HB 4667
bill ending prior approval for power wheelchair repairs
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 prior authorization or precertification for the repair of complex rehabilitation technology equipment under Medicaid.
Caption from analyzed text · version I.
Summary
Medicaid pays for complex rehab equipment repairs without prior approval.
The bill requires the state's Medicaid program to pay for repairs of complex rehabilitation technology equipment, like power wheelchairs, without making patients or providers get prior approval first. It touches Medicaid recipients who use this equipment, the suppliers who repair it, and the Health and Human Services Commission, which must write a payment method by rule. On the ground, repairs can move forward without waiting on an approval step, starting September 1, 2025, unless a federal waiver is needed first.
Labels
Labels: NEVER GOT A HEARING. Filed Mar 12, 2025 and referred to the House Human Services committee. No public hearing. The bill died.
Receipt
The receipt
89R-HB4667 · 2025-03-12
SOLD BY
ITEM
relating to prior authorization or precertification for the repair of complex rehabilitation technology equipment under Medicaid.
WHAT IT DOES
Medicaid pays for complex rehab equipment repairs without prior approval.
The bill requires the state's Medicaid program to pay for repairs of complex rehabilitation technology equipment, like power wheelchairs, without making patients or providers get prior approval first. It touches Medicaid recipients who use this equipment, the suppliers who repair it, and the Health and Human Services Commission, which must write a payment method by rule. On the ground, repairs can move forward without waiting on an approval step, starting September 1, 2025, unless a federal waiver is needed first.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
- Read first time
- Referred to Human Services
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 · 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.
TeamSources
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.
TeamSources
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.
TeamSources
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.
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.
TeamSources
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.
TeamSources
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.
TeamSources
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.
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 12, 2025
04/03/2025 H Referred to Human Services: Apr 3 2025 12:38PM
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
Companion
SB 2061 by Parker (identical)
Subjects
Human Services--Medical Assistance
MEDICAID
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 214 words
89R12606 SCF-D By: Manuel H.B. No. 4667 A BILL TO BE ENTITLED AN ACT relating to prior authorization or precertification for the repair of complex rehabilitation technology equipment under Medicaid. 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 32.031401 to read as follows: Sec. 32.031401. REIMBURSEMENT FOR REPAIR OF COMPLEX REHABILITATION TECHNOLOGY EQUIPMENT. (a) In this section, "complex rehabilitation technology equipment" has the meaning assigned by Section 532.0455, Government Code. (b) The executive commissioner by rule shall establish a reimbursement methodology for the repair of complex rehabilitation technology equipment prescribed to a recipient under the medical assistance program. (c) The commission shall provide medical assistance reimbursement for the repair of complex rehabilitation technology equipment without requiring a medical assistance recipient or health care provider to obtain prior authorization or precertification for the repair. 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.