Monitoring the Session

SB 374

Miles Bill Treats Regular Dialysis As A Medicaid Emergency

Died in committee

Verdict: No flags

No flagsInitial review
Sen. Borris MilesDSenate 13

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

Emergency-only Medicaid patients get scheduled dialysis instead of waiting for a crisis.

The bill tells Texas Medicaid to treat regular outpatient dialysis as an emergency service for people with end stage renal disease who qualify only for emergency-only Medicaid under a cited federal provision. It touches those patients, the hospitals and dialysis facilities that treat them, and the state health commission that pays the claims. Under the bill, these patients could get scheduled dialysis paid for by Medicaid instead of waiting for a crisis, starting September 1, 2025, unless a needed federal waiver delays it.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R SB 1411 (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 (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 15, 2024 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB374 · 2024-11-15

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

Emergency-only Medicaid patients get scheduled dialysis instead of waiting for a crisis.

The bill tells Texas Medicaid to treat regular outpatient dialysis as an emergency service for people with end stage renal disease who qualify only for emergency-only Medicaid under a cited federal provision. It touches those patients, the hospitals and dialysis facilities that treat them, and the state health commission that pays the claims. Under the bill, these patients could get scheduled dialysis paid for by Medicaid instead of waiting for a crisis, starting September 1, 2025, unless a needed federal waiver delays it.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to Health & Human Services
FILED UNDER

GIBS

THE TEXT

…“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 emergency-only Medicaid, the category tied to the cited federal Section 1903(v) that covers certain non-citizens, to pay 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 · Sep 4, 2024 to Nov 30, 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.

Texas Trial Lawyers Association PAC$15,000.00

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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.

Team
Sources

Derived itemized flow · Oct 25, 2024 to Nov 3, 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: 100990780, 101043817.

HillCo PAC$10,000.00

HillCo PAC

$10,000.00

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

Also funds 131 other sitting lawmakers.

Derived recipient stock · Jul 8, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Oct 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: 101043817.

ActBlue Texas$8,833.00

ActBlue Texas

$8,833.00

Cash
$8,833.00
Paid by others
$0.00
Total
$8,833.00

Also funds 3 other sitting lawmakers.

Derived recipient stock · Sep 1, 2024 to Sep 4, 2025. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · on Nov 1, 2024. 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: 100990780.

Money

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

×

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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.

Team
Sources

Derived itemized flow · Oct 25, 2024 to Nov 3, 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: 100990780, 101043817.

×

HillCo PAC

$10,000.00

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

Also funds 131 other sitting lawmakers.

Derived recipient stock · Jul 8, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Oct 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: 101043817.

×

ActBlue Texas

$8,833.00

Cash
$8,833.00
Paid by others
$0.00
Total
$8,833.00

Also funds 3 other sitting lawmakers.

Derived recipient stock · Sep 1, 2024 to Sep 4, 2025. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · on Nov 1, 2024. 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: 100990780.

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, same 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 Senate · Filed Nov 15, 2024

02/03/2025 S Referred to Health & Human Services

Texas Legislature Online · Introduced

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

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

Companion

HB 885 by Lalani (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: Miles
S.B. No. 374

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.