Texas 2025 - 89th Regular

Texas House Bill HB426

Filed
11/12/24  
Out of House Committee
4/25/25  
Voted on by House
5/7/25  
Out of Senate Committee
5/26/25  
Voted on by Senate
5/28/25  
Governor Action
6/20/25  

Caption

Relating to Medicaid and child health plan program coverage and reimbursement for childhood cranial remolding orthosis.

Impact

The introduction of HB 426 is expected to significantly impact state health laws by expanding Medicaid services to include comprehensive coverage for cranial remolding orthosis. This change is intended to facilitate diagnosis and treatment for children's cranial deformities, thereby improving health outcomes for young patients. Parents will experience less financial burden concerning this specific healthcare need, which can be critical, particularly for low-income families relying heavily on Medicaid services.

Summary

House Bill 426 focuses on enhancing Medicaid and child health plan program coverage specifically for childhood cranial remolding orthosis. This bill mandates that the costs associated with cranial remolding orthosis are fully covered for eligible children, ensuring that treatment options are accessible for those diagnosed with craniosynostosis or positional plagiocephaly and are within specific age parameters. The coverage aim is to align the reimbursement process with that of other medical assistance programs, providing similar benefits for orthotic devices.

Sentiment

The general sentiment around HB 426 appears to be largely positive, especially among healthcare providers and families who will directly benefit from the expanded coverage. Supporters of the bill argue that it represents an important step towards improving pediatric healthcare access and addressing specific medical needs in children. However, potential concerns about the bill's funding and implementation may linger among stakeholders, indicating areas for further evaluation during discussions.

Contention

Despite the overall positive sentiment, there may be some points of contention regarding the sustainability of funding for the added coverage under Medicaid. Critics might voice concerns about the implications this could have on the Medicaid budget and its impact on other essential services. Additionally, any requirements for regulatory changes or federal approvals could also lead to debates about potential delays or complications in implementation as outlined in the provisions of the bill.

Texas Constitutional Statutes Affected

Health And Safety Code

  • Chapter 62. Child Health Plan For Certain Low-income Children
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Human Resources Code

  • Chapter 32. Medical Assistance Program
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Companion Bills

No companion bills found.

Previously Filed As

TX HB134

Relating to Medicaid and child health plan program coverage and reimbursement for childhood cranial remolding orthosis.

TX HB1293

Relating to the reimbursement of prescription drugs under Medicaid and the child health plan program.

TX HB3948

Relating to coverage for childhood screening, diagnosis, and treatment for dyslexia under certain health benefit plans.

TX HB1288

Relating to health benefit plan coverage for early childhood intervention services.

TX HB4888

Relating to Medicaid coverage and reimbursement for non-opioid treatments.

TX HB5265

Relating to Medicaid coverage and reimbursement for certain inpatient mental health services.

TX HB62

Relating to establishing an Office of Early Childhood to coordinate, consolidate and integrate early childhood programs.

TX HB3725

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB3394

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB2404

Relating to Medicaid coverage and reimbursement for functional family therapy services.

Similar Bills

No similar bills found.