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TexasHB 305789th Legislature Regular SessionHouseWALLET

Relating to health benefit plan coverage for chimeric antigen receptor T-cell therapy.

Sponsored By: Brooks Landgraf, Kevin Sparks (Republican)

Signed by Governor

Health--Children's InsuranceHealth--Other Diseases & Medical ConditionsInsurance--Health & AccidentCANCERMEDICAIDHEALTH & HUMAN SERVICES COMMISSIONINSURANCE, COMMISSIONER OF

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Texas patients get CAR-T therapy protections

Texas health plans covered by this law must cover medically necessary chimeric antigen receptor T-cell (CAR-T) therapy when they already cover it. The provider must be a certified facility meeting the therapy’s FDA-approved product license requirements. It must also participate in the plan’s network for other services. Covered plans include private insurance, HMOs, small-employer plans, specified public-employee plans, and self-funded plans sponsored by professional employer organizations. Medicaid, including Medicaid managed care, and the Child Health Plan Program (CHIP) are excluded. The requirement applies to plans delivered, issued for delivery, or renewed on or after January 1, 2026. The law’s effective date is September 1, 2025, and the insurance commissioner can adopt rules to carry it out.

Sponsors & Cosponsors

Sponsors

  • Brooks Landgraf

    House

  • Kevin Sparks

    Republican • Senate

Cosponsors

  • Adam Hinojosa

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 251 • No: 33

Senate vote • 5/27/2025

Record vote

Yes: 0 • No: 0

Senate vote • 5/27/2025

Record vote

Yes: 0 • No: 0

House vote • 5/10/2025

Record vote

Yes: 109 • No: 22

House vote • 5/9/2025

Record vote

Yes: 127 • No: 11

House vote • Unknown

Committee vote: Insurance

Yes: 8 • No: 0

Senate vote • Unknown

Committee vote: Health & Human Services

Yes: 7 • No: 0

Actions Timeline

  1. Effective on 9/1/25

    6/20/2025House

  2. Signed by the Governor

    6/20/2025House

  3. Sent to the Governor

    5/30/2025House

  4. Signed in the Senate

    5/28/2025Senate

  5. Signed in the House

    5/28/2025House

  6. Reported enrolled

    5/28/2025House

  7. Senate passage reported

    5/28/2025House

  8. Placed on local & uncontested calendar

    5/28/2025Senate

  9. Record vote

    5/27/2025Senate

  10. Passed

    5/27/2025Senate

  11. Read 3rd time

    5/27/2025Senate

  12. Record vote

    5/27/2025Senate

  13. Three day rule suspended

    5/27/2025Senate

  14. Vote recorded in Journal

    5/27/2025Senate

  15. Read 2nd time & passed to 3rd reading

    5/27/2025Senate

  16. Rules suspended-Regular order of business

    5/27/2025Senate

  17. Co-sponsor authorized

    5/27/2025Senate

  18. Placed on intent calendar

    5/25/2025Senate

  19. Committee report printed and distributed

    5/23/2025Senate

  20. Recommended for local & uncontested calendar

    5/23/2025Senate

  21. Reported favorably w/o amendments

    5/23/2025Senate

  22. Vote taken in committee

    5/21/2025Senate

  23. Considered in public hearing

    5/21/2025Senate

  24. Left pending in committee

    5/20/2025Senate

  25. Considered in public hearing

    5/20/2025Senate

Bill Text

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