| 1 | 1 | | 89R224 JG-D |
|---|
| 2 | 2 | | By: Raymond H.B. No. 154 |
|---|
| 3 | 3 | | |
|---|
| 4 | 4 | | |
|---|
| 5 | 5 | | |
|---|
| 6 | 6 | | |
|---|
| 7 | 7 | | A BILL TO BE ENTITLED |
|---|
| 8 | 8 | | AN ACT |
|---|
| 9 | 9 | | relating to Medicaid coverage and reimbursement for certain |
|---|
| 10 | 10 | | inpatient mental health services. |
|---|
| 11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|---|
| 12 | 12 | | SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
|---|
| 13 | 13 | | is amended by adding Section 32.02465 to read as follows: |
|---|
| 14 | 14 | | Sec. 32.02465. REIMBURSEMENT FOR CERTAIN INPATIENT MENTAL |
|---|
| 15 | 15 | | HEALTH SERVICES. (a) In this section, "inpatient mental health |
|---|
| 16 | 16 | | institution" means a hospital, nursing facility, or other |
|---|
| 17 | 17 | | institution with 16 or more beds that primarily provides health |
|---|
| 18 | 18 | | care services, including medical attention, nursing care, and |
|---|
| 19 | 19 | | related services, to individuals with a mental illness. |
|---|
| 20 | 20 | | (b) The commission shall ensure that medical assistance |
|---|
| 21 | 21 | | reimbursement is provided to an inpatient mental health institution |
|---|
| 22 | 22 | | that provides health care services to a recipient under the medical |
|---|
| 23 | 23 | | assistance program. |
|---|
| 24 | 24 | | (c) The executive commissioner by rule shall ensure that |
|---|
| 25 | 25 | | medical assistance reimbursement provided under this section |
|---|
| 26 | 26 | | includes reimbursement for: |
|---|
| 27 | 27 | | (1) health care services provided to a recipient under |
|---|
| 28 | 28 | | the medical assistance program regardless of the recipient's age; |
|---|
| 29 | 29 | | and |
|---|
| 30 | 30 | | (2) the entirety of a recipient's stay at an inpatient |
|---|
| 31 | 31 | | mental health institution during which the institution provided |
|---|
| 32 | 32 | | those services. |
|---|
| 33 | 33 | | SECTION 2. If before implementing any provision of this Act |
|---|
| 34 | 34 | | a state agency determines that a waiver or authorization from a |
|---|
| 35 | 35 | | federal agency is necessary for implementation of that provision, |
|---|
| 36 | 36 | | the agency affected by the provision shall request the waiver or |
|---|
| 37 | 37 | | authorization and may delay implementing that provision until the |
|---|
| 38 | 38 | | waiver or authorization is granted. |
|---|
| 39 | 39 | | SECTION 3. This Act takes effect September 1, 2025. |
|---|