Monitoring the Session

HB 5153

bill letting local health departments bill CHIP

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Toni RoseDHouse 110

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 amending Chapter 62, Health and Safety Code, by adding certain local health entities as provider types for reimbursement under the Children's Health Insurance Program.

Caption from analyzed text · version I.

Summary

County health departments get their own provider category.

The bill tells the state health commission to create a separate provider category for local public health entities, such as county health departments and public health districts, so they can enroll in and be paid by the Children's Health Insurance Program. It touches local health authorities, health departments and health districts, plus the state commission that runs the children's health plan. On the ground, these local public agencies get their own billing category for treating children in the program, but the commission only has to act if lawmakers fund it or a needed federal waiver comes through.

Labels

Labels: GOT HALFWAY. Passed the House on May 7, 2025. Died in the Senate: never got out of the Health & Human Services committee.

Receipt

The receipt

89R-HB5153 · 2025-03-14

SOLD BY

ITEM

relating to amending Chapter 62, Health and Safety Code, by adding certain local health entities as provider types for reimbursement under the Children's Health Insurance Program.

WHAT IT DOES

County health departments get their own provider category.

The bill tells the state health commission to create a separate provider category for local public health entities, such as county health departments and public health districts, so they can enroll in and be paid by the Children's Health Insurance Program. It touches local health authorities, health departments and health districts, plus the state commission that runs the children's health plan. On the ground, these local public agencies get their own billing category for treating children in the program, but the commission only has to act if lawmakers fund it or a needed federal waiver comes through.

CHARGES

[ ] NONE FOUND

TOTAL

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version H · source

Sources

Fiscal note · version H · April 27, 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 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#1560
  20. Statement(s) of vote recorded in Journal
  21. Read 3rd time
  22. Passed
  23. Record vote RV#1631
  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
FILED UNDER

No verified beat found.

SIGNED FOR BY

House · 116 yea · 26 nay

Sources

House: Final passage · May 7, 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 · Jul 12, 2024 to Jun 27, 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$22,500.00

Texas Trial Lawyers Association PAC

$22,500.00

Cash
$22,500.00
Paid by others
$0.00
Total
$22,500.00

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 · Oct 15, 2024 to Jun 22, 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: 100989331, 101032423, 101061700.

Texas Sands PAC$14,000.00

Texas Sands PAC

$14,000.00

Cash
$14,000.00
Paid by others
$0.00
Total
$14,000.00

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 · Sep 24, 2024 to 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: 100989331, 101061700.

Texans for Truth and Liberty PAC$10,000.00

Texans for Truth and Liberty PAC

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

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 · on Jun 24, 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: 101010994.

Money

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

×

Texas Trial Lawyers Association PAC

$22,500.00

Cash
$22,500.00
Paid by others
$0.00
Total
$22,500.00

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 · Oct 15, 2024 to Jun 22, 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: 100989331, 101032423, 101061700.

×

Texas Sands PAC

$14,000.00

Cash
$14,000.00
Paid by others
$0.00
Total
$14,000.00

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 · Sep 24, 2024 to 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: 100989331, 101061700.

×

Texans for Truth and Liberty PAC

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

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 · on Jun 24, 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: 101010994.

Votes2

House May 7, 2025

Yea
116
Nay
26
Present, not voting
2
Absent
4
Excused
2
Names

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

House journal

Sources

Record 1631

HB 5153 was passed by (Record 1631): 116 Yeas, 26 Nays, 2 Present, not voting.

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

  • Yea: 116 (published)
  • Nay: 26 (published)
  • Present, not voting: 2 (published)
  • Absent: 4 (derived from named list)
  • Excused: 2 (derived from named list)

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

House May 6, 2025

Yea
110
Nay
31
Present, not voting
1
Absent
6
Excused
2
Names

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

House journal

Sources

Record 1560

CSHB 5153 was passed to engrossment by (Record 1560): 110 Yeas, 31 Nays, 1 Present, not voting.

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

  • Yea: 110 (published)
  • Nay: 31 (published)
  • Present, not voting: 1 (published)
  • Absent: 6 (derived from named list)
  • Excused: 2 (derived from named list)

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

Witnesses10
For
9
Against
0
On
1
Names

For

  • Conference of Urban Counties1 registration
  • Dallas County Commissioners Court1 registration
  • El Paso County1 registration
  • Methodist Healthcare Ministries1 registration
  • National Association of Social Workers-Texas1 registration
  • Self1 registration
  • Texas Association of Goodwills1 registration
  • Texas Council of Community Centers1 registration
  • Texas Pediatric Society1 registration

On

  • Health and Human Services Commission1 registration
Sources

10 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 significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version H · source

Sources

Fiscal note · version H · April 27, 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 14, 2025

05/13/2025 S Referred to Health & Human Services

Texas Legislature Online · Introduced · House Committee Report · Engrossed

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 10 aye, 0 nay, 1 absent · Out of committee

Senate committee · Health & Human Services · Final status: Died in committee

Subjects

Health--Children's Insurance

Health--General

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 346 words

By: Rose
H.B. No. 5153

A BILL TO BE ENTITLED

AN ACT

relating to amending Chapter 62, Health and Safety Code, by adding

certain local health entities as provider types for reimbursement

under the Children's Health Insurance Program.

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

SECTION 1. Section 62.002, Health and Safety Code, is

amended by adding Subdivision (5) to read as follows:

(5) "Local public health entity" means an entity

established by Chapter 121 (Local Public Health Reorganization

Act), including health authorities established under Section

121.021, local health departments established under Section

121.031, and public health districts established under Section

121.041.

SECTION 2. Section 62.156, Health and Safety Code, is

amended to read as follows:

(a) Health care providers who provide health care services

under the child health plan must satisfy certification and

licensure requirements, as required by commission rules and

consistent with other law.

(b) The executive commissioner shall establish a separate

provider type for a local public health entity for purposes of

enrollment as a provider for and reimbursement under the child

health plan program.

SECTION 3. 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 4. The Health and Human Services Commission is

required to implement a provision of this Act only if the

legislature appropriates money specifically for that purpose. If

the legislature does not appropriate money specifically for that

purpose, the commission may, but is not required to, implement a

provision of this Act using other appropriations available for that

purpose.

SECTION 5. This act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2025.