Texas House Bill HB5220

Texas 2025 - 89th Regular

• Filed: 3/14/25

Caption

Relating to provision of and access to services for children with certain health care needs, including access to certain Medicaid waiver programs.

Impact

The bill amends several sections of the Government Code to expand eligibility for Medicaid waiver programs like the medically dependent children (MDCP) waiver program and the Texas home living (TxHmL) waiver program. It allows families with higher income levels to qualify for these programs, which previously had more stringent financial restrictions. This change aims to ensure that more families can access necessary medical support without the burdensome qualification processes that often leave many ineligible despite needing assistance. Furthermore, by reserving waiver slots specifically for children at risk of institutionalization, the bill seeks to offer proactive care and support to vulnerable families before they reach a crisis point.

Summary

House Bill 5220 focuses on improving the provision of services and access to Medicaid waiver programs for children with specific health care needs. This includes the establishment of the Texas Pregnancy and Parent Support Network, which aims to assist expectant parents who receive prenatal diagnoses of significant health conditions in their unborn child. The bill mandates the creation of a statewide network of service providers and patient navigators to connect families with relevant resources and to facilitate their access to support services. This framework is intended to enhance the quality of care and support available to families in challenging situations.

Contention

Discussions surrounding HB 5220 may highlight potential concerns raised regarding funding and implementation. Given that certain provisions in the bill are contingent upon available appropriations, there may be apprehension about whether the necessary funding will be consistently secured, which could affect the bill’s effectiveness over time. Additionally, some stakeholders might express concerns about the adequacy of the expanded eligibility requirements, arguing that they may still leave some children without adequate support. These aspects of HB 5220 may lead to debates over fiscal responsibility and prioritizing state spending, particularly in the context of expanding healthcare services.

Texas Constitutional Statutes Affected

Government Code

• Chapter 526. Additional Powers And Duties Of Commission And Executive Commissioner
  • Section: New Section

• Chapter 532. Medicaid Administration And Operation In General
  • Section: 0353

• Chapter 546. Long-term Care And Support Options For Individuals With Disabilities And Elderly Individuals
  • Section: New Section

Human Resources Code

• Chapter 32. Medical Assistance Program
  • Section: New Section