Relating to Medicaid coverage and reimbursement for the treatment of obesity and certain diabetes prevention program services.

HB 2677 requires Texas Medicaid to cover specific obesity treatments and diabetes prevention services for eligible recipients. It mandates reimbursement for intensive behavioral/lifestyle treatment, metabolic/bariatric surgery (meeting American Society for Metabolic and Bariatric Surgery standards), and FDA-approved anti-obesity medications. The bill specifies that medical necessity criteria for medications cannot be stricter than FDA indications and allows services to be delivered in-person or via telehealth. This directly affects Medicaid recipients with obesity diagnoses and healthcare providers offering these services. The legislation also requires Medicaid managed care organizations to apply the same medical necessity standards used for other covered services.