2025 Texas sessionsRegular and both called sessions have ended. This index covers House and Senate bills, not resolutions. Statuses come from official reports.

2025 · Regular session · Senate bill

SB1266

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Official caption: Relating to Medicaid provider enrollment and credentialing processes.

Signed by governorSource-checked explanation published

Official report lists Senate author(s): Alvarado. This does not identify sponsors or amendment drafters.

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Bill explanation published · Version and amendment review scope is stated below · Individual amendment records may not be separately annotated.

Bill highlights

Selected points from the published explanation. Follow each point to its source-linked context; conditions and limits may matter.

SB1266 requires help for Medicaid providers using the state’s enrollment and credentialing portal, an electronic complaint process, and advance notice before removal for incomplete enrollment revalidation.
The Health and Human Services Commission must ensure current and prospective providers can access a portal support team that helps them complete enrollment and credentialing and reduces administrative burdens.
Before disenrolling a provider for failing to complete enrollment revalidation, the commission must provide written notice both electronically and by mail at least 30 days before disenrollment, and let the provider address deficiencies in the revalidation application before removal.

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What does it do?

SB1266 requires help for Medicaid providers using the state’s enrollment and credentialing portal, an electronic complaint process, and advance notice before removal for incomplete enrollment revalidation. Signed June 20, 2025, it took effect September 1, 2025. It concerns providers’ participation in Medicaid, not patients’ eligibility for coverage. Final law; Official history.

The Health and Human Services Commission must ensure current and prospective providers can access a portal support team that helps them complete enrollment and credentialing and reduces administrative burdens. It must evaluate the team annually, including how promptly help is provided, and publish an evaluation report by September 1 each year. The first evaluation and report were due September 1, 2026. The act requires the team and implementing rules as soon as possible after the effective date; it does not say all implementation had to be complete that first day. Final law, sections 1–3.

Before disenrolling a provider for failing to complete enrollment revalidation, the commission must provide written notice both electronically and by mail at least 30 days before disenrollment, and let the provider address deficiencies in the revalidation application before removal. This is not a blanket ban on disenrollment, automatic renewal, or the same notice rule for every reason a provider might be removed. Final law, section 532.01512.

What changed along the way?

The commission must create an electronic procedure for provider complaints and feedback about enrollment, credentialing and the support team. Information about it must be prominent at the same online location as portal instructions and resources, on the commission’s or its designee’s website, and an electronic submission form must be available there. This adds support and accountability to an existing statutory portal framework rather than creating Medicaid provider enrollment from scratch. Final law, section 532.01511(c); Existing portal and credentialing authority.

The Senate committee substitute removed “dedicated” from the proposed support-team requirement, but kept the duty to provide access to a team. It also changed the notice trigger from disenrollment “during” a provider’s revalidation period to disenrollment for failure to complete the revalidation process. It removed the introductory reference to chapter 532 “as effective April 1, 2025.” The substitute, Senate-passed, House committee and enrolled substantive texts match; the amendment index lists no separate amendments. Introduced bill; Senate substitute; Five versions; Amendment index.

If an affected state agency determines federal approval or a waiver is needed, it must request it and may delay the affected provision until approval. This conditional clause is not evidence that approval was required, requested or received. The deadlines above describe statutory duties, not an audit of whether the agency has already met them. Final law, section 4.

For the full amendment record, open the official amendment index.

Official bill versions

Compare the published text versions in the official text index. A change is not attributed to a specific amendment here without a verified record.

Who could benefit—and who could bear the costs?

Providers gain an assistance route, a visible feedback channel and a chance to address revalidation deficiencies before the specified removal. Patients could benefit from fewer avoidable administrative interruptions, but the act does not promise a particular enrollment turnaround, guaranteed approval or protection from every sanction. The commission must maintain support, evaluation, reporting and notice procedures. Final law.

The April 26 substitute fiscal note anticipates no significant state or local-government impact, with one-time implementation and ongoing printing/postage costs expected to be minimal and absorbed with existing resources. The earlier April 14 introduced-bill note estimated a $2,151,957 two-year cost to General Revenue-related funds through August 2027, additional federal costs and two state positions, based on more extensive staffing and system assumptions. That earlier estimate is not the final version’s fiscal conclusion. Neither note establishes actual spending or quantified private savings; the act makes no appropriation. Substitute fiscal note; Introduced fiscal note.

Official sources

Catalog report retrieved 2026-10-25. Check the official record for corrections or later changes.