Monitoring the Session

HB 721

Relating to a biennial report on the regional allocation of mental health beds.

Filed

Verdict: No flags

No flagsInitial review
Rep. Erin GámezDHouse 38

Initial review · graded Nov 9, 2026 · How we grade

Caption

relating to a biennial report on the regional allocation of mental health beds.

Caption from analyzed text · version I.

Summary

This bill adds new items to an existing state report on how mental health hospital beds are split among regions, due every two years by December 1.

This bill adds new items to an existing state report on how mental health hospital beds are split among regions, due every two years by December 1. It touches the Health and Human Services Commission and its advisory panel, which must now report total state mental health spending by service type, regional capacity, demand and waitlists, patients served against targets, patient outcomes, service gaps, and the number of grant applicants denied for lack of money. Nothing changes in how beds or dollars are handed out; lawmakers get a more detailed report, and the outdated reference to the old department is removed.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 3815 (Died in committee) and 89R HB 1119 (Died in committee). Checked against 88R and 89R only.DO-OVER. Reworked text of a bill filed before that died: 88R HB 3815 (Died in committee) and 89R HB 1119 (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.

Receipt

The receipt

90R-HB721 · 2026-11-09

SOLD BY

ITEM

relating to a biennial report on the regional allocation of mental health beds.

WHAT IT DOES

This bill adds new items to an existing state report on how mental health hospital beds are split among regions, due every two years by December 1.

This bill adds new items to an existing state report on how mental health hospital beds are split among regions, due every two years by December 1. It touches the Health and Human Services Commission and its advisory panel, which must now report total state mental health spending by service type, regional capacity, demand and waitlists, patients served against targets, patient outcomes, service gaps, and the number of grant applicants denied for lack of money. Nothing changes in how beds or dollars are handed out; lawmakers get a more detailed report, and the outdated reference to the old department is removed.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
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 · Jul 24, 2024 to Oct 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.

Texas Trial Lawyers Association PAC$22,500.00

Texas Trial Lawyers Association PAC

$22,500.00

Cash
$22,500.00
Paid by others
$0.00
Total
$22,500.00

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 · Jul 24, 2024 to Sep 28, 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: 100987285, 101012324, 101029258, 101060219, 101072494.

AGAVE DEMOCRATIC INFRASRUCTURE FUND$18,375.00

AGAVE DEMOCRATIC INFRASRUCTURE FUND

$18,375.00

Cash
$18,000.00
Paid by others
$375.00
Total
$18,375.00
consulting $375.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Nov 22, 2024 to Jul 7, 2025. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Nov 22, 2024 to Jul 7, 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: 100987285, 101029258.

Texas REALTORS Political Action Committee$15,250.00

Texas REALTORS Political Action Committee

$15,250.00

Cash
$15,000.00
Paid by others
$250.00
Total
$15,250.00
advertising $250.00

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 · Sep 19, 2024 to Sep 17, 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: 100987285, 101012324, 101029258, 101069662.

Money

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

×

Texas Trial Lawyers Association PAC

$22,500.00

Cash
$22,500.00
Paid by others
$0.00
Total
$22,500.00

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 · Jul 24, 2024 to Sep 28, 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: 100987285, 101012324, 101029258, 101060219, 101072494.

×

AGAVE DEMOCRATIC INFRASRUCTURE FUND

$18,375.00

Cash
$18,000.00
Paid by others
$375.00
Total
$18,375.00
consulting $375.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · Nov 22, 2024 to Jul 7, 2025. State data as of Nov 4, 2026.

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

Sources

Derived itemized flow · Nov 22, 2024 to Jul 7, 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: 100987285, 101029258.

×

Texas REALTORS Political Action Committee

$15,250.00

Cash
$15,000.00
Paid by others
$250.00
Total
$15,250.00
advertising $250.00

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 · Sep 19, 2024 to Sep 17, 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: 100987285, 101012324, 101029258, 101069662.

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 a super-expensive superintelligence, Nov 9, 2026, against the published rubric.

FILED BEFORE

Filed 3 times: 88R, 89R and now. Checked against 88R and 89R only.

88R HB 3815

by Rep. Gámez, same lead author · Died in committee · reworked

Introduced text

Last action, Mar 20, 2023: Referred to Public Health

Relating to the contents of a report on the regional allocation of mental health beds.

Caption, 88R bill history

89R HB 1119

by Rep. Gámez, same lead author · Died in committee · reworked

Introduced text

Last action, May 14, 2025: Referred to Health & Human Services

Relating to a biennial report on the regional allocation of mental health beds.

Caption, 89R bill history

Sources

Texas House · Filed Nov 9, 2026

11/09/2026 H Filed

Texas Legislature Online · Introduced

Data snapshot Nov 10, 2026 at 2:36 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Hospitals

Mental Health & Substance Abuse

Text

The text as introduced · 542 words

90R3318 AB-F

By: Gámez
H.B. No. 721

A BILL TO BE ENTITLED

AN ACT

relating to a biennial report on the regional allocation of mental

health beds.

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

SECTION 1. Section 533.0515(e), Health and Safety Code, is

amended to read as follows:

(e) Not later than December 1 of each even-numbered year,

[ the department, in conjunction with ] the commission and the

advisory panel[ , ] shall prepare and submit to the governor, the

lieutenant governor, the speaker of the house of representatives,

the senate finance committee, the house appropriations committee,

and the standing committees of the legislature having jurisdiction

over mental health and human services a report that includes:

(1) a summary of the activities of the commission[ ,

department, ] and advisory panel to develop or update the bed day

allocation methodology and bed day utilization review protocol;

(2) an explanation of:

(A) the bed day allocation methodology;

(B) the outcomes of the implementation of the bed

day allocation methodology by region ;

(C) [ , including an explanation of ] how the

actual outcomes aligned with or differed from the expected

outcomes; and

(D) factors influencing the applicability of the

bed day allocation methodology;

(3) for planning purposes, for each region, the actual

value of a bed day for the two years preceding the date of the report

and the projected value of a bed day for the five years following

the date of the report, as calculated by the commission

[ department ];

(4) [ for each region, ] an evaluation of the factors in

Subsection (c)(1)(A)[ , including the availability of resources in

the region, ] that impact the use of state-funded beds in state

hospitals and other inpatient mental health facilities by the

patients described by Subsection (b) , including:

(A) the total amount of state money allocated to

mental health services in this state, categorized by service type;

(B) a breakdown by region of existing

state-funded mental health facilities and programs, including the

capacity, demand, and waitlist for those facilities and programs;

(C) the targeted number and actual number of

patients served by state-funded mental health facilities and

programs for each region;

(D) an assessment of the outcomes for patients

who occupied a state-funded bed;

(E) a comprehensive analysis of state-funded

mental health facilities and programs, including funding

allocations, service gaps, and capacity constraints; and

(F) the total number of entities that applied for

and were denied state-funded mental health grants due to funding

limitations, including, for each entity, the type of grant

requested and the amount actually provided ;

(5) the outcomes of the implementation of the bed day

utilization review protocol , including the peer review process

identified by Subsection (c)(1)(B), and the impact of the use of the

protocol on the use of state-funded beds in state hospitals and

other inpatient mental health facilities by the patients described

by Subsection (b); and

(6) any recommendations of the [ department, ]

commission[ , ] or advisory panel to enhance the effective and

efficient allocation of state-funded beds in state hospitals and

other inpatient mental health facilities for the patients described

by Subsection (b).

SECTION 2. This Act takes effect September 1, 2027.