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A BILL TO BE ENTITLED
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AN ACT
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relating to Medicaid coverage and reimbursement for lactation |
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consultation. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 32.024, Human Resources Code, is |
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amended by amending Subsections (pp) and (qq) and by adding |
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Subsection (rr) to read as follows: |
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(pp) For purposes of enrollment as a provider and |
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reimbursement under the medical assistance program, the commission |
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shall establish a separate provider type for a community health |
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worker who provides lactation consultation services, or case |
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management services under the case management for children and |
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pregnant women program under Section 531.653(4), Government Code. |
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(qq) For purposes of enrollment as a provider and |
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reimbursement under the medical assistance program, the commission |
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shall establish a separate provider type for a doula who: |
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(1) is certified by a recognized national doula |
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certification program approved by the commission; and |
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(2) provides lactation consultation services, or case |
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management services under the case management for children and |
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pregnant women program under Section 531.653(5), Government Code. |
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(rr) The commission shall provide medical assistance |
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coverage of lactation consultation as a separately reimbursed |
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pregnancy related service when delivered to a recipient under the |
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medical assistance program by an eligible provider who has a |
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certification in lactation consultation. The executive |
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commissioner shall establish a separate provider type for lactation |
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consultant providers for purposes of enrollment as a provider for |
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and reimbursement under the medical assistance program. |
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SECTION 2. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 3. This Act takes effect September 1, 2025. |