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TexasHB 13689th Legislature Regular SessionHouseWALLET

Relating to Medicaid coverage and reimbursement for lactation consultation services.

Sponsored By: Carol Alvarado (Democratic), Lacey Hull, Candy Noble, Keresa Richardson, Toni Rose, Valoree Swanson

Signed by Governor

Human Services--Medical AssistanceInsurance--Life, Health & AccidentLACTATION CONSULTANTSMEDICAIDHEALTH & HUMAN SERVICES COMMISSION

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Texas Medicaid adds covered lactation help

Beginning September 1, 2025, Texas Medicaid must pay lactation consultants for breastfeeding help provided to Medicaid recipients. Consultants must hold certification from a national or international program approved by the Texas Health and Human Services Commission. The executive commissioner must create a separate provider type so these consultants can enroll in Medicaid and receive payment. If federal approval is needed, the affected state agency must request it. The agency may delay the affected provision until approval is granted.

Sponsors & Cosponsors

Sponsors

  • Carol Alvarado

    Democratic • Senate

  • Lacey Hull

    House

  • Candy Noble

    House

  • Keresa Richardson

    House

  • Toni Rose

    House

  • Valoree Swanson

    House

Cosponsors

  • César Blanco

    Democratic • Senate

  • Aicha Davis

    House

  • Sarah Eckhardt

    Democratic • Senate

  • Lulu Flores

    House

  • Jolanda "Jo" Jones

    House

  • Mihaela Plesa

    House

  • Joanne Shofner

    House

  • Royce West

    Democratic • Senate

  • Judith Zaffirini

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 393 • No: 43

Senate vote • 5/8/2025

Record vote

Yes: 28 • No: 3

Senate vote • 5/8/2025

Record vote

Yes: 28 • No: 3

Senate vote • 5/8/2025

Record vote

Yes: 28 • No: 3

Senate vote • 5/8/2025

Record vote

Yes: 28 • No: 3

House vote • 4/23/2025

Record vote

Yes: 130 • No: 16

House vote • 4/22/2025

Record vote

Yes: 133 • No: 13

House vote • Unknown

Committee vote: Human Services

Yes: 11 • No: 0

Senate vote • Unknown

Committee vote: Health & Human Services

Yes: 7 • No: 2

Actions Timeline

  1. Effective on 9/1/25

    5/24/2025House

  2. Signed by the Governor

    5/24/2025House

  3. Sent to the Governor

    5/13/2025House

  4. Signed in the Senate

    5/12/2025Senate

  5. Signed in the House

    5/12/2025House

  6. Reported enrolled

    5/9/2025House

  7. Senate passage reported

    5/8/2025House

  8. Record vote

    5/8/2025Senate

  9. Passed

    5/8/2025Senate

  10. Read 3rd time

    5/8/2025Senate

  11. Record vote

    5/8/2025Senate

  12. Three day rule suspended

    5/8/2025Senate

  13. Record vote

    5/8/2025Senate

  14. Read 2nd time & passed to 3rd reading

    5/8/2025Senate

  15. Record vote

    5/8/2025Senate

  16. Rules suspended-Regular order of business

    5/8/2025Senate

  17. Rules suspended-Intent Calendar

    5/8/2025Senate

  18. Placed on intent calendar

    5/8/2025Senate

  19. Co-sponsor authorized

    5/8/2025Senate

  20. Committee report printed and distributed

    5/6/2025Senate

  21. Reported favorably w/o amendments

    5/6/2025Senate

  22. Co-sponsor authorized

    5/6/2025Senate

  23. Vote taken in committee

    5/5/2025Senate

  24. Considered in public hearing

    5/5/2025Senate

  25. Left pending in committee

    4/30/2025Senate

Bill Text

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