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A BILL TO BE ENTITLED
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AN ACT
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relating to the provision of behavioral health services under the |
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Medicaid managed care program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 540.0703(a), Government Code, as |
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effective April 1, 2025, is amended to read as follows: |
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(a) In this section: |
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(1) "Behavioral [, "behavioral] health services" |
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means mental health and substance use disorder services. The term |
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includes intensive outpatient services and partial hospitalization |
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services. |
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(2) "Intensive outpatient services" means outpatient |
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treatment services, including treatment services for substance use |
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disorders, depression, eating disorders, and other mental health |
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conditions that do not require detoxification or 24-hour |
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supervision, provided to patients who require a time-limited, |
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multifaceted array of services, structures, and supports by a team |
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of clinical staff capable of providing, at a minimum, the following |
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services: |
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(A) individual counseling; |
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(B) group counseling; |
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(C) family counseling; |
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(D) motivational enhancement training; and |
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(E) relapse prevention, drug refusal, and coping |
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skills training. |
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(3) "Partial hospitalization services" means distinct |
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and organized intensive ambulatory treatment services provided for |
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periods of not more than 24 hours at a location other than a |
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patient's home or in an inpatient or a residential care setting. |
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The term includes the services described by 42 C.F.R. Section |
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410.43(a)(4). |
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SECTION 2. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 3. This Act takes effect September 1, 2025. |