HB 5152

relating to Medicaid reimbursement for services provided to certain
recipients under a nurse home visiting program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
is amended by adding Section 32.02482 to read as follows:
Sec. 32.02482.  REIMBURSEMENT FOR SERVICES PROVIDED UNDER
NURSE HOME VISITING PROGRAM.  (a)  In this section:
(1)  "Nurse home visiting program" means a program
(A)  provides through a registered nurse weekly or
monthly pregnancy- and postpartum-related services to certain
individuals primarily in the home;
(B)  offers individualized health and education
services to promote healthy birth outcomes and positive child
health and development outcomes; and
(C)  conforms to a nurse home visit model that:
(i)  is research-based and grounded in
(ii)  is associated with a national
organization, higher education institution, or other organization
with comprehensive home visit program standards to ensure superior
service delivery and program improvement; and
(iii)  satisfies evidence of effectiveness
criteria based on a Home Visiting Evidence of Effectiveness review
administered by the United States Department of Health and Human
(2)  "Recipient" means a medical assistance program
(b)  The commission shall provide medical assistance
reimbursement to a provider who provides services under a nurse
home visiting program to a recipient who:
(2)  is not more than 24 months postpartum; or
(3)  is a child 24 months of age or younger.
(c)  The executive commissioner by rule shall establish a
bundled medical assistance program reimbursement rate for the
reimbursement of services provided to a recipient under a nurse
home visiting program, including education, screening, counseling,
and resource referral services related to:
(5)  sexually transmitted diseases;
(6)  tobacco use screening and cessation;
(7)  alcohol and substance use;
(8)  antenatal and postpartum depression;
(9)  domestic and intimate partner violence;
(11)  annual well woman visits and recommended
(12)  maternal-infant safety assessment;
(13)  postpartum recovery, family planning, and
(14)  selection of a primary care provider;
(15)  development of parenting skills, parent-child
relationship building, and confidence building;
(16)  child development screening at major
developmental milestones from birth to two years of age;
(17)  maternal vitals sign screening, including blood
(19)  facilitation of access to community or other
(i)  the child health plan program under
Chapters 62 and 63, Health and Safety Code;
(ii)  the financial assistance program under
(iii)  the nutritional assistance programs
under Chapter 33, including the supplemental nutrition assistance
program under that chapter; and
(iv)  any other public assistance program
(d)  If a recipient described by Subsection (b) becomes
ineligible for medical assistance, the managed care organization
through which the recipient received benefits under the medical
assistance program shall coordinate with the nurse home visiting
program providing services to the recipient to:
(1)  arrange for the transfer of the recipient's plan of
(2)  ensure the recipient continues to receive coverage
for the nurse home visiting program services.
(e)  Any telehealth services provided to a recipient under a
nurse home visiting program must be provided in a manner that
complies with telehealth requirements the commission establishes.
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.