Bill Text: TX HB3473 | 2015-2016 | 84th Legislature | Introduced
Bill Title: Relating to the provision of a cranial molding orthosis under the medical assistance and child health plan programs.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2015-04-28 - Left pending in committee [HB3473 Detail]
Download: Texas-2015-HB3473-Introduced.html
| 84R4844 KFF-F | ||
| By: Bonnen of Galveston | H.B. No. 3473 | |
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| relating to the provision of a cranial molding orthosis under the | ||
| medical assistance and child health plan programs. | ||
| 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 62.1511 to read as follows: | ||
| Sec. 62.1511. CHILD HEALTH PLAN COVERAGE FOR CRANIAL | ||
| MOLDING ORTHOSIS. (a) Subject to the requirements of this section, | ||
| the child health plan must provide a cranial molding orthosis as a | ||
| covered benefit for a child health plan enrollee who is at least 3 | ||
| months of age but younger than 18 months of age. | ||
| (b) To qualify for coverage as a child health plan benefit, | ||
| a cranial molding orthosis must be: | ||
| (1) medically necessary, as established by | ||
| demonstrating that the child health plan enrollee has a cranial | ||
| vault asymmetry index of at least 6.25 or a cephalic index that is | ||
| at least two standard deviations above or below the age-adjusted | ||
| mean for the enrollee; and | ||
| (2) used as part of: | ||
| (A) a nonsurgical treatment program if the | ||
| enrollee is diagnosed with plagiocephaly, brachycephaly, or | ||
| scaphocephaly; or | ||
| (B) a surgical treatment program if the cranial | ||
| remolding orthosis is for postsurgical use to address additional | ||
| cranial deformities, including craniosynostosis. | ||
| SECTION 2. Section 32.024, Human Resources Code, is amended | ||
| by adding Subsection (mm) to read as follows: | ||
| (mm) Subject to the requirements of this subsection, the | ||
| department shall provide medical assistance for a cranial molding | ||
| orthosis for a child who is at least 3 months of age but younger than | ||
| 18 months of age. The cranial molding orthosis must be: | ||
| (1) medically necessary, as established by | ||
| demonstrating that the recipient has a cranial vault asymmetry | ||
| index of at least 6.25 or a cephalic index that is at least two | ||
| standard deviations above or below the age-adjusted mean for the | ||
| recipient; and | ||
| (2) used as part of: | ||
| (A) a nonsurgical treatment program if the | ||
| recipient is diagnosed with plagiocephaly, brachycephaly, or | ||
| scaphocephaly; or | ||
| (B) a surgical treatment program if the cranial | ||
| remolding orthosis is for postsurgical use to address additional | ||
| cranial deformities, including craniosynostosis. | ||
| 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 immediately if it receives | ||
| a vote of two-thirds of all the members elected to each house, as | ||
| provided by Section 39, Article III, Texas Constitution. If this | ||
| Act does not receive the vote necessary for immediate effect, this | ||
| Act takes effect September 1, 2015. | ||
