Relating to certain reports required to be prepared or submitted by or in collaboration with the Health and Human Services Commission or submitted to the governor or a member of the legislature under the Health and Safety Code.
HB 4666 modifies reporting requirements for Texas' Health and Human Services Commission related to Medicaid programs. It changes annual reports to quarterly updates for the Data Analysis Unit and adds new reports on anomalies to the inspector general. The bill requires the Commission to submit biennial reports on Medicaid system implementation, including assessments of access, care quality, and recommendations for improvements. These changes directly affect the Commission, its Data Analysis Unit, and legislative committees overseeing Medicaid. The bill updates existing reporting schedules under the Health and Safety Code without altering Medicaid program benefits or funding.
Bill status
signed
all 5 stages cleared
Introduction
Apr 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Apr 3, 2025
Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
4 edits
·
Jun 20, 2025
MODERATE
The bill was formatted for final passage, removing internal amendment markers and adding official enrolled text. Substantively, the bill amends the Texas Health and Safety Code to update reporting requirements for the Health and Human Services Commission, including changing some report frequencies from biennial to annual and adding new analysis requirements for pilot programs and system changes.
Scope change
The bill's scope remains focused on Health and Human Services Commission reporting requirements, though some reporting frequencies were modified from biennial to annual in certain sections.
REQUIREMENT
Changed reporting frequency from biennial to annual for certain sections of the Government Code.
Added new analysis requirements for pilot programs based on comprehensive analysis of system changes and participant feedback.
TIMELINE
Added new effective date provisions, with immediate effect requiring a two-thirds vote or defaulting to September 1, 2025.
TECHNICAL
Removed internal amendment markup and formatting from the enrolled version for final legislative text.
Floor votes · House May 7, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
50
Key actions
18
Committee
11
Amendments
2
Jun 20, 2025
Signed into law
Signed by the Governor
executive
May 27, 2025
Upper · Passed
Signed in the Senate
upper
May 27, 2025
Lower · Passed
Signed in the House
lower
May 26, 2025
Lower · Passed
Senate passage reported
lower
May 26, 2025
Upper · Passed
Passed
upper
May 23, 2025
Upper · Passed
Committee report printed and distributed
upper
May 23, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 21, 2025
Upper · Passed
Vote taken in committee
upper
May 20, 2025
Upper · Passed
Left pending in committee
upper
May 8, 2025
Committee
Referred to Health & Human Services
upper
May 8, 2025
Introduced
Read first time
upper
May 8, 2025
Introduced
Received from the House
upper
May 7, 2025
Lower · Passed
Passed as amended
lower
May 7, 2025
Lower · Passed
Amended
lower
May 7, 2025
House · Passed
House Vote: pass (146-0)
house
May 6, 2025
Lower · Passed
Passed to engrossment
lower
Apr 29, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 28, 2025
Lower · Passed
Committee report distributed
lower
Apr 22, 2025
Lower · Passed
Reported favorably as substituted
lower
Apr 15, 2025
Lower · Passed
Left pending in committee
lower
Apr 15, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Apr 3, 2025
Committee
Referred to Human Services
lower
Apr 3, 2025
Introduced
Read first time
lower
3 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Christian Manuel
DDemocratic
P
KH
Kelly Hancock
RRepublican
P
Linda Garcia
DDemocratic
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