Relating to patient data maintained by pharmacy benefit managers.
HB 3233 requires pharmacy benefit managers (PBMs) to store and process patient data for Texas residents only within the United States or its territories, prohibiting offshore data handling. This law directly affects PBMs contracted with Texas health plans or providers serving state residents. The key provision mandates that all patient data maintained by PBMs must remain physically or digitally within U.S. borders, with no exceptions for existing contracts. The law takes effect September 1, 2025, applying only to new or renewed contracts after that date.
Bill status
signed
all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Jun 2025
Signed into Law
Jun 2025
Introduced Mar 20, 2025
Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
3 edits
·
Jun 20, 2025
MINOR
The bill text was reformatted from a draft version to an enrolled final version, with the substantive policy language remaining unchanged. The core requirement that pharmacy benefit managers cannot store or process Texas patient data outside the United States or its territories is preserved in the final version.
Scope change
No substantive change to the bill's scope or applicability; only formatting and structural updates were made to convert the bill from draft to final enrolled form.
TECHNICAL
The bill title and header information were updated to reflect the enrolled version with bill number 89(R) HB 3233 and proper legislative formatting.
Formatting inconsistencies were corrected, including removal of placeholder text like 'AA' and 'A BILL TO BE ENTITLED' and proper alignment of section headers.
Certification language was added at the end of the bill to document House and Senate passage votes and dates, along with signature lines for the President of the Senate, Speaker of the House, and Governor.
Floor votes · House May 10, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
57
Key actions
16
Committee
11
Amendments
6
Jun 20, 2025
Signed into law
Signed by the Governor
executive
Jun 1, 2025
Upper · Passed
Signed in the Senate
upper
May 31, 2025
Lower · Passed
Signed in the House
lower
May 29, 2025
Introduced
House concurs in Senate amendment(s)-reported
upper
May 29, 2025
Introduced
Text of Senate Amendment(s)
lower
May 29, 2025
Introduced
House concurs in Senate amendment(s)
lower
May 25, 2025
Introduced
Senate Amendments Analysis distributed
lower
May 25, 2025
Introduced
Senate Amendments distributed
lower
May 25, 2025
Lower · Passed
Senate passage as amended reported
lower
May 25, 2025
Upper · Passed
Passed
upper
May 22, 2025
Upper · Passed
Committee report printed and distributed
upper
May 22, 2025
Upper · Passed
Reported favorably as substituted
upper
May 21, 2025
Upper · Passed
Vote taken in committee
upper
May 20, 2025
Upper · Passed
Left pending in committee
upper
May 13, 2025
Committee
Referred to Health & Human Services
upper
May 13, 2025
Introduced
Read first time
upper
May 12, 2025
Introduced
Received from the House
upper
May 12, 2025
Lower · Passed
Passed
lower
May 10, 2025
Lower · Passed
Passed to engrossment
lower
May 5, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 2, 2025
Lower · Passed
Committee report distributed
lower
Apr 28, 2025
Lower · Passed
Reported favorably as substituted
lower
Apr 23, 2025
Lower · Passed
Left pending in committee
lower
Apr 23, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 20, 2025
Committee
Referred to Insurance
lower
Mar 20, 2025
Introduced
Read first time
lower
2 primary · 0 co-sponsors
Sponsors
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