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Will texas medicaid pay for weight loss programs. After speaking to others on the web, I found the answer. The answer for Texas appears to be – No. In February of 2007 the Texas Health and Human Services Commission looked into Medicaid reform strategies that would include payment for weight loss through Enhanced Benefit Accounts but I don't think the proposals were implemented. In 29 states, pharmaceutical products indicated strictly for the treatment of obesity and weight loss are specifically excluded from state Medicaid programs, while in nine states – Alaska, California, Kentucky, Montana, North Carolina, Oregon, Rhode Island, Washington and Wisconsin – anti-obesity and weight loss pharmaceutical products are covered. Best to check with your Texas human services department