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TX HB426
Bill
Status
6/20/2025
Primary Sponsor
Diego Bernal
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AI Summary
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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
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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)
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Mandates the state's child health plan program (CHIP) to cover cranial remolding orthoses in the same manner as Medicaid coverage
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Coverage must be no less favorable than coverage provided for other orthotics under the medical assistance program
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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