Relating to access to criminal history record information that relates to providers and provider applicants under Medicaid and other public benefits programs administered by the Health and Human Services Commission.

HB 4643 requires Texas Medicaid and public benefits programs administered by the Health and Human Services Commission to conduct criminal background checks on specific individuals associated with providers and applicants. It mandates checks for owners with 5% or more ownership interest (including through mortgages or asset interests), corporate officers/directors, partnership partners, and "managing employees" (such as administrators or general managers). The law applies to all current Medicaid providers and those applying for enrollment. This policy change clarifies who must undergo background screenings under Texas law, aligning with federal regulations for provider eligibility.