Texas
Mental health advocates ask Texas lawmakers to replace expiring COVID-19 relief funding
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Replacing federal pandemic relief funding critical to community programs could top Texas lawmakers’ to-do list for mental health next year as they also address understaffing of the 988 suicide hotline, mental health in schools and reviving the workforce.
Texas Comptroller Glenn Hegar projected the state will have a $20 billion surplus at the start of the 2025 session on Jan. 14. Although the state has plenty of cash, competing priorities like school vouchers, campus security and fixing Medicaid enrollment issues might diminish what’s available for mental health.
Exacerbating funding needs is the Dec. 31 expiration of federal COVID-19 relief dollars that helped pay for a wide range of efforts that included addressing health and infrastructure needs in local communities.
The $350 billion program, part of the 2021 American Rescue Plan Act, awarded the state $203.4 million in mental health grants and an additional $252.8 million in substance abuse prevention and treatment grants.
Some of the mental health programs the money paid for included telepsychiatry programs in schools and libraries, community mental health programs in churches, and peer-to-peer services where mental wellness can be practiced in the community without a degree.
These programs helped lessen the impact of the statewide mental health provider workforce shortage that has created long wait lists for services.
“There is not a formal funding option to replace the American Rescue Plan Act,” said Alison Mohr Boleware, the Hogg Foundation for Mental Health policy director. “Many stakeholders and advocates are raising the alarm on what will happen if funds are not replaced.”
As this funding ends and a new presidential administration enters, Texas lawmakers must determine how to replace it overnight, while also sustaining funding for existing initiatives such as the Texas Child Mental Health Care Consortium, a group of leaders in health-related institutions that have been tasked with improving the mental health care system for youth. The initiative was also given a hefty bump by COVID-19 relief funding
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“The Texas Legislature has made historic, life-saving investments in mental health over the last decade,” said Andy Keller, president and CEO of the Meadows Mental Health Policy Institute. “The 89th legislative session presents an opportunity to build on that commitment.”
Lawmakers have already filed dozens of bills ahead of the legislative session to address mental health. Here are some to watch.
More providers in Medicaid
The federal government wholly or partly designates more than 95% of Texas’ 254 counties as mental health professional shortage areas, with a pronounced effect in rural, border, and frontier counties.
The problem is even worse for those enrolled in Medicaid, the health insurance program for low-income individuals.
SB 469 would allow social workers with master’s degrees who are still waiting on their clinical licenses to treat Medicaid patients. Social workers are often the first point of contact for many people looking for mental health help.
Social workers in Texas who have a master’s degree and are working toward their clinical license are unable to bill Medicaid until they complete two years of supervision by a licensed clinician. Removing this limit could add more than 1,500 licensed masters-level social workers to the Medicaid program quickly.
“This is really a workforce priority,” Boleware said.
HB 154 could also add more Medicaid providers to the roster by increasing Medicaid reimbursement rates for mental health and substance use services. In Texas, Medicaid pays between $60 and $122 for a 50-minute session with a therapist who can charge $180 or more for that visit. This, among other factors, has led to more Texas mental health providers no longer accepting Medicaid.
SB 176 would also allow schools to bill Medicaid for delivering behavioral health services on campus, creating another option for children in the health insurance program to access care..
988 funding
With the 988 suicide hotline saddled with a shortfall of several million of dollars, SB 188 would create a trust fund to support the program.
Dialing 988 connects callers with crisis counselors regardless of location. Since launching in 2022, the five call centers in Texas have received more than 380,000 calls, the second-highest call volume in the nation, according to the National Alliance on Mental Illness Texas. One-third of them occurred from January to June of this year.
The system’s funding demand far exceeds its available funding. In fiscal year 2024, the state allocated $14 million through grants for 988 operations. However, in 2023, the projected operational costs for the five 988 centers in Texas were $21 million.
The trust fund would be modeled after how the state helps fund 911 call centers.
Mental health in schools
Texas school districts have been struggling with high rates of chronic absenteeism since the COVID-19 pandemic.
One in five Texas students was considered chronically absent — defined as missing at least 10% of the school year — in the 2022-23 school year, according to data collected by The Associated Press.
To address the problem, several bills lawmakers have already filed for the upcoming session require school districts to work with Communities in Schools, a nonprofit that has turned into the state’s largest provider of school-based behavioral health services. The reliance on the organization has forced its leaders to ask for a $10 million increase in state funding annually, particularly to help its efforts to reduce chronic absenteeism in Texas schools.
“Chronic absenteeism is just a piece of a larger root cause, and one of those key root causes is mental health and wellness for students,” said Tasha Moore, chief executive officer for Communities In Schools of North Texas.
The spike in chronic absenteeism is linked to undiagnosed mental health issues among students and the inability to build social skills when schools closed during the pandemic, Moore said.
Communities In Schools has seen positive results from their efforts to reduce chronic absenteeism in the South Plains region. Over the past five years, an average of 83% of case-managed students who needed attendance intervention have shown improvement and are attending school on time and consistently.
Officials with the organization believe they can replicate these results statewide.
Another step that could help youth mental health is HB 1594, requiring health insurance plans to provide complete coverage to anyone younger than 26 years old who is experiencing psychosis for the first time. The plan would have to cover services such as psychotherapy, medication management, family support, and casework.
Lyssette Galvan, the National Alliance on Mental Illness Texas’ public policy director, said that to truly help young people in crisis, the state needs to ensure that commercial insurance can pay for all of those services, which currently isn’t happening.
Another youth mental health bill to watch is by Rep. Jared Patterson, R-Frisco, that would prohibit minors from creating accounts on social media sites and require age verification for new users. It is among multiple other measures to control the spread of cyberbullying, pornographic images and online exploitation among young people, particularly at school.
Substance abuse
House Rep. Erin Zwiener, D-Driftwood, has filed HB 1496, resurrecting a bill from last legislative session that would have legalized test strips that can detect fentanyl in drugs. The synthetic opioid is blamed for a rapidly growing number of overdose deaths because drug users often do not know the substances they are taking — and often illegally purchased — are laced with fentanyl.
Drug policy experts say that providing test strips to users and giving them a chance to avoid fatal overdoses opens the door to a continuum of care that could help get people off drugs.
Traditionally, many tough-on-crime Republicans have opposed efforts aimed at minimizing harm for those addicted to drugs, such as legalizing fentanyl test strips and syringe exchange services, concerned that such moves would enable drug use.
However, over the past several years, the troubling rise in opioid-related deaths have convinced more Republicans, such as Abbott, to support protections for those who continue to use drugs.
Boleware said another step to tackling substance use problems in Texas is improving the current “Good Samaritan” law so that individuals who witness someone else overdosing on drugs will not be criminally charged if they call law enforcement. As of December, no bill has been filed to address the issue.
Texas
Texas school board to vote on required Bible readings in public education
AUSTIN, Texas (AP) — The Texas education board will vote Friday on a required reading list for more than 5 million public school students that includes Bible passages, widening conservative efforts to push Christian teachings in U.S. classrooms.
The proposal in Texas — which would mandate literary works such as Charles Dickens’ “Great Expectations” alongside parables from the New Testament — has been closely followed by education observers who say it appears to be the first of its kind in the nation.
If approved by the Texas State Board of Education, which is controlled by Republicans, the reading list would take effect in 2030.
Texas, which educates roughly 1 in 10 of the nation’s public school students, has been at the forefront of a charge by conservatives to incorporate more religion into classrooms. The state already allows public schools to hire chaplains to counsel students, mandates the display of the Ten Commandments in classrooms and has approved an optional Bible-infused curriculum.
For months, critics have blasted both the push to require Bible readings and the state mandating what books are read by students, which are decisions typically left up to teachers. Teachers could still assign students other books to read on top of the required titles.
A focus on Christianity
Critics say the reading list lacks diversity, blurs the separation of church and state that is enshrined in the Constitution and leaves teachers and students with little room to decide what to read.
“Kids of all faith backgrounds and no faith are served by Texas schools and they should all feel welcome in Texas schools,” said Elva Mendoza, legislative communications associate for the progressive Texas Freedom Network. “But this is sending the message to children that one and only one religious text — a Christian one — is worthy of making this required reading list.”
Others have applauded the possibility of mandated Christian religious reading in public schools. Brooke Mazel, a retiree from Lubbock, encouraged the board to adopt biblical materials, saying her children and grandchildren grew up with “strong faith and family values.”
“America should celebrate our 250 years that started as a nation of unwavering Christian values,” Mazel said.
The board is also set to vote Friday on a social studies curriculum that links Bible stories with American history.
Texas may be a trailblazer
A state law passed in 2023 required a mandatory list of at least one literary work be taught in each grade level. The proposed new list contains around 200 texts, including Bible passages, essays and books, far in excess of that requirement.
Antero Garcia, president of the National Council of Teachers of English and a Stanford University professor, said he doesn’t know of any other state with a mandatory reading list that includes religious texts. Educators at the district and school level usually choose the texts their students will read, Garcia said.
Kasey Meehan, director of PEN America’s Freedom to Read program, agrees the move is “unique” to Texas.
Picture-book stories for elementary students including “David and Goliath” and “Daniel and the Lion’s Den” are on the required reading list. By fourth grade, students would encounter passages about Jesus in the New Testament.
By middle school, students would be expected to read several passages about Jesus, including passages from his most famous sermon, and another where he instructs people to cast aside earthly anxiety and seek the kingdom of God.
For high schoolers, the list requires the reading of specific Bible passages as supportive materials for literary works including works by Dickens and Jane Austen’s “Pride and Prejudice.”
Holding diversity in check
Such strict requirements amount to “almost de facto censorship,” Meehan said, comparing the list to book bans.
“It certainly leans ideologically more conservative,” she said. “It excludes a lot of diverse voices from the reading list.”
The list mandates that students reading Shakespeare’s “The Tragedy of Julius Caesar” also read a eulogy for President Ronald Reagan written by former British Prime Minister Margaret Thatcher, a staunch conservative.
Frank Strong, an English and journalism teacher and co-founder of the student advocacy group Texas Freedom to Read, said diversity is not only important for students needing to see themselves in what they read but also as a way to learn about different cultures.
Many of the books on the reading list are not controversial, but Mendoza asks why books like “Chicka Chicka Boom Boom” need to be required for kindergartners.
“Can’t our kindergarten teachers be trusted to choose board books?” Mendoza asks.
___
Stengle reported from Dallas.
Texas
A Judge Issued a Rebuke to the Texas GOP’s Claims About the East Plano Islamic Center
For more than a year, high-profile Texas Republicans have argued that Muslims are secretly plotting to take over Texas, centering their outrage on the East Plano Islamic Center, a mosque and Muslim community in North Texas known as EPIC. That hysteria resulted in a range of government enforcement actions last year, including a probe by the Texas Funeral Service Commission that barred EPIC from performing funeral rites. Last July EPIC sued the state, alleging Texas had violated its religious freedom. Late Wednesday, a federal judge in the Western District of Texas ruled that the mosque’s lawsuit can proceed despite the state’s attempt to dismiss it. In his ruling, the judge also issued a strong rebuke to claims made by Governor Greg Abbott and other state officials, writing that “no evidence has been presented” that EPIC intends to impose “Sharia law,” Islamic teachings based on the Quran and words of the Prophet Muhammad, on Texans.
The case stems from last March, when the funeral commission issued a cease and desist order that barred the mosque from performing traditional cleansing, shrouding, and prayer over bodies, on the grounds that EPIC may have been unlawfully conducting such rites without a license. (EPIC denies this allegation.) As Texas Monthly has reported, the agency was pushed to issue the order by some of Abbott’s closest advisers, who had made unsupported claims that EPIC and a proposed housing development it was affiliated with, EPIC City, was building a “no go zone” exclusive to Muslims (it was not).
EPIC sued the funeral commission in July 2025, arguing that the cease and desist order was an unconstitutional prohibition on religious practices. In Islam, preparing bodies for funerals stands as one of the most sacred rites; by the time of EPIC’s lawsuit, according to the petition, at least eleven congregants had been forced to receive rites elsewhere—away from their home mosque.
EPIC later amended its lawsuit to include former funeral commission chair Kristin Tips after text messages were released showing she had shared anti-Muslim messages and videos as the agency’s investigation unfolded. Among the examples was a graphic Tips had sent to the commission’s then–executive director, Scott Bingaman, that accused Islam of allowing child marriage and pedophilia. After sending it, Tips texted Bingaman a YouTube video with the title: “EPIC CITY TEXAS! Are Muslims planning a TAKEOVER?”
For nearly a year, the case has been locked in a procedural back-and-forth as Tips and the agency—represented by Attorney General Ken Paxton’s office—have pushed for the court to dismiss the case. Late Wednesday evening, Judge David Alan Ezra, a Ronald Reagan appointee, issued an order denying Tips’s attempt to dismiss the lawsuit. He also rejected Tips’s claim of qualified immunity, which can shield government officials from personal liability in civil cases. That rejection is rare in courts, such as this one, that appeal to the Fifth Circuit, which is one of the most conservative federal appellate courts in the country and is typically welcoming to government defendants.
In his ruling, Ezra cited the funeral commission’s deviation from historical norm in the EPIC case, as the agency has repeatedly asserted—first in 1987 and again in 2014—that Islamic religious organizations could conduct funeral and burial services without government oversight. The judge also affirmed that the alleged conduct—including the cease and desist order and Tips’s anti-Muslim messages—was seemingly “the result of religious discrimination” that violated EPIC’s clearly established religious rights under the Constitution’s Equal Protection Clause and other laws protecting religious liberty. In a rather remarkable footnote, the judge added that, based on the evidence offered, the court firmly rejected claims “suggesting that EPIC has applied, or intends to apply, ‘Sharia law’ in its practices.”
Though the case will now continue to wind through the courts, the judge’s ruling is a firm rebuke of the anti-Muslim political hysteria fueled by Abbott and his team of advisers. As Texas Monthly reported this month, the governor’s inner circle took an unusually active role in the funeral commission’s regulatory case against EPIC. After being looped into the agency’s pending investigation, which stemmed from an April 2024 complaint levied by a private individual, the governor’s attorneys, including Abbott’s general counsel, Trevor Ezell, edited the boilerplate cease and desist order the commission was ready to issue to make it more severe and punitive.
The original document, drafted by a funeral commission staffer, included a line warning that noncompliance would result in the agency taking “legal action.” Abbott’s team struck that line and suggested replacing it with a “criminal referral” to the Collin County district attorney—in what amounted to a hijacking of the agency’s usual independent regulatory process. At one point, a close adviser of Abbott even reported to a commission staffer that Abbott had texted him that after the cease and desist order was sent out, the funeral commission was his new favorite agency.
Over the following months, the governor’s advisers, including Ezell and a budget and policy adviser, Alex Aragon, weighed in often on the EPIC probe, requesting regular updates, coordinating public statements, and, at times, directing regulatory action. When the agency investigated other cases—such as a high-profile incident in which a Dallas funeral home allegedly accidentally shipped a stillborn baby to a Louisiana laundry facility—the governor’s team exhibited no similar interest. More than a year after the funeral commission’s cease and desist order, its investigation remains ongoing. No violations have been found.
Tips, the agency’s former chair, led the funeral commission until March 12, when, according to an email obtained by Texas Monthly, she “prayerfully” resigned, effective immediately, late in the night. While the circumstances around her departure remain unknown, she had spent months under fire for allegations that she had illegally lobbied for tort reform in her position as chair, which she denies. But in her absence, the governor’s pursuit of EPIC has continued. In March, the funeral commission issued a broad new subpoena to EPIC, seeking every record of funeral services that the mosque has on file.
After EPIC’s attorneys pushed back, arguing the order was too large in scope, Paxton’s office got involved—issuing a letter that demanded EPIC comply. Meanwhile, Abbott has continued his crusade against the mosque, going on Fox News earlier this week to deride EPIC and what he alleged were “multiple violations” of the law. The governor has touted that a dozen state agencies have investigated EPIC. To date, no criminal charges have been filed against the mosque, and a federal probe into EPIC by the the Department of Justice was dropped with no findings of malfeasance.
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