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TX HB426

Bill

Status

Passed

6/20/2025

Primary Sponsor

Diego Bernal

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Requires Medicaid to provide full reimbursement for cranial remolding orthoses (custom-fitted medical devices applied to the head to correct skull deformities) for children diagnosed with craniosynostosis

  • Covers plagiocephaly or brachycephaly treatment for children ages 3-18 months who have failed conservative therapy for at least two months and meet specific measurement criteria (greater than 6mm asymmetry or cephalic index two standard deviations from mean)

  • Mandates the state's child health plan program (CHIP) to cover cranial remolding orthoses in the same manner as Medicaid coverage

  • Coverage must be no less favorable than coverage provided for other orthotics under the medical assistance program

  • Takes effect September 1, 2025, with provisions allowing state agencies to delay implementation if federal waivers or authorizations are required

Legislative Description

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

Health

Last Action

Effective on 9/1/25

6/20/2025

Committee Referrals

Health & Human Services5/14/2025
Human Services2/28/2025

Full Bill Text

No bill text available