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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 of doula services. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.02481 to read as follows: |
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Sec. 32.02481. MEDICAL ASSISTANCE REIMBURSEMENT FOR DOULA |
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SERVICES. In addition to reimbursement a doula may receive under |
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Section 32.024(qq) for case management services, the commission |
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shall ensure that medical assistance reimbursement is provided for |
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doula services provided by a doula to a medical assistance |
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recipient. Notwithstanding Section 32.024(l-1), the commission |
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shall ensure medical assistance reimbursement under this |
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subsection is provided beginning on the date a recipient's |
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pregnancy is confirmed by a medical professional and ending the |
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12th month after the date the pregnancy ends. |
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SECTION 2. (a) As soon as practicable after the effective |
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date of this Act but not later than January 1, 2026, the executive |
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commissioner of the Health and Human Services Commission shall seek |
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from the appropriate federal agency an amendment to the state |
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Medicaid plan to implement Section 32.02481, Human Resources Code, |
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as added by this Act. |
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(b) Notwithstanding Subsection (a) of this section, if |
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before implementing any provision of this Act the Health and Human |
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Services Commission or other state agency determines that a waiver |
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from a federal agency is necessary for implementation of that |
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provision, the agency shall request the waiver and may delay |
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implementing that provision until the waiver is granted. |
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SECTION 3. This Act takes effect September 1, 2025. |