TITLE: Relating to Medicaid coverage and reimbursement for certain cancer-related treatments or items.

SUMMARY: Relating to Medicaid coverage and reimbursement for certain cancer-related treatments or items.

FULL TEXT:
AN ACT relating to Medicaid coverage and reimbursement for certain cancer-related treatments or items. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter B, Chapter 32, Human Resources Code, is amended by adding Section 32.0427 to read as follows: Sec. 32.0427. REIMBURSEMENT FOR CERTAIN CANCER-RELATED TREATMENTS OR ITEMS. The commission shall ensure that medical assistance reimbursement is provided to a health care provider for providing the following treatments or items in relation to cancer treatment: (1) physical therapy; (2) dental services related to the effects of chemotherapy or radiation, including: (A) oral surgery; (B) dental implants; (C) dental veneers; and (D) dentures; (3) compression garments, including: (A) sleeves; (B) gloves; and (C) gauntlets; and (4) mastectomy products, including: (A) shells; (B) shapers; and (C) prostheses. SECTION 2. If before implementing any provision of this Act a state agency determines that any other waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 3. This Act takes effect September 1, 2025.