Hospitals that provide neonatal care must have a Level I, II, III or IV designation from the Texas Department of State Health Services by Sept. 1, 2018 in order to receive Medicaid reimbursement. House Bill 15, 83rd Legislature, requires the development of initial rules to create neonatal and maternal level of care designation. At this point, only the neonatal level of care designation rules have been adopted and are effective as of June 9, 2016.

Hospitals must submit applications to TDSHS before July 1, 2018 to be approved for designation by the Executive Commissioner before Sept. 1, 2018.

HB 15 (83rd Legislature) – Relating to level of care designations for hospitals that provide neonatal and maternal services. Read more


Jennifer Banda, J.D., vice president, advocacy, public policy and HOSPAC, 512/465-1046

Carrie Kroll, vice president, advocacy, quality and public health, 512/465-1043

Elizabeth Sjoberg, RN, J.D., associate general counsel 512/465-1539

John Berta, senior director, policy analysis, 512/465-1556