Relating to the provision and reimbursement of health care services by local public health entities under the child health plan program.

HB 5153 adds local health departments and health authorities (such as county health departments and public health districts) as eligible providers for reimbursement under Texas' Children's Health Insurance Program (CHIP). The bill creates a new provider category specifically for these local public health entities, allowing them to bill for services provided to CHIP-eligible children. Key provisions require the Health and Human Services Commission to establish this new provider type and ensure entities meet certification standards. Implementation depends on state funding approval, and the bill takes effect September 1, 2025, unless passed with a two-thirds vote. This change directly affects local health entities and CHIP beneficiaries by expanding access to covered health services.