Texas House Bill HB1397

Texas 2023 - 88th Regular

• Filed: 1/18/23

Caption

Relating to the provision of community recovery organization peer-to-peer services under Medicaid.

Impact

The legislation aims to amend state laws by introducing specific guidelines for Medicaid reimbursement of these peer-to-peer services. This includes establishing training and certification requirements for service providers, as well as defining the scope of services offered by community recovery organizations. Such changes are expected to improve the accessibility and quality of recovery support services, promoting long-term recovery among individuals facing these challenges. The bill also seeks to align with national best practices, potentially elevating the standard of care provided in Texas.

Summary

House Bill 1397 is designed to enhance the provision of community recovery organization peer-to-peer services under Medicaid in Texas. The bill establishes a framework for nonprofit organizations that focus on supporting individuals recovering from substance use disorders or mental health conditions. It emphasizes the importance of community involvement in these organizations, as at least 51 percent of their governance must consist of individuals in recovery or affected family members, ensuring that services are tailored to the unique needs of the communities they serve.

Sentiment

Overall, the sentiment surrounding HB 1397 appears to be positive, particularly among mental health advocates and recovery community members who see value in formalizing peer support systems. Proponents argue that these services are crucial for sustained recovery and can significantly improve outcomes for those struggling with substance use disorders. However, the success of the initiative largely depends on effective implementation, training, and integration into the existing healthcare system.

Contention

One notable point of contention regarding HB 1397 is the requirement for federal approval for implementation. The bill acknowledges the necessity of obtaining waivers or authorizations from federal agencies before certain provisions can take effect, which could delay the rollout of these services. Additionally, the effectiveness of the community recovery organizations hinges on the collective expertise of the workgroup established to guide rule adoption, raising questions about representation and the adequacy of local input in shaping the final regulations.

Texas Constitutional Statutes Affected

Government Code

• Chapter 531. Health And Human Services Commission
  • Section: 09991

Human Resources Code

• Chapter 32. Medical Assistance Program
  • Section: 024