HB 1541

84(R) - 2015
House Human Services
House Human Services
Health & Human Services

Vote Recommendation

  • Neutral
  • Neutral
  • Neutral
  • Neutral
  • Neutral


Cindy Burkett

Bill Caption

Relating to peer specialists, peer services, and the provision of those services under the medical assistance program.

Fiscal Notes

Estimated Two-year Net Impact to General Revenue Related Funds for HB1541, Committee Report 1st House, Substituted: a negative impact of ($1,607,438) through the biennium ending August 31, 2017.

The bill would make no appropriation but could provide the legal basis for an appropriation of funds to implement the provisions of the bill.

No fiscal implication to units of local government is anticipated.

Bill Analysis

The bill would amend Chapter 531 of the Government Code and Chapter 32 of the Human Resources Code. The bill would require the Health and Human Services Commission (HHSC) to develop and the executive commissioner to adopt rules for peer specialists that establish training, certification, and supervision requirements, define the scope of services, and protect the health and safety of persons receiving peer services.

The bill would add peer support services provided by certified mental health and substance abuse peer specialists to the covered services in the Medicaid program. The bill would require HHSC to establish a separate provider type for peer specialists to allow for enrollment and reimbursement as Medicaid providers. 

The bill would direct HHSC to request any federal waiver or authorization necessary to implement the provisions of the bill and authorizes the agencies to delay implementation of any provision until such waiver or authorization is granted.

Vote Recommendation Notes

While we recognize the need to address the mental health workforce shortage in Texas, allowing peer support services to be covered under the Medicaid program would increase health care costs. We remain neutral on HB 1541.