Monitoring the SessionHB 251
Filed
Initial review · graded Nov 9, 2026 · How we grade
relating to Medicaid coverage and reimbursement for multisystemic therapy services.
Caption from analyzed text · version I.
New provider type so therapists can enroll. Starts September 1, 2027.
The bill requires Texas Medicaid to pay health care providers who deliver multisystemic therapy services billed under the federal HCPCS code. It touches Medicaid recipients who get this therapy, the providers who offer it, and the state health commission that runs the program. On the ground, the commission must set up a separate provider type so multisystemic therapy providers can enroll and be paid, starting September 1, 2027, unless a federal waiver is needed first.
Labels: ZOMBIE BILL. Died 2 times: 88R HB 2638 (Died in committee) and 89R HB 475 (Did not pass). Checked against 88R and 89R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 88R HB 2638 (Died in committee). Filed in 3 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 3. Filed in 3 sessions: 88R, 89R and 90R. Checked against 88R and 89R only.
90R-HB251 · 2026-11-09
relating to Medicaid coverage and reimbursement for multisystemic therapy services.
New provider type so therapists can enroll. Starts September 1, 2027.
The bill requires Texas Medicaid to pay health care providers who deliver multisystemic therapy services billed under the federal HCPCS code. It touches Medicaid recipients who get this therapy, the providers who offer it, and the state health commission that runs the program. On the ground, the commission must set up a separate provider type so multisystemic therapy providers can enroll and be paid, starting September 1, 2027, unless a federal waiver is needed first.
[ ] NONE FOUND
No fiscal note in the loaded record.
THE TEXT
“The commission shall ensure that medical assistance reimbursement is provided to a health care provider who provides services classified as multisystemic therapy”…
Bill text, introduced version (I)
The bill adds a guaranteed Medicaid-covered benefit by requiring payment for multisystemic therapy services.
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CAMPAIGN PAID FOR BY
Not tied to this bill.
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.
$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.
TeamDerived 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.
$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.
TeamDerived 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.
$54,875.00
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.
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.
Missing data does not establish zero giving. Display amounts are rounded.
$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.
TeamDerived 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.
$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.
TeamDerived 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.
$54,875.00
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.
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.
No floor vote loaded for this bill.
No fiscal note in the loaded record.
Analysis of text version I by a super-expensive superintelligence, Nov 9, 2026, against the published rubric.
Filed 3 times: 88R, 89R and now. Checked against 88R and 89R only.
by Rep. Ann Johnson, same lead author · Died in committee · same text
Introduced textLast action, May 1, 2023: Referred to Health & Human Services
Relating to Medicaid coverage and reimbursement for multisystemic therapy services.
Caption, 88R bill history
by Rep. Johnson, same lead author · Did not pass · reworked
Introduced textLast action, May 19, 2025: Received from the House
Relating to Medicaid coverage and reimbursement for multisystemic therapy services.
Caption, 89R bill history
Texas House · Filed Nov 9, 2026
11/09/2026 H Filed
Texas Legislature Online · Introduced
Data snapshot Nov 10, 2026 at 2:32 AM CST. Grades, charges, quotes and corrections follow the published record.
Human Services--Child Services
Human Services--Medical Assistance
Mental Health & Substance Abuse
MEDICAID
HEALTH & HUMAN SERVICES COMMISSION
The text as introduced · 184 words
90R875 SCF-D By: Johnson H.B. No. 251 A BILL TO BE ENTITLED AN ACT relating to Medicaid coverage and reimbursement for multisystemic therapy services. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 32.024, Human Resources Code, is amended by adding Subsection (oo-1) to read as follows: (oo-1) The commission shall ensure that medical assistance reimbursement is provided to a health care provider who provides services classified as multisystemic therapy by the Healthcare Common Procedure Coding System (HCPCS) code to a recipient under the medical assistance program. The executive commissioner shall establish a separate provider type for multisystemic therapy providers for purposes of enrollment as a provider for and reimbursement 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, 2027.