TX HB5121

Creates Chapter 580 in the Health and Safety Code to establish a regulatory framework for facilities that contract with the Health and Human Services Commission to provide inpatient competency restoration services for individuals found incompetent to stand trial

Requires each inpatient competency restoration facility to enter into a memorandum of understanding with the county, municipality, local mental health authority, and local behavioral health authority where the facility is located

Mandates annual reporting from facilities to the commission including total individuals served, restoration success rates, average length of stay, number restored within 60 days, treatment extensions sought, and transfers to other mental health facilities

Requires the commission to submit an annual report to the legislature by September 1 each year containing facility performance evaluations, aggregated demographic data on individuals served, and cost comparisons with state hospital and other competency restoration programs

Takes effect September 1, 2025, with the initial legislative report not required until September 1, 2027