Texas House Bill HB2129

Texas 2025 - 89th Regular

• Filed: 1/28/25

Caption

Relating to school-based health services, including the administration of the school health and related services program and the provision and Medicaid reimbursement of certain services to certain public school students.

Impact

The bill incorporates amendments to both the Education Code and the Government Code, establishing explicit provisions for school health and related services programs. Key among these is the assurance that all Medicaid-enrolled students receiving services will be eligible for reimbursement. Furthermore, the Health and Human Services Commission will be responsible for implementing measures that ensure the integrity of these programs and compliance with applicable federal standards, impacting budget allocations and oversight mechanisms for the respective services provided in schools.

Summary

House Bill 2129 is designed to enhance school-based health services across Texas, focusing on the integration of mental and behavioral health services within public schools. The bill enables school districts to contract with local mental health authorities to offer these services directly on campus. Upon the request of a student's parent or guardian, the mental health authority could provide assessments and ongoing support while ensuring communication with the student's primary care physician regarding treatment outcomes.

Contention

One potential point of contention involves the administrative responsibilities assigned to local education agencies and mental health providers under the bill. Critics may argue that while the goal of providing on-campus mental health services is laudable, it could impose significant burdens on school districts in terms of administration and maintaining compliance with state and federal regulations. Additionally, financial implications surrounding Medicaid reimbursements may also lead to debate over the adequacy of funding necessary to support these initiatives effectively.

Texas Constitutional Statutes Affected

Education Code

• Chapter 38. Health And Safety
  • Section: New Section

Government Code

• Chapter 532. Medicaid Administration And Operation In General
  • Section: New Section

Human Resources Code

• Chapter 32. Medical Assistance Program
  • Section: New Section