HB 136 Introduced

Relating to Medicaid coverage and reimbursement for lactation consultation. 

​ 
 

 

A BILL TO BE ENTITLED

 

AN ACT

 

relating to Medicaid coverage and reimbursement for lactation

 

consultation.

 

       BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 

       SECTION 1.   Section 32.024, Human Resources Code, is

 

amended by amending Subsections (pp) and (qq) and by adding

 

Subsection (rr) to read as follows:

 

       (pp)  For purposes of enrollment as a provider and

 

reimbursement under the medical assistance program, the commission

 

shall establish a separate provider type for a community health

 

worker who provides lactation consultation services, or case

 

management services under the case management for children and

 

pregnant women program under Section 531.653(4), Government Code.

 

       (qq)  For purposes of enrollment as a provider and

 

reimbursement under the medical assistance program, the commission

 

shall establish a separate provider type for a doula who:

 

             (1)  is certified by a recognized national doula

 

certification program approved by the commission; and

 

             (2)  provides lactation consultation services, or case

 

management services under the case management for children and

 

pregnant women program under Section 531.653(5), Government Code.

 

       (rr)  The commission shall provide medical assistance

 

coverage of lactation consultation as a separately reimbursed

 

pregnancy related service when delivered to a recipient under the

 

medical assistance program by an eligible provider who has a

 

certification in lactation consultation. The executive

 

commissioner shall establish a separate provider type for lactation

 

consultant providers for purposes of enrollment as a provider for

 

and reimbursement under the medical assistance program.

 

       SECTION 2.  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 3.  This Act takes effect September 1, 2025. 

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