
Committee
9
May 1, 2025
Committee
Referred to Health & Human Services
upper
May 1, 2025
Introduced
Read first time
upper
Apr 30, 2025
Introduced
Received from the House
upper
Apr 30, 2025
Lower · Passed
Passed
lower
Apr 29, 2025
Lower · Passed
Passed to engrossment
lower
Apr 25, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 25, 2025
Lower · Passed
Transferred to Calendars Committee
lower
Apr 24, 2025
Lower · Passed
Committee report distributed
lower
Apr 9, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 9, 2025
Committee
Recommended to be sent to Local & Consent
lower
Apr 2, 2025
Lower · Passed
Left pending in committee
lower
Apr 2, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 10, 2025
Committee
Referred to Insurance
lower
Mar 10, 2025
Introduced
Read first time
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ryan Guillen
Ryan Guillen
RRepublican
TX
31