Short, intensive family-based treatment for at-risk youth gets reimbursed.
The bill requires the state health commission to pay Medicaid reimbursement to providers who deliver functional family therapy, a short, intensive family-based treatment for at-risk youth. It touches Medicaid providers, families of children at risk of entering the child welfare or justice systems, and the commission that runs Medicaid. On the ground, this therapy becomes a covered, paid Medicaid service starting September 1, 2025, unless a needed federal waiver delays it.
Labels
Labels: ZOMBIE BILL. Died 2 times: 88R HB 2404 (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 2404 (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.PENDING FOREVER. Heard by the House Public Health subcommittee on Disease Prevention & Women's & Children's Health on Apr 17, 2025 and left pending. Never voted out. The bill died.
relating to Medicaid coverage and reimbursement for functional
family therapy services.
WHAT IT DOES
Short, intensive family-based treatment for at-risk youth gets reimbursed.
The bill requires the state health commission to pay Medicaid reimbursement to providers who deliver functional family therapy, a short, intensive family-based treatment for at-risk youth. It touches Medicaid providers, families of children at risk of entering the child welfare or justice systems, and the commission that runs Medicaid. On the ground, this therapy becomes a covered, paid Medicaid service starting September 1, 2025, unless a needed federal waiver delays it.
CHARGES
[ ] NONE FOUND
TOTAL
No significant fiscal implication to the State is anticipated.
Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Public Health · Final status: Died in committee
Subjects
Family--Juvenile Delinquency
Human Services--Child Services
Human Services--Medical Assistance
COUNSELING & THERAPY
MEDICAID
HEALTH & HUMAN SERVICES COMMISSION
Text
The text as introduced · 232 words
89R1443 SCF-D
By: Johnson
H.B. No. 488
A BILL TO BE ENTITLED
AN ACT
relating to Medicaid coverage and reimbursement for functional
family therapy 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 32.04261 to read as follows:
Sec. 32.04261. REIMBURSEMENT FOR FUNCTIONAL FAMILY THERAPY
SERVICES. (a) In this section:
(1) "At-risk youth" means children who are at risk of
involvement with the child welfare system, the criminal justice
system, or the juvenile justice system.
(2) "Functional family therapy" means an intensive,
short-term, family-based therapeutic treatment program for at-risk
youth designed to improve family dynamics, communication, and
support by:
(A) addressing core causes of dysfunctional
behavior patterns;
(B) decreasing negativity in the household; and
(C) providing tools to improve parental skills
and relationships.
(b) The commission shall ensure that medical assistance
reimbursement is provided to a provider who provides functional
family therapy services to a recipient under the medical assistance
program.
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.