HB 866
Lalani Bill Doubles Postpartum Medicaid From 12 To 24 Months
Filed
Verdict: No flags
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
- Filed
FILED UNDER
The bill stretches postpartum Medicaid coverage from 12 months to 24 months, widening the benefit in a state-funded health plan.
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.
TeamSources
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
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.
TeamSources
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.
TeamSources
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.
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.
TeamSources
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
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.
TeamSources
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.
TeamSources
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.