Relating to Medicare provider certification and enrollment prerequisites to Medicaid and child health plan program provider enrollment.

This bill requires healthcare providers to be certified or enrolled in Medicare to participate in Texas Medicaid or the child health plan program (CHP), effective September 1, 2025. It directly affects providers seeking Medicaid or CHP enrollment who aren’t already excluded from Medicare or Medicaid. Providers may be exempt if their services aren’t covered by Medicare, excluding them would restrict patient access to necessary care, or state rules specifically exempt them. The bill adds these requirements to Texas law for both Medicaid and CHP provider enrollment.