TX HB2129

School districts may contract with local mental health authorities to provide on-campus mental and behavioral health services, with assessment results shared with a student's primary care physician upon parent/guardian request

Health and Human Services Commission must ensure program integrity through risk assessments, annual desk audits of all participating local education agencies, in-depth audits of sample agencies, and compliance monitoring with federal standards

Commission may retain up to 2% of federal school health and related services program funds annually to cover administrative costs including training materials, compliance monitoring, technical assistance, and audits

Medicaid reimbursement must be provided to school districts and charter schools for mental and behavioral health services delivered to Medicaid-enrolled students, regardless of whether the student has an individualized education program (IEP)

Parental written consent is required for services, parents must receive written summaries of each service visit for children under 18, and the commission is prohibited from reimbursing third-party health insurers under the program