Texas 2025 - 89th Regular

Texas Senate Bill SB469

Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

Impact

If enacted, SB469 is expected to significantly impact Texas's Medicaid system by increasing the availability of mental health care providers. By enabling associate-level professionals to provide reimbursable services, it addresses the shortage of licensed professionals available to serve the Medicaid population. This could lead to shorter wait times for these services and foster better mental health outcomes for vulnerable populations who rely on Medicaid for mental health support.

Summary

SB469 proposes to enhance the provision of counseling services by expanding the types of licensed professionals who can provide these services under the Texas Medicaid program. The bill specifically allows for licensed associate professionals, such as marriage and family therapist associates and licensed master social worker associates, to be selected by Medicaid recipients to provide health care services. This amendment aims to improve access to mental health services, acknowledging the need for more providers to serve the growing population of individuals seeking assistance under Medicaid.

Contention

One notable point of contention surrounding SB469 may arise from the specifics of the reimbursement structure outlined in the bill. It establishes that reimbursement for these associate providers will be at a rate of 50 percent of what licensed psychiatrists or psychologists receive for similar services. Critics may argue that this financial rate could inadequately compensate associate professionals, potentially leading to obstacles in attracting qualified candidates to participate in the Medicaid service provision. Moreover, questions about the quality of care provided by less experienced practitioners compared to fully licensed professionals may also be raised, highlighting potential skepticism regarding patient safety and service efficacy.

Texas Constitutional Statutes Affected

Human Resources Code

  • Chapter 32. Medical Assistance Program
    • Section: New Section

Companion Bills

TX HB1716

Identical Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

Previously Filed As

TX HB1396

Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

TX SB2132

Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

TX HB1879

Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

TX HB3725

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB3394

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB2481

Relating to a counseling and crisis management program for relative or other designated caregivers and children in the managing conservatorship of the Department of Family and Protective Services.

TX SB137

Relating to a counseling and crisis management program for relative or other designated caregivers and children in the managing conservatorship of the Department of Family and Protective Services.

TX HB2727

Relating to the provision of home telemonitoring services under Medicaid.

TX HB1211

Relating to financial assistance, including repayment of loans, for certain students attending postsecondary educational institutions.

TX HB3550

Relating to standards for and services provided by prescribed pediatric extended care centers, including Medicaid reimbursement for those services.

Similar Bills

No similar bills found.