House Bill No. 5152 aims to enhance Medicaid reimbursement for services provided under a nurse home visiting program in Texas. The bill introduces a new section, Section 32.02482, to the Human Resources Code, defining a "nurse home visiting program" as one that offers pregnancy- and postpartum-related services through registered nurses, focusing on promoting healthy birth outcomes and child development. The bill mandates that the Texas Health and Human Services Commission provide medical assistance reimbursement to providers for services rendered to eligible recipients, which include pregnant individuals, those within 24 months postpartum, and children aged 24 months or younger.

Additionally, the bill outlines the establishment of a bundled reimbursement rate for various services related to maternal and child health, including education, screening, and counseling on topics such as healthy pregnancy, child development, and access to community resources. It also stipulates that if a recipient becomes ineligible for medical assistance, the managed care organization must coordinate with the nurse home visiting program to ensure continuity of care. The bill is set to take effect on September 1, 2025, and includes provisions for seeking federal waivers if necessary for implementation.

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