HB 5121 seeks to establish a regulatory framework for inpatient competency restoration services provided under contract with the Health and Human Services Commission. It mandates facilities to enter memorandums of understanding with local entities, including mental health authorities, to outline responsibilities. Additionally, it requires annual data reporting to the commission and the legislature, including metrics on competency restoration rates, durations, and costs compared to other restoration programs. The initial legislative report is delayed until September 1, 2027.