Monitoring the Session

HB 3233

bill keeping pharmacy benefit manager patient data in the U.S.

Became law, effective Sep 1, 2025

Verdict: No flags

No flagsInitial review
Rep. Cody HarrisRHouse 8

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 patient data maintained by pharmacy benefit managers.

Caption from analyzed text · version I.

Summary

No storing or processing Texans’ patient data outside the United States.

The bill bars pharmacy benefit managers from storing or processing a Texas resident's patient data anywhere outside the United States. It touches pharmacy benefit managers, the companies that manage prescription drug benefits for health plans, and the Texans whose records they hold. Starting September 1, 2025, those companies must keep Texas patient data on servers and operations inside the country.

Labels

Labels: QUICK READ: 92 WORDS. The bill as filed runs 92 words, counting the existing law it amends and the text it strikes. The median 89R bill as filed runs 441 words (derived, 8,702 graded bills, snapshot Oct 19, 2026).

Receipt

The receipt

89R-HB3233 · 2025-02-24

SOLD BY

Rep. Cody HarrisRHouse 8

ITEM

relating to patient data maintained by pharmacy benefit managers.

WHAT IT DOES

No storing or processing Texans’ patient data outside the United States.

The bill bars pharmacy benefit managers from storing or processing a Texas resident's patient data anywhere outside the United States. It touches pharmacy benefit managers, the companies that manage prescription drug benefits for health plans, and the Texans whose records they hold. Starting September 1, 2025, those companies must keep Texas patient data on servers and operations inside the country.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version F · source

Sources

Fiscal note · version F · May 25, 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 Insurance
  4. Scheduled for public hearing on . . .
  5. Considered in public hearing
  6. Committee substitute considered in committee
  7. Testimony taken/registration(s) recorded in committee
  8. Left pending in committee
  9. Considered in formal meeting
  10. Committee substitute considered in committee
  11. Reported favorably as substituted
  12. Comte report filed with Committee Coordinator
  13. Committee report distributed
  14. Committee report sent to Calendars
  15. Considered in Calendars
  16. Placed on General State Calendar
  17. Read 2nd time
  18. Passed to engrossment
  19. Record vote RV#2085
  20. Statement(s) of vote recorded in Journal
  21. Read 3rd time
  22. Passed
  23. Record vote RV#2132
  24. Statement(s) of vote recorded in Journal
  25. Reported engrossed
  26. Received from the House
  27. Read first time
  28. Referred to Health & Human Services
  29. Scheduled for public hearing on . . .
  30. Considered in public hearing
  31. Left pending in committee
  32. Considered in public hearing
  33. Vote taken in committee
  34. Reported favorably as substituted
  35. Recommended for local & uncontested calendar
  36. Committee report printed and distributed
  37. Placed on local & uncontested calendar
  38. Laid before the Senate
  39. Read 2nd time & passed to 3rd reading
  40. Vote recorded in Journal
  41. Three day rule suspended
  42. Record vote
  43. Read 3rd time
  44. Passed
  45. Record vote
  46. Senate passage as amended reported
  47. Senate Amendments distributed
  48. Senate Amendments Analysis distributed
  49. House concurs in Senate amendment(s)
  50. Record vote RV#4017
  51. Statement(s) of vote recorded in Journal
  52. Text of Senate Amendment(s)
  53. House concurs in Senate amendment(s)-reported
  54. Reported enrolled
  55. Signed in the House
  56. Signed in the Senate
  57. Sent to the Governor
  58. Signed by the Governor
  59. Effective on 9/1/25
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 141 yea · 0 nay

Senate · 31 yea · 0 nay

Sources

House: Final passage · May 12, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · May 25, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Cody Harris

Donors

Texans for Lawsuit Reform PAC$131KTexas Sands PAC$59KTexas REALTORS Political Action Committee$53K

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 31, 2024 to Oct 22, 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.

Texans for Lawsuit Reform PAC$131,199.90

Texans for Lawsuit Reform PAC

$131,199.90

Cash
$65,000.00
Paid by others
$66,199.90
Total
$131,199.90
grassroots $56,899.90polling $9,300.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 27, 2025 to Sep 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: 101008254, 101028696, 101039343, 101067574.

Texas Sands PAC$58,800.00

Texas Sands PAC

$58,800.00

Cash
$42,500.00
Paid by others
$16,300.00
Total
$58,800.00
polling $16,300.00

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 · Nov 22, 2024 to Oct 22, 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: 100985564, 101028696, 101039343, 101071425.

Texas REALTORS Political Action Committee$52,590.39

Texas REALTORS Political Action Committee

$52,590.39

Cash
$45,000.00
Paid by others
$7,590.39
Total
$52,590.39
digital $5,420.63text $1,960.28Other filed descriptions $209.48

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 11, 2024 to Sep 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: 100985564, 101008254, 101028696, 101035469, 101039343, 101057705, 101067574.

Money

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

×

Texans for Lawsuit Reform PAC

$131,199.90

Cash
$65,000.00
Paid by others
$66,199.90
Total
$131,199.90
grassroots $56,899.90polling $9,300.00

Also funds 124 other sitting lawmakers.

Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 27, 2025 to Sep 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: 101008254, 101028696, 101039343, 101067574.

×

Texas Sands PAC

$58,800.00

Cash
$42,500.00
Paid by others
$16,300.00
Total
$58,800.00
polling $16,300.00

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 · Nov 22, 2024 to Oct 22, 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: 100985564, 101028696, 101039343, 101071425.

×

Texas REALTORS Political Action Committee

$52,590.39

Cash
$45,000.00
Paid by others
$7,590.39
Total
$52,590.39
digital $5,420.63text $1,960.28Other filed descriptions $209.48

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 11, 2024 to Sep 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: 100985564, 101008254, 101028696, 101035469, 101039343, 101057705, 101067574.

Votes6

House May 29, 2025

Yea
137
Nay
0
Present, not voting
1
Absent
7
Excused
5
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 4017

Representative Gerdes moved to concur in the senate amendments to HB 3233. The motion to concur in the senate amendments to HB 3233 prevailed by (Record 4017): 137 Yeas, 0 Nays, 1 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 137 (published)
  • Nay: 0 (published)
  • Present, not voting: 1 (published)
  • Absent: 7 (derived from named list)
  • Excused: 5 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Senate May 25, 2025

Final passage

Yea
31
Nay
0
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records final passage. Repeated tallies belong to separate votes.

Sources

CSHB 3233 (Kolkhorst) Relating to patient data maintained by pharmacy benefit managers. (viva voce vote) (31-0) (31-0)

Published stock of positions for this vote, except where marked derived.

  • Yea: 31 (published)
  • Nay: 0 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 25, 2025

Suspension of the three-day rule

Yea
31
Nay
0
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records suspension of the three-day rule. Repeated tallies belong to separate votes.

Sources

CSHB 3233 (Kolkhorst) Relating to patient data maintained by pharmacy benefit managers. (viva voce vote) (31-0) (31-0)

Published stock of positions for this vote, except where marked derived.

  • Yea: 31 (published)
  • Nay: 0 (published)
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

Senate May 25, 2025

Passage to third reading

Yea
Not printed
Nay
Not printed
Present, not voting
Not printed
Absent
Not printed
Excused
Not printed
Names

Senate journal

Names were not printed. No individual positions are inferred.

The journal row lists three votes in order: passage to third reading, suspension of the three-day rule, and final passage. This entry records passage to third reading. Repeated tallies belong to separate votes.

Voice vote. No numeric tally or individual yeas are inferred.

Sources

CSHB 3233 (Kolkhorst) Relating to patient data maintained by pharmacy benefit managers. (viva voce vote) (31-0) (31-0)

Published stock of positions for this vote, except where marked derived.

  • Yea: Not printed
  • Nay: Not printed
  • Present, not voting: Not printed
  • Absent: Not printed
  • Excused: Not printed

Senate journal. Source snapshot 2026-10-19, Central time.

House May 12, 2025

Yea
141
Nay
0
Present, not voting
1
Absent
5
Excused
3
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 2132

HB 3233 was passed by (Record 2132): 141 Yeas, 0 Nays, 1 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 141 (published)
  • Nay: 0 (published)
  • Present, not voting: 1 (published)
  • Absent: 5 (derived from named list)
  • Excused: 3 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

House May 10, 2025

Yea
127
Nay
0
Present, not voting
2
Absent
0
Excused
21
Names

Named positions matched to lawmakers. See the journal for unmatched names.

House journal

Sources

Record 2085

CSHB 3233 was passed to engrossment by (Record 2085): 127 Yeas, 0 Nays, 2 Present, not voting.

Published stock of positions for this vote, except where marked derived.

  • Yea: 127 (published)
  • Nay: 0 (published)
  • Present, not voting: 2 (published)
  • Absent: 0 (derived from named list)
  • Excused: 21 (derived from named list)

House journal. Source snapshot 2026-10-19, Central time.

Witnesses14
For
12
Against
0
On
2
Names

For

  • Make Texans Healthy Again1 registration
  • Self; Americans for Prosperity2 registrations
  • Self; The LIBRE Initiative2 registrations
  • Texas Chapter American College of Physicians2 registrations
  • Texas Coalition For Patients1 registration
  • Texas Healthcare and Bioscience Institute1 registration
  • Texas Medical Association1 registration
  • Texas Pharmacy Association1 registration
  • Texas Pharmacy Business Council1 registration

On

  • PCMA1 registration
  • Texas Department of Insurance1 registration
Sources

14 parsed registrations across the loaded witness lists.

Derived stock of witness registrations. Repeated appearances count separately. Organizations and self-representation appear as printed.

House witness list. Source snapshot 2026-10-20, Central time.

Senate witness list. Source snapshot 2026-10-20, Central time.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version F · source

Sources

Fiscal note · version F · May 25, 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.

Sources

Texas House · Filed Feb 24, 2025

06/20/2025 E Effective on 9/1/25

Texas Legislature Online · Introduced · House Committee Report · Engrossed · Senate Committee Report · Enrolled

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

Sponsors
Lois KolkhorstRSenate 18

House committee · Insurance · Committee vote 8 aye, 0 nay, 1 absent · Out of committee

Senate committee · Health & Human Services · Committee vote 8 aye, 0 nay, 1 absent · Out of committee

Companion

SB 1627 by Kolkhorst (identical)

Subjects

Electronic Information Systems

Health Care Providers

Health--Privacy/Use of Information

Insurance--Health & Accident

PATIENT RIGHTS & PROTECTION

PHARMACY BENEFIT MANAGERS

Text

The text as introduced · 92 words

89R11972 SCR-D

By: Harris
H.B. No. 3233

A BILL TO BE ENTITLED

AN ACT

relating to patient data maintained by pharmacy benefit managers.

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

SECTION 1. Subchapter D, Chapter 4151, Insurance Code, is

amended by adding Section 4151.1531 to read as follows:

Sec. 4151.1531. SECURITY OF PATIENT DATA. A pharmacy

benefit manager may not store or process patient data for a resident

of this state in a location outside of the United States.

SECTION 2. This Act takes effect September 1, 2025.