Texas House Bill HB2368

Texas 2019 - 86th Regular

Caption

Relating to access to and the provision of behavioral and mental health care services and trauma-informed care in the Medicaid managed care program.

Impact

The bill introduces significant changes to the Medical Assistance programs and outlines new requirements for physicians and providers treating behavioral and mental health conditions. It places a strong emphasis on the training of healthcare providers regarding trauma and its impacts, requiring that all contracted professionals receive relevant training. These changes reflect an initiative to align Medicaid services with broader state and local quality improvement efforts aimed at ensuring effective care delivery to those suffering from traumatic experiences, in accordance with the STAR Health program's objectives.

Summary

House Bill 2368 aims to enhance access to behavioral and mental health care services along with implementing trauma-informed care within the Medicaid managed care program in Texas. Specifically, it mandates the establishment of performance measures and incentives in contracts between the Health and Human Services Commission and health maintenance organizations (HMOs) involved in these services. The primary goal is to improve access to appropriate healthcare services for recipients, particularly in trauma-related instances, thereby fostering an environment of supportive care that prioritizes mental health in vulnerable populations, especially children.

Sentiment

The sentiment around HB 2368 appears to be generally supportive, particularly from advocates of mental health reform, who view the provisions as critically needed steps toward ensuring quality care for vulnerable populations. There is recognition that trauma-informed care can lead to better health outcomes and enhance recovery opportunities for children and adolescents facing mental health issues. Nonetheless, potential concerns regarding implementation and funding adequacy for the necessary training and program administration have been noted amongst some stakeholders.

Contention

Notable points of contention regarding HB 2368 center on the logistics and implications of mandatory training for providers, with some voices questioning the feasibility and cost of implementing comprehensive trauma-informed training within existing healthcare frameworks. Questions have also emerged about the balance between state directives and provider autonomy in treatment approaches. Ensuring these measures are effectively integrated without overwhelming the state's existing healthcare service capabilities poses ongoing challenges for legislators and policymakers.