HB 3891
bill dropping IQ criteria for Prader-Willi waiver benefits
Died in committee
Verdict: No flags
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 prohibiting the use of certain criteria to determine certain individuals' eligibility for benefits under a Medicaid waiver program.
Caption from analyzed text · version I.
Summary
No IQ test to qualify for Medicaid 1915(c) waiver benefits.
The bill bars the state health commission from requiring people diagnosed with Prader-Willi Syndrome to meet IQ criteria to qualify for Medicaid 1915(c) waiver benefits. It touches people with Prader-Willi Syndrome and their families seeking waiver services, plus the commission that runs those programs. On the ground, an IQ score can no longer be used to keep someone with this diagnosis out of waiver services, though the state may wait for federal approval before applying the change.
Labels
Labels: NEVER GOT A HEARING. Filed Mar 6, 2025 and referred to the House Human Services committee. No public hearing. The bill died.
Receipt
The receipt
89R-HB3891 · 2025-03-06
SOLD BY
ITEM
relating to prohibiting the use of certain criteria to determine certain individuals' eligibility for benefits under a Medicaid waiver program.
WHAT IT DOES
No IQ test to qualify for Medicaid 1915(c) waiver benefits.
The bill bars the state health commission from requiring people diagnosed with Prader-Willi Syndrome to meet IQ criteria to qualify for Medicaid 1915(c) waiver benefits. It touches people with Prader-Willi Syndrome and their families seeking waiver services, plus the commission that runs those programs. On the ground, an IQ score can no longer be used to keep someone with this diagnosis out of waiver services, though the state may wait for federal approval before applying the change.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
- Read first time
- Referred to Human Services
ALSO NOTED · NOT CHARGED (1)
CARVE-OUT · analysis confidence 30%
THE TEXT
…“an individual diagnosed with Prader-Willi Syndrome meet intelligence quotient criteria”…
Bill text, introduced version (I)
The protection goes to people with one named diagnosis, but the caption openly says it covers certain individuals, so the narrowness is honest.
FILED UNDER
No verified beat found.
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.
TeamSources
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.
TeamSources
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
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.
TeamSources
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.
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.
TeamSources
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.
TeamSources
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
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.
TeamSources
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 fiscal note in the loaded record.
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 6, 2025
03/27/2025 H Referred to Human Services: Mar 27 2025 11:57AM
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
Health--Other Diseases & Medical Conditions
Human Services--Medical Assistance
MEDICAID
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 173 words
89R14134 AB-D By: Campos H.B. No. 3891 A BILL TO BE ENTITLED AN ACT relating to prohibiting the use of certain criteria to determine certain individuals' eligibility for benefits under a Medicaid waiver program. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter J, Chapter 546, Government Code, as effective April 1, 2025, is amended by adding Section 546.0457 to read as follows: Sec. 546.0457. PROHIBITED USE OF CERTAIN ELIGIBILITY CRITERIA FOR INDIVIDUALS DIAGNOSED WITH PRADER-WILLI SYNDROME. The commission may not require that an individual diagnosed with Prader-Willi Syndrome meet intelligence quotient criteria to be eligible for benefits under a Section 1915(c) waiver program. 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.