Monitoring the Session

HB 430

30 years on the ambulance earns lifetime coverage

Filed

Verdict: No flags

No flagsInitial review
Rep. Armando "Mando" MartinezDHouse 39

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

Caption

relating to the emergency medical services personnel retention benefit program administered by the Department of State Health Services.

Caption from analyzed text · version I.

Summary

State pays for a $100,000 life policy plus health coverage, for life.

This bill creates a new state program that pays for life insurance and health coverage for longtime emergency medical workers. It covers Texas residents who hold or held an EMT, advanced EMT or paramedic license and have at least 30 years of service, counting years with at least 1,000 hours worked or volunteered. The state health department would pay the premiums for a $100,000 life policy and either state-employee-level health coverage or Medicare supplement and drug coverage for the rest of each eligible person's life, funded from money the Legislature sets aside.

Receipt

The receipt

90R-HB430 · 2026-11-09

SOLD BY

ITEM

relating to the emergency medical services personnel retention benefit program administered by the Department of State Health Services.

WHAT IT DOES

State pays for a $100,000 life policy plus health coverage, for life.

This bill creates a new state program that pays for life insurance and health coverage for longtime emergency medical workers. It covers Texas residents who hold or held an EMT, advanced EMT or paramedic license and have at least 30 years of service, counting years with at least 1,000 hours worked or volunteered. The state health department would pay the premiums for a $100,000 life policy and either state-employee-level health coverage or Medicare supplement and drug coverage for the rest of each eligible person's life, funded from money the Legislature sets aside.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
FILED UNDER

MEDICAID EXPANSION

THE TEXT

“The department shall pay insurance premiums for life and health benefit coverage”…

Bill text, introduced version (I)

The bill creates a new state-paid health plan, with lifetime coverage for a new group: long-serving EMS personnel.

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 Jun 26, 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.

Border Health PAC$10,000.00

Border Health PAC

$10,000.00

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

Also funds 17 other sitting lawmakers.

Derived recipient stock · Oct 28, 2024 to Aug 26, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Nov 26, 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: 101026922.

Marc Rodriguez$9,500.00
Texas Trial Lawyers Association PAC$9,000.00

Texas Trial Lawyers Association PAC

$9,000.00

Cash
$9,000.00
Paid by others
$0.00
Total
$9,000.00

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 Apr 8, 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: 100979779, 101026922, 101055340.

Money

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

×

Border Health PAC

$10,000.00

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

Also funds 17 other sitting lawmakers.

Derived recipient stock · Oct 28, 2024 to Aug 26, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Nov 26, 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: 101026922.

×

Texas Trial Lawyers Association PAC

$9,000.00

Cash
$9,000.00
Paid by others
$0.00
Total
$9,000.00

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 Apr 8, 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: 100979779, 101026922, 101055340.

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.

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

Health--Emergency Services & Personnel

Insurance--General

Occupational Regulation--Health Occupations

Text

The text as introduced · 578 words

90R4269 KRM-D

By: Martinez
H.B. No. 430

A BILL TO BE ENTITLED

AN ACT

relating to the emergency medical services personnel retention

benefit program administered by the Department of State Health

Services.

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

SECTION 1. Subtitle C, Title 2, Health and Safety Code, is

amended by adding Chapter 66 to read as follows:

CHAPTER 66. EMERGENCY MEDICAL SERVICES PERSONNEL RETENTION

BENEFIT PROGRAM

Sec. 66.001. DEFINITIONS. In this chapter:

(1) "Board of trustees" means the board of trustees of

the Employees Retirement System of Texas.

(2) "Program" means the emergency medical services

personnel retention benefit program established under Section

66.002.

(3) "Year of service" means a year in which an

individual:

(A) was employed or volunteered as emergency

medical services personnel; and

(B) served in that role for at least 1,000 hours.

Sec. 66.002. ESTABLISHMENT. The department shall, in

coordination with the board of trustees, establish and administer

the emergency medical services personnel retention benefit program

to provide life and health benefits to certain lifetime emergency

medical services personnel and incentivize the retention of those

personnel.

Sec. 66.003. ELIGIBILITY FOR BENEFITS; REQUIREMENT TO

PROVIDE COVERAGE. (a) An individual may apply to the department in

the form and manner prescribed by department rule to receive

program benefits.

(b) An individual is eligible for program benefits if the

individual:

(1) holds or held a license or certification under

Chapter 773 as:

(A) an emergency medical technician;

(B) an advanced emergency medical technician; or

(C) a licensed paramedic;

(2) has accumulated at least 30 years of service; and

(3) is a resident of this state at the time of

application for program benefits.

(c) The department shall provide coverage described by

Section 66.004 to an individual the department determines is

eligible under this section.

Sec. 66.004. LIFE AND HEALTH BENEFIT COVERAGE. (a) A life

insurance policy provided under the program must provide a death

benefit in the amount of $100,000.

(b) Health benefit coverage provided under the program must

consist of:

(1) for an individual who is not eligible for Medicare

coverage, a health benefit plan that provides coverage

substantially equivalent to health benefit plan coverage provided

under the group benefits program under Chapter 1551, Insurance

Code; and

(2) for an individual who is eligible for Medicare

coverage, both:

(A) a Medicare supplement benefit plan, as

defined by Section 1652.002(a), Insurance Code; and

(B) premium assistance drug coverage under

Medicare Part D.

Sec. 66.005. CONTINUOUS COVERAGE. An individual who is

eligible for program benefits remains eligible for those benefits

for the duration of the individual's life.

Sec. 66.006. ALLOCATION OF PREMIUM COSTS. The department

shall pay insurance premiums for life and health benefit coverage

provided to eligible individuals under the program.

Sec. 66.007. CONTRACTS AND AGREEMENTS. The department may

enter into contracts and agreements as necessary to implement this

chapter, including interagency agreements to provide benefits to

individuals who are eligible to receive program benefits.

Sec. 66.008. FUNDING. From money appropriated or otherwise

available for the purpose, the department shall:

(1) administer the program; and

(2) provide program benefits to eligible individuals.

Sec. 66.009. RULES. The executive commissioner shall adopt

rules necessary to implement this chapter.

SECTION 2. As soon as practicable after the effective date

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

Services Commission shall adopt rules necessary to implement the

changes in law made by this Act.

SECTION 3. This Act takes effect September 1, 2027.