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 a new 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 the implementation of this model as long as funding is available, with the possibility of utilizing funds from the opioid abatement account for this purpose. The section is set to expire on September 1, 2029.

Additionally, the bill stipulates that the implementation of this model is contingent upon the legislature appropriating specific funds for it. If such funds are not allocated, the commission may still choose to implement the model using other available resources. The bill also includes a provision that allows state agencies to delay implementation if a federal waiver or authorization is required. The act is set to take effect on September 1, 2025.

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