Monitoring the Session

HB 748

bill adding peer support services to Medicaid for disability

Filed

Verdict: No flags

No flagsInitial review
Rep. Elizabeth "Liz" CamposDHouse 119

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

Caption

relating to peer support specialists for certain individuals with an intellectual or developmental disability and peer services for those individuals under Medicaid.

Caption from analyzed text · version I.

Summary

Medicaid covers peer support, as federal law allows, starting September 1, 2027.

The bill directs the state health agency to write rules on training, certification, supervision and scope of work for peer support specialists who serve people with an intellectual or developmental disability. It sets up a temporary advisory work group of named advocacy groups and agency staff to give input, and that group ends once the rules are adopted. It also adds peer support services for these individuals to Medicaid coverage to the extent federal law allows, starting September 1, 2027.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 4702 (Died in committee) and 89R HB 1941 (Died in committee). Checked against 88R and 89R only.DO-OVER. Reworked text of a bill filed before that died: 88R HB 4702 (Died in committee) and 89R HB 1941 (Died in committee). Filed in 3 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 3. Filed in 3 sessions: 88R, 89R and 90R. Checked against 88R and 89R only.

Receipt

The receipt

90R-HB748 · 2026-11-09

SOLD BY

ITEM

relating to peer support specialists for certain individuals with an intellectual or developmental disability and peer services for those individuals under Medicaid.

WHAT IT DOES

Medicaid covers peer support, as federal law allows, starting September 1, 2027.

The bill directs the state health agency to write rules on training, certification, supervision and scope of work for peer support specialists who serve people with an intellectual or developmental disability. It sets up a temporary advisory work group of named advocacy groups and agency staff to give input, and that group ends once the rules are adopted. It also adds peer support services for these individuals to Medicaid coverage to the extent federal law allows, starting September 1, 2027.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
ALSO NOTED · NOT CHARGED (1)

NEW FEE, FUND, BOARD OR APPOINTEES · analysis confidence 40%

THE TEXT

“The commission shall establish a stakeholder work group”…

Bill text, introduced version (I)

The bill creates a new appointed advisory body. It is temporary and is abolished once the rules are adopted, and the caption does not promise smaller government.

FILED UNDER

MEDICAID EXPANSION

THE TEXT

…“including peer support services provided to individuals with an”…

Bill text, introduced version (I)

The bill adds peer support services for people with an intellectual or developmental disability to the scope of Medicaid-covered services.

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 Sands PAC$58,000.00

Texas Sands PAC

$58,000.00

Cash
$58,000.00
Paid by others
$0.00
Total
$58,000.00

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.

Team
Sources

Derived itemized flow · Jan 30, 2026 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: 101041279, 101072570.

Texas Trial Lawyers Association PAC$54,000.00

Texas Trial Lawyers Association PAC

$54,000.00

Cash
$54,000.00
Paid by others
$0.00
Total
$54,000.00

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 · Nov 19, 2024 to Aug 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: 100987685, 101012359, 101033794, 101036103, 101041279, 101069980.

Texas Medical Association Political Action Committee$26,223.56

Texas Medical Association Political Action Committee

$26,223.56

Cash
$25,500.00
Paid by others
$723.56
Total
$26,223.56
fundraiser $597.31food $126.25

Also funds 118 other sitting lawmakers.

Derived recipient stock · Aug 12, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 6, 2024 to Mar 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: 100987685, 101012359, 101041279, 101062186.

Money

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

×

Texas Sands PAC

$58,000.00

Cash
$58,000.00
Paid by others
$0.00
Total
$58,000.00

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.

Team
Sources

Derived itemized flow · Jan 30, 2026 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: 101041279, 101072570.

×

Texas Trial Lawyers Association PAC

$54,000.00

Cash
$54,000.00
Paid by others
$0.00
Total
$54,000.00

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 · Nov 19, 2024 to Aug 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: 100987685, 101012359, 101033794, 101036103, 101041279, 101069980.

×

Texas Medical Association Political Action Committee

$26,223.56

Cash
$25,500.00
Paid by others
$723.56
Total
$26,223.56
fundraiser $597.31food $126.25

Also funds 118 other sitting lawmakers.

Derived recipient stock · Aug 12, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 6, 2024 to Mar 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: 100987685, 101012359, 101041279, 101062186.

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 3 times: 88R, 89R and now. Checked against 88R and 89R only.

88R HB 4702

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

Introduced text

Last action, May 9, 2023: Referred to Health & Human Services

Relating to peer support specialists for certain individuals with an intellectual or developmental disability and peer services for those individuals under Medicaid.

Caption, 88R bill history

89R HB 1941

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

Introduced text

Last action, Apr 22, 2025: Left pending in committee

Relating to peer support specialists for certain individuals with an intellectual or developmental disability and peer services for those individuals under Medicaid.

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 2:36 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Human Services--Medical Assistance

Mental Health & Substance Abuse

Text

The text as introduced · 591 words

90R3978 RAL-F

By: Campos
H.B. No. 748

A BILL TO BE ENTITLED

AN ACT

relating to peer support specialists for certain individuals with

an intellectual or developmental disability and peer services for

those individuals under Medicaid.

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

SECTION 1. Subchapter A, Chapter 547, Government Code, is

amended by adding Section 547.0004 to read as follows:

Sec. 547.0004. PEER SUPPORT SPECIALISTS FOR CERTAIN

INDIVIDUALS WITH AN INTELLECTUAL OR DEVELOPMENTAL DISABILITY. (a)

With input from intellectual and developmental disability peer

support specialists and the stakeholder work group described by

Subsection (c), the commission shall develop and the executive

commissioner shall adopt:

(1) rules establishing accessible and validated

training requirements for peer support specialists who provide

services to individuals with an intellectual or developmental

disability;

(2) rules establishing certification and supervision

requirements for intellectual and developmental disability peer

support specialists to ensure compliance with this section;

(3) rules defining the scope of services an

intellectual and developmental disability peer support specialist

may provide;

(4) rules distinguishing peer support services for

individuals with an intellectual or developmental disability from

other services that require the provider to hold a license or

certification; and

(5) any other rules necessary to protect the health

and safety of individuals with an intellectual or developmental

disability receiving peer support services.

(b) The rules adopted under Subsection (a) do not apply to

the provision of peer support services to residents of a state

supported living center, as defined by Section 531.002, Health and

Safety Code.

(c) The commission shall establish a stakeholder work group

to provide input for the adoption of rules under Subsection (a).

The work group is composed of the following stakeholders appointed

by the executive commissioner:

(1) at least one mental health and substance use

disorder peer support specialist;

(2) at least one intellectual and developmental

disability peer support specialist;

(3) a representative of each of the following:

(A) the commission's Peer and Recovery Services

Programs, Planning, and Policy unit;

(B) the commission's Office of Disability

Services Coordination;

(C) the Texas Council for Developmental

Disabilities;

(D) Texas Parent to Parent; and

(E) Texas Advocates; and

(4) a person who is certified as a trainer by the

Learning Community for Person Centered Practices under the People

Planning Together program.

(d) The executive commissioner shall appoint one member of

the work group to serve as presiding officer.

(e) The work group shall meet once every month.

(f) The work group is automatically abolished on the

adoption of rules under Subsection (a).

SECTION 2. Section 32.024(kk), Human Resources Code, is

amended to read as follows:

(kk) The commission in its rules and standards governing the

scope of services provided under the medical assistance program

shall include peer services provided by certified peer specialists ,

including peer support services provided to individuals with an

intellectual or developmental disability, to the extent permitted

by federal law.

SECTION 3. As soon as practicable after the effective date

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

Services Commission shall appoint the members of the stakeholder

work group established by Section 547.0004(c), Government Code, as

added by this Act.

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.