HB 5155 Texas House · 89th Legislature (2025)

Relating to the continuation of the maternal opioid misuse model of care for certain Medicaid recipients.

HB 5155 extends a healthcare program for pregnant and postpartum Medicaid recipients with opioid use disorder and their children. It requires Texas' Health and Human Services Commission to continue this specific model of care using funds from the opioid abatement account, if available. The program, originally funded through federal grants, will operate until September 1, 2029, and applies to Medicaid enrollees during pregnancy and the postpartum period. This bill does not create new funding but ensures the continuation of an existing federal-matched healthcare model.
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Apr 7, 2025 Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 4 edits · Jun 20, 2025
MODERATE
The bill text was converted from an 'Engrossed' version to an 'Enrolled' version, which is the final version signed into law. The substantive policy content regarding maternal opioid misuse model of care remains unchanged, with only formatting, spacing, and certification signatures added to reflect its final legislative status.
TECHNICAL

Header information changed from draft identification to official enrolled bill title and number.

Added certification signatures for the Senate President, House Speaker, and Governor to indicate final approval.

Added vote counts and passage dates certifying the bill was passed by both chambers.

Removed draft annotations and page numbers used during the legislative process.

Floor votes · House May 8, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
49
Key actions
16
Committee
11
Jun 20, 2025
Signed into law
Signed by the Governor
executive
May 27, 2025
Upper · Passed
Signed in the Senate
upper
May 27, 2025
Lower · Passed
Signed in the House
lower
May 25, 2025
Lower · Passed
Senate passage reported
lower
May 25, 2025
Upper · Passed
Passed
upper
May 21, 2025
Upper · Passed
Committee report printed and distributed
upper
May 21, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 21, 2025
Upper · Passed
Vote taken in committee
upper
May 20, 2025
Upper · Passed
Left pending in committee
upper
May 13, 2025
Committee
Referred to Health & Human Services
upper
May 13, 2025
Introduced
Read first time
upper
May 9, 2025
Introduced
Received from the House
upper
May 8, 2025
Lower · Passed
Passed
lower
May 7, 2025
Lower · Passed
Passed to engrossment
lower
May 2, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 1, 2025
Lower · Passed
Committee report distributed
lower
Apr 25, 2025
Lower · Passed
Reported favorably as substituted
lower
Apr 22, 2025
Lower · Passed
Left pending in committee
lower
Apr 22, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Apr 7, 2025
Committee
Referred to Human Services
lower
Apr 7, 2025
Introduced
Read first time
lower
3 primary · 0 co-sponsors

Sponsors