# Texas SB 457: Relating to the regulation of certain nursing facilities, including licensing requirements and Medicaid participation and reimbursement requirements.

Texas SB 457, Relating to the regulation of certain nursing facilities, including licensing requirements and Medicaid participation and reimbursement requirements., is a 89th Legislature Regular Session Senate bill sponsored by Giovanni Capriglione, James Frank, Lois Kolkhorst (Republican) and 1 others; status signed, last action 2025-06-20 (Effective on 9/1/25) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/TX-SB457-89R
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Texas SB 457
- State: Texas
- Session: 89th Legislature Regular Session
- Title: Relating to the regulation of certain nursing facilities, including licensing requirements and Medicaid participation and reimbursement requirements.
- Status: signed
- Chamber: Senate
- Introduced: 2024-11-21
- Last action: 2025-06-20, Effective on 9/1/25
- Sponsors: Giovanni Capriglione, James Frank, Lois Kolkhorst (Republican), Suleman Lalani
- Cosponsors: 4
- Subjects: Health Care Providers, Human Services--Medical Assistance, Nursing Homes, MANAGED CARE, MEDICAID, HEALTH & HUMAN SERVICES COMMISSION
- Touches household money: no
- Roll calls: 10 (610 yes, 93 no in all)
- Economic provisions PRIA read: 3

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Nursing homes must disclose ownership details: cost, low. Beginning September 1, 2025, nursing facility license applications must identify people with direct or indirect ownership interests of 5% or more. This covers interests in the facility, its parent or subsidiary, and the property where it operates. Applications must describe exact ownership interest…
- Nursing homes face patient-care spending rules: mixed, medium. Beginning September 1, 2025, non-state-owned nursing facilities must spend at least 80% of Medicaid reimbursement tied to patient care on qualifying care costs each year. Qualifying costs include specified staff pay and benefits, care supplies, ancillary services, and food and nutrition services. U…
- Nursing home payments continue during sales: mixed, low. Beginning September 1, 2025, Texas must keep Medicaid payments flowing while a nursing facility's ownership-change application is pending. The new owner must accept the prior Medicaid provider agreement and meet applicable legal and licensing requirements. The owner must also assume the prior servi…

## Sponsors and cosponsors

- Sponsor: Giovanni Capriglione, House
- Sponsor: James Frank, House
- Sponsor: Lois Kolkhorst (Republican), Senate
- Sponsor: Suleman Lalani, House
- Cosponsor: Carol Alvarado (Democratic), Senate
- Cosponsor: Donna Campbell (Republican), Senate
- Cosponsor: José Menéndez (Democratic), Senate
- Cosponsor: Charles Schwertner (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-05-31 | Senate | Record vote | pass |   |   |   |
| 2025-05-31 | House | Record vote | pass | 111 | 19 |   |
| 2025-05-28 | House | Record vote | pass | 104 | 34 |   |
| 2025-05-27 | House | Record vote | pass | 116 | 24 |   |
| 2025-05-27 | House | Record vote | pass | 124 | 15 |   |
| 2025-05-27 | House | Record vote | pass | 140 | 0 |   |
| 2025-05-01 | Senate | Record vote | pass |   |   |   |
| 2025-05-01 | Senate | Record vote | pass |   |   |   |
|   | House | Committee vote: Human Services | pass | 6 | 1 |   |
|   | Senate | Committee vote: Health & Human Services | pass | 9 | 0 |   |

## Actions (79)

- 2025-06-20: Effective on 9/1/25 (House)
- 2025-06-20: Signed by the Governor (House)
- 2025-06-02: Sent to the Governor (House)
- 2025-06-02: Signed in the House (House)
- 2025-06-01: Signed in the Senate (Senate)
- 2025-06-01: Reported enrolled (Senate)
- 2025-05-31: Senate adopts conf. comm. report-reported (House)
- 2025-05-31: Record vote (Senate)
- 2025-05-31: Senate adopts conference committee report (Senate)
- 2025-05-31: House adopts conf. comm. report-reported (Senate)
- 2025-05-31: Statement(s) of vote recorded in Journal (House)
- 2025-05-31: Record vote (RV#4109) (House)
- 2025-05-31: House adopts conference committee report (House)
- 2025-05-30: Conf. Comm. Report distributed (House)
- 2025-05-30: House appoints conferees-reported (Senate)
- 2025-05-30: House grants request for conf comm-reported (Senate)
- 2025-05-30: Conference committee report filed (Senate)
- 2025-05-30: House appoints conferees (House)
- 2025-05-30: House grants request for conference committee (House)
- 2025-05-29: Senate appoints conferees-reported (House)
- 2025-05-29: Senate requests conference committee-reported (House)
- 2025-05-29: Senate refuses to concur-reported (House)
- 2025-05-29: Senate appoints conferees (Senate)
- 2025-05-29: Senate requests conference committee (Senate)
- 2025-05-29: Senate refuses to concur (Senate)
- 2025-05-29: Read (Senate)
- 2025-05-29: House amendment(s) laid before the Senate (Senate)
- 2025-05-28: House passage as amended reported (Senate)
- 2025-05-28: Statement(s) of vote recorded in Journal (House)
- 2025-05-28: Record vote (RV#3865) (House)
- 2025-05-28: Passed (House)
- 2025-05-28: Read 3rd time (House)
- 2025-05-28: Additional sponsor(s) authorized (House)
- 2025-05-28: Rules suspended (House)
- 2025-05-27: Statement(s) of vote recorded in Journal (House)
- 2025-05-27: Record vote (RV#3740) (House)
- 2025-05-27: Passed to 3rd reading as amended (House)
- 2025-05-27: Statement(s) of vote recorded in Journal (House)
- 2025-05-27: Record vote (RV#3739) (House)
- 2025-05-27: Amended (2-Rose) (House)
- 2025-05-27: Statement(s) of vote recorded in Journal (House)
- 2025-05-27: Record vote (RV#3738) (House)
- 2025-05-27: Amended (1-Frank) (House)
- 2025-05-27: Read 2nd time (House)
- 2025-05-24: Placed on General State Calendar (House)
- 2025-05-22: Considered in Calendars (House)
- 2025-05-22: Committee report sent to Calendars (House)
- 2025-05-22: Committee report distributed (House)
- 2025-05-22: Comte report filed with Committee Coordinator (House)
- 2025-05-16: Reported favorably as substituted (House)
- 2025-05-16: Committee substitute considered in committee (House)
- 2025-05-16: Considered in formal meeting (House)
- 2025-05-02: Referred to Human Services (House)
- 2025-05-02: Read first time (House)
- 2025-05-01: Received from the Senate (House)
- 2025-05-01: Reported engrossed (Senate)
- 2025-05-01: Record vote (Senate)
- 2025-05-01: Passed (Senate)
- 2025-05-01: Read 3rd time (Senate)
- 2025-05-01: Record vote (Senate)
- 2025-05-01: Three day rule suspended (Senate)
- 2025-05-01: Vote recorded in Journal (Senate)
- 2025-05-01: Read 2nd time & passed to engrossment (Senate)
- 2025-05-01: Rules suspended-Regular order of business (Senate)
- 2025-05-01: Co-author authorized (Senate)
- 2025-04-30: Placed on intent calendar (Senate)
- 2025-04-30: Co-author authorized (Senate)
- 2025-04-28: Committee report printed and distributed (Senate)
- 2025-04-28: Reported favorably as substituted (Senate)
- 2025-04-23: Vote taken in committee (Senate)
- 2025-04-23: Considered in public hearing (Senate)
- 2025-03-11: Left pending in committee (Senate)
- 2025-03-11: Testimony taken in committee (Senate)
- 2025-03-11: Considered in public hearing (Senate)
- 2025-03-11: Scheduled for public hearing on . . . (Senate)
- 2025-02-03: Referred to Health & Human Services (Senate)
- 2025-02-03: Read first time (Senate)
- 2024-11-21: Filed (Senate)
- 2024-11-21: Received by the Secretary of the Senate (Senate)

## Bill text

- Engrossed: [HTML](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457E.HTM), [PDF](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457E.PDF)
- Enrolled: [HTML](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457F.HTM), [PDF](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457F.PDF)
- House Committee Report: [HTML](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457H.HTM), [PDF](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457H.PDF)
- Introduced: [HTML](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457I.HTM), [PDF](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457I.PDF)
- Senate Committee Report: [HTML](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457S.HTM), [PDF](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457S.PDF)

## Related bills

- SB 2111: Relating to legal representation of indigent persons in this state and to proceedings before a magistrate including the appointment of counsel for an indigent… (vetoed)
- SB 1838: Relating to the appointment of attorneys ad litem and the compensation of certain attorneys ad litem in suits affecting the parent-child relationship filed by… (vetoed)
- SB 3: Relating to the regulation of products derived from hemp, including consumable hemp products and the hemp-derived cannabinoids contained in those products; req… (vetoed)
- SB 2878: Relating to the operation and administration of and practices and procedures related to proceedings in the judicial branch of state government, including court… (vetoed)
- SB 646: Relating to repayment of certain mental health professional education loans. (signed)
- HB 4325: Relating to civil liability for prohibited barratry. (became law)

## Sources
- [Engrossed (HTML)](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457E.HTM)
- [Engrossed (PDF)](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457E.PDF)
- [Enrolled (HTML)](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457F.HTM)
- [Enrolled (PDF)](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457F.PDF)
- [House Committee Report (HTML)](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457H.HTM)
- [House Committee Report (PDF)](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457H.PDF)
- [Introduced (HTML)](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457I.HTM)
- [Introduced (PDF)](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457I.PDF)
- [Senate Committee Report (HTML)](http://capitol.texas.gov/tlodocs/89R/billtext/html/SB00457S.HTM)
- [Senate Committee Report (PDF)](http://capitol.texas.gov/tlodocs/89R/billtext/pdf/SB00457S.PDF)

## Related
- [SB 2111: Relating to legal representation of indigent persons in this state and to proce…](https://policyrisk.com/state-bill/TX-SB2111-89R)
- [SB 1838: Relating to the appointment of attorneys ad litem and the compensation of certa…](https://policyrisk.com/state-bill/TX-SB1838-89R)
- [SB 3: Relating to the regulation of products derived from hemp, including consumable…](https://policyrisk.com/state-bill/TX-SB3-89R)
- [SB 2878: Relating to the operation and administration of and practices and procedures re…](https://policyrisk.com/state-bill/TX-SB2878-89R)
- [SB 646: Relating to repayment of certain mental health professional education loans.](https://policyrisk.com/state-bill/TX-SB646-89R)
- [HB 4325: Relating to civil liability for prohibited barratry.](https://policyrisk.com/state-bill/TX-HB4325-89R)
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Source: PRIA, https://policyrisk.com/state-bill/TX-SB457-89R (as of 2026-10-19).