Relating to the establishment of the Health Impact, Cost, and Coverage Analysis Program; authorizing a fee.
HB 138 establishes the Health Impact, Cost, and Coverage Analysis Program at the University of Texas Health Science Center in Houston. The program analyzes proposed legislation that would require health insurers (including Medicaid managed care organizations) to cover new services, change payment rates, or add administrative requirements. Legislators or committee chairs can request these analyses before voting on such bills. The bill authorizes a fee to fund this program’s operations.
Bill status
signed
all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Mar 10, 2025
Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
6 edits
·
May 31, 2025
MODERATE
This bill establishes a new Health Impact, Cost, and Coverage Analysis Program within the Texas Insurance Code to analyze how proposed legislation affects healthcare costs and coverage. The enrolled version adds new funding mechanisms, reporting requirements, and specific implementation timelines that were not present in the earlier draft. The changes expand the program's authority to include additional evidence sources and establish a fee structure to fund the analysis.
Scope change
The bill's scope remains focused on analyzing legislative mandates affecting health coverage, but the enrolled version adds specific implementation requirements, funding mechanisms, and reporting deadlines that were not in the earlier draft.
FISCAL
Added a new fee structure requiring health benefit plan issuers to pay annual fees to fund the analysis program, with exemptions for certain Medicaid plans.
REQUIREMENT
Added new reporting requirements including a special data call on administrative expenses and specific reporting deadlines for the analysis program.
Added conflict of interest provisions requiring center employees to avoid employment or ownership interests in health benefit plan issuers.
TIMELINE
Added specific implementation deadlines, including a requirement to establish the program by January 1, 2026, and fee payment requirements for 2025.
DEFINITION
Added additional evidence sources for medical service effectiveness, including Centers for Medicare and Medicaid Services determinations, Preventive Services Task Force determinations, and nationally recognized clinical practice guidelines.
TECHNICAL
Added certification language and voting records showing the bill passed both houses and was enrolled for signature by the Governor.
Floor votes · House May 1, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
65
Key actions
19
Committee
12
Amendments
12
May 31, 2025
Upper · Passed
Signed in the Senate
upper
May 30, 2025
Lower · Passed
Signed in the House
lower
May 28, 2025
Introduced
House concurs in Senate amendment(s)-reported
upper
May 28, 2025
Introduced
Text of Senate Amendment(s)
lower
May 28, 2025
Introduced
House concurs in Senate amendment(s)
lower
May 22, 2025
Introduced
Senate Amendments Analysis distributed
lower
May 22, 2025
Introduced
Senate Amendments distributed
lower
May 21, 2025
Lower · Passed
Senate passage as amended reported
lower
May 21, 2025
Upper · Passed
Passed
upper
May 21, 2025
Upper · Passed
Passed to 3rd reading as amended
upper
May 21, 2025
Upper · Passed
Amended
upper
May 21, 2025
Introduced
Amendment(s) offered
upper
May 19, 2025
Upper · Passed
Committee report printed and distributed
upper
May 19, 2025
Upper · Passed
Reported favorably as substituted
upper
May 14, 2025
Upper · Passed
Vote taken in committee
upper
May 13, 2025
Upper · Passed
Left pending in committee
upper
May 13, 2025
Upper · Passed
Testimony taken in committee
upper
May 5, 2025
Committee
Referred to Health & Human Services
upper
May 5, 2025
Introduced
Read first time
upper
May 5, 2025
Introduced
Received from the House
upper
May 1, 2025
Lower · Passed
Passed
lower
Apr 30, 2025
Lower · Passed
Passed to engrossment as amended
lower
Apr 30, 2025
Amended
Amendment fails of adoption
lower
Apr 30, 2025
Lower · Passed
Amended
lower
Apr 2, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 1, 2025
Lower · Passed
Committee report distributed
lower
Mar 26, 2025
Lower · Passed
Reported favorably as substituted
lower
Mar 19, 2025
Lower · Passed
Left pending in committee
lower
Mar 19, 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
6 primary · 7 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Dennis Paul
RRepublican
P
Jay Dean
RRepublican
P
Jeff Leach
RRepublican
P
Lacey Hull
RRepublican
P
Paul Bettencourt
RRepublican
P
Stan Gerdes
RRepublican
Co
CB
César Blanco
DDemocratic
Co
David Spiller
RRepublican
Co
Jeff Barry
RRepublican
Co
Katrina Pierson
RRepublican
Co
KH
Kelly Hancock
RRepublican
Co
Matt Morgan
RRepublican
Co
Trey Wharton
RRepublican
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