SB 921 Texas Senate · 89th Legislature (2025)

Relating to conducting an ex parte renewal of a recipient's Medicaid eligibility.

SB 921 prohibits Texas Medicaid from automatically renewing eligibility using electronic data without requiring recipients to provide updated information. It directly affects Medicaid recipients who would previously have had renewals processed without submitting new details about their circumstances. The bill requires recipients to submit verified information when their situation changes, rather than relying on automatic system renewals. The Health and Human Services Commission must seek federal waivers to implement this change by September 1, 2025, if approved.

Issues: ✗ Healthcare ✓ Technology

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

May 2025

Senate Passage

Apr 2025

House Passage

Governor

Introduced Jan 24, 2025 Last action May 23, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Engrossed · 5 edits · Apr 9, 2025

MODERATE

The bill was reformatted and renumbered from an introduced version to an engrossed version, with significant substantive changes to the text. The original bill prohibited ex parte renewals of Medicaid eligibility, while the new version adds specific definitions, clarifies that information from other public assistance programs cannot be used for ex parte renewals, and includes provisions for receiving information if it indicates a change in circumstances affecting eligibility.

Scope change

The scope expanded to include specific definitions of 'ex parte renewal' and 'public assistance program', and clarified restrictions on using information from other programs like SNAP for Medicaid ex parte renewals.

DEFINITION

Added new definitions for 'ex parte renewal' and 'public assistance program' in Section 532.0456(a)(1) and (2).

ELIGIBILITY

Added provision prohibiting the use of information from other public assistance programs, including SNAP, for ex parte renewal of Medicaid eligibility.

Added exception allowing the commission to receive and review applications that indicate changes in circumstances affecting eligibility.

REQUIREMENT

Changed the language from prohibiting conducting ex parte renewals to prohibiting accepting information from other programs for such renewals.

TECHNICAL

Reformatted bill text from introduced version to engrossed version with updated numbering and layout.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 1, 2025

Lower · Passed

Committee report sent to Calendars

lower

Apr 30, 2025

Lower · Passed

Committee report distributed

lower

Apr 25, 2025

Lower · Passed

Reported favorably w/o amendment(s)

lower

Apr 17, 2025

Committee

Referred to Human Services

lower

Apr 17, 2025

Introduced

Read first time

lower

Apr 10, 2025

Introduced

Received from the Senate

lower

Apr 9, 2025

Upper · Passed

Passed

upper

Mar 31, 2025

Upper · Passed

Committee report printed and distributed

upper

Mar 31, 2025

Upper · Passed

Reported favorably as substituted

upper

Mar 26, 2025

Upper · Passed

Vote taken in committee

upper

Mar 11, 2025

Upper · Passed

Left pending in committee

upper

Mar 11, 2025

Upper · Passed

Testimony taken in committee

upper

Feb 13, 2025

Committee

Referred to Health & Human Services

upper

Feb 13, 2025

Introduced

Read first time

upper

2 primary · 0 co-sponsors