The bill orders the state Medicaid program to pay mental health hospitals and similar facilities with 16 or more beds when they treat Medicaid patients. It covers patients of any age and requires payment for the whole length of the patient's stay. If the state finds it needs federal permission first, it must ask for that permission and may wait to start until it is granted.
Labels
Labels: ZOMBIE BILL. Died 2 times: 88R HB 5265 (Died in committee) and this bill (Died in committee). Checked against 88R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R HB 5265 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R only.TRY NO. 2. Filed in 2 sessions: 88R and 89R. Checked against 88R only.NEVER GOT A HEARING. Filed Nov 12, 2024 and referred to the House Human Services committee. No public hearing. The bill died.
relating to Medicaid coverage and reimbursement for certain
inpatient mental health services.
WHAT IT DOES
Any age, the whole stay.
The bill orders the state Medicaid program to pay mental health hospitals and similar facilities with 16 or more beds when they treat Medicaid patients. It covers patients of any age and requires payment for the whole length of the patient's stay. If the state finds it needs federal permission first, it must ask for that permission and may wait to start until it is granted.
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Human Services · Final status: Died in committee
Subjects
Human Services--Medical Assistance
Mental Health & Substance Abuse
MEDICAID
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 258 words
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.