All Roll Calls
Yes: 165 • No: 15
Sponsored By: Daniel McCay (Republican)
Signed by Governor
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16 provisions identified: 10 benefits, 0 costs, 6 mixed.
The Medicaid Inspector General must consult providers and adopt clear audit rules. Audits must use appropriate clinical expertise, and contractors are paid flat fees that count over‑ and under‑payments. Extrapolation is allowed only if the error rate is over 10% for a three‑year sample, education failed, and yearly claims for that code exceed $200,000. The department must tell the Social Services Appropriations Subcommittee before using extrapolation, and providers can appeal by claim or by sample. The Inspector General also reviews Medicaid manuals and bulletins before release, reports conflicts, monitors spending, recovers improper payments, and refers crimes.
State environmental and geological agencies must work together on rules for carbon capture and long‑term underground storage. The rules must cover site checks, permits, monitoring, injectant safety, closure, liability, and public information, and protect health while limiting unacceptable leaks. These rules do not apply to Class II wells used only for enhanced oil and gas recovery. Agencies must present recommendations to the General Oversight Committee and report progress to interim committees.
Beginning May 6, 2026, the department sets and enforces health coverage rules on large state design and construction contracts. These rules cover prime contracts of at least $2,000,000 and subcontracts of at least $1,000,000. For intentional violations, contractors face a three‑month suspension, a six‑month suspension for a second, debarment after a third, and fines up to 50% of the cost to buy the required coverage. If your employer on a covered job intentionally skips the required plan, you can sue your employer to recover the medical costs the plan would have paid. Employers have a good‑faith defense based on an authorized written statement or a department finding that an exemption applied, and the department posts the benchmark plan online.
Contractors on state design or construction jobs must offer qualified health coverage to employees who work at least 30 hours a week. The rule applies to prime contracts of $2,000,000 or more and subcontracts of $1,000,000 or more, including State Capitol projects. Coverage must start no later than the first day of the month after 60 days from hire. Contractors must give the state a recent actuary or underwriter statement and require covered subcontractors to do the same. Exemptions apply for sole‑source or emergency procurements and when following this rule would jeopardize federal funds.
The state can audit covered contractors during a project and request an actuary’s certificate or full plan documents. If a contractor intentionally breaks the coverage rules, penalties include a three‑month suspension for the first violation, six months for the second, and possible debarment after the third, plus fines up to 50% of the cost to buy the required coverage. Workers can sue to recover health costs that the required coverage would have paid. Administrators who provide compliance statements are protected from liability unless grossly negligent. It is illegal to split or change contracts to dodge these rules. Penalty money goes to the Medicaid Growth Reduction and Budget Stabilization Account.
The General Oversight Committee can continuously review agency rules, emergency rules, executive orders, and public‑health orders, and invite relevant committee chairs to join reviews. Any proposed rule expected to cost over $1,000,000 statewide in five years must be sent to budget and interim committees before it takes effect. By law, a “substantial fiscal impact” for rules means at least $2,000,000 over five years. Every agency rule in effect on February 28 expires on May 1 unless the Legislature reauthorizes it in the annual session.
Before sending a water‑quality TMDL to the EPA, the Water Quality Board must get interim review if expected costs are over $10,000,000 and under $100,000,000, or full legislative approval at $100,000,000 or more. For nitrogen or phosphorus rules, review starts above $250,000 and legislative approval is required at $10,000,000 or more. An independent licensed engineer must produce cost estimates, and the Legislative Fiscal Analyst resolves big differences. This section is repealed July 1, 2029.
Beginning May 6, 2026, students can file a complaint when a campus policy affects their civil liberties. The State Board of Higher Education reviews each complaint within 30 days. If the board finds good faith, the school must start rulemaking within 60 days; if dismissed, the student is notified. Each year before November 30, the board reports complaint counts and the policies involved to the General Oversight Committee.
Beginning May 6, 2026, the General Oversight Committee has 13 permanent members: six senators and seven representatives. No more than four senators or five representatives may be from the same party. A quorum needs four representatives and three senators. The committee meets at least monthly unless the chairs suspend the requirement. The office sends each rules bulletin to the committee.
Agencies must give at least 30 days for public comment on proposed rules. A rule can take effect at least 7 days after comments close and no later than 120 days after publication, or it lapses. The Office of Administrative Rules must log all rules, publish monthly bulletins, and compile the code for public access. People can petition agencies to make or change rules; agencies must act fast or face a court order. The law clarifies who counts as an agency, what counts as a rule, and that properly adopted rules have the force of law. It also repeals one code section as part of this update.
The health department creates a governance committee with department leaders and local health representatives. The group reviews state and federal funding for local health departments, estimates local costs of new policies, coordinates programs, and flags needed funding. It reviews most federal funding applications before submission and reports decisions to the General Oversight Committee by November 1 each year.
The Air and Water Quality Boards could not make new rules (with limited exceptions) before June 30, 2021 unless rulemaking began by July 1, 2020. They also could not add or raise fees from August 31, 2020 to June 30, 2021. The department must report to the General Oversight Committee when it uses an exception. These limits did not apply in first‑ or second‑class counties.
The health department must follow a set process before adopting or using criteria to ration scarce health care. It must give written notice to legislative leaders, the Governor, oversight chairs, and a hospital representative when hospitals are affected. For emergencies, it must send notice within 48 hours after the criteria take effect. These requirements apply whether the criteria are advisory or binding and do not get suspended during emergencies.
Beginning January 1, 2027, the state board must post each vote on its website within seven business days. The post must show the date, time, place, subject, who voted, each vote, and the audio or video, with one‑click access from the home page. The board must give each member any contract to be considered at least five days before the meeting. The General Oversight Committee may request a compliance report.
Beginning May 6, 2026, agencies must run one‑year and five‑year cost tests before filing a proposed rule. The analysis follows criteria from the Governor’s Office of Planning and Budget and covers industry and small‑business impacts. If a rule would measurably harm small businesses, the agency must consider ways to reduce the harm, like less‑strict requirements, longer schedules, consolidation, performance standards, or exemptions, when allowed by federal law.
The General Oversight Committee may close meetings to review an individual child‑welfare case, information under a confidentiality agreement, litigation matters, or whistleblower complaints. Closed meetings must still follow the Open and Public Meetings Act. Records from these reviews are private under state law and may be shared only as allowed by law.
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Daniel McCay
Republican • Senate
Trevor Lee
Republican • House
All Roll Calls
Yes: 165 • No: 15
Senate vote • 3/5/2026
Senate/ concurs with House amendment
Yes: 26 • No: 1
Senate vote • 3/5/2026
Senate/ uncircled
Yes: 0 • No: 0
Senate vote • 3/5/2026
Senate/ circled
Yes: 0 • No: 0
House vote • 3/4/2026
House/ floor amendment
Yes: 0 • No: 0
House vote • 3/4/2026
House/ substituted
Yes: 0 • No: 0
House vote • 3/4/2026
House/ passed 3rd reading
Yes: 74 • No: 0
House vote • 2/25/2026
House Comm - Substitute Recommendation
Yes: 7 • No: 1
House vote • 2/25/2026
House Comm - Favorable Recommendation
Yes: 6 • No: 2
Senate vote • 2/20/2026
Senate/ uncircled
Yes: 0 • No: 0
Senate vote • 2/20/2026
Senate/ passed 3rd reading
Yes: 18 • No: 5
Senate vote • 2/9/2026
Senate/ circled
Yes: 0 • No: 0
Senate vote • 2/6/2026
Senate/ floor amendment
Yes: 0 • No: 0
Senate vote • 2/6/2026
Senate/ passed 2nd reading
Yes: 23 • No: 5
House vote • 1/23/2026
Senate Comm - Substitute Recommendation
Yes: 6 • No: 0
House vote • 1/23/2026
Senate Comm - Favorable Recommendation
Yes: 5 • No: 1
Governor Signed
Senate/ to Governor
Senate/ received enrolled bill from Printing
Senate/ enrolled bill to Printing
Enrolled Bill Returned to House or Senate
Draft of Enrolled Bill Prepared
Bill Received from Senate for Enrolling
Senate/ signed by President/ sent for enrolling
Senate/ received from House
House/ to Senate
House/ signed by Speaker/ returned to Senate
House/ received from Senate
Senate/ to House
Senate/ concurs with House amendment
Senate/ uncircled
Senate/ circled
Senate/ placed on Concurrence Calendar
Senate/ received from House
House/ to Senate
House/ passed 3rd reading
House/ floor amendment
House/ substituted
House/ 3rd reading
House/ 2nd reading
House/ Rules to 3rd Reading Calendar
Enrolled
3/10/2026
Amended 3/5/2026 16:03:500
3/5/2026
Substitute #3
3/2/2026
Substitute #2
2/23/2026
Amended 2/6/2026 15:02:387
2/6/2026
Substitute #1
1/23/2026
Introduced
1/16/2026
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