By: Hull H.B. No. 136       A BILL TO BE ENTITLED   AN ACT   relating to Medicaid coverage and reimbursement for lactation   consultation.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.   Section 32.024, Human Resources Code, is   amended by amending Subsections (pp) and (qq) and by adding   Subsection (rr) to read as follows:          (pp)  For purposes of enrollment as a provider and   reimbursement under the medical assistance program, the commission   shall establish a separate provider type for a community health   worker who provides lactation consultation services, or case   management services under the case management for children and   pregnant women program under Section 531.653(4), Government Code.          (qq)  For purposes of enrollment as a provider and   reimbursement under the medical assistance program, the commission   shall establish a separate provider type for a doula who:                (1)  is certified by a recognized national doula   certification program approved by the commission; and                (2)  provides lactation consultation services, or case   management services under the case management for children and   pregnant women program under Section 531.653(5), Government Code.          (rr)  The commission shall provide medical assistance   coverage of lactation consultation as a separately reimbursed   pregnancy related service when delivered to a recipient under the   medical assistance program by an eligible provider who has a   certification in lactation consultation. The executive   commissioner shall establish a separate provider type for lactation   consultant providers for purposes of enrollment as a provider for   and reimbursement under the medical assistance program.          SECTION 2.  If before implementing any provision of this Act   a state agency determines that a 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.