Bill Text: TX HB134 | 2023-2024 | 88th Legislature | Engrossed
Bill Title: Relating to Medicaid and child health plan program coverage and reimbursement for childhood cranial remolding orthosis.
Spectrum: Bipartisan Bill
Status: (Engrossed - Dead) 2023-05-01 - Referred to Health & Human Services [HB134 Detail]
Download: Texas-2023-HB134-Engrossed.html
| 88R23963 JG-D | ||
| By: Bernal, Bonnen, et al. | H.B. No. 134 | |
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| relating to Medicaid and child health plan program coverage and | ||
| reimbursement for childhood cranial remolding orthosis. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subchapter D, Chapter 62, Health and Safety | ||
| Code, is amended by adding Section 62.1512 to read as follows: | ||
| Sec. 62.1512. COVERAGE FOR CHILDHOOD CRANIAL REMOLDING | ||
| ORTHOSIS. (a) In this section, "cranial remolding orthosis" has | ||
| the meaning assigned by Section 32.03126, Human Resources Code. | ||
| (b) The child health plan must cover in full the cost of a | ||
| cranial remolding orthosis for an enrollee in the same manner that | ||
| Medicaid coverage is provided for that treatment under Section | ||
| 32.03126, Human Resources Code. | ||
| SECTION 2. Subchapter B, Chapter 32, Human Resources Code, | ||
| is amended by adding Section 32.03126 to read as follows: | ||
| Sec. 32.03126. REIMBURSEMENT FOR CHILDHOOD CRANIAL | ||
| REMOLDING ORTHOSIS. (a) In this section, "cranial remolding | ||
| orthosis" means a custom-fitted or custom-fabricated medical | ||
| device that is applied to the head to correct a deformity, improve | ||
| function, or relieve symptoms of a structural cranial disease. | ||
| (b) The commission shall ensure medical assistance | ||
| reimbursement is provided to cover in full the cost of a cranial | ||
| remolding orthosis for a child who is a medical assistance | ||
| recipient and has been diagnosed with: | ||
| (1) craniosynostosis; or | ||
| (2) plagiocephaly or brachycephaly if the child: | ||
| (A) is not less than three months of age and not | ||
| more than 18 months of age; | ||
| (B) has had documented failure to respond to | ||
| conservative therapy for at least two months; and | ||
| (C) has one of the following sets of measurements | ||
| or indications: | ||
| (i) asymmetrical appearance confirmed by a | ||
| right/left discrepancy of greater than six millimeters in a | ||
| craniofacial anthropometric measurement; or | ||
| (ii) brachycephalic or dolichocephalic | ||
| disproportion in the comparison of head length to head width | ||
| confirmed by a cephalic index of two standard deviations above or | ||
| below mean. | ||
| (c) The coverage required under this section may not be less | ||
| favorable than the coverage required for other orthotics under the | ||
| medical assistance program. | ||
| SECTION 3. 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 4. This Act takes effect September 1, 2023. | ||
