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Bill

Bill

SB 2088

Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

89th Legislature (2025) Introduced by Borris Miles

SB 2088 expands Medicaid-covered counseling providers in Texas and adjusts reimbursement rates to increase mental health service access.

Referred to Health & Human Services
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Bill Summary · SB 2088

Legislative bill overview

SB 2088 modifies Texas Medicaid policy to expand which providers can deliver counseling services and establishes or adjusts reimbursement rates for those services. The bill targets mental health and behavioral health service delivery under the state's Medicaid program, potentially broadening access by allowing additional qualified providers to bill for counseling.

Why is this important

Texas faces documented shortages in mental health providers, particularly in rural and underserved areas. Expanding the pool of eligible counseling providers and adjusting reimbursement rates could improve access to mental health services for low-income Texans while potentially addressing provider recruitment and retention challenges in the Medicaid system.

Potential points of contention

  • Provider scope and qualifications: Defining which additional providers qualify (social workers, counselors, peer specialists, etc.) and at what licensure/credential levels may face pushback from various professional organizations concerned about standards.
  • Reimbursement rate implications: Higher reimbursement rates increase state Medicaid costs; lower rates may not incentivize provider participation or could reduce service quality.
  • Market effects: Expansion could shift demand between current providers or create administrative burdens for clinics managing newly eligible provider types.

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

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