H.B. No. 5030 is a legislative bill aimed at improving mental and behavioral health services under Medicaid in Texas. It introduces a comprehensive definition of "behavioral health services," which now includes mental health and substance use disorder services, and specifies terms such as "crisis services," "intensive outpatient services," and "partial hospitalization services." A significant change is the requirement for psychiatric residential treatment facilities to be licensed, replacing the previous voluntary certification process, and establishing new licensing requirements that align with federal standards. The bill also expands Medicaid reimbursement to cover services like multisystemic therapy and functional family therapy for at-risk youth, and allows reimbursement for licensed marriage and family therapist associates, licensed master social workers, and licensed professional counselor associates.

Additionally, the bill amends the Human Resources Code and the Health and Safety Code to adjust reimbursement rates for counseling services under the medical assistance program, mandating that providers be reimbursed at 70 percent of the rate established for licensed psychiatrists or psychologists. It also adds psychiatric residential treatment facilities to the list of exemptions from licensing requirements for child-care facilities and repeals Section 577A.003. The executive commissioner of the Health and Human Services Commission is tasked with adopting necessary rules for implementing these changes, with the bill set to take effect on September 1, 2025.

Statutes affected:
Introduced: Human Resources Code 32.024, Human Resources Code 32.027, Subchapter B, Chapter , Human Resources Code 503.002, Human Resources Code 42.041 (Human Resources Code 32, Human Resources Code 42, Subchapter B, Chapter , Human Resources Code 503)