HB 4110 Texas House · 89th Legislature (2025)

Relating to establishing a minimum base wage for certain direct care workers under Medicaid.

HB 4110 establishes a minimum base wage of $15 per hour or the federal minimum wage (whichever is higher) for direct care workers providing Medicaid services under specific waiver programs. It directly affects workers who support individuals with intellectual or developmental disabilities through in-home care, including personal care (bathing, dressing), mobility assistance, household help, and medication monitoring. The law requires employers to pay this minimum rate starting in 2026, with definitions of "direct care services" and "direct care workers" provided in the bill. The policy applies to workers serving clients under the 1915(c) waiver or Community First Choice programs.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 27, 2025 Last action Mar 27, 2025
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 27, 2025
Committee
Referred to Human Services
lower
Mar 27, 2025
Introduced
Read first time
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Barbara Gervin-Hawkins
Barbara Gervin-Hawkins
DDemocratic
TX
120