HB4420 - Relating to the collection of information on available beds at inpatient mental health facilities providing acute psychiatric treatment.

  89R26727 RAL-F     By: Rose, Collier, Simmons H.B. No. 4420     Substitute the following for H.B. No. 4420:     By:  VanDeaver C.S.H.B. No. 4420       A BILL TO BE ENTITLED   AN ACT   relating to the collection of information on available beds at   inpatient mental health facilities providing acute psychiatric   treatment.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 311.0335, Health and Safety Code, is   amended by amending Subsection (a) and adding Subsection (c) to   read as follows:          (a)  A hospital that provides mental health or chemical   dependency services shall submit to the department financial and   utilization data relating to the mental health and chemical   dependency services provided by the hospital, including data for   inpatient and outpatient services relating to:                (1)  patient demographics, including race, ethnicity,   age, gender, and county of residence;                (2)  admissions;                (3)  discharges, including length of inpatient   treatment;                (4)  specific diagnoses and procedures according to   criteria prescribed by the Diagnostic and Statistical Manual of   Mental Disorders, 3rd Edition, Revised, or a later version   prescribed by department rule;                (5)  total charges and the components of the charges;                (6)  payor sources; [ and ]                (7)  use of mechanical restraints ; and                 (8)     total number of inpatient psychiatric beds,   including the total number of beds disaggregated by:                       (A)  age;                       (B)  online beds; and                       (C)  offline beds .           (c)  In this section:                 (1)     "Online bed"   means an inpatient psychiatric bed   that is:                       (A)  operational and occupied; or                       (B)  unoccupied and available to serve patients.                 (2)     "Offline bed"   means an inpatient psychiatric bed   that is unoccupied and unavailable to serve patients.          SECTION 2.  (a)  In this section:                (1)  "Commission" means the Health and Human Services   Commission.                (2)  "Inpatient mental health facility" has the meaning   assigned by Section 571.003, Health and Safety Code.          (b)  The commission shall conduct a study regarding the   availability of beds at inpatient mental health facilities in this   state that provide acute inpatient psychiatric treatment.  The   study must evaluate:                (1)  the current number of psychiatric beds available   at inpatient mental health facilities in this state that provide   inpatient psychiatric treatment to individuals experiencing an   acute mental health crisis, including a breakdown of beds   available:                      (A)  at inpatient mental health facilities that   are state hospitals operated by the commission;                      (B)  at inpatient mental health facilities other   than facilities operated by the commission;                      (C)  at private inpatient mental health   facilities; and                      (D)  for patients:                            (i)  committed to a facility for competency   restoration services under Chapter 46B, Code of Criminal Procedure;                            (ii)  committed to a facility under Chapter   573 or 574, Health and Safety Code;                            (iii)  committed to a facility after having   been found not guilty by reason of insanity under Chapter 46C, Code   of Criminal Procedure;                            (iv)  voluntarily admitted to a facility;                            (v)  18 years of age or older;                            (vi)  12 years of age or older but younger   than 18 years of age;                            (vii)  11 years of age or younger;                            (viii)  receiving not less than 365 days of   mental health treatment in a facility; and                            (ix)  who have been diagnosed with an   intellectual or developmental disability;                (2)  the total number of patients who received   inpatient psychiatric treatment between September 1, 2025, and   August 31, 2026, at inpatient mental health facilities in this   state, including private facilities, that provide that treatment to   individuals experiencing an acute mental health crisis, including a   breakdown of:                      (A)  the number of patients committed to a   facility for competency restoration services under Chapter 46B,   Code of Criminal Procedure, including the number of individuals   committed under an initial order of commitment or an order   extending the initial restoration period;                      (B)  the number of patients committed to a   facility under Chapter 573 or 574, Health and Safety Code;                      (C)  the number of patients committed to a   facility after having been found not guilty by reason of insanity   under Chapter 46C, Code of Criminal Procedure;                      (D)  the number of patients voluntarily admitted   to a facility;                      (E)  the number of patients 18 years of age or   older;                      (F)  the number of patients 12 years of age or   older but younger than 18 years of age;                      (G)  the number of patients 11 years of age or   younger;                      (H)  the percentage of patients admitted to a   facility who require not less than 365 days of mental health   treatment in a facility;                      (I)  the number of patients who have been   diagnosed with an intellectual or developmental disability;                      (J)  the number of patients receiving services   from a jail diversion program;                      (K)  the number of patients who have been admitted   two or more times to a facility; and                      (L)  the number of patients who reach the 190-day   limit of inpatient psychiatric treatment under the Medicare   program; and                (3)  the projected need over the next 10 years of   inpatient mental health facilities that provide inpatient   psychiatric treatment to individuals experiencing an acute mental   health crisis for:                      (A)  additional inpatient psychiatric beds,   including needed beds that are funded or under construction, and   the projected percentage needed for patients who require not less   than 365 days of treatment; and                      (B)  additional resources, including workforce   needs, necessary to meet the demands described by this subsection.          (c)  In designing and conducting the study, the commission   may collaborate with institutions of higher education, as defined   by Section 61.003, Education Code, in this state that award medical   degrees.          (d)  Not later than December 1, 2026, the commission shall   prepare and submit to the legislature a written report containing   the results of the study and any recommendations for legislative or   other action.          (e)  This section expires September 1, 2027.          SECTION 3.  This Act takes effect immediately if it receives   a vote of two-thirds of all the members elected to each house, as   provided by Section 39, Article III, Texas Constitution.  If this   Act does not receive the vote necessary for immediate effect, this   Act takes effect September 1, 2025.