Relating to school-based health services, including the administration of the school health and related services program and the provision and Medicaid reimbursement of certain services to certain public school students.

HB 2129 expands access to mental health services for public school students in Texas by allowing school districts to contract with local mental health authorities for on-campus care. It requires that, with parent consent, these providers share assessment results and service outcomes with students' primary care physicians. The bill also establishes new oversight requirements, including annual audits of school health programs and risk assessments to ensure proper use of federal Medicaid funds. These changes directly affect public school students needing mental health support, school districts, and the Texas Health and Human Services Commission managing program compliance.