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Bill

HB 488

Relating to Medicaid coverage and reimbursement for functional family therapy services.

89th Legislature (2025)

HB 488 mandates Texas Medicaid coverage and reimbursement for functional family therapy to improve youth behavioral health and reduce family dysfunction among low-income populations.

Left pending in subcommittee
#counseling&therapy(s4389) #family--juveniledelinquency(i0360) #health&humanservicescommission(v0177) #humanservices--childservices(i0895) #humanservices--medicalassistance(i0905) #medicaid(s4885)
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Bill Summary · HB 488

Legislative bill overview

HB 488 would require Texas Medicaid to cover and reimburse functional family therapy (FFT) services, a evidence-based behavioral intervention designed to address family dysfunction and youth behavioral problems. The bill aims to expand access to this therapeutic approach for eligible Medicaid beneficiaries by mandating insurance coverage.

Why is this important

Functional family therapy is recognized as an effective intervention for reducing recidivism, improving academic outcomes, and decreasing behavioral health issues in youth. Medicaid coverage would make this service accessible to low-income families who currently may lack financial resources for private therapy, potentially reducing reliance on more costly interventions like incarceration or psychiatric hospitalization.

Potential points of contention

  • Fiscal impact: Expanding Medicaid coverage requires budget allocation; opponents may argue the state cannot afford new mandated services or question cost-benefit analysis compared to existing programs
  • Reimbursement rates: Debate over appropriate payment levels could affect provider participation and service availability across rural versus urban areas
  • Clinical evidence standards: Some may question whether FFT meets established evidence thresholds or prefer funding for alternative evidence-based family interventions already covered

Compiled from official sources — confirm details with the bill’s official record.

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