Relating to fraud prevention and verifying eligibility for benefits under Medicaid.
Bill overview
Relating to fraud prevention and verifying eligibility for benefits under Medicaid.
Reference notes
HB 4273 sources, status methodology and verification
Sources
- HB 4273 official legislative recordPrimary bill-status record.
- Current official bill textOfficial bill text or printing.
Methodology
KeepTXRed treats the official legislative record and latest official action as the factual status layer for HB 4273. Status labels are normalized for browsing, while the legislative timeline and documents preserve official action text and source links. Any KeepTXRed explanation below is editorial context and remains separate from the official record.
Last verified
Legislative record synchronized September 5, 2026 at 9:55 PM UTC; latest recorded official action May 23, 2025.
Bill → law → agency context
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Official fiscal-note agency context
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KeepTXRed explanation
This reviewed explanation is separate from the official bill record and is provided for general information, not legal advice.
KeepTXRed summary
HB 4273 was a Medicaid fraud-prevention and eligibility-verification proposal that passed the House and then passed the Senate in a substantially expanded substitute. The Senate version would have tightened electronic eligibility checks, limited reliance on self-attestation, used additional data matches to flag possible eligibility changes, and clarified a Medicaid-fraud provision. The House did not complete final action on the Senate version before adjournment, so the bill did not become law.
What would change
The Senate-passed version would have required more periodic electronic verification of Medicaid eligibility, including checks involving income, certain lottery winnings, possible out-of-state benefit use and other data indicating a change in eligibility, while also clarifying unlawful Medicaid billing conduct. Those proposed changes never took effect.
Who may be affected
Medicaid applicants and recipients, HHSC, Medicaid providers, the Office of the Attorney General, health plans, and taxpayers interested in program-integrity controls.
When it would take effect
HB 4273 did not take effect. Although both chambers voted on versions of the bill, the Senate substitute was returned to the House for further action and no final enrolled bill was sent to the governor before the 89th Regular Session ended.
Limits and uncertainty
This page describes the Senate-passed proposal and legislative history, not current Texas Medicaid law. House and Senate versions differed materially, so individual provisions should not be treated as enacted requirements.
Editorial sources and review notes
Official Senate committee substitute, Senate analysis, fiscal note, and production action history reviewed. Bill passed both chambers in differing forms and died before final enrollment.
Editorial explanation reviewed 9/6/2026.
Current status
Passed
Returned from the House for further action
Latest official action
Returned from the House for further action
May 23, 2025 · house
Who this bill may affect
A verified audience or subject classification has not been attached to this bill yet.
Use the bill overview and official documents to determine whether the proposal may apply to you, your business, or a public agency.
Sponsors
Committee history
- Human Services
Out of committee
- Health & Human Services
Out of committee
Legislative timeline
Returned from the House for further action
house · latest_action
Official recordReturned to the Senate for further action
house
Official recordPoint of order sustained
house
Official recordSenate Amendments Analysis distributed
house
Official recordSenate Amendments distributed
house
Official recordSenate passage as amended reported
house
Official recordRecord vote
senate
Official recordPassed
senate
Official recordRead 3rd time
senate
Official recordThree day rule suspended
senate
Official recordRead 2nd time & passed to 3rd reading
senate
Official recordRules suspended-Regular order of business
senate
Official recordPlaced on intent calendar
senate
Official recordCommittee report printed and distributed
senate
Official recordReported favorably as substituted
senate
Official recordVote taken in committee
senate
Official recordConsidered in public hearing
senate
Official recordLeft pending in committee
senate
Official recordConsidered in public hearing
senate
Official recordScheduled for public hearing on . . .
senate
Official recordReferred to Health & Human Services
senate
Official recordRead first time
senate
Official recordReceived from the House
senate
Official recordReported engrossed
house
Official recordStatement(s) of vote recorded in Journal
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Official recordRecord vote
house
Official recordPassed
house
Official recordRead 3rd time
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Official recordPassed to engrossment
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Official recordRead 2nd time
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Official recordPlaced on General State Calendar
house
Official recordConsidered in Calendars
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Official recordCommittee report sent to Calendars
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Official recordCommittee report distributed
house
Official recordComte report filed with Committee Coordinator
house
Official recordReported favorably w/o amendment(s)
house
Official recordConsidered in formal meeting
house
Official recordLeft pending in committee
house
Official recordTestimony taken/registration(s) recorded in committee
house
Official recordConsidered in public hearing
house
Official recordScheduled for public hearing on . . .
house
Official recordReferred to Human Services
house
Official recordRead first time
house
Official recordFiled
house
Official record
Official bill text
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