Honorable Gary VanDeaver, Chair, House Committee on Public Health
FROM:
Jerry McGinty, Director, Legislative Budget Board
IN RE:
HB4420 by Rose (Relating to the collection of information on available beds at inpatient mental health facilities providing acute psychiatric treatment.), Committee Report 1st House, Substituted
Estimated Two-year Net Impact to General Revenue Related Funds for HB4420, Committee Report 1st House, Substituted: a negative impact of ($1,500,000) through the biennium ending August 31, 2027.
The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.
General Revenue-Related Funds, Five- Year Impact:
Fiscal Year
Probable Net Positive/(Negative) Impact to General Revenue Related Funds
2026
($1,500,000)
2027
$0
2028
$0
2029
$0
2030
$0
All Funds, Five-Year Impact:
Fiscal Year
Probable Savings/(Cost) from General Revenue Fund 1
2026
($1,500,000)
2027
$0
2028
$0
2029
$0
2030
$0
Fiscal Analysis
The bill would require the Health and Human Services Commission (HHSC) to conduct a study regarding the availability of beds at inpatient mental health facilities in Texas that provide acute inpatient psychiatric treatment, including the current number of available beds, the total number of patients who received inpatient treatment, and the projected need over the next ten years for additional psychiatric beds. The bill would authorize HHSC to collaborate with institutions of higher education that award medical degrees to complete the study. The bill would require HHSC to submit a written report to the legislature containing the results of the study and recommendations for legislative or other action by December 1, 2026.
Methodology
This analysis assumes that HHSC would contract with an institution of higher education to complete the study due to the amount of coordination and data required to complete the study. According to information provided by HHSC, the study is assumed to cost $1,500,000 in General Revenue in fiscal year 2026. It is assumed HHSC can implement other provisions of the bill within existing resources.
Local Government Impact
Certain local entities, such as local mental and behavioral health authorities, could experience a fiscal impact to provide data required to complete the study.