Monitoring the Session

HB 1941

bill adding peer support specialists to Medicaid

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Elizabeth "Liz" CamposDHouse 119

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to peer support specialists for certain individuals with an intellectual or developmental disability and peer services for those individuals under Medicaid.

Caption from analyzed text · version I.

Summary

Rules for specialists serving people with intellectual or developmental disabilities.

The bill orders the state health and human services agency to write rules on training, certification, supervision and scope of work for peer support specialists who serve people with intellectual or developmental disabilities, and to add their peer services to Medicaid coverage to the extent federal law allows. It touches these peer specialists, the Texans with disabilities they serve, and the agency, which must appoint a temporary stakeholder work group to advise on the rules. On the ground, a new certified peer support role gets state standards and can be paid through Medicaid, though residents of state supported living centers are left out of the new rules.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 4702 (Died in committee) and this bill (Died in committee). Checked against 88R only.DO-OVER. Reworked text of a bill filed before that died: 88R HB 4702 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.PENDING FOREVER. Heard by the House Human Services committee on Apr 22, 2025 and left pending. Never voted out. The bill died.

Receipt

The receipt

89R-HB1941 · 2025-01-17

SOLD BY

ITEM

relating to peer support specialists for certain individuals with an intellectual or developmental disability and peer services for those individuals under Medicaid.

WHAT IT DOES

Rules for specialists serving people with intellectual or developmental disabilities.

The bill orders the state health and human services agency to write rules on training, certification, supervision and scope of work for peer support specialists who serve people with intellectual or developmental disabilities, and to add their peer services to Medicaid coverage to the extent federal law allows. It touches these peer specialists, the Texans with disabilities they serve, and the agency, which must appoint a temporary stakeholder work group to advise on the rules. On the ground, a new certified peer support role gets state standards and can be paid through Medicaid, though residents of state supported living centers are left out of the new rules.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 21, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Human Services
  4. Scheduled for public hearing on . . .
  5. Considered in public hearing
  6. Testimony taken/registration(s) recorded in committee
  7. Left pending in committee
ALSO NOTED · NOT CHARGED (1)

NEW FEE, FUND, BOARD OR APPOINTEES · analysis confidence 40%

THE TEXT

“The commission shall establish a stakeholder work group”…

Bill text, introduced version (I)

The bill creates a new appointed advisory work group that meets monthly. It is minor because it advises on rules the agency must adopt anyway and ends automatically once those rules are adopted.

FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Oct 28, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Texas Sands PAC$58,000.00

Texas Sands PAC

$58,000.00

Cash
$58,000.00
Paid by others
$0.00
Total
$58,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jan 30, 2026 to Sep 29, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101041279, 101072570.

Texas Trial Lawyers Association PAC$54,000.00

Texas Trial Lawyers Association PAC

$54,000.00

Cash
$54,000.00
Paid by others
$0.00
Total
$54,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Nov 19, 2024 to Aug 21, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987685, 101012359, 101033794, 101036103, 101041279, 101069980.

Texas Medical Association Political Action Committee$26,223.56

Texas Medical Association Political Action Committee

$26,223.56

Cash
$25,500.00
Paid by others
$723.56
Total
$26,223.56
fundraiser $597.31food $126.25

Also funds 118 other sitting lawmakers.

Derived recipient stock · Aug 12, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 6, 2024 to Mar 2, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987685, 101012359, 101041279, 101062186.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Texas Sands PAC

$58,000.00

Cash
$58,000.00
Paid by others
$0.00
Total
$58,000.00

Also funds 121 other sitting lawmakers.

Derived recipient stock · Jul 3, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jan 30, 2026 to Sep 29, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101041279, 101072570.

×

Texas Trial Lawyers Association PAC

$54,000.00

Cash
$54,000.00
Paid by others
$0.00
Total
$54,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Nov 19, 2024 to Aug 21, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987685, 101012359, 101033794, 101036103, 101041279, 101069980.

×

Texas Medical Association Political Action Committee

$26,223.56

Cash
$25,500.00
Paid by others
$723.56
Total
$26,223.56
fundraiser $597.31food $126.25

Also funds 118 other sitting lawmakers.

Derived recipient stock · Aug 12, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 6, 2024 to Mar 2, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100987685, 101012359, 101041279, 101062186.

Votes

No floor vote loaded for this bill.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 21, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 4702

by Rep. Campos, same lead author · Died in committee · reworked

Introduced text

Last action, May 9, 2023: Referred to Health & Human Services

Relating to peer support specialists for certain individuals with an intellectual or developmental disability and peer services for those individuals under Medicaid.

Caption, 88R bill history

Sources

Texas House · Filed Jan 17, 2025

04/22/2025 H Left pending in committee

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

House committee · Human Services · Final status: Died in committee

Subjects

Disabilities, Persons with

Human Services--Medical Assistance

Mental Health & Substance Abuse

MEDICAID

DEVELOPMENTAL DISABILITIES, TEXAS COUNCIL FOR

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 594 words

89R6628 RAL-F

By: Campos
H.B. No. 1941

A BILL TO BE ENTITLED

AN ACT

relating to peer support specialists for certain individuals with

an intellectual or developmental disability and peer services for

those individuals under Medicaid.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Subchapter A, Chapter 547, Government Code, as

effective April 1, 2025, is amended by adding Section 547.00031 to

read as follows:

Sec. 547.00031. PEER SUPPORT SPECIALISTS FOR CERTAIN

INDIVIDUALS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY. (a)

With input from intellectual and developmental disability peer

support specialists and the stakeholder work group described by

Subsection (c), the commission shall develop and the executive

commissioner shall adopt:

(1) rules to establish accessible and validated

training requirements for peer support specialists who provide

services to individuals with an intellectual or developmental

disability;

(2) rules that establish certification and

supervision requirements for intellectual and developmental

disability peer support specialists to ensure compliance with this

section;

(3) rules that define the scope of services an

intellectual and developmental disability peer support specialist

may provide;

(4) rules that distinguish peer support services for

individuals with an intellectual or developmental disability from

other services that require the provider to hold a license or

certification; and

(5) any other rules necessary to protect the health

and safety of individuals receiving peer support services.

(b) The rules adopted under Subsection (a) do not apply to

the provision of peer support services to residents of a state

supported living center, as defined by Section 531.002, Health and

Safety Code.

(c) The commission shall establish a stakeholder work group

to provide input for the adoption of rules under Subsection (a).

The work group is composed of the following stakeholders appointed

by the executive commissioner:

(1) at least one mental health and substance use

disorder peer support specialist;

(2) at least one intellectual and developmental

disability peer support specialist;

(3) a representative of each of the following:

(A) the commission's Peer and Recovery Services

Programs, Planning, and Policy unit;

(B) the commission's Office of Disability

Services Coordination;

(C) the Texas Council for Developmental

Disabilities;

(D) Texas Parent to Parent; and

(E) Texas Advocates; and

(4) a person who is certified as a trainer by the

Learning Community for Person Centered Practices under the People

Planning Together program.

(d) The executive commissioner shall appoint one member of

the work group to serve as presiding officer.

(e) The work group shall meet once every month.

(f) The work group is automatically abolished on the

adoption of rules under Subsection (a).

SECTION 2. Section 32.024(kk), Human Resources Code, is

amended to read as follows:

(kk) The commission in its rules and standards governing the

scope of services provided under the medical assistance program

shall include peer services provided by certified peer specialists ,

including peer support services provided to individuals with an

intellectual or developmental disability, to the extent permitted

by federal law.

SECTION 3. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall appoint the members of the stakeholder

work group established by Section 547.00031(c), Government Code, as

added by this Act.

SECTION 4. If before implementing any provision of this Act

a state agency determines that a waiver or authorization from a

federal agency is necessary for implementation of that provision,

the agency affected by the provision shall request the waiver or

authorization and may delay implementing that provision until the

waiver or authorization is granted.

SECTION 5. This Act takes effect September 1, 2025.