H.B. No. 3105 proposes to establish a minimum base wage for personal attendants providing services under Medicaid and other programs administered by the Health and Human Services Commission in Texas. The bill introduces a new subchapter, Subchapter P, to Chapter 546 of the Government Code, which defines "attendant care services" and "personal attendant." It specifies that personal attendants must be compensated at a minimum wage of $19 per hour or the federal minimum wage, whichever is greater, for their services. This wage requirement applies to programs under Medicaid and other specified social security programs.

The bill also mandates that the executive commissioner adopt necessary rules for implementation and states that the wage provisions will take effect starting in the 2026 calendar year. Additionally, if a state agency determines that federal authorization is needed for any part of the bill, it may delay implementation until such authorization is obtained. The overall effective date for the bill is set for September 1, 2025.