Monitoring the Session

SB 176

school districts can bill Medicaid for mental health care

Died in committee

Verdict: No flags

No flagsInitial review
Sen. José MenéndezDSenate 26

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 the provision of on-campus mental health services by a school district and reimbursement under Medicaid for certain services provided to eligible students.

Caption from analyzed text · version I.

Summary

A parent can ask campus providers to share results with the student’s doctor.

The bill lets Texas school districts contract with local mental health authorities or community mental health providers to offer mental health services on campus. With a parent's or guardian's request, those providers may share a student's assessment or treatment results with the student's primary care doctor. It also requires the state health agency to let school districts sign up as Medicaid providers, so districts can bill Medicaid for mental health services given to students on Medicaid.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R SB 113 (Died in committee) and this bill (Died in committee). Checked against 88R only.DO-OVER. Reworked text of a bill filed before that died: 88R SB 113 (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 Senate Education K-16 committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB176 · 2024-11-12

SOLD BY

ITEM

relating to the provision of on-campus mental health services by a school district and reimbursement under Medicaid for certain services provided to eligible students.

WHAT IT DOES

A parent can ask campus providers to share results with the student’s doctor.

The bill lets Texas school districts contract with local mental health authorities or community mental health providers to offer mental health services on campus. With a parent's or guardian's request, those providers may share a student's assessment or treatment results with the student's primary care doctor. It also requires the state health agency to let school districts sign up as Medicaid providers, so districts can bill Medicaid for mental health services given to students on Medicaid.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to Education K-16
FILED UNDER

TAXPAYER-FUNDED NGOS

THE TEXT

“A school district may contract with a local mental health authority or a provider of community-based mental health services to provide mental health services on a campus of the district.”

Bill text, introduced version (I)

The bill lets districts route school mental health work through outside community providers under contract instead of district staff.

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 2, 2024 to Oct 5, 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.

Kickapoo Traditional Tribes of Texas$25,000.00

Kickapoo Traditional Tribes of Texas

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Jan 22, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Jan 22, 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: 101065471.

Texas Trial Lawyers Association PAC$20,000.00

Texas Trial Lawyers Association PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

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 12, 2024 to Oct 5, 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: 101012370, 101032316, 101072614.

Texas REALTORS Political Action Committee$10,000.00

Texas REALTORS Political Action Committee

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Dec 2, 2025. 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: 101032316.

Money

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

×

Kickapoo Traditional Tribes of Texas

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Jan 22, 2026. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · on Jan 22, 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: 101065471.

×

Texas Trial Lawyers Association PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

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 12, 2024 to Oct 5, 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: 101012370, 101032316, 101072614.

×

Texas REALTORS Political Action Committee

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Dec 2, 2025. 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: 101032316.

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 SB 113

by Sen. Menéndez, same lead author · Died in committee · reworked

Introduced text

Last action, Mar 15, 2023: Left pending in committee

Relating to the provision of on-campus mental health services by a school district and reimbursement under Medicaid for certain services provided to eligible students.

Caption, 88R bill history

Sources

Texas Senate · Filed Nov 12, 2024

02/03/2025 S Referred to Education K-16

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.

Senate committee · Education K-16 · Final status: Died in committee

Subjects

Education--Primary & Secondary--General

Education--School Districts

Human Services--Child Services

Human Services--Medical Assistance

Mental Health & Substance Abuse

Minors--Health & Safety

MEDICAID

HEALTH & HUMAN SERVICES COMMISSION

Text

The text as introduced · 275 words

89R2704 MM-D

By: Menéndez
S.B. No. 176

A BILL TO BE ENTITLED

AN ACT

relating to the provision of on-campus mental health services by a

school district and reimbursement under Medicaid for certain

services provided to eligible students.

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

SECTION 1. Subchapter A, Chapter 38, Education Code, is

amended by adding Sections 38.042 and 38.043 to read as follows:

Sec. 38.042. ON-CAMPUS MENTAL HEALTH SERVICES. (a) A

school district may contract with a local mental health authority

or a provider of community-based mental health services to provide

mental health services on a campus of the district.

(b) At the request of a student's parent or guardian, a

local mental health authority or a provider described by Subsection

(a) providing on-campus mental health services that conducts a

mental health or behavioral health assessment of the student or

provides mental health or behavioral health services to the student

may provide to the student's primary care physician the results of

any assessment conducted or services provided.

Sec. 38.043. REIMBURSEMENT UNDER MEDICAID. The Health and

Human Services Commission shall allow a school district to enroll

as a provider under the medical assistance program under Chapter

32, Human Resources Code, to provide and receive reimbursement for

the provision of mental health services to district students who

are medical assistance recipients.

SECTION 2. 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.