HB 1716 Texas House · 89th Legislature (2025)

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

HB 1716 expands Medicaid counseling access in Texas by allowing recipients to select licensed marriage and family therapist associates, licensed master social workers (pursuing clinical licensure), and licensed professional counselor associates. These providers, who are working toward full licensure, must be reimbursed at 50% of the rate paid to psychiatrists or psychologists for similar services. Reimbursement is capped at 3,000 hours or the supervised practice hours required for full licensure. The bill applies to counseling services provided under Medicaid, including at federally qualified health centers.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
Apr 2025
Senate Passage
Governor
Introduced Mar 14, 2025 Last action May 5, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 4 edits · Apr 24, 2025
MODERATE
This bill amends Texas law to expand Medicaid counseling services by allowing recipients to select licensed professionals who are still in training to become fully licensed. The changes add a new subsection to the Human Resources Code and clarify eligibility criteria for reimbursement.
Scope change
The bill expands eligibility for counseling services under Medicaid to include individuals working toward licensure as marriage and family therapists, clinical social workers, and professional counselors.
ELIGIBILITY

Added new subsection (m) to Section 32.027 allowing Medicaid recipients to select counselors who are actively pursuing licensure, including those working toward supervised practice requirements.

Added new Section 32.079 establishing reimbursement for certain counseling services provided by in-training professionals at 50% of the rate for licensed psychiatrists or psychologists.

Modified existing subsection (l) to include federally qualified health centers as eligible locations for counseling services.

TIMELINE

Established September 1, 2025 as the effective date for the Act.

Floor votes · House Apr 23, 2025

How they voted

11032
Passed · 4 other
Total votes 146
Apr 23, 2025
D Democratic60
59 Yea 1 Nay
98% Yea
R Republican86
51 Yea 31 Nay 4
59% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
25
Key actions
7
Committee
7
May 5, 2025
Committee
Referred to Health & Human Services
upper
May 5, 2025
Introduced
Read first time
upper
Apr 24, 2025
Introduced
Received from the House
upper
Apr 24, 2025
Lower · Passed
Passed
lower
Apr 23, 2025
Lower · Passed
Passed to engrossment
lower
Apr 15, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 14, 2025
Lower · Passed
Committee report distributed
lower
Apr 8, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Mar 25, 2025
Lower · Passed
Left pending in committee
lower
Mar 25, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 14, 2025
Committee
Referred to Human Services
lower
Mar 14, 2025
Introduced
Read first time
lower
5 primary · 0 co-sponsors

Sponsors