Monitoring the Session

HB 3940

bill reminding providers to bill newborns under mom’s Medicaid number

Became law, effective Sep 1, 2025

Verdict: No flags

No flagsInitial review
Rep. Ann JohnsonDHouse 134

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 the provision of certain information about Medicaid benefits in relation to newborn children.

Caption from analyzed text · version I.

Summary

An annual notice until the baby gets its own number.

The bill requires the state health commission to send an annual written notice to Medicaid managed care plans, hospitals and other providers reminding them they may bill a newborn's care under the mother's Medicaid number until the baby gets its own number, and encouraging them to tell mothers the same. It also adds Medicaid information for children, how to report a birth for Medicaid enrollment, and a new commission-written notice about automatic newborn eligibility to the materials that hospitals, birthing centers, physicians and midwives must already hand to pregnant women. The state must update its materials and write the notice by December 1, 2025, and providers must start handing them out by January 1, 2026.

Labels

Labels: DO-OVER. Reworked text of a bill filed before that died: 88R HB 4476 by Rep. Campos (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.CROSS-PARTY HANDOFF. Lead author Ann Johnson (D) in the House. Lead sponsor Angela Paxton (R) in the Senate. Party as the Legislative Reference Library lists it for the 89th Legislature.ACROSS THE AISLE. Joint authors: 3 Republicans, 2 Democrats. Party as the Legislative Reference Library lists it for the 89th Legislature.

Receipt

The receipt

89R-HB3940 · 2025-03-06

SOLD BY

+ 2 more authors, 2 coauthors

ITEM

relating to the provision of certain information about Medicaid benefits in relation to newborn children.

WHAT IT DOES

An annual notice until the baby gets its own number.

The bill requires the state health commission to send an annual written notice to Medicaid managed care plans, hospitals and other providers reminding them they may bill a newborn's care under the mother's Medicaid number until the baby gets its own number, and encouraging them to tell mothers the same. It also adds Medicaid information for children, how to report a birth for Medicaid enrollment, and a new commission-written notice about automatic newborn eligibility to the materials that hospitals, birthing centers, physicians and midwives must already hand to pregnant women. The state must update its materials and write the notice by December 1, 2025, and providers must start handing them out by January 1, 2026.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version E · source

Sources

Fiscal note · version E · May 20, 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
  8. Considered in formal meeting
  9. Reported favorably w/o amendment(s)
  10. Comte report filed with Committee Coordinator
  11. Committee report distributed
  12. Committee report sent to Calendars
  13. Considered in Calendars
  14. Placed on General State Calendar
  15. Read 2nd time
  16. Passed to engrossment
  17. Record vote RV#1940
  18. Statement(s) of vote recorded in Journal
  19. Read 3rd time
  20. Postponed 5/12/25 10:00 AM
  21. Laid out as postponed business
  22. Passed
  23. Record vote RV#2159
  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. Co-sponsor authorized
  30. Co-sponsor authorized
  31. Scheduled for public hearing on . . .
  32. Considered in public hearing
  33. Testimony taken in committee
  34. Left pending in committee
  35. Considered in public hearing
  36. Vote taken in committee
  37. Reported favorably w/o amendments
  38. Recommended for local & uncontested calendar
  39. Committee report printed and distributed
  40. Co-sponsor authorized
  41. Placed on intent calendar
  42. Rules suspended-Regular order of business
  43. Read 2nd time & passed to 3rd reading
  44. Vote recorded in Journal
  45. Three day rule suspended
  46. Record vote
  47. Read 3rd time
  48. Passed
  49. Record vote
  50. Senate passage reported
  51. Reported enrolled
  52. Signed in the House
  53. Signed in the Senate
  54. Sent to the Governor
  55. Signed by the Governor
  56. Effective on 9/1/25
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 116 yea · 29 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 26, 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

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 27, 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 Trial Lawyers Association PAC$72,500.00

Texas Trial Lawyers Association PAC

$72,500.00

Cash
$72,500.00
Paid by others
$0.00
Total
$72,500.00

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 · Dec 10, 2024 to Oct 23, 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: 100987008, 101008094, 101030169, 101058089, 101072095.

Texans for Truth and Liberty PAC$65,000.00

Texans for Truth and Liberty PAC

$65,000.00

Cash
$65,000.00
Paid by others
$0.00
Total
$65,000.00

Also funds 44 other sitting lawmakers.

Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 26, 2025 to Oct 15, 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: 101008094, 101072095.

Agave Democratic Infrastructure Fund$54,875.00

Agave Democratic Infrastructure Fund

$54,875.00

Cash
$25,000.00
Paid by others
$29,875.00
Total
$54,875.00
consulting $29,875.00

Also funds 5 other sitting lawmakers.

Derived recipient stock · Nov 22, 2024 to Oct 12, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Nov 22, 2024 to Oct 12, 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: 100987008, 101058089, 101068643, 101072095.

Money

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

×

Texas Trial Lawyers Association PAC

$72,500.00

Cash
$72,500.00
Paid by others
$0.00
Total
$72,500.00

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 · Dec 10, 2024 to Oct 23, 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: 100987008, 101008094, 101030169, 101058089, 101072095.

×

Texans for Truth and Liberty PAC

$65,000.00

Cash
$65,000.00
Paid by others
$0.00
Total
$65,000.00

Also funds 44 other sitting lawmakers.

Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 26, 2025 to Oct 15, 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: 101008094, 101072095.

×

Agave Democratic Infrastructure Fund

$54,875.00

Cash
$25,000.00
Paid by others
$29,875.00
Total
$54,875.00
consulting $29,875.00

Also funds 5 other sitting lawmakers.

Derived recipient stock · Nov 22, 2024 to Oct 12, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Nov 22, 2024 to Oct 12, 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: 100987008, 101058089, 101068643, 101072095.

Votes5

Senate May 26, 2025

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.

Sources

Senator Paxton moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 3940 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 31, Nays 0. The bill was read third time and was passed by the following vote: Yeas 31, Nays 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 26, 2025

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.

Sources

Senator Paxton moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 3940 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 31, Nays 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 26, 2025

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.

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

Sources

The bill was read second time and was passed to third reading by a viva voce vote.

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
116
Nay
29
Present, not voting
2
Absent
0
Excused
3
Names

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

House journal

Sources

Record 2159

HB 3940 was passed by (Record 2159): 116 Yeas, 29 Nays, 2 Present, not voting.

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

  • Yea: 116 (published)
  • Nay: 29 (published)
  • Present, not voting: 2 (published)
  • Absent: 0 (derived from named list)
  • Excused: 3 (derived from named list)

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

House May 9, 2025

Yea
107
Nay
30
Present, not voting
2
Absent
4
Excused
7
Names

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

House journal

Sources

Record 1940

HB 3940 was passed to engrossment by (Record 1940): 107 Yeas, 30 Nays, 2 Present, not voting.

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

  • Yea: 107 (published)
  • Nay: 30 (published)
  • Present, not voting: 2 (published)
  • Absent: 4 (derived from named list)
  • Excused: 7 (derived from named list)

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

Witnesses46
For
42
Against
2
On
2
Names

For

  • Buckner International2 registrations
  • Central Health1 registration
  • Children at Risk1 registration
  • Children's Hospital Association of Texas1 registration
  • City of Houston1 registration
  • Coalition of Texans with Disabilities1 registration
  • DHR Health1 registration
  • Every Texan2 registrations
  • Healthy Futures of Texas1 registration
  • Methodist Healthcare Ministries2 registrations
  • National Association of Social Workers-Texas1 registration
  • Self2 registrations
  • Self; Every Body Texas2 registrations
  • Self; Texas Impact1 registration
  • Self; Texas Unitarian Universalist Justice Ministry1 registration
  • Texans Care for Children3 registrations
  • Texas Academy of Family Physicians1 registration
  • Texas association of community health centers1 registration
  • Texas CASA1 registration
  • Texas Catholic Conference of Bishops1 registration
  • Texas Council of Community Centers1 registration
  • Texas Council on Family Violence1 registration
  • Texas Hospital Association2 registrations
  • Texas Medical Association2 registrations
  • Texas Parent to Parent1 registration
  • Texas Pediatric Society2 registrations
  • Texas Women's Healthcare Coalition1 registration
  • Texas Women’s Healthcare Coalition1 registration
  • TexProtects2 registrations
  • United Ways of Texas2 registrations

Against

  • Self2 registrations

On

  • Department of State Health Services2 registrations
Sources

46 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 E · source

Sources

Fiscal note · version E · May 20, 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 4476

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

Introduced text

Last action, Mar 21, 2023: Referred to Human Services

Relating to the provision of certain information about Medicaid benefits in relation to newborn children.

Caption, 88R bill history

Sources

Texas House · Filed Mar 6, 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.

Coauthors
Sponsors
Cosponsors

House committee · Human Services · Committee vote 9 aye, 1 nay, 1 absent · Out of committee

Senate committee · Health & Human Services · Committee vote 9 aye, 0 nay · Out of committee

Companion

SB 2728 by Cook (identical)

Subjects

Health--Children's Insurance

Human Services--Child Services

Human Services--Medical Assistance

Women

MEDICAID

PREGNANCY & CHILDBIRTH

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 969 words

89R9324 KKR-F

By: Johnson
H.B. No. 3940

A BILL TO BE ENTITLED

AN ACT

relating to the provision of certain information about Medicaid

benefits in relation to newborn children.

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

SECTION 1. Subchapter B, Chapter 32, Human Resources Code,

is amended by adding Section 32.0631 to read as follows:

Sec. 32.0631. ANNUAL NOTICE TO CERTAIN PROVIDERS REGARDING

USE OF MEDICAID IDENTIFICATION NUMBERS WITH RESPECT TO NEWBORN

CHILDREN. The commission shall annually provide written notice to

each managed care organization and health care provider, including

hospitals and other health care facilities participating in

Medicaid that regularly provide health care services to medical

assistance recipients who are pregnant women or newborn children:

(1) reminding the organizations and providers that

when a newborn child of a recipient has not been assigned a Medicaid

identification number, the provider may accept or use the

recipient's Medicaid identification number on any claim for

reimbursement under Medicaid; and

(2) encouraging organizations and providers to

educate recipients who are mothers or the prospective mothers of

newborn children that the recipient may use the recipient's

Medicaid identification number until the recipient's newborn child

is enrolled in Medicaid.

SECTION 2. Section 161.501(a), Health and Safety Code, is

amended to read as follows:

(a) A hospital, birthing center, physician, nurse midwife,

or midwife who provides prenatal care to a pregnant woman during

gestation or at delivery of an infant shall:

(1) provide the woman and the father of the infant, if

possible, or another adult caregiver for the infant, with a

resource pamphlet that includes:

(A) a list of the names, addresses, and phone

numbers of professional organizations that provide postpartum

counseling and assistance to parents relating to postpartum

depression and other emotional trauma associated with pregnancy and

parenting;

(B) information regarding the prevention of

shaken baby syndrome including:

(i) techniques for coping with anger caused

by a crying baby;

(ii) different methods for preventing a

person from shaking a newborn, infant, or other young child;

(iii) the dangerous effects of shaking a

newborn, infant, or other young child; and

(iv) the symptoms of shaken baby syndrome

and who to contact, as recommended by the American Academy of

Pediatrics, if a parent suspects or knows that a baby has been

shaken in order to receive prompt medical treatment;

(C) a list of diseases for which a child is

required by state law to be immunized and the appropriate schedule

for the administration of those immunizations;

(D) the appropriate schedule for follow-up

procedures for newborn screening;

(E) information regarding sudden infant death

syndrome, including current recommendations for infant sleeping

conditions to lower the risk of sudden infant death syndrome;

(F) educational information in both English and

Spanish on:

(i) pertussis disease and the availability

of a vaccine to protect against pertussis, including information on

the Centers for Disease Control and Prevention recommendation that

parents receive Tdap during the postpartum period to protect

newborns from the transmission of pertussis; and

(ii) the incidence of cytomegalovirus,

birth defects caused by congenital cytomegalovirus, and available

resources for the family of an infant born with congenital

cytomegalovirus; [ and ]

(G) the danger of heatstroke for a child left

unattended in a motor vehicle; and

(H) information about Medicaid benefits for

children, including eligibility requirements and the process for

applying for those benefits;

(2) if the woman is a recipient of medical assistance

under Chapter 32, Human Resources Code, provide the woman and the

father of the infant, if possible, or another adult caregiver with :

(A) a resource guide that includes information in

both English and Spanish relating to the development, health, and

safety of a child from birth until age five, including information

relating to:

(i) [ (A) ] selecting and interacting with a

primary health care practitioner and establishing a "medical home"

for the child;

(ii) [ (B) ] dental care;

(iii) [ (C) ] effective parenting;

(iv) [ (D) ] child safety;

(v) [ (E) ] the importance of reading to a

child;

(vi) [ (F) ] expected developmental

milestones;

(vii) [ (G) ] health care resources

available in the state;

(viii) [ (H) ] selecting appropriate child

care; [ and ]

(ix) [ (I) ] other resources available in the

state; and

(x) how to contact the commission to report

the child's birth for the purpose of enrolling the newborn child in

Medicaid; and

(B) a written notice developed by the commission

informing the woman, father, or other caregiver that the newborn

child is automatically eligible for Medicaid and that the woman's

Medicaid identification number may be used on reimbursement claims

for services provided to the woman's newborn child until the child

is enrolled in Medicaid and assigned a separate Medicaid

identification number;

(3) document in the woman's record that the woman

received the resource pamphlet described in Subdivision (1) and the

resource guide and notice described in Subdivision (2), if

applicable; and

(4) retain the documentation for at least five years

in the hospital's, birthing center's, physician's, nurse midwife's,

or midwife's records.

SECTION 3. (a) Not later than December 1, 2025:

(1) the Department of State Health Services shall

include the information required by Sections 161.501(a)(1)(H) and

(a)(2)(A)(x), Health and Safety Code, as added by this Act, in the

informational materials required by that section; and

(2) the Health and Human Services Commission shall

develop the notice required by Section 161.501(a)(2)(B), Health and

Safety Code, as added by this Act.

(b) Notwithstanding Section 161.501(a), Health and Safety

Code, as amended by this Act, a hospital, birthing center,

physician, nurse midwife, or midwife who provides prenatal care to

a pregnant woman during gestation or at delivery of an infant is not

required to comply with that provision until January 1, 2026.

SECTION 4. This Act takes effect September 1, 2025.