HB 475: Medical Placement for High-acuity Children
GENERAL BILL by Salzman
Medical Placement for High-acuity Children; Requires specific needs of high-acuity child to be considered when determining child's best interest; revises role of & services provided by Child Protection Teams & multidisciplinary teams; requires multidisciplinary team staffing for placement decisions of high-acuity child; provides process for if multidisciplinary team cannot reach consensus on plan for placement of high-acuity child; requires licensed health care professional to perform medical screening; requires judge to place high-acuity child in medical placement after child is evaluated; requires court to set emergency evidentiary hearing under certain circumstances; provides for certain types of medical beds; provides requirements for medical placement; requires certain consent & authorization be obtained & documented; requires court to conduct periodic reviews during duration of medical placement; requires high-acuity child's case plan be updated within specified timeframe; prohibits medical placement from exceeding specified number of days except; provides that high-acuity child maintains certain rights; requires department to collect certain data; requires department to submit to Legislature specified annual report; provides that high-acuity child is eligible for Children's Medical Services program & Children's Medical Services Safety Net program; requires that high-acuity child be placed in category 1 for priority purposes of Medicaid waiver services.
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Bill History
Date Chamber Action 11/19/2025 House • Filed
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HB 475, Original Filed Version (Current Bill Version) Posted 11/19/2025 at 8:54 AM
Bill Text: PDF Analyses: None Citations - Statutes (22)
Citation Catchline Location in Bill Location In Bill Help 39.01 Definitions. Page 5 (pdf) 39.01375 Best interest determination for placement. Page 7 (pdf) 39.302 Protective investigations of institutional child abuse, abandonment, or neglect. Page 7 (pdf) 39.303 Child Protection Teams and sexual abuse treatment programs; services; eligible cases. Page 9 (pdf) 39.4021 Priority placement for out-of-home placements. Page 14 (pdf) 39.4022 Multidisciplinary teams; staffings; assessments; report. Page 15 (pdf) 39.407 Medical, psychiatric, and psychological examination and treatment of child; physical, mental, or substance abuse examination of person with or requesting child custody. Page 21 (pdf) 39.4078 Page 27 (pdf) 39.523 Placement in out-of-home care. Page 36 (pdf) 39.6012 Case plan tasks; services. Page 39 (pdf) 39.6013 Case plan amendments. Page 41 (pdf) 391.025 Applicability and scope. Page 42 (pdf) 391.029 Program eligibility. Page 42 (pdf) 393.065 Application and eligibility determination. Page 43 (pdf) 394.495 Child and adolescent mental health system of care; programs and services. Page 46 (pdf) 409.145 Care of children; “reasonable and prudent parent” standard. Page 48 (pdf) 409.166 Children within the child welfare system; adoption assistance program. Page 51 (pdf) 409.906 Optional Medicaid services. Page 52 (pdf) 409.986 Legislative findings and intent; child protection and child welfare outcomes; definitions. Page 54 (pdf) 934.255 Subpoenas in investigations of sexual offenses. Page 54 (pdf) 960.065 Eligibility for awards. Page 54 (pdf) 984.03 Definitions. Page 55 (pdf)