Bill > HB426

This bill addresses Medicaid and child health plan coverage for childhood cranial remolding orthosis (a custom-fitted medical device used to correct head deformities). Specifically, the bill requires the Texas child health plan and Medicaid program to fully cover the cost of a cranial remolding orthosis for children with certain medical conditions. The coverage applies to children diagnosed with craniosynostosis, or children with plagiocephaly or brachycephaly who meet specific criteria: they must be between 3 and 18 months old, have documented failure of conservative therapy after at least two months, and have either a significant asymmetry in head measurements (more than six millimeters difference) or a confirmed disproportionate head shape based on specific medical measurements. The bill ensures that this coverage is at least as favorable as coverage for other orthotic devices in the medical assistance program. The legislation is set to take effect on September 1, 2025, and includes a provision allowing state agencies to seek federal waivers if necessary for implementation.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB426