Monitoring the Session

HB 389

Howard Bill Opens Medicaid To Women 19 Through 49

Filed

Verdict: No flags

No flagsInitial review
Rep. Donna HowardDHouse 48

Initial review · graded Nov 9, 2026 · How we grade

Caption

relating to the expansion of eligibility for Medicaid to certain women of reproductive age.

Caption from analyzed text · version I.

Summary

Covers women at or below 133 percent of poverty, starting September 1, 2027, if federal money comes.

This bill orders the state Medicaid program to cover women ages 19 through 49 whose household income is at or below 133 percent of the federal poverty level. It touches low-income women of reproductive age, the Health and Human Services Commission, and the state Medicaid budget, but coverage applies only to women for whom federal matching money is available. Starting September 1, 2027, the commission must take steps to expand eligibility, though it may hold off until any needed federal waiver is granted.

Labels

Labels: DO-OVER. Reworked text of a bill filed before that died: 89R HB 3072 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 2. Filed in 2 sessions: 89R and 90R. Checked against 88R and 89R only.

Receipt

The receipt

90R-HB389 · 2026-11-09

SOLD BY

ITEM

relating to the expansion of eligibility for Medicaid to certain women of reproductive age.

WHAT IT DOES

Covers women at or below 133 percent of poverty, starting September 1, 2027, if federal money comes.

This bill orders the state Medicaid program to cover women ages 19 through 49 whose household income is at or below 133 percent of the federal poverty level. It touches low-income women of reproductive age, the Health and Human Services Commission, and the state Medicaid budget, but coverage applies only to women for whom federal matching money is available. Starting September 1, 2027, the commission must take steps to expand eligibility, though it may hold off until any needed federal waiver is granted.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
FILED UNDER

MEDICAID EXPANSION

THE TEXT

…“the commission shall provide medical assistance to each”…

Bill text, introduced version (I)

The bill widens Medicaid eligibility to a new group of adult women up to 133 percent of the federal poverty level, tied to the availability of federal matching money.

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$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 · Dec 10, 2024 to Oct 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: 100985297, 101031291, 101059636, 101070104.

Texas Association of Nurse Anesthetists Political Action Committee$7,500.00

Texas Association of Nurse Anesthetists Political Action Committee

$7,500.00

Cash
$7,500.00
Paid by others
$0.00
Total
$7,500.00

Also funds 38 other sitting lawmakers.

Derived recipient stock · Nov 19, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 11, 2024 to Sep 12, 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: 100985297, 101069647.

HDCC Incumbent Protection Fund$7,000.00

HDCC Incumbent Protection Fund

$7,000.00

Cash
$7,000.00
Paid by others
$0.00
Total
$7,000.00

Also funds 8 other sitting lawmakers.

Derived recipient stock · Aug 22, 2025 to May 21, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · on May 21, 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: 101059636.

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 · Dec 10, 2024 to Oct 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: 100985297, 101031291, 101059636, 101070104.

×

Texas Association of Nurse Anesthetists Political Action Committee

$7,500.00

Cash
$7,500.00
Paid by others
$0.00
Total
$7,500.00

Also funds 38 other sitting lawmakers.

Derived recipient stock · Nov 19, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 11, 2024 to Sep 12, 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: 100985297, 101069647.

×

HDCC Incumbent Protection Fund

$7,000.00

Cash
$7,000.00
Paid by others
$0.00
Total
$7,000.00

Also funds 8 other sitting lawmakers.

Derived recipient stock · Aug 22, 2025 to May 21, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · on May 21, 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: 101059636.

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 a super-expensive superintelligence, Nov 9, 2026, against the published rubric.

FILED BEFORE

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

89R HB 3072

by Rep. Howard, same lead author · Died in committee · reworked

Introduced text

Last action, Mar 20, 2025: Referred to Appropriations

Relating to the expansion of eligibility for Medicaid to certain women.

Caption, 89R bill history

Sources

Texas House · Filed Nov 9, 2026

11/09/2026 H Filed

Texas Legislature Online · Introduced

Data snapshot Nov 10, 2026 at 2:33 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Human Services--Medical Assistance

Women

Text

The text as introduced · 339 words

90R2862 CMO-D

By: Howard
H.B. No. 389

A BILL TO BE ENTITLED

AN ACT

relating to the expansion of eligibility for Medicaid to certain

women of reproductive age.

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 32.02473 to read as follows:

Sec. 32.02473. EXPANDED ELIGIBILITY FOR MEDICAL ASSISTANCE

FOR CERTAIN WOMEN OF REPRODUCTIVE AGE. (a) Notwithstanding any

other law, the commission shall provide medical assistance to each

woman in this state:

(1) who is of reproductive age, including each woman

who is at least 19 years of age or older but younger than 50 years of

age;

(2) who has a household income that is at or below 133

percent of the federal poverty level;

(3) who applies for the assistance; and

(4) for whom federal matching money is available.

(b) The executive commissioner shall adopt rules necessary

to implement this section.

SECTION 2. Section 32.02473, Human Resources Code, as added

by this Act, applies only to an initial determination or

recertification of eligibility of an individual for medical

assistance under Chapter 32, Human Resources Code, made on or after

the date the section is implemented, regardless of the date the

individual applied for that assistance.

SECTION 3. As soon as practicable after the effective date

of this Act, the executive commissioner of the Health and Human

Services Commission shall take all necessary actions to expand

eligibility for medical assistance under Chapter 32, Human

Resources Code, in accordance with Section 32.02473, Human

Resources Code, as added by this Act, including notifying

appropriate federal agencies of that expanded eligibility.

SECTION 4. 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 5. This Act takes effect September 1, 2027.