Behavioral/Mental Health


One in five Texans experience a mental health condition each year. Half a million Texas children have a serious emotional disturbance. More than two-thirds of people with a behavioral health condition get no treatment for that condition.

Workforce shortages, limited funding and insurance/treatment barriers create obstacles to accessing appropriate behavioral health care. The result is that adults and children in Texas with behavioral health needs increasingly rely on clinically inappropriate settings, such as hospital emergency departments, to receive needed behavioral health treatment. To improve the behavioral health care system and improve access to care, the Texas Hospital Association supports:

  • A federal waiver from the Institutions for Mental Diseases (IMD) exclusion rule, which currently caps Medicaid inpatient behavioral health stays at 15 days for Texans aged 21-64.
  • Increasing behavioral health hospital capacity by increasing contract beds and rates for state-contracted beds, both adult and pediatric.
  • Mandating Medicaid coverage for intensive outpatient therapy and partial hospitalization
  • Increasing funding to the Loan Repayment Program for Mental Health Professionals.
  • Streamline the detention warrant acquisition process through electronic warrant applications.
  • Create a grant program for behavioral health providers who lack access to electronic medical records and interoperability technology.

Additional information on THA’s behavioral health policy priorities is available here


THA Behavioral Health Council

Charge: To discuss and make policy recommendations to the Council on Policy Development regarding behavioral health care issues affecting hospital members that provide behavioral health services (meets as needed).


Chair: Mandy Westerman, LCSW, Kingwood Pines Hospital
Vice Chair: Zelia Baugh, JPS Health Network, Fort Worth
Aleen Arabit, San Antonio Behavioral Healthcare Hospital
Christine (Chris) Bryan, Clarity Child Guidance Center, San Antonio
Heather Chung, Ph.D, Houston Methodist Hospital
Sally E. Taylor, MD, University Health, San Antonio
Sherry L. Cusumano, RN, Medical City Green Oaks, Dallas
Christopher R. Dowers, Westpark Springs, Richmond
Kathy Griffis, Titus Regional Medical Center, Mount Pleasant
Charlzetta (Charlie) McMurray-Horton, Ben Taub General Hospital – Harris Health System, Houston
Stephen M. (Steve) Glazier, FACHE, UT Harris County Psychiatric Center, Houston
Edgar E. Prettyman, Psy.D, Texas NeuroRehab Center, Austin
Becky Tresnicky, Valley Baptist Medical Center – Brownsville
Staff Representative: Sara González, Texas Hospital Association, Austin

Related Articles

Taking Stock: The 2023 Regular Session

Taking Stock: The 2023 Regular Session

May 31, 20235 min read

Over nearly five full months, THA advanced policy that furthered…

Pursuits of the Mind

Pursuits of the Mind

May 16, 20236 min read

For nearly 75 years, the U.S. has observed May as…

Closing the Mental Health Gap

Closing the Mental Health Gap

Apr 25, 20234 min read

Enshrined into Medicaid policy since its creation is a colossal…

The THA 10: Highlighting Legislation Most Important to Texas Hospitals

The THA 10: Highlighting Legislation Most Important to Texas Hospitals

Apr 11, 20237 min read

About midway through the 2023 session of the Texas Legislature,…