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HB 2129

Relating to school-based health services, including the administration of the school health and related services program and the provision and Medicaid reimbursement of certain services to certain public school students.

89th Legislature (2025) Introduced by Joe Moody

HB 2129 expands Texas school-based health services and adjusts Medicaid reimbursement mechanisms for schools providing health care to eligible public school students.

Referred to Human Services
#educationagency #texas(v9941) #education--primary&secondary--general(i0230) #education--schooldistricts(i0220) #health&humanservicescommission(v0177) #humanservices--childservices(i0895) #humanservices--medicalassistance(i0905) #medicaid(s4885) #mentalhealth&substanceabuse(i0019) #minors--health&safety(i0533)
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Bill Summary · HB 2129

Legislative bill overview

HB 2129 expands school-based health services in Texas public schools and modifies how Medicaid reimburses schools for providing health-related services to eligible students. The bill appears to streamline administration of the school health program while potentially broadening access to services like screenings, counseling, or preventive care delivered on campus.

Why is this important

School-based health services reduce barriers to care for students who might otherwise skip medical appointments, potentially improving health outcomes and school attendance. Medicaid reimbursement mechanisms directly affect school district budgets and sustainability of these programs, making this bill relevant to both education and healthcare funding discussions.

Potential points of contention

  • Scope of services: Disagreement over which health services schools should provide and whether this expands into mental health or reproductive services that some communities oppose
  • Medicaid reimbursement rates and processes: Questions about whether reimbursement adequately covers costs or creates administrative burden on school districts
  • Parental notification and consent: Unclear requirements around parental involvement in school-provided health services, particularly sensitive health matters

Compiled from official sources — confirm details with the bill’s official record.

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