Policy & funding

Texas HB 5030 proposes Medicaid mental health changes

TMS Therapy Texas editorial teamSource-backed reportingSeptember 23, 20262 min read
Editorial image for Texas HB 5030 proposes Medicaid mental health changes
What changed

Texas HB 5030, introduced in the House, addresses Medicaid mental and behavioral health services and youth psychiatric residential facility regulation in Texas.

Proposed Medicaid and youth mental health bill

According to the PoliScore summary of Texas House Bill 5030, the proposed measure concerns certain mental and behavioral health services under Medicaid, Medicaid coverage and reimbursement for those services, and regulation of psychiatric residential treatment facilities.

The PoliScore summary says the bill also requires an occupational license. It describes the proposal as focused on mental health care for children and teenagers enrolled in Texas Medicaid, along with regulation of psychiatric residential facilities for youth.

Coverage described in the summary

According to PoliScore, Texas Medicaid usually pays for either basic talk therapy or full hospital stays. The summary says Medicaid often does not cover intermediate options that some families may need, including intensive outpatient programs.

HB 5030 addresses Medicaid coverage and reimbursement for certain mental and behavioral health services, according to the PoliScore summary. The extract does not state which specific coverage or payment changes would be made if the bill were to advance.

Legislative status

The PoliScore summary states that HB 5030 was introduced in the Texas House on March 13, 2025. It lists Rep. Ann Johnson, a Democrat, as the sponsor and Rep. Ray Lopez, a Democrat, as a cosponsor.

According to the source, the bill’s latest action was recorded on April 3, 2025. PoliScore explicitly states that HB 5030 remains a bill and is not enacted law.

What this means for Texas patients

The proposal could be relevant to Texas Medicaid families seeking mental and behavioral health services for children or teenagers, but the PoliScore summary describes a filed bill rather than a current change in coverage or care. For people looking for treatment locally, the directory lists 443 published clinics in Texas.

This is general information, not medical advice.

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This report is educational and is not medical advice. Coverage, availability and eligibility can change; verify details with the named source or your care team.

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