Texas 89th Legislature, Regular Session Status: To Executive

HB 426 — Relating to Medicaid and child health plan program coverage and reimbursement for childhood cranial remolding orthosis.

Last action — Effective on 9/1/25

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been sent to the executive. Introduced November 12, 2024. It awaits signature.

Signed by Governor Greg Abbott (Republican) on June 20, 2025.

Next likely step: the executive signs it into law or issues a veto.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • To Executive

    Current position in the legislative process.

  • 5 sponsors

    1 primary, 4 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Relating to Medicaid and child health plan program coverage and reimbursement for childhood cranial remolding orthosis.

Bill Text

We don't have the full text on file for this bill yet.

Read HB 426 on the official Texas source →

How this bill changes current law

2 changes Share ↗

Compared against the Texas statutes as published AI-generated reading aid — verify against the official bill.

This bill amends 2 section(s) of the Texas statutes: Section 62.1512, Section 32.03126, Human Resources Code.

  • Section 62.1512

    Sec. 62.1512. COVERAGE FOR CHILDHOOD CRANIAL REMOLDING ORTHOSIS. (a) In this section, "cranial remolding orthosis" has the meaning assigned by Section 32.03126, Human Resources Code. (b) The child health plan must cover in full the cost of a cranial remolding orthosis for an enrollee in the same manner that Medicaid coverage is provided for that treatment under Section 32.03126, Human Resources Code.

    added

  • Section 32.03126, Human Resources Code

    Sec. 32.03126. REIMBURSEMENT FOR CHILDHOOD CRANIAL REMOLDING ORTHOSIS. (a) In this section, "cranial remolding orthosis" means a custom-fitted or custom-fabricated medical device that is applied to the head to correct a deformity, improve function, or relieve symptoms of a structural cranial disease. (b) The commission shall ensure medical assistance reimbursement is provided to cover in full the cost of a cranial remolding orthosis for a child who is a medical assistance recipient and has been diagnosed with: (1) craniosynostosis; or (2) plagiocephaly or brachycephaly if the child: (A) is not less than three months of age and not more than 18 months of age; (B) has had documented failure to respond to conservative therapy for at least two months; and (C) has one of the following sets of measurements or indications: (i) asymmetrical appearance confirmed by a right/left discrepancy of greater than six millimeters in a craniofacial anthropometric measurement; or (ii) brachycephalic or dolichocephalic disproportion in the comparison of head length to head width confirmed by a cephalic index of two standard deviations above or below mean. (c) The coverage required under this section may not be less favorable than the coverage required for other orthotics under the medical assistance program.

    added

Action History

  1. Effective on 9/1/25

  2. Signed by the Governor

  3. Sent to the Governor

  4. Signed in the Senate

  5. Signed in the House

  6. Reported enrolled

  7. Senate passage reported

  8. Record vote

  9. Passed

  10. Read 3rd time

  11. Record vote

  12. Three day rule suspended

  13. Record vote

  14. Read 2nd time & passed to 3rd reading

  15. Vote recorded in Journal

  16. Rules suspended-Regular order of business

  17. Placed on intent calendar

  18. Committee report printed and distributed

  19. Reported favorably w/o amendments

  20. Vote taken in committee

  21. Considered in public hearing

  22. Left pending in committee

  23. Testimony taken in committee

  24. Considered in public hearing

  25. Scheduled for public hearing on . . .

  26. Referred to Health & Human Services

  27. Read first time

  28. Received from the House

  29. Reported engrossed

  30. Statement(s) of vote recorded in Journal

  31. Record vote

  32. Passed

  33. Read 3rd time

  34. Record vote

  35. Passed to engrossment

  36. Laid out as postponed business

  37. Postponed

  38. Read 2nd time

  39. Placed on General State Calendar

  40. Considered in Calendars

  41. Committee report sent to Calendars

  42. Committee report distributed

  43. Comte report filed with Committee Coordinator

  44. Reported favorably as substituted

  45. Testimony taken/registration(s) recorded in committee

  46. Committee substitute considered in committee

  47. Considered in public hearing

  48. Scheduled for public hearing on . . .

  49. Referred to Human Services

  50. Read first time

  51. Filed

Sponsors

Sponsorship breakdown

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1 sponsors · 4 co-sponsors · 179 not signed on · 39 voted No

Sponsors (1)

Not signed on (179)

179 members have not signed on to this bill.

Show all 179 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed

Passed 108 Yea · 41 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 1084102
Total 1084102
% of votes cast 72%27%0%1%
How each member voted (151)
Member Party Vote
Garcia Hernandez — Yea
Hernandez — Yea
Johnson — Yea
Lopez, — Yea
Ward Johnson — Yea
Leo Wilson — Nay
Wilson — Nay
Mr. Speaker — Not Voting
AJ Louderback — Yea
Aicha Davis — Yea
Alan Schoolcraft — Nay
Alma Allen — Yea
Ana-María Rodríguez Ramos — Yea
Andy Hopper — Nay
Angelia Orr — Yea
Angie Button — Yea
Armando Martinez — Yea
Armando Walle — Yea
Barbara Gervin-Hawkins — Yea
Ben Bumgarner — Nay
Brad Buckley — Yea
Brent Money — Nay
Brian Harrison — Nay
Briscoe Cain — Nay
Brooks Landgraf — Yea
Candy Noble — Yea
Carl Tepper — Nay
Caroline Fairly — Yea
Caroline Harris Davila — Nay
Carrie Isaac — Yea
Cecil Bell — Yea
Charles Cunningham — Nay
Charlie Geren — Yea
Chris Turner — Yea
Christian Manuel — Yea
Christina Morales — Yea
Claudia Ordaz — Yea
Cody Harris — Yea
Cody Harris — Nay
Cody Vasut — Nay
Cole Hefner — Nay
Dade Phelan — Yea
Daniel Alders — Nay
David Cook — Nay
David Lowe — Nay
David Spiller — Nay
Denise Villalobos — Yea
Dennis Paul — Nay
Diego Bernal — Yea
Don McLaughlin — Yea
Donna Howard — Yea
Drew Darby — Yea
Eddie Morales — Yea
Ellen Troxclair — Nay
Erin Gámez — Yea
Erin Zwiener — Yea
Gary Gates — Yea
Gary VanDeaver — Yea
Gene Wu — Yea
Gina Hinojosa — Yea
Giovanni Capriglione — Yea
Greg Bonnen — Yea
Harold V. Dutton, Jr. — Yea
Helen Kerwin — Yea
Hillary Hickland — Nay
Hubert Vo — Yea
J. M. Lozano — Yea
James B. Frank — Yea
James Talarico — Yea
Janie Lopez — Yea
Janis Holt — Nay
Jared Patterson — Nay
Jay Dean — Yea
Jeff Barry — Yea
Jeff Leach — Yea
Jessica González — Yea
Joanne Shofner — Nay
Joe Moody — Yea
John Bryant — Yea
John Bucy III — Yea
John Lujan — Yea
John McQueeney — Yea
John Smithee — Nay
Jolanda Jones — Yea
Jon Rosenthal — Yea
Josey Garcia — Yea
Katrina Pierson — Nay
Keith Bell — Yea
Ken King — Yea
Keresa Richardson — Yea
Lacey Hull — Nay
Lauren A. Simmons — Yea
Linda Garcia — Yea
Liz Campos — Yea
Lulu Flores — Yea
Mano DeAyala — Nay
Marc LaHood — Yea
Mark Dorazio — Yea
Mary Ann Perez — Yea
Mary E. González — Yea
Matt Morgan — Nay
Matt Shaheen — Nay
Mihaela Plesa — Yea
Mike Olcott — Nay
Mike Schofield — Yea
Mitch Little — Yea
Morgan Meyer — Yea
Nate Schatzline — Nay
Nicole Collier — Yea
Oscar Longoria — Yea
Pat Curry — Yea
Paul Dyson — Yea
Penny Morales Shaw — Yea
Philip Cortez — Yea
R. D. "Bobby" Guerra — Yea
Rafael Anchía — Yea
Ramon Romero, Jr. — Yea
Rhetta Bowers — Yea
Richard Hayes — Nay
Richard Peña Raymond — Yea
Ron Reynolds — Yea
Ryan Guillen — Yea
Salman Bhojani — Yea
Sam Harless — Yea
Senfronia Thompson — Yea
Sergio Muñoz, Jr. — Yea
Shelby Slawson — Nay
Shelley Luther — Nay
Sheryl Cole — Yea
Stan Gerdes — Yea
Stan Kitzman — Yea
Stan Lambert — Yea
Steve Toth — Nay
Suleman Lalani — Yea
Terry Canales — Yea
Thresa "Terry" Meza — Yea
Todd Hunter — Yea
Tom Craddick — Yea
Tom Oliverson — Nay
Toni Rose — Yea
Tony Tinderholt — Nay
Trent Ashby — Yea
Trey Martinez Fischer — Yea
Trey Wharton — Not Voting
Valoree Swanson — Nay
Venton Jones — Yea
Vikki Goodwin — Yea
Vincent Perez — Yea
Wes Virdell — Nay
Will Metcalf — Nay
Yvonne Davis — Yea

Official roll call →

Passed to engrossment

Passed 110 Yea · 35 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 1103505
Total 1103505
% of votes cast 73%23%0%3%
How each member voted (150)
Member Party Vote
Garcia, — Yea
Garcia Hernandez — Yea
Hernandez — Yea
Johnson — Yea
Lopez, — Yea
Morales, — Yea
Ward Johnson — Yea
Wilson — Yea
Leo Wilson — Nay
Mr. Speaker — Not Voting
Committee Meeting — King — Not Voting
AJ Louderback — Yea
Aicha Davis — Yea
Alan Schoolcraft — Nay
Alma Allen — Yea
Ana-María Rodríguez Ramos — Yea
Andy Hopper — Nay
Angelia Orr — Not Voting
Angie Button — Yea
Armando Martinez — Yea
Armando Walle — Yea
Barbara Gervin-Hawkins — Yea
Ben Bumgarner — Nay
Brad Buckley — Yea
Brent Money — Yea
Brian Harrison — Nay
Briscoe Cain — Nay
Brooks Landgraf — Yea
Candy Noble — Yea
Carl Tepper — Nay
Caroline Fairly — Yea
Caroline Harris Davila — Nay
Carrie Isaac — Yea
Cecil Bell — Yea
Charles Cunningham — Nay
Charlie Geren — Yea
Chris Turner — Yea
Christian Manuel — Yea
Christina Morales — Yea
Claudia Ordaz — Yea
Cody Harris — Not Voting
Cody Vasut — Nay
Cole Hefner — Nay
Dade Phelan — Yea
Daniel Alders — Yea
David Cook — Yea
David Lowe — Nay
David Spiller — Nay
Denise Villalobos — Yea
Dennis Paul — Nay
Diego Bernal — Yea
Don McLaughlin — Yea
Donna Howard — Yea
Drew Darby — Yea
Ellen Troxclair — Nay
Erin Gámez — Yea
Erin Zwiener — Yea
Gary Gates — Yea
Gary VanDeaver — Yea
Gene Wu — Yea
Gina Hinojosa — Yea
Giovanni Capriglione — Yea
Greg Bonnen — Yea
Harold V. Dutton, Jr. — Yea
Helen Kerwin — Nay
Hillary Hickland — Nay
Hubert Vo — Yea
J. M. Lozano — Yea
James B. Frank — Yea
James Talarico — Yea
Janie Lopez — Yea
Janis Holt — Nay
Jared Patterson — Nay
Jay Dean — Yea
Jeff Barry — Yea
Jeff Leach — Yea
Jessica González — Yea
Joanne Shofner — Nay
Joe Moody — Yea
John Bryant — Yea
John Bucy III — Yea
John Lujan — Yea
John McQueeney — Yea
John Smithee — Nay
Jolanda Jones — Yea
Jon Rosenthal — Yea
Katrina Pierson — Nay
Keith Bell — Yea
Keresa Richardson — Yea
Lacey Hull — Not Voting
Lauren A. Simmons — Yea
Linda Garcia — Yea
Liz Campos — Yea
Lulu Flores — Yea
Mano DeAyala — Nay
Marc LaHood — Yea
Mark Dorazio — Yea
Mary Ann Perez — Yea
Mary E. González — Yea
Matt Morgan — Nay
Matt Shaheen — Nay
Mihaela Plesa — Yea
Mike Olcott — Nay
Mike Schofield — Yea
Mitch Little — Yea
Morgan Meyer — Yea
Nate Schatzline — Nay
Nicole Collier — Yea
Oscar Longoria — Yea
Pat Curry — Yea
Paul Dyson — Yea
Penny Morales Shaw — Yea
Philip Cortez — Yea
R. D. "Bobby" Guerra — Yea
Rafael Anchía — Yea
Ramon Romero, Jr. — Yea
Rhetta Bowers — Yea
Richard Hayes — Nay
Richard Peña Raymond — Yea
Ron Reynolds — Yea
Ryan Guillen — Yea
Salman Bhojani — Yea
Sam Harless — Yea
Senfronia Thompson — Yea
Sergio Muñoz, Jr. — Yea
Shelby Slawson — Nay
Shelley Luther — Nay
Sheryl Cole — Yea
Stan Gerdes — Yea
Stan Kitzman — Yea
Stan Lambert — Yea
Steve Toth — Nay
Suleman Lalani — Yea
Terry Canales — Yea
Thresa "Terry" Meza — Yea
Todd Hunter — Yea
Tom Craddick — Yea
Tom Oliverson — Nay
Toni Rose — Yea
Tony Tinderholt — Nay
Trent Ashby — Yea
Trey Martinez Fischer — Yea
Trey Wharton — Yea
Valoree Swanson — Yea
Venton Jones — Yea
Vikki Goodwin — Yea
Vincent Perez — Yea
Wes Virdell — Nay
Will Metcalf — Nay
Yvonne Davis — Yea

Official roll call →

Subjects

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Frequently asked questions

What does HB 426 do?
Relating to Medicaid and child health plan program coverage and reimbursement for childhood cranial remolding orthosis.
Who sponsors HB 426?
HB 426 is sponsored by Diego Bernal, Mark Dorazio, Valoree Swanson, Greg Bonnen, and Barbara Gervin-Hawkins.
What is the current status of HB 426?
This bill has been sent to the executive. Introduced November 12, 2024. It awaits signature.
Where can I track HB 426?
Track HB 426 free on One Click Politics — get push/email alerts when it moves.

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