Texas 2025 - 89th Regular

Texas House Bill HB4420 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	89R14934 RAL-F
2	2	By: Rose H.B. No. 4420
3	3
4	4
5	5
6	6
7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to the collection of information on available beds at
10	10	inpatient mental health facilities providing acute psychiatric
11	11	treatment.
12	12	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
13	13	SECTION 1. Section 311.0335(a), Health and Safety Code, is
14	14	amended to read as follows:
15	15	(a) A hospital that provides mental health or chemical
16	16	dependency services shall submit to the department financial and
17	17	utilization data relating to the mental health and chemical
18	18	dependency services provided by the hospital, including data for
19	19	inpatient and outpatient services relating to:
20	20	(1) patient demographics, including race, ethnicity,
21	21	age, gender, and county of residence;
22	22	(2) admissions;
23	23	(3) discharges, including length of inpatient
24	24	treatment;
25	25	(4) specific diagnoses and procedures according to
26	26	criteria prescribed by the Diagnostic and Statistical Manual of
27	27	Mental Disorders, 3rd Edition, Revised, or a later version
28	28	prescribed by department rule;
29	29	(5) total charges and the components of the charges;
30	30	(6) payor sources; [and]
31	31	(7) use of mechanical restraints; and
32	32	(8) availability of inpatient psychiatric beds by age.
33	33	SECTION 2. (a) In this section:
34	34	(1) "Commission" means the Health and Human Services
35	35	Commission.
36	36	(2) "Inpatient mental health facility" has the meaning
37	37	assigned by Section 571.003, Health and Safety Code.
38	38	(b) The commission shall conduct a study regarding the
39	39	availability of beds at inpatient mental health facilities in this
40	40	state that provide acute inpatient psychiatric treatment. The
41	41	study must evaluate:
42	42	(1) the current number of psychiatric beds available
43	43	at inpatient mental health facilities in this state that provide
44	44	inpatient psychiatric treatment to individuals experiencing an
45	45	acute mental health crisis, including a breakdown of beds
46	46	available:
47	47	(A) at inpatient mental health facilities that
48	48	are state hospitals operated by the Department of State Health
49	49	Services;
50	50	(B) at inpatient mental health facilities other
51	51	than facilities operated by the Department of State Health
52	52	Services; and
53	53	(C) for patients:
54	54	(i) committed to a facility for competency
55	55	restoration services under Chapter 46B, Code of Criminal Procedure;
56	56	(ii) civilly committed to a facility under
57	57	Chapter 841, Health and Safety Code;
58	58	(iii) committed to a facility after having
59	59	been found not guilty by reason of insanity under Chapter 46C, Code
60	60	of Criminal Procedure;
61	61	(iv) voluntarily admitted to a facility;
62	62	(v) 18 years of age or older;
63	63	(vi) 12 years of age or older but younger
64	64	than 18 years of age;
65	65	(vii) 11 years of age or younger;
66	66	(viii) receiving long-term mental health
67	67	treatment in a facility; and
68	68	(ix) who have been diagnosed with an
69	69	intellectual or developmental disability;
70	70	(2) the current number of patients admitted to an
71	71	inpatient mental health facility in this state that provides
72	72	inpatient psychiatric treatment to individuals experiencing an
73	73	acute mental health crisis, including a breakdown of:
74	74	(A) the number of patients committed to a
75	75	facility for competency restoration services under Chapter 46B,
76	76	Code of Criminal Procedure, including the number of individuals
77	77	committed under an initial order of commitment or an order
78	78	extending the initial restoration period;
79	79	(B) the number of patients civilly committed to a
80	80	facility under Chapter 841, Health and Safety Code;
81	81	(C) the number of patients committed to a
82	82	facility after having been found not guilty by reason of insanity
83	83	under Chapter 46C, Code of Criminal Procedure;
84	84	(D) the number of patients voluntarily admitted
85	85	to a facility;
86	86	(E) the number of patients 18 years of age or
87	87	older;
88	88	(F) the number of patients 12 years of age or
89	89	older but younger than 18 years of age;
90	90	(G) the number of patients 11 years of age or
91	91	younger;
92	92	(H) the percentage of patients in this state who
93	93	will likely require long-term mental health treatment in a
94	94	facility;
95	95	(I) the number of patients who have been
96	96	diagnosed with an intellectual or developmental disability; and
97	97	(J) the number of patients receiving services
98	98	from a jail diversion program;
99	99	(3) the projected need over the next several years for
100	100	additional psychiatric beds at inpatient mental health facilities
101	101	that provide inpatient psychiatric treatment to individuals
102	102	experiencing an acute mental health crisis, including the projected
103	103	percentage of incoming patients who will likely require long-term
104	104	mental health treatment in a facility; and
105	105	(4) current and anticipated resources, including
106	106	workforce needs, necessary to meet the demands described by
107	107	Subdivisions (1), (2), and (3) of this subsection.
108	108	(c) In designing and conducting the study, the commission:
109	109	(1) may collaborate with institutions of higher
110	110	education, as defined by Section 61.003, Education Code, in this
111	111	state that award medical degrees; and
112	112	(2) shall collect the information required under
113	113	Subsection (b) of this section at least twice.
114	114	(d) Not later than September 1, 2026, the commission shall
115	115	prepare and submit to the legislature a written report containing
116	116	the results of the study and any recommendations for legislative or
117	117	other action.
118	118	(e) This section expires September 1, 2027.
119	119	SECTION 3. This Act takes effect immediately if it receives
120	120	a vote of two-thirds of all the members elected to each house, as
121	121	provided by Section 39, Article III, Texas Constitution. If this
122	122	Act does not receive the vote necessary for immediate effect, this
123	123	Act takes effect September 1, 2025.