TX HB 426, a bill signed into law in June that would require Medicaid to provide coverage for cranial remolding orthoses (CROs) for plagiocephaly, was supposed to take effect on September 1st. Despite this, Texas Medicaid’s September 2025 Manual did not reflect the changes based on this bill. Entities including AOPA and The Limb Loss and Limb Difference Community Coalition of Texas have submitted letters to the Texas Health and Human Services Commission sharing their concern and request for clarification around the implementation of HB 426.