bill counting open psychiatric beds by age

The text as introduced · 844 words

89R14934 RAL-F

By: Rose
H.B. No. 4420

A BILL TO BE ENTITLED

AN ACT

relating to the collection of information on available beds at

inpatient mental health facilities providing acute psychiatric

treatment.

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

SECTION 1. Section 311.0335(a), Health and Safety Code, is

amended to read as follows:

(a) A hospital that provides mental health or chemical

dependency services shall submit to the department financial and

utilization data relating to the mental health and chemical

dependency services provided by the hospital, including data for

inpatient and outpatient services relating to:

(1) patient demographics, including race, ethnicity,

age, gender, and county of residence;

(2) admissions;

(3) discharges, including length of inpatient

treatment;

(4) specific diagnoses and procedures according to

criteria prescribed by the Diagnostic and Statistical Manual of

Mental Disorders, 3rd Edition, Revised, or a later version

prescribed by department rule;

(5) total charges and the components of the charges;

(6) payor sources; [ and ]

(7) use of mechanical restraints ; and

(8) availability of inpatient psychiatric beds by age .

SECTION 2. (a) In this section:

(1) "Commission" means the Health and Human Services

Commission.

(2) "Inpatient mental health facility" has the meaning

assigned by Section 571.003, Health and Safety Code.

(b) The commission shall conduct a study regarding the

availability of beds at inpatient mental health facilities in this

state that provide acute inpatient psychiatric treatment. The

study must evaluate:

(1) the current number of psychiatric beds available

at inpatient mental health facilities in this state that provide

inpatient psychiatric treatment to individuals experiencing an

acute mental health crisis, including a breakdown of beds

available:

(A) at inpatient mental health facilities that

are state hospitals operated by the Department of State Health

Services;

(B) at inpatient mental health facilities other

than facilities operated by the Department of State Health

Services; and

(C) for patients:

(i) committed to a facility for competency

restoration services under Chapter 46B, Code of Criminal Procedure;

(ii) civilly committed to a facility under

Chapter 841, Health and Safety Code;

(iii) committed to a facility after having

been found not guilty by reason of insanity under Chapter 46C, Code

of Criminal Procedure;

(iv) voluntarily admitted to a facility;

(v) 18 years of age or older;

(vi) 12 years of age or older but younger

than 18 years of age;

(vii) 11 years of age or younger;

(viii) receiving long-term mental health

treatment in a facility; and

(ix) who have been diagnosed with an

intellectual or developmental disability;

(2) the current number of patients admitted to an

inpatient mental health facility in this state that provides

inpatient psychiatric treatment to individuals experiencing an

acute mental health crisis, including a breakdown of:

(A) the number of patients committed to a

facility for competency restoration services under Chapter 46B,

Code of Criminal Procedure, including the number of individuals

committed under an initial order of commitment or an order

extending the initial restoration period;

(B) the number of patients civilly committed to a

facility under Chapter 841, Health and Safety Code;

(C) the number of patients committed to a

facility after having been found not guilty by reason of insanity

under Chapter 46C, Code of Criminal Procedure;

(D) the number of patients voluntarily admitted

to a facility;

(E) the number of patients 18 years of age or

older;

(F) the number of patients 12 years of age or

older but younger than 18 years of age;

(G) the number of patients 11 years of age or

younger;

(H) the percentage of patients in this state who

will likely require long-term mental health treatment in a

facility;

(I) the number of patients who have been

diagnosed with an intellectual or developmental disability; and

(J) the number of patients receiving services

from a jail diversion program;

(3) the projected need over the next several years for

additional psychiatric beds at inpatient mental health facilities

that provide inpatient psychiatric treatment to individuals

experiencing an acute mental health crisis, including the projected

percentage of incoming patients who will likely require long-term

mental health treatment in a facility; and

(4) current and anticipated resources, including

workforce needs, necessary to meet the demands described by

Subdivisions (1), (2), and (3) of this subsection.

(c) In designing and conducting the study, the commission:

(1) may collaborate with institutions of higher

education, as defined by Section 61.003, Education Code, in this

state that award medical degrees; and

(2) shall collect the information required under

Subsection (b) of this section at least twice.

(d) Not later than September 1, 2026, the commission shall

prepare and submit to the legislature a written report containing

the results of the study and any recommendations for legislative or

other action.

(e) This section expires September 1, 2027.

SECTION 3. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2025.