H.B. No. 5155 establishes a framework for the continuation of the maternal opioid misuse model of care for certain Medicaid recipients in Texas. The bill introduces Section 547.0007 to the Government Code, defining the maternal opioid misuse model of care as a program aimed at improving the quality and accessibility of care for pregnant women with opioid use disorder and their children during the prenatal and postpartum periods. The Health and Human Services Commission is tasked with continuing this model as long as funding is available, with the possibility of utilizing money from the opioid abatement account for its implementation. The section is set to expire on September 1, 2029.

Additionally, the bill stipulates that if a state agency determines that a federal waiver or authorization is necessary for implementing any provision of the Act, it must request that waiver and may delay implementation until it is granted. The Health and Human Services Commission is required to implement the new section only if the legislature appropriates specific funds for that purpose; otherwise, it may choose to use other available funds. The Act is set to take effect on September 1, 2025.

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