Monitoring the Session

HB 866

Lalani Bill Doubles Postpartum Medicaid From 12 To 24 Months

Filed

Verdict: No flags

No flagsInitial review
Rep. Suleman LalaniDHouse 76

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

Caption

relating to the continuation of Medicaid eligibility of a woman following a pregnancy.

Caption from analyzed text · version I.

Summary

Coverage after pregnancy runs two full years, starting September 1, 2027, if federal permission allows.

This bill doubles how long Texas Medicaid keeps covering a woman after pregnancy, from 12 months to at least 24 months. It touches women who qualify for Medicaid as pregnant women, and the state health commission that runs the program. On the ground, these women keep state-funded health coverage for two full years after the pregnancy ends, starting September 1, 2027, unless the agency decides it needs federal permission first and waits for it.

Receipt

The receipt

90R-HB866 · 2026-11-09

SOLD BY

ITEM

relating to the continuation of Medicaid eligibility of a woman following a pregnancy.

WHAT IT DOES

Coverage after pregnancy runs two full years, starting September 1, 2027, if federal permission allows.

This bill doubles how long Texas Medicaid keeps covering a woman after pregnancy, from 12 months to at least 24 months. It touches women who qualify for Medicaid as pregnant women, and the state health commission that runs the program. On the ground, these women keep state-funded health coverage for two full years after the pregnancy ends, starting September 1, 2027, unless the agency decides it needs federal permission first and waits for it.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
FILED UNDER

MEDICAID EXPANSION

THE TEXT

…“24-month [ 12-month ] period ends”…

Bill text, introduced version (I)

The bill stretches postpartum Medicaid coverage from 12 months to 24 months, widening the benefit in a state-funded health plan.

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$37,500.00

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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 Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

Texas House Democratic Campaign Committee$11,569.08

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 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: 101040256, 101061992.

TSA PAC$10,000.00

TSA PAC

$10,000.00

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

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Sep 23, 2025 to Oct 10, 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: 101030846, 101072241.

Money

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

×

Texas Trial Lawyers Association PAC

$37,500.00

Cash
$37,500.00
Paid by others
$0.00
Total
$37,500.00

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 Aug 31, 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: 100987680, 101007262, 101030846, 101036309, 101069420.

×

Texas House Democratic Campaign Committee

$11,569.08

Cash
$7,000.00
Paid by others
$4,569.08
Total
$11,569.08
Other filed descriptions $4,569.08

Also funds 9 other sitting lawmakers.

Derived recipient stock · Oct 15, 2024 to Oct 15, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Feb 3, 2026 to Jun 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: 101040256, 101061992.

×

TSA PAC

$10,000.00

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

Also funds 15 other sitting lawmakers.

Derived recipient stock · Oct 1, 2024 to Oct 10, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Team
Sources

Derived itemized flow · Sep 23, 2025 to Oct 10, 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: 101030846, 101072241.

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 2:37 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Human Services--Medical Assistance

Women

Text

The text as introduced · 209 words

90R3943 KKR-D

By: Lalani
H.B. No. 866

A BILL TO BE ENTITLED

AN ACT

relating to the continuation of Medicaid eligibility of a woman

following a pregnancy.

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

SECTION 1. Section 32.024(l-1), Human Resources Code, is

amended to read as follows:

(l-1) The commission shall continue to provide medical

assistance to a woman who is eligible for medical assistance for

pregnant women for a period of not less than 24 [ :

[ (1) six months following the date the woman delivers

or experiences an involuntary miscarriage; and

[ (2) 12 ] months that begins on the last day of the

woman's pregnancy and ends on the last day of the month in which the

24-month [ 12-month ] period ends [ in accordance with Section

1902(e)(16), Social Security Act (42 U.S.C. Section

1396a(e)(16)) ].

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, 2027.