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HB 5153

Relating to the provision and reimbursement of health care services by local public health entities under the child health plan program.

89th Legislature (2025) Introduced by Jo Jones and 1 co-sponsor

HB 5153 modifies reimbursement and service delivery rules for Texas local health departments providing Child Health Plan services to low-income children.

Referred to Health & Human Services
#health&humanservicescommission(v0177) #health--children'sinsurance(i0388) #health--general(i0385)
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Bill Summary · HB 5153

Legislative bill overview

HB 5153 modifies how local public health entities in Texas can provide and receive reimbursement for health care services delivered through the Child Health Plan (CHIP) program. The bill appears to expand or clarify the role of local health departments in delivering CHIP services and potentially adjusts reimbursement mechanisms for those services.

Why is this important

Local public health entities often serve as primary care providers in underserved areas, so changes to how they're reimbursed for CHIP services directly affect healthcare access for low-income children in Texas. Clear reimbursement policies can either incentivize or discourage local health departments from participating in CHIP, influencing coverage availability across different regions.

Potential points of contention

  • Local vs. state funding burden: Changes in reimbursement rates could shift financial responsibility between state programs and local government budgets
  • Equity concerns: Variations in how different local entities are reimbursed may create disparities in service availability across urban, suburban, and rural areas
  • Program scope creep: Clarifying local health entities' role could inadvertently expand or contract what services must be covered, affecting program costs and accessibility

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

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