Monitoring the Session

HB 885

bill making regular dialysis count as emergency Medicaid care

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Suleman LalaniDHouse 76

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 Medicaid coverage and reimbursement for emergency outpatient dialysis treatment provided to certain individuals with end stage renal disease.

Caption from analyzed text · version I.

Summary

Scheduled, outpatient, and officially an emergency. Medicaid picks up the tab.

The bill tells the state Medicaid agency that regular outpatient dialysis counts as emergency care for people with end stage kidney disease who qualify only for emergency-only Medicaid under Section 1903(v) of the federal Social Security Act. It touches those patients, the hospitals and dialysis centers that treat them, and the state Medicaid budget. On the ground, Medicaid would pay for scheduled outpatient dialysis for this group starting September 1, 2025, though the agency may delay if it needs federal approval first.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R SB 1411 by Sen. Miles (Died in committee) and this bill (Died in committee). Checked against 88R only.DO-OVER. Reworked text of a bill filed before that died: 88R SB 1411 by Sen. Miles (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.NEVER GOT A HEARING. Filed Nov 12, 2024 and referred to the House Public Health subcommittee on Disease Prevention & Women's & Children's Health. No public hearing. The bill died.

Receipt

The receipt

89R-HB885 · 2024-11-12

SOLD BY

ITEM

relating to Medicaid coverage and reimbursement for emergency outpatient dialysis treatment provided to certain individuals with end stage renal disease.

WHAT IT DOES

Scheduled, outpatient, and officially an emergency. Medicaid picks up the tab.

The bill tells the state Medicaid agency that regular outpatient dialysis counts as emergency care for people with end stage kidney disease who qualify only for emergency-only Medicaid under Section 1903(v) of the federal Social Security Act. It touches those patients, the hospitals and dialysis centers that treat them, and the state Medicaid budget. On the ground, Medicaid would pay for scheduled outpatient dialysis for this group starting September 1, 2025, though the agency may delay if it needs federal approval first.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
FILED UNDER

GIBS

THE TEXT

“in accordance with Section 1903(v), Social Security Act (42 U.S.C. Section 1396b(v)), is eligible for medical assistance benefits if the benefits are necessary to treat an emergency medical condition”

Bill text, introduced version (I)

The bill widens the emergency-only Medicaid category tied to Section 1903(v), the federal provision for people otherwise barred from full Medicaid, so that it pays for routine outpatient dialysis.

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 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 Trial Lawyers Association PAC$37,500.00

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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 Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

Texas House Democratic Campaign Committee$11,569.08

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 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: 101040256, 101061992.

TSA PAC$10,000.00

TSA PAC

$10,000.00

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

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Sep 23, 2025 to Oct 10, 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: 101030846, 101072241.

Money

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

×

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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 Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

×

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 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: 101040256, 101061992.

×

TSA PAC

$10,000.00

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

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Sep 23, 2025 to Oct 10, 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: 101030846, 101072241.

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.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R SB 1411

by Sen. Miles, different lead author · Died in committee · reworked

Introduced text

Last action, Mar 16, 2023: Referred to Health & Human Services

Relating to Medicaid coverage and reimbursement for emergency outpatient dialysis treatment provided to certain individuals with end stage renal disease.

Caption, 88R bill history

Sources

Texas House · Filed Nov 12, 2024

03/06/2025 H Referred to s/c on Dis Prev & Women's & Children's Health by Speaker: Mar 6 2025 11:42AM

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

House committee · Public Health · Final status: Died in committee

Companion

SB 374 by Miles (identical)

Subjects

Aliens

Health--Other Diseases & Medical Conditions

Human Services--Medical Assistance

MEDICAID

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 273 words

89R385 JG-D

By: Lalani
H.B. No. 885

A BILL TO BE ENTITLED

AN ACT

relating to Medicaid coverage and reimbursement for emergency

outpatient dialysis treatment provided to certain individuals with

end stage renal disease.

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 32.02465 to read as follows:

Sec. 32.02465. MEDICAL ASSISTANCE COVERAGE AND

REIMBURSEMENT FOR CERTAIN PERSONS REQUIRING EMERGENCY OUTPATIENT

DIALYSIS TREATMENT. (a) This section applies only to an individual

who:

(1) has end stage renal disease; and

(2) in accordance with Section 1903(v), Social

Security Act (42 U.S.C. Section 1396b(v)), is eligible for medical

assistance benefits if the benefits are necessary to treat an

emergency medical condition.

(b) For purposes of 42 C.F.R. Section 440.255, emergency

services required to treat an emergency medical condition include

outpatient dialysis treatment provided to an individual to whom

this section applies at a hospital or an end stage renal disease

facility, as defined by Section 251.001, Health and Safety Code.

(c) The commission shall ensure that medical assistance

reimbursement authorized under Section 1903(v), Social Security

Act (42 U.S.C. Section 1396b(v)), is provided for outpatient

dialysis treatment provided to an individual to whom this section

applies.

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.