89R224 JG-D
By: Raymond H.B. No. 154
A BILL TO BE ENTITLED
AN ACT
relating to Medicaid coverage and reimbursement for certain
inpatient mental health services.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
is amended by adding Section 32.02465 to read as follows:
Sec. 32.02465. REIMBURSEMENT FOR CERTAIN INPATIENT MENTAL
HEALTH SERVICES. (a) In this section, "inpatient mental health
institution" means a hospital, nursing facility, or other
institution with 16 or more beds that primarily provides health
care services, including medical attention, nursing care, and
related services, to individuals with a mental illness.
(b) The commission shall ensure that medical assistance
reimbursement is provided to an inpatient mental health institution
that provides health care services to a recipient under the medical
assistance program.
(c) The executive commissioner by rule shall ensure that
medical assistance reimbursement provided under this section
includes reimbursement for:
(1) health care services provided to a recipient under
the medical assistance program regardless of the recipient's age;
and
(2) the entirety of a recipient's stay at an inpatient
mental health institution during which the institution provided
those services.
SECTION 2. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 3. This Act takes effect September 1, 2025.