Signed Into Law
Signed June 20, 2025Effective 2025-06-20
HB4638

Regular Session

Relating to the Texas Pharmaceutical Initiative.

Government Affairs & Regulatory Compliance Analysis

Business Impact

Who HB4638 Affects

Regulatory Priority: low

Standard regulatory changes (effective 2025-06-20). Review during normal business planning.

Estimated Cost Impact

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Compliance Analysis

Key implementation requirements and action items for compliance with this legislation

Immediate Action Plan

Operational Changes Required

Strategic Ambiguities & Considerations

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Information presented is for general knowledge only and is provided without warranty, express or implied. Consult qualified government affairs professionals and legal counsel before making compliance decisions.

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Quick Reference

Frequently Asked Questions

Common questions about HB4638

Q

What does Texas HB4638 do?

The State of Texas is transitioning from studying pharmaceutical costs to actively participating in the supply chain as a PBM, distributor, and potential manufacturer. While immediate compliance burdens are minimal, this legislation signals a major market disruption for vendors serving state health plans (TRS, ERS, Medicaid) and logistics providers, as the state prepares to consolidate purchasing power and infrastructure.

Q

Who authored HB4638?

HB4638 was authored by Texas Representative Greg Bonnen during the Regular Session.

Q

When was HB4638 signed into law?

HB4638 was signed into law by Governor Greg Abbott on June 20, 2025.

Q

Which agencies enforce HB4638?

HB4638 is enforced by Office of the Governor (Appointments) and Texas Pharmaceutical Initiative Board.

Q

How significant are the changes in HB4638?

The regulatory priority for HB4638 is rated as "low". Businesses and organizations should review the legislation to understand potential impacts.

Q

What is the cost impact of HB4638?

The cost impact of HB4638 is estimated as "low". This may vary based on industry and implementation requirements.

Q

What topics does HB4638 address?

HB4638 addresses topics including education, education--higher, education--higher--institutions & programs, governor and health.

Q

What are the key dates for HB4638?

Key dates for HB4638: Effective date is 2025-06-20. Rulemaking: Submit biennial business plan covering PBM services, distribution networks, and advanced pharmaceutical preparation (manufacturing/gene therapy). (2026-06-01). Consult with legal counsel regarding applicability.

Q

Which Texas businesses are affected by HB4638?

HB4638 primarily affects healthcare providers and medical facilities. These businesses should review the legislation with their legal and compliance teams to understand potential impacts.

Legislative data provided by LegiScanLast updated: January 11, 2026