H.B. No. 426 aims to enhance Medicaid and child health plan program coverage for childhood cranial remolding orthosis, a medical device used to correct head deformities. The bill introduces a new section, 62.1512, to the Health and Safety Code, mandating that the child health plan fully covers the cost of cranial remolding orthosis for enrollees, aligning it with existing Medicaid coverage as specified in Section 32.03126 of the Human Resources Code. This new section defines "cranial remolding orthosis" and establishes the requirement for coverage.

Additionally, the bill adds Section 32.03126 to the Human Resources Code, which outlines the reimbursement process for cranial remolding orthosis. It specifies that reimbursement must be provided for children diagnosed with conditions such as craniosynostosis or certain types of plagiocephaly or brachycephaly, given they meet specific age and treatment criteria. The bill ensures that the coverage for cranial remolding orthosis is at least as favorable as that for other orthotics under the medical assistance program. The act is set to take effect on September 1, 2025, and includes provisions for state agencies to seek necessary federal waivers before implementation.

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