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TX HB136

TX HB136
Relating to Medicaid coverage and reimbursement for lactation consultation services.


summary

Introduced
03/11/2025
In Committee
05/06/2025
Crossed Over
04/23/2025
Passed
05/09/2025
Dead
Signed/Enacted/Adopted
05/24/2025

Introduced Session

89th Legislature Regular Session

Bill Summary

AN ACT relating to Medicaid coverage and reimbursement for lactation consultation services.

AI Summary

This bill amends the Texas Human Resources Code to require the state Medicaid program to provide reimbursement for lactation consultation services. Specifically, the bill defines a "lactation consultant" as an individual certified by an approved international or national certification program, and a "recipient" as a Medicaid program participant. The bill mandates that the Texas Health and Human Services Commission ensure medical assistance reimbursement for lactation consultants providing services to Medicaid recipients. Additionally, the bill requires the executive commissioner to establish a separate provider type for lactation consultants to facilitate their enrollment and reimbursement in the medical assistance program. The bill is set to take effect on September 1, 2025, and includes a provision allowing state agencies to delay implementation if federal waivers or authorizations are necessary. This legislation aims to improve access to professional lactation support for Medicaid recipients by creating a clear pathway for reimbursement and provider recognition.

Committee Categories

Health and Social Services

Sponsors (15)

Last Action

Effective on 9/1/25 (on 05/24/2025)

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