Relating to the provision of a cranial molding orthosis under the medical assistance and child health plan programs.
Impact
If enacted, HB3473 would expand access to necessary medical devices for young children suffering from specific cranial deformities. This could significantly improve treatment outcomes by ensuring that all eligible children receive the appropriate intervention for their condition, which may not have been financially feasible for some families previously. The legislation aims to alleviate potential long-term complications associated with untreated cranial deformities by promoting early intervention through the availability of covered orthosis treatment.
Summary
House Bill 3473 proposes amendments to the Health and Safety Code to ensure coverage for cranial molding orthosis under medical assistance and the child health plan programs. This legislation specifically targets children who are between the ages of 3 months and 18 months and requires that the orthosis be medically necessary, which is established through specific diagnostic criteria. The bill outlines clear guidelines on when a cranial molding orthosis would be eligible for coverage, namely in cases of diagnosed cranial deformities such as plagiocephaly, brachycephaly, or scaphocephaly.
Contention
While the bill may have wide support due to its positive implications for children's health, there could be some contention regarding the financial impact on state programs managing medical assistance. Opponents may argue that adding further coverage mandates could stretch the resources of the child health plan program or lead to increased state expenditures. Furthermore, discussions may arise about the adequacy of the criteria established for determining medical necessity, which might lead to debates over access and eligibility among varying cases presented.
Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.
Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.
Relating to the eligibility for and provision of benefits under Medicaid or the child health plan program for certain individuals committed, placed, or detained in certain facilities and settings.
Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.