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. 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 enhance the reimbursement process for counseling services, mandating that providers be reimbursed at 70 percent of the rate established for licensed psychiatrists or psychologists. It introduces a new category of facilities exempt from certain licensing requirements, specifically for psychiatric residential treatment facilities licensed under Chapter 577A of the Health and Safety Code. The bill also repeals Section 577A.003 and outlines the responsibilities of the executive commissioner of the Health and Human Services Commission for implementing these changes. The provisions of the bill will take effect on September 1, 2025, with existing facilities licensed under Chapter 42 allowed to continue until their current licenses expire.

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 42, Human Resources Code 32, Subchapter B, Chapter , Human Resources Code 503)