By: Rose H.B. No. 5155 A BILL TO BE ENTITLED AN ACT relating to the continuation of a pilot program designed to improve the quality and accessibility of care for certain Medicaid recipients. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 526, Government Code, is amended by adding Section 526.0060 to read as follows: Sec. 531.0738. CONTINUATION OF THE PILOT MODEL OF CARE FOR CERTAIN MEDICAID RECIPIENTS. (a) To the extent funds are available for this purpose, the commission shall continue the Maternal Opioid Misuse Model pilot program, a model of care designed to improve the quality and accessibility of care for: (1) pregnant women with opioid use disorder enrolled in Medicaid during the prenatal and postpartum periods; and (2) their children after birth.(b) This section expires December 1, 2028. SECTION 2. Not later than December 31, 2028, the commission shall prepare and submit to the legislature a report on the benefits of the program, including measures of birth outcomes. SECTION 3. To the extent available for use, the Texas opioid abatement fund council shall prioritize funding to the Maternal Opioid Misuse Model as a grant recipient of money allocated to the council from the Opioid Abatement Trust Fund, established by Section 403.506. SECTION 4. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 5. The Health and Human Services Commission is required to implement a provision of this Act only if the legislature appropriates money specifically for that purpose. If the legislature does not appropriate money specifically for that purpose, the commission may, but is not required to, implement a provision of this Act using other appropriations available for that purpose. SECTION 6. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2025.