Texas 2025 - 89th Regular

Texas House Bill HB26

Filed
3/5/25  
Out of House Committee
3/31/25  
Voted on by House
4/23/25  
Out of Senate Committee
5/7/25  
Bill Becomes Law
 

Caption

Relating to authorizing Medicaid managed care organizations to offer nutrition support services in lieu of other state Medicaid plan services.

Impact

The bill poses significant implications for the state's Medicaid program by enabling the inclusion of nutrition support services which could supplement existing health interventions. As it allows these services to replace other state Medicaid plan services, the effectiveness of such integrations will largely depend on how well the nutrition support services are executed and monitored. Specifically, the Texas Health and Human Services Commission would be tasked with collecting and analyzing data on the utilization and effectiveness of these services, aiming to better understand their impact on health outcomes for mothers and infants alike.

Summary

House Bill 26, also known as the Act to Authorize Medicaid Managed Care Organizations to Offer Nutrition Support Services, aims to allow Medicaid managed care organizations to provide specific nutrition support services as an alternative to traditional services outlined in the state Medicaid plan. By implementing this bill, the Texas legislature seeks to enhance maternal and infant health outcomes, particularly for pregnant individuals diagnosed with chronic health conditions that pose risks during pregnancy. This measure emphasizes the provision of medically tailored meals and dedicated nutrition counseling as part of a broader effort to improve health outcomes for participants in Medicaid programs.

Sentiment

The general sentiment surrounding HB 26 appears to be supportive, especially from health advocacy groups and legislators who recognize the importance of proper nutrition during pregnancy. They argue that improved nutrition can lead to better health outcomes and reduced healthcare costs in the long run. However, there is also potential skepticism regarding the implementation and regulation of these new services, raising questions about how effectively they can be integrated into the existing Medicaid framework. Policymakers and stakeholders remain interested in how these changes might address critical gaps in maternal health services while ensuring accessibility for all eligible patients.

Contention

While HB 26 has garnered overall support, some points of contention include concerns about the scope of the services offered under the pilot program. Notably, the bill explicitly prohibits certain services such as home-delivered meals and grocery support, which some argue could limit the effectiveness of the program. Critics question whether merely providing nutrition counseling and medically tailored meals will be sufficient to address the complex needs of high-risk pregnant individuals. Furthermore, the pilot program is set to expire after five years, prompting discussions on what will happen to the services and support once the pilot concludes. Stakeholders are voicing the need for ongoing evaluations and potential adjustments to the program based on the results of the initial implementation.

Texas Constitutional Statutes Affected

Government Code

  • Chapter 540. Medicaid Managed Care Program
    • Section: 0272
    • Section: 0272
    • Section: 0272
    • Section: 0272
    • Section: 0272
    • Section: 0272
    • Section: 0272
    • Section: New Section

Companion Bills

TX SB3001

Identical Relating to requiring contracts with Medicaid managed care organizations to permit the organizations to offer nutrition counseling and instruction services in lieu of other state Medicaid plan services.

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