Signed Into Law
Signed June 20, 2025Effective 2025-09-01
SB528

Regular Session

Relating to inpatient competency restoration services.

Government Affairs & Regulatory Compliance Analysis

Business Impact

Who SB528 Affects

Regulatory Priority: moderate

Notable regulatory updates (effective 2025-09-01). Consider how these changes may affect your operations.

Estimated Cost Impact

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Compliance Analysis

Key implementation requirements and action items for compliance with this legislation

Immediate Action Plan

Operational Changes Required

Strategic Ambiguities & Considerations

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Information presented is for general knowledge only and is provided without warranty, express or implied. Consult qualified government affairs professionals and legal counsel before making compliance decisions.

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Quick Reference

Frequently Asked Questions

Common questions about SB528

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What does Texas SB528 do?

SB 528 fundamentally alters the governance structure for facilities contracting with the Health and Human Services Commission (HHSC) for inpatient competency restoration. Effective September 1, 2025, providers must execute formal Memoranda of Understanding (MOUs) with local city, county, and mental health authorities, while simultaneously implementing granular data tracking for mandatory annual performance reporting.

Q

Who authored SB528?

SB528 was authored by Texas Senator Charles Schwertner during the Regular Session.

Q

When was SB528 signed into law?

SB528 was signed into law by Governor Greg Abbott on June 20, 2025.

Q

Which agencies enforce SB528?

SB528 is enforced by Health and Human Services Commission.

Q

How significant are the changes in SB528?

The regulatory priority for SB528 is rated as "moderate". Businesses and organizations should review the legislation to understand potential impacts.

Q

What is the cost impact of SB528?

The cost impact of SB528 is estimated as "low". This may vary based on industry and implementation requirements.

Q

What topics does SB528 address?

SB528 addresses topics including criminal procedure, criminal procedure--general, mental health & substance abuse, safety and mental incompetency.

Q

What are the key dates for SB528?

Key dates for SB528: Effective date is 2025-09-01. Rulemaking: Establish rules requiring facilities to execute Memoranda of Understanding (MOUs) with local counties, municipalities, and mental health authorities. (Unspecified (Post-Effective Date)); Define the form and manner of the required annual facility performance report. (Unspecified (Post-Effective Date)). Consult with legal counsel regardi

Q

What are the penalties under SB528?

SB528 establishes the following penalties: administrative/contractual penalty of Contract termination or non-renewal for Failure to execute required MOUs or submit annual performance data to HHSC.. Consult with legal counsel for specific applicability to your situation.

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Which Texas businesses are affected by SB528?

SB528 primarily affects healthcare providers and medical facilities. These businesses should review the legislation with their legal and compliance teams to understand potential impacts.

Legislative data provided by LegiScanLast updated: January 11, 2026