HB4666

HB4666 changes when several health-agency reports are due and adds a broader deadline rule for reports required by the Health and Safety Code. It was signed and took effect June 20, 2025. It changes reporting duties, not patients’ Medicaid eligibility or covered benefits.

The main changes are:

• Medicaid and CHIP data analysis: the data-analysis unit’s activity-and-findings update changes from quarterly to annually, by December 1. The Legislative Budget Board is added as a recipient, alongside the existing state leaders and legislative committees. A separate report of identified anomalies—unusual patterns involving services, providers, payments or contract compliance—must go to HHSC’s inspector general by that same annual deadline. The unit’s underlying analysis duties continue.
• Provider best practices and emergency-room use: HHSC’s report on continuing effective Delivery System Reform Incentive Payment practices and related emergency-room-use reduction efforts changes from twice a year to each even-numbered year. The underlying efforts are not repealed.
• Medicaid system redesign for people with intellectual or developmental disabilities: the implementation report changes from annual to September 30 of each even-numbered year. Required content remains, including access, quality, community inclusion, service coordination, funding, appropriate housing, employment and appeals. References to that report in pilot-program and acute-care analyses are conformed to the new frequency. The separate September 1, 2026 comprehensive pilot-evaluation deadline is retained; HB4666 does not move it to December. The implementation-report section’s existing expiration, two years after the specified transition is completed, also remains.
• Quality-based Medicaid/CHIP payment measures: the public report changes from annual to each even-numbered year. Required measures, payment-system progress and aggregate, nonidentifying HIV-related outcome data remain part of the reporting framework. Existing restrictions against identifying a specific health care provider remain.
• Health and Safety Code reports: new Section 1.006 says, notwithstanding other law, each report required by that code to be submitted to the governor or a legislator must be submitted no later than December 1 of the year it is due. This does not make every report annual and is not a blanket December deadline for the separate Government Code reports above.

If a state agency determines a federal waiver or authorization is necessary to implement a provision, it must request it and may delay that provision until approval. The act does not itself supply federal approval.