Monitoring the Session

HB 3747

bill lets Medicaid plans mention federal exchange coverage

Companion SB 963 became law

Verdict: No flags

No flagsInitial review
Rep. Christian ManuelDHouse 22

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 allowing Medicaid managed care organizations to inform Medicaid recipients about the availability of certain private health benefit plan coverage.

Caption from analyzed text · version I.

Summary

Marketing rules can’t stop managed care companies from telling enrollees.

The bill bars the state health commission's Medicaid marketing rules from stopping Medicaid managed care companies from telling enrollees about health plans sold on the federal insurance exchange. It touches Medicaid managed care organizations, the people enrolled in Medicaid, and the commission that writes the marketing rules. On the ground, these companies may tell enrollees about exchange plans without breaking state marketing rules, starting September 1, 2025, unless a federal waiver is needed first.

Receipt

The receipt

89R-HB3747 · 2025-03-04

SOLD BY

Rep. Christian ManuelDHouse 22

ITEM

relating to allowing Medicaid managed care organizations to inform Medicaid recipients about the availability of certain private health benefit plan coverage.

WHAT IT DOES

Marketing rules can’t stop managed care companies from telling enrollees.

The bill bars the state health commission's Medicaid marketing rules from stopping Medicaid managed care companies from telling enrollees about health plans sold on the federal insurance exchange. It touches Medicaid managed care organizations, the people enrolled in Medicaid, and the commission that writes the marketing rules. On the ground, these companies may tell enrollees about exchange plans without breaking state marketing rules, starting September 1, 2025, unless a federal waiver is needed first.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal implication to the State is anticipated.

LBB estimate · fiscal note version H · source

Sources

Fiscal note · version H · April 8, 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. Committee substitute considered in committee
  7. Testimony taken/registration(s) recorded in committee
  8. Left pending in committee
  9. Considered in public hearing
  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. Companion considered in lieu of SB 963
  18. Laid on the table subject to call
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Christian Manuel

Donors

ENPAC Texas$5KTexas Trial Lawyers Association PAC$5KTexas Sands PAC$4K

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 · Jul 23, 2024 to Jun 30, 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.

ENPAC Texas$5,000.00

ENPAC Texas

$5,000.00

Cash
$5,000.00
Paid by others
$0.00
Total
$5,000.00

Also funds 27 other sitting lawmakers.

Derived recipient stock · Sep 26, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · on Nov 10, 2025. 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: 101033978.

Texas Trial Lawyers Association PAC$5,000.00

Texas Trial Lawyers Association PAC

$5,000.00

Cash
$5,000.00
Paid by others
$0.00
Total
$5,000.00

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 · Jul 7, 2025 to Oct 1, 2025. 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: 101033978.

Texas Sands PAC$4,000.00

Texas Sands PAC

$4,000.00

Cash
$4,000.00
Paid by others
$0.00
Total
$4,000.00

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 · on May 18, 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: 101061945.

Money

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

×

ENPAC Texas

$5,000.00

Cash
$5,000.00
Paid by others
$0.00
Total
$5,000.00

Also funds 27 other sitting lawmakers.

Derived recipient stock · Sep 26, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · on Nov 10, 2025. 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: 101033978.

×

Texas Trial Lawyers Association PAC

$5,000.00

Cash
$5,000.00
Paid by others
$0.00
Total
$5,000.00

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 · Jul 7, 2025 to Oct 1, 2025. 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: 101033978.

×

Texas Sands PAC

$4,000.00

Cash
$4,000.00
Paid by others
$0.00
Total
$4,000.00

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 · on May 18, 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: 101061945.

Votes

No floor vote loaded for this bill.

Witnesses12
For
10
Against
0
On
2
Names

For

  • AARP Texas1 registration
  • Blue Cross Blue Shield of Texas1 registration
  • National Association of Benefits & Insurance Professionals - Texas Chapter1 registration
  • Self1 registration
  • Texas 20361 registration
  • Texas Academy of Family Physicians1 registration
  • Texas Association of Business1 registration
  • Texas Association of Health Plans1 registration
  • Texas Pediatric Society1 registration
  • Texas Womens Healthcare Coalition1 registration

On

  • Texas Council of Community Centers1 registration
  • The Arc of Texas1 registration
Sources

12 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.

Fiscal

No fiscal implication to the State is anticipated.

LBB estimate · fiscal note version H · source

Sources

Fiscal note · version H · April 8, 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 Mar 4, 2025

04/28/2025 H Laid on the table subject to call

Texas Legislature Online · Introduced · House Committee Report

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

House committee · Human Services · Committee vote 11 aye, 0 nay · Out of committee

Companion

SB 963 by Hughes (identical)

Subjects

Human Services--General

Human Services--Medical Assistance

ADVERTISING

MANAGED CARE

MEDICAID

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 181 words

89R1716 JG-D

By: Manuel
H.B. No. 3747

A BILL TO BE ENTITLED

AN ACT

relating to allowing Medicaid managed care organizations to inform

Medicaid recipients about the availability of certain private

health benefit plan coverage.

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

SECTION 1. Section 540.0055, Government Code, as effective

April 1, 2025, is amended by adding Subsection (c) to read as

follows:

(c) The marketing guidelines the commission establishes

under this section may not prohibit a Medicaid managed care

organization from informing a recipient about the availability of

qualified health plans offered through an exchange. In this

subsection, "exchange" and "qualified health plan" have the

meanings assigned by 45 C.F.R. Section 155.20.

SECTION 2. 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 3. This Act takes effect September 1, 2025.