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Bill

Bill

SB 1640

Relating to access to criminal history record information that relates to providers and provider applicants under Medicaid and other public benefits programs administered by the Health and Human Services Commission.

89th Legislature (2025) Introduced by Brent Hagenbuch

Bill adjusts HHSC's authority to access and review criminal history records when screening Medicaid healthcare provider applicants and current providers.

Not again placed on intent calendar
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Bill Summary · SB 1640

Legislative bill overview

SB 1640 modifies Texas procedures for accessing criminal history records of Medicaid and public benefits providers and applicants. The bill appears to adjust how the Health and Human Services Commission (HHSC) can obtain and use criminal background information when screening healthcare providers participating in state-administered benefit programs.

Why is this important

Criminal background checks are a critical safeguard for programs serving vulnerable populations, including low-income individuals, elderly people, and children enrolled in Medicaid. How these records are accessed, what information is reviewed, and how it's applied directly affects both public safety and provider workforce availability in safety-net healthcare systems.

Potential points of contention

  • Privacy vs. transparency balance: Expanded access to criminal records could improve safety screening but may raise concerns about privacy rights and due process for providers with prior convictions
  • Provider workforce impact: Stricter criminal history requirements could reduce the pool of available providers in already-underserved Medicaid networks, particularly affecting rural areas
  • Specificity of offenses: Disagreement likely exists over which criminal convictions should disqualify providers—whether all felonies apply equally or if violent crimes/crimes against persons warrant different treatment
  • Rehabilitation considerations: Tension between public protection and allowing individuals with prior convictions to reenter the healthcare workforce after rehabilitation

Compiled from official sources — confirm details with the bill’s official record.

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