Monitoring the Session

HB 488

bill making Medicaid pay for functional family therapy

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Ann JohnsonDHouse 134

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 functional family therapy services.

Caption from analyzed text · version I.

Summary

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.

Receipt

The receipt

89R-HB488 · 2024-11-12

SOLD BY

ITEM

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.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 15, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to s/c on Dis Prev & Women's & Children's Health by Speaker
  4. Scheduled for public hearing in s/c on . . .
  5. Considered by s/c in public hearing
  6. Testimony taken/registration(s) recorded in subcommittee
  7. Left pending in subcommittee
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 · Oct 27, 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.

Texas Trial Lawyers Association PAC$72,500.00

Texas Trial Lawyers Association PAC

$72,500.00

Cash
$72,500.00
Paid by others
$0.00
Total
$72,500.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 23, 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: 100987008, 101008094, 101030169, 101058089, 101072095.

Texans for Truth and Liberty PAC$65,000.00

Texans for Truth and Liberty PAC

$65,000.00

Cash
$65,000.00
Paid by others
$0.00
Total
$65,000.00

Also funds 44 other sitting lawmakers.

Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 26, 2025 to Oct 15, 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: 101008094, 101072095.

Agave Democratic Infrastructure Fund$54,875.00

Agave Democratic Infrastructure Fund

$54,875.00

Cash
$25,000.00
Paid by others
$29,875.00
Total
$54,875.00
consulting $29,875.00

Also funds 5 other sitting lawmakers.

Derived recipient stock · Nov 22, 2024 to Oct 12, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Nov 22, 2024 to Oct 12, 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: 100987008, 101058089, 101068643, 101072095.

Money

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

×

Texas Trial Lawyers Association PAC

$72,500.00

Cash
$72,500.00
Paid by others
$0.00
Total
$72,500.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 10, 2024 to Oct 23, 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: 100987008, 101008094, 101030169, 101058089, 101072095.

×

Texans for Truth and Liberty PAC

$65,000.00

Cash
$65,000.00
Paid by others
$0.00
Total
$65,000.00

Also funds 44 other sitting lawmakers.

Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Jun 26, 2025 to Oct 15, 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: 101008094, 101072095.

×

Agave Democratic Infrastructure Fund

$54,875.00

Cash
$25,000.00
Paid by others
$29,875.00
Total
$54,875.00
consulting $29,875.00

Also funds 5 other sitting lawmakers.

Derived recipient stock · Nov 22, 2024 to Oct 12, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · Nov 22, 2024 to Oct 12, 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: 100987008, 101058089, 101068643, 101072095.

Votes

No floor vote loaded for this bill.

Fiscal

No significant fiscal implication to the State is anticipated.

LBB estimate · fiscal note version I · source

Sources

Fiscal note · version I · April 15, 2025

No first-year general revenue figure available here.

LBB published estimates · flow over the stated periods.

Source snapshot 2026-10-19, Central time.

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 2404

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

Introduced text

Last action, May 1, 2023: Referred to Health & Human Services

Relating to Medicaid coverage and reimbursement for functional family therapy services.

Caption, 88R bill history

Sources

Texas House · Filed Nov 12, 2024

04/17/2025 H Left pending in subcommittee

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 · 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.