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Bill

HB 3105

Relating to establishing a minimum base wage for certain personal attendants under Medicaid and other programs administered by the Health and Human Services Commission.

89th Legislature (2025) Introduced by John Bryant and 3 co-sponsors

Texas bill establishes minimum wage requirements for Medicaid personal attendants to improve retention and care quality while increasing state healthcare costs.

Referred to Human Services
#health&humanservicescommission(v0177) #humanservices--medicalassistance(i0905) #labor--wages(i0485) #medicaid(s4885) #minimumwage(s0029)
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Bill Summary · HB 3105

Legislative bill overview

HB 3105 proposes establishing a minimum base wage requirement for personal attendants providing care under Texas Medicaid and other Health and Human Services Commission programs. The bill would set wage floors for this workforce, which includes home health aides and direct care workers serving vulnerable populations. This represents an attempt to standardize compensation for an often underpaid sector of healthcare workers.

Why is this important

Personal attendants are essential to enabling elderly and disabled Texans to remain in home and community settings rather than institutional care—often at lower cost to the state. However, these positions historically suffer from high turnover and recruitment difficulties due to low wages, which can compromise care quality and continuity. Establishing minimum wages could improve worker retention, reduce training costs, and ensure more stable care for vulnerable populations.

Potential points of contention

  • Cost implications: Implementing wage floors will increase Medicaid expenditures; the bill doesn't specify funding mechanisms, raising questions about whether this strains the state budget or requires reallocation from other health programs
  • Provider sustainability: Home health agencies and care providers operating on thin margins may struggle with increased labor costs, potentially reducing service availability in rural or underserved areas
  • Wage level specificity: The bill's actual minimum wage amount isn't detailed in this filing, leaving uncertainty about whether the increase will be meaningful or merely symbolic

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

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