Monitoring the Session

HB 154

Medicaid pays mental health hospitals with 16 or more beds

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Richard Peña RaymondDHouse 42

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to Medicaid coverage and reimbursement for certain inpatient mental health services.

Caption from analyzed text · version I.

Summary

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.

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.

Receipt

The receipt

89R-HB154 · 2024-11-12

SOLD BY

ITEM

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.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Human Services
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Jul 17, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

PG Rental & Leasing Financial LLC$70,000.00

PG Rental & Leasing Financial LLC

$70,000.00

Cash
$70,000.00
Paid by others
$0.00
Total
$70,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Oct 30, 2024 to Sep 28, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · Oct 30, 2024 to Sep 28, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100968808, 101007425, 101036903, 101073060.

Blackstone Dilworth JR$65,000.00
Wyatt Ranches of Texas LLC$60,000.00

Wyatt Ranches of Texas LLC

$60,000.00

Cash
$60,000.00
Paid by others
$0.00
Total
$60,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Dec 12, 2024 to Jul 9, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · Dec 12, 2024 to Jul 9, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100968808, 101070449.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

PG Rental & Leasing Financial LLC

$70,000.00

Cash
$70,000.00
Paid by others
$0.00
Total
$70,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Oct 30, 2024 to Sep 28, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · Oct 30, 2024 to Sep 28, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100968808, 101007425, 101036903, 101073060.

×

Wyatt Ranches of Texas LLC

$60,000.00

Cash
$60,000.00
Paid by others
$0.00
Total
$60,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Dec 12, 2024 to Jul 9, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · Dec 12, 2024 to Jul 9, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 100968808, 101070449.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

FILED BEFORE

Filed 2 times: 88R and 89R. Checked against 88R only.

88R HB 5265

by Rep. Raymond, same lead author · Died in committee · same text

Introduced text

Last action, Apr 25, 2023: Left pending in committee

Relating to Medicaid coverage and reimbursement for certain inpatient mental health services.

Caption, 88R bill history

Sources

Texas House · Filed Nov 12, 2024

02/27/2025 H Referred to Human Services: Feb 27 2025 11:13AM

Texas Legislature Online · Introduced

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.