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2026 Regular Session

HB4430

Medical malpractice; Physician Assistant Act requirements; Advanced Practice Registered Nurse malpractice insurance requirements; compliance; effective date.

Legislative progress

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This summary includes only completed milestones supported by recorded actions. It does not predict the next step, and it preserves later committee reassignments, concurrence, conference, veto, and approval actions when they occur.

Introduced in House February 2, 2026 House committee passed February 11, 2026 House committee substitute March 5, 2026 House passed March 23, 2026 Sent to Senate March 24, 2026 Introduced in Senate March 24, 2026 Senate committee passed April 13, 2026 Senate passed April 29, 2026 Sent to House April 29, 2026 Enrolled April 30, 2026 Sent to Governor April 30, 2026

Partner positions

👍 6 cumulative active likes

Likes

Recorded floor votes

5 roll calls are available for this bill. This record includes procedural and intermediate action as well as substantive final votes.

February 11, 2026 · House

House: Public Health Committee: DO PASS

Passed

5 yea–0 nay

View roll call

March 4, 2026 · House

House: Health and Human Services Oversight Committee: DO PASS AS AMENDED BY CS

Passed

13 yea–0 nay

View roll call

March 23, 2026 · House

House: THIRD READING

Passed ⭐ Substantive final action

90 yea–4 nay · 5 absent

View roll call

April 13, 2026 · Senate

Senate: Health & Human Services Committee: DO PASS

Passed

12 yea–0 nay

View roll call

April 29, 2026 · Senate

Senate: THIRD READING

Passed ⭐ Substantive final action

44 yea–0 nay · 4 absent

View roll call

Committee referrals

Instrument history

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This is the complete recorded action history in the current source package. Highlighted entries are marked as significant by the source. A roll-call link appears only when a vote-like action has one unambiguous same-day chamber vote.

  1. House Becomes law without Governor's signature 05/07/2026
  2. House Sent to Governor
  3. Senate Enrolled measure signed, returned to House
  4. House Enrolled, signed, to Senate
  5. House Referred for enrollment
  6. Senate Engrossed measure signed, returned to House
  7. Senate Measure passed: Ayes: 44 Nays: 0 View roll call
  8. Senate General Order, Considered
  9. Senate Placed on General Order
  10. Senate Reported Do Pass Health and Human Services committee; CR filed View roll call
  11. Senate Second Reading referred to Health and Human Services
  12. Senate First Reading
  13. House Engrossed, signed, to Senate
  14. House Referred for engrossment
  15. House Third Reading, Measure passed: Ayes: 90 Nays: 4 View roll call
  16. House Authored by Senator Rosino (principal Senate author)
  17. House Coauthored by Representative(s) Deck
  18. House General Order
  19. House CR; Do Pass, amended by committee substitute Health and Human Services Oversight Committee
  20. House Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health View roll call
  21. House Referred to Public Health
  22. House Second Reading referred to Health and Human Services Oversight
  23. House Authored by Representative Hilbert
  24. House First Reading
Source provenance