Relating to Medicaid and child health plan program coverage and reimbursement for childhood cranial remolding orthosis.
HB 426 requires Texas Medicaid and the Child Health Plan to fully cover the cost of a custom head device (cranial remolding orthosis) for children with specific head shape conditions. It applies to children with premature skull fusion (craniosynostosis) or children aged 3 months to 18 months with a flat or asymmetrical head (plagiocephaly or brachycephaly) who have not improved after two months of non-surgical treatment and meet documented head measurement standards. The coverage must be at least as comprehensive as for other orthotic devices under Medicaid. The law takes effect September 1, 2025.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Feb 28, 2025
Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
3 edits
·
Jun 20, 2025
MINOR
This bill enrolls the final version of HB 426, which mandates Medicaid and child health plan coverage for childhood cranial remolding orthosis devices. The enrolled version includes the complete legislative text with official certification of passage by both chambers and the Governor's approval, while removing draft formatting and committee markup from the earlier version.
Scope change
No substantive policy changes; this is a procedural update from draft to final enrolled version of the same legislation.
TECHNICAL
Removed draft formatting markers, committee names, and internal document codes that were present in the earlier version
Added official enrolled version headers, certification signatures, and voting records from both House and Senate
Added Governor's approval signature line and date field for final enactment
Floor votes · Senate May 28, 2025 · House May 6, 2025
How they voted
25–5
Passed
Total votes 30
May 28, 2025
D
Democratic10
90% Yea
R
Republican20
80% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
47
Key actions
16
Committee
11
Jun 20, 2025
Signed into law
Signed by the Governor
executive
May 31, 2025
Upper · Passed
Signed in the Senate
upper
May 30, 2025
Lower · Passed
Signed in the House
lower
May 29, 2025
Lower · Passed
Senate passage reported
lower
May 28, 2025
Upper · Passed
Passed
upper
May 26, 2025
Upper · Passed
Committee report printed and distributed
upper
May 26, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 26, 2025
Upper · Passed
Vote taken in committee
upper
May 23, 2025
Upper · Passed
Left pending in committee
upper
May 23, 2025
Upper · Passed
Testimony taken in committee
upper
May 14, 2025
Committee
Referred to Health & Human Services
upper
May 14, 2025
Introduced
Read first time
upper
May 7, 2025
Introduced
Received from the House
upper
May 7, 2025
Lower · Passed
Passed
lower
May 6, 2025
Lower · Passed
Passed to engrossment
lower
Apr 28, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 28, 2025
Lower · Passed
Committee report distributed
lower
Apr 22, 2025
Lower · Passed
Reported favorably as substituted
lower
Apr 22, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Feb 28, 2025
Committee
Referred to Human Services
lower
Feb 28, 2025
Introduced
Read first time
lower
6 primary · 0 co-sponsors
Sponsors
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