HB 154 amends the Texas Human Resources Code to ensure Medicaid coverage and reimbursement for specific inpatient mental health services. The bill requires the Texas Health and Human Services Commission (HHSC) to provide Medicaid reimbursement to inpatient mental health institutions with 16 or more beds, covering services rendered regardless of the patient’s age. The bill mandates reimbursement for the entire duration of a recipient’s stay if they receive healthcare services. If federal authorization or waivers are required, the HHSC may delay implementation until the necessary approvals are secured. The Act is set to take effect on September 1, 2025.