HB 136 Texas House · 89th Legislature (2025)

Relating to Medicaid coverage and reimbursement for lactation consultation services.

HB 136 requires Texas Medicaid to reimburse certified lactation consultants for services provided to Medicaid recipients (mothers and infants). It creates a new provider classification specifically for lactation consultants in the Medicaid program, ensuring they can enroll and receive payment for services. The bill defines "lactation consultant" as someone certified by an international or nationally approved program and mandates that the state commission establish this reimbursement pathway. This law took effect September 1, 2025, directly impacting Medicaid-covered breastfeeding support for Texas families.
Bill status signed all 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
May 2025
Introduced Mar 12, 2025 Signed May 24, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 3 edits · May 24, 2025
MINOR
The bill text was reformatted from an 'Engrossed' version to an 'Enrolled' version, which is the final version signed into law. The substantive policy content regarding Medicaid reimbursement for lactation consultants remains unchanged. The primary difference is the addition of certification signatures and vote counts at the end, confirming the bill passed both legislative chambers and was approved by the Governor.
TECHNICAL

The bill was converted from an Engrossed version to an Enrolled version, which includes the final signatures of legislative leaders and the Governor, along with vote counts from both chambers.

Several lines containing bill tracking numbers, page numbers, and draft annotations were removed during the conversion to the final enrolled version.

Signatures from the President of the Senate, Speaker of the House, Secretary of the Senate, and the Governor were added to certify the bill's passage and approval.

Floor votes · Senate May 8, 2025 · House Apr 22, 2025

How they voted

273
Passed
Total votes 30
May 8, 2025
D Democratic10
10 Yea
100% Yea
R Republican20
17 Yea 3 Nay
85% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
50
Key actions
17
Committee
12
May 24, 2025
Signed into law
Signed by the Governor
executive
May 12, 2025
Upper · Passed
Signed in the Senate
upper
May 12, 2025
Lower · Passed
Signed in the House
lower
May 8, 2025
Lower · Passed
Senate passage reported
lower
May 8, 2025
Upper · Passed
Passed
upper
May 6, 2025
Upper · Passed
Committee report printed and distributed
upper
May 6, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 5, 2025
Upper · Passed
Vote taken in committee
upper
Apr 30, 2025
Upper · Passed
Left pending in committee
upper
Apr 30, 2025
Upper · Passed
Testimony taken in committee
upper
Apr 24, 2025
Committee
Referred to Health & Human Services
upper
Apr 24, 2025
Introduced
Read first time
upper
Apr 23, 2025
Introduced
Received from the House
upper
Apr 23, 2025
Lower · Passed
Passed
lower
Apr 22, 2025
Lower · Passed
Passed to engrossment
lower
Apr 8, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 7, 2025
Lower · Passed
Committee report distributed
lower
Apr 1, 2025
Lower · Passed
Reported favorably as substituted
lower
Mar 25, 2025
Lower · Passed
Left pending in committee
lower
Mar 25, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 12, 2025
Committee
Referred to Human Services
lower
Mar 12, 2025
Introduced
Read first time
lower
6 primary · 8 co-sponsors

Sponsors