bill adding intensive outpatient care to Medicaid behavioral health

The text as introduced · 283 words

89R2183 SCF-F

By: Oliverson
H.B. No. 2036

A BILL TO BE ENTITLED

AN ACT

relating to the provision of behavioral health services under the

Medicaid managed care program.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 540.0703(a), Government Code, as

effective April 1, 2025, is amended to read as follows:

(a) In this section :

(1) "Behavioral [ , "behavioral ] health services"

means mental health and substance use disorder services. The term

includes intensive outpatient services and partial hospitalization

services.

(2) "Intensive outpatient services" means outpatient

treatment services, including treatment services for substance use

disorders, depression, eating disorders, and other mental health

conditions that do not require detoxification or 24-hour

supervision, provided to patients who require a time-limited,

multifaceted array of services, structures, and supports by a team

of clinical staff capable of providing, at a minimum, the following

services:

(A) individual counseling;

(B) group counseling;

(C) family counseling;

(D) motivational enhancement training; and

(E) relapse prevention, drug refusal, and coping

skills training.

(3) "Partial hospitalization services" means distinct

and organized intensive ambulatory treatment services provided for

periods of not more than 24 hours at a location other than a

patient's home or in an inpatient or a residential care setting.

The term includes the services described by 42 C.F.R. Section

410.43(a)(4).

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.