| 1 | 1 | | 89R2183 SCF-F |
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| 2 | 2 | | By: Oliverson H.B. No. 2036 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | |
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| 6 | 6 | | |
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| 7 | 7 | | A BILL TO BE ENTITLED |
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| 8 | 8 | | AN ACT |
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| 9 | 9 | | relating to the provision of behavioral health services under the |
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| 10 | 10 | | Medicaid managed care program. |
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| 11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 12 | 12 | | SECTION 1. Section 540.0703(a), Government Code, as |
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| 13 | 13 | | effective April 1, 2025, is amended to read as follows: |
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| 14 | 14 | | (a) In this section: |
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| 15 | 15 | | (1) "Behavioral [, "behavioral] health services" |
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| 16 | 16 | | means mental health and substance use disorder services. The term |
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| 17 | 17 | | includes intensive outpatient services and partial hospitalization |
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| 18 | 18 | | services. |
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| 19 | 19 | | (2) "Intensive outpatient services" means outpatient |
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| 20 | 20 | | treatment services, including treatment services for substance use |
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| 21 | 21 | | disorders, depression, eating disorders, and other mental health |
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| 22 | 22 | | conditions that do not require detoxification or 24-hour |
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| 23 | 23 | | supervision, provided to patients who require a time-limited, |
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| 24 | 24 | | multifaceted array of services, structures, and supports by a team |
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| 25 | 25 | | of clinical staff capable of providing, at a minimum, the following |
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| 26 | 26 | | services: |
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| 27 | 27 | | (A) individual counseling; |
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| 28 | 28 | | (B) group counseling; |
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| 29 | 29 | | (C) family counseling; |
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| 30 | 30 | | (D) motivational enhancement training; and |
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| 31 | 31 | | (E) relapse prevention, drug refusal, and coping |
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| 32 | 32 | | skills training. |
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| 33 | 33 | | (3) "Partial hospitalization services" means distinct |
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| 34 | 34 | | and organized intensive ambulatory treatment services provided for |
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| 35 | 35 | | periods of not more than 24 hours at a location other than a |
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| 36 | 36 | | patient's home or in an inpatient or a residential care setting. |
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| 37 | 37 | | The term includes the services described by 42 C.F.R. Section |
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| 38 | 38 | | 410.43(a)(4). |
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| 39 | 39 | | SECTION 2. If before implementing any provision of this Act |
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| 40 | 40 | | a state agency determines that a waiver or authorization from a |
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| 41 | 41 | | federal agency is necessary for implementation of that provision, |
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| 42 | 42 | | the agency affected by the provision shall request the waiver or |
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| 43 | 43 | | authorization and may delay implementing that provision until the |
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| 44 | 44 | | waiver or authorization is granted. |
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| 45 | 45 | | SECTION 3. This Act takes effect September 1, 2025. |
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