Monitoring the Session

HB 4638

Pharmaceutical Initiative Lives To 2031 With Two More Board Seats

Became law, effective Sep 1, 2025

Verdict: Smells

SmellsInitial review
Rep. Greg BonnenRHouse 24
Both charges, and why
New fee, fund, board or appointees

THE TEXT

“The initiative is governed by a board composed of five”…

Bill text, engrossed version (E)

The bill adds two new governor-appointed seats to the initiative's board. The caption is neutral and does not promise smaller government, so this is a routine expansion.

New fee, fund, board or appointees
Study, task force, commission, report

THE TEXT

“Not later than June 1 of each”…

Bill text, engrossed version (E)

The bill's main new duty is a business plan due every two years that lays out how services might be set up. It does not order any pharmacy benefit service, distribution network, or manufacturing to start.

Study, task force, commission, report

Initial review · graded Oct 22, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the Texas Pharmaceutical Initiative.

Caption from analyzed text · version E.

Summary

The board writes a business plan every even-numbered year. The bill orders no services to start.

This bill keeps the Texas Pharmaceutical Initiative alive until September 1, 2031, when it was set to expire in 2025. It grows the initiative's governor-appointed board from three members to five, with staggered six-year terms, and orders the board to send the governor and lawmakers a new business plan every even-numbered year. The plan must cover pharmacy benefit services, drug distribution, drug manufacturing, conflicts of interest, and cost savings for state health plan members, but the bill itself orders no services to start.

Receipt

The receipt

89R-HB4638 · 2025-03-12

SOLD BY

ITEM

relating to the Texas Pharmaceutical Initiative.

WHAT IT DOES

The board writes a business plan every even-numbered year. The bill orders no services to start.

This bill keeps the Texas Pharmaceutical Initiative alive until September 1, 2031, when it was set to expire in 2025. It grows the initiative's governor-appointed board from three members to five, with staggered six-year terms, and orders the board to send the governor and lawmakers a new business plan every even-numbered year. The plan must cover pharmacy benefit services, drug distribution, drug manufacturing, conflicts of interest, and cost savings for state health plan members, but the bill itself orders no services to start.

CHARGES

[x] NEW FEE, FUND, BOARD OR APPOINTEESanalysis confidence 60%

THE TEXT

“The initiative is governed by a board composed of five”…

Bill text, engrossed version (E)

The bill adds two new governor-appointed seats to the initiative's board. The caption is neutral and does not promise smaller government, so this is a routine expansion.

[x] STUDY, TASK FORCE, COMMISSION, REPORTanalysis confidence 40%

THE TEXT

“Not later than June 1 of each”…

Bill text, engrossed version (E)

The bill's main new duty is a business plan due every two years that lays out how services might be set up. It does not order any pharmacy benefit service, distribution network, or manufacturing to start.

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version F · source

Sources

Fiscal note · version F · May 28, 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 Public Health
  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#1528
  20. Statement(s) of vote recorded in Journal
  21. Read 3rd time
  22. Passed
  23. Record vote RV#1602
  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. Posting rule suspended
  30. Scheduled for public hearing on . . .
  31. Considered in public hearing
  32. Left pending in committee
  33. Considered in public hearing
  34. Vote taken in committee
  35. Reported favorably w/o amendments
  36. Recommended for local & uncontested calendar
  37. Committee report printed and distributed
  38. Placed on intent calendar
  39. Rules suspended-Regular order of business
  40. Read 2nd time
  41. Amendment(s) offered FA1 Kolkhorst
  42. Amended
  43. Vote recorded in Journal
  44. Passed to 3rd reading as amended
  45. Vote recorded in Journal
  46. Three day rule suspended
  47. Record vote
  48. Read 3rd time
  49. Passed
  50. Record vote
  51. Senate passage as amended reported
  52. Senate Amendments distributed
  53. Senate Amendments Analysis distributed
  54. House concurs in Senate amendment(s)
  55. Record vote RV#4038
  56. Statement(s) of vote recorded in Journal
  57. Text of Senate Amendment(s)
  58. House concurs in Senate amendment(s)-reported
  59. Reported enrolled
  60. Signed in the House
  61. Signed in the Senate
  62. Sent to the Governor
  63. Signed by the Governor
  64. Effective on 9/1/25
FILED UNDER

GOVERNMENT GROWTH UNDER A CONSERVATIVE BANNER

THE TEXT

“The initiative is governed by a board composed of five”…

Bill text, engrossed version (E)

The bill creates two more appointed board positions for a state initiative and extends its life six years.

SIGNED FOR BY

House · 140 yea · 6 nay

Senate · 29 yea · 2 nay

Sources

House: Final passage · May 7, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

Senate: Final passage · May 27, 2025. Journal. Published stock for this vote. Snapshot 2026-10-19, Central time.

All floor motions and other positions below.

Smells

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Donors report through Friends of Dr. Greg Bonnen.

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 1, 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.

Money

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

Votes6

House May 29, 2025

Yea
124
Nay
11
Present, not voting
1
Absent
8
Excused
6
Names

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

House journal

Sources

Record 4038

Representative Capriglione moved to concur in the senate amendments to HB 4638. The motion to concur in the senate amendments to HB 4638 prevailed by (Record 4038): 124 Yeas, 11 Nays, 1 Present, not voting.

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

  • Yea: 124 (published)
  • Nay: 11 (published)
  • Present, not voting: 1 (published)
  • Absent: 8 (derived from named list)
  • Excused: 6 (derived from named list)

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

Senate May 27, 2025

Yea
29
Nay
2
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

The bill was read third time and was passed by the following vote: Yeas 29, Nays 2. (Same as previous roll call)

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

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

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

Senate May 27, 2025

Yea
29
Nay
2
Present, not voting
Not printed
Absent
0
Excused
0
Names

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

Senate journal

Sources

Senator Kolkhorst moved that Senate Rule 7.18 and the Constitutional Rule requiring bills to be read on three several days be suspended and that HB 4638 be placed on its third reading and final passage. The motion prevailed by the following vote: Yeas 29, Nays 2.

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

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

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

Senate May 27, 2025

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

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

Senate journal

Names were not printed for yea. Only the named positions are included in member records.

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

Sources

HB 4638 as amended 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 7, 2025

Yea
140
Nay
6
Present, not voting
1
Absent
3
Excused
0
Names

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

House journal

Sources

Record 1602

HB 4638 was passed by (Record 1602): 140 Yeas, 6 Nays, 1 Present, not voting.

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

  • Yea: 140 (published)
  • Nay: 6 (published)
  • Present, not voting: 1 (published)
  • Absent: 3 (derived from named list)
  • Excused: 0 (derived from named list)

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

House May 6, 2025

Yea
134
Nay
10
Present, not voting
1
Absent
3
Excused
2
Names

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

House journal

Sources

Record 1528

CSHB 4638 was passed to engrossment by (Record 1528): 134 Yeas, 10 Nays, 1 Present, not voting.

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

  • Yea: 134 (published)
  • Nay: 10 (published)
  • Present, not voting: 1 (published)
  • Absent: 3 (derived from named list)
  • Excused: 2 (derived from named list)

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

Witnesses12
For
9
Against
1
On
2
Names

For

  • AARP Texas1 registration
  • AARP TX1 registration
  • Self3 registrations
  • Texas Chapter American College of Physicians1 registration
  • Texas Pharmacy Association2 registrations
  • Texas Pharmacy Business Council/American Pharmacies1 registration

Against

  • Self1 registration

On

  • Texas Pharmaceutical Initiative2 registrations
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.

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 28, 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 E by claude-opus-5-5, Oct 22, 2026, against the published rubric.

Sources

Texas House · Filed Mar 12, 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 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

Sponsors

House committee · Public Health · Committee vote 11 aye, 0 nay, 2 absent · Out of committee

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

Companion

SB 2336 by Kolkhorst (identical)

Subjects

Education--Higher--Institutions & Programs

Governor

Health--General

Retirement Systems--State Employees

Retirement Systems--Teachers

State Agencies, Boards & Commissions

PHARMACEUTICAL INITIATIVE GOVERNING BOARD, TEXAS (V71B9)

Text

The text as introduced · 508 words

89R9891 MPF-D

By: Bonnen
H.B. No. 4638

A BILL TO BE ENTITLED

AN ACT

relating to the Texas Pharmaceutical Initiative.

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

SECTION 1. Section 2177.003(a), Government Code, is amended

to read as follows:

(a) The initiative is governed by a board composed of five

[ three ] members appointed by the governor.

SECTION 2. Chapter 2177, Government Code, is amended by

adding Section 2177.0035 to read as follows:

Sec. 2177.0035. TERMS; VACANCIES. (a) Board members serve

staggered six-year terms, with one-third or as near as possible to

one-third of the members' terms expiring February 1 of each

odd-numbered year.

(b) A vacancy on the board shall be filled for the unexpired

term in the same manner as the original appointment.

SECTION 3. Section 2177.006, Government Code, is amended to

read as follows:

Sec. 2177.006. BUSINESS PLAN. Not later than June 1 of each

even-numbered year [ October 1, 2024 ], the board shall prepare

[ develop ] and submit to the governor, the legislature, and the

Legislative Budget Board a business plan on:

(1) implementing the initiative, including the

initiative's organizational structure and related programs;

(2) establishing procedures and policies for the

administration of the initiative, including documenting the

process and resources required for the provision to individuals

described by Section 2177.002 of the following services:

(A) establishing or contracting for statewide

pharmacy benefit manager services;

(B) establishing policies and conditions to

operate or contract for the operation of a distribution network,

central service center, and associated network of satellite

distribution facilities to distribute prescription drugs and

related medical supplies; and

(C) providing advanced pharmaceutical

preparation and related services, including:

(i) manufacturing generic drugs and generic

biological products;

(ii) providing gene therapies and precision

medicine; and

(iii) providing advanced laboratories for

quality control, preparation, and compounding of drugs in support

of innovative therapeutics and drug research;

(3) establishing procedures to document compliance by

board members and personnel with applicable laws governing

conflicts of interest;

(4) establishing the conditions for state agencies

that facilitate health plans to participate in the initiative;

(5) identifying potential cost savings from

implementation of the initiative;

(6) identifying the funding and resources needed to

implement this chapter; and

(7) providing other board recommendations, with

supporting documentation, on continuation of the initiative.

SECTION 4. Section 2177.010, Government Code, is repealed.

SECTION 5. (a) As soon as practicable after the effective

date of this Act, the governor shall appoint the governing board

members for the Texas Pharmaceutical Initiative as required by

Section 2177.003, Government Code, as amended by this Act.

(b) Notwithstanding Section 2177.0035, Government Code, as

added by this Act, in making the appointments of the governing board

members for the Texas Pharmaceutical Initiative under Subsection

(a) of this section, the governor shall designate:

(1) two members to serve terms expiring February 1,

2027;

(2) two members to serve terms expiring February 1,

2029; and

(3) one member to serve a term expiring February 1,

2031.

SECTION 6. This Act takes effect September 1, 2025.