HB 491
bill to let pharmacists stretch emergency insulin refills
Filed
Verdict: No flags
Initial review · graded Nov 9, 2026 · How we grade
Caption
relating to emergency refills of insulin and insulin-related equipment or supplies.
Caption from analyzed text · version I.
Summary
30-day cap bends when the smallest package is bigger.
The bill changes the rule on how much insulin and diabetes supplies a pharmacist can hand out as an emergency refill. It touches pharmacists and people who rely on insulin when their prescription runs out. On the ground, a pharmacist may give more than a 30-day supply when the smallest package is bigger than that, may combine several packages up to 30 days, and may give the smallest package of supplies needed to cover 30 days.
Labels
Labels: QUICK READ: 142 WORDS. The bill as filed runs 142 words, counting the existing law it amends and the text it strikes. The median 90R bill as filed runs 407 words (derived, 1,039 graded bills, snapshot Nov 10, 2026).
Receipt
The receipt
90R-HB491 · 2026-11-09
SOLD BY
ITEM
relating to emergency refills of insulin and insulin-related equipment or supplies.
WHAT IT DOES
30-day cap bends when the smallest package is bigger.
The bill changes the rule on how much insulin and diabetes supplies a pharmacist can hand out as an emergency refill. It touches pharmacists and people who rely on insulin when their prescription runs out. On the ground, a pharmacist may give more than a 30-day supply when the smallest package is bigger than that, may combine several packages up to 30 days, and may give the smallest package of supplies needed to cover 30 days.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
FILED UNDER
No verified beat found.
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 23, 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.
Agave Democratic Infrastructure Fund$56,000.00
Agave Democratic Infrastructure Fund
$56,000.00
- Cash
- $25,000.00
- Paid by others
- $31,000.00
- Total
- $56,000.00
Also funds 5 other sitting lawmakers.
Derived recipient stock · Nov 22, 2024 to Oct 12, 2026. State data as of Nov 4, 2026.
TEC account match.
Sources
Derived itemized flow · Nov 22, 2024 to Oct 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: 100986907, 101059773, 101069326, 101072293.
Texas Sands PAC$17,000.00
Texas Sands PAC
$17,000.00
- Cash
- $17,000.00
- Paid by others
- $0.00
- Total
- $17,000.00
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.
TeamSources
Derived itemized flow · Dec 9, 2024 to Sep 29, 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: 100986907, 101032801, 101059773, 101072293.
Missing data does not establish zero giving. Display amounts are rounded.
Agave Democratic Infrastructure Fund
$56,000.00
- Cash
- $25,000.00
- Paid by others
- $31,000.00
- Total
- $56,000.00
Also funds 5 other sitting lawmakers.
Derived recipient stock · Nov 22, 2024 to Oct 12, 2026. State data as of Nov 4, 2026.
TEC account match.
Sources
Derived itemized flow · Nov 22, 2024 to Oct 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: 100986907, 101059773, 101069326, 101072293.
Texas Sands PAC
$17,000.00
- Cash
- $17,000.00
- Paid by others
- $0.00
- Total
- $17,000.00
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.
TeamSources
Derived itemized flow · Dec 9, 2024 to Sep 29, 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: 100986907, 101032801, 101059773, 101072293.
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 2:34 AM CST. Grades, charges, quotes and corrections follow the published record.
Subjects
Health--Other Diseases & Medical Conditions
Occupational Regulation--Health Occupations
Text
The text as introduced · 142 words
90R1331 DNC-F By: Bucy H.B. No. 491 A BILL TO BE ENTITLED AN ACT relating to emergency refills of insulin and insulin-related equipment or supplies. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 562.0541(d), Occupations Code, is amended to read as follows: (d) The quantity of an emergency refill of insulin may not exceed a 30-day supply unless the smallest commercially available package exceeds a 30-day supply . A pharmacist may dispense multiple packages of insulin for an emergency refill if the total quantity dispensed does not exceed a 30-day supply. The [ quantity of an ] emergency refill of insulin-related equipment or supplies may not exceed [ the lesser of a 30-day supply or ] the smallest commercially available package necessary for a 30-day supply . SECTION 2. This Act takes effect September 1, 2027.