HF 2292 — A bill for an act directing the department of health and human services to increase the number of inpatient psychiatric beds at each state mental health institute.

House File 2292 - IntroducedReprinted HOUSE FILE 2292 BY COMMITTEE ON HEALTH AND HUMAN SERVICES (SUCCESSOR TO HF 2094) (As Amended and Passed by the House February 26, 2026) A BILL FOR An Act directing the department of health and human services to increase the number of inpatient psychiatric beds at each state mental health institute.

TLSBHF 5437HV2292 (1)(2) 91 dg/kodg/ko/md H.F.

LEGISLATIVE FINDINGS.

The general assembly finds all of the following:

1.

The state concurs with President Donald Trump’s executive order pertaining to ending crime and disorder on America’s streets issued July 24, 2025.

2.

Nearly two-thirds of homeless individuals have reported having regularly used hard drugs like methamphetamines, cocaine, or opioids, and an equally large share of homeless individuals reported suffering from at least one mental health condition.

3.

Vagrancy, disorderly behavior, sudden confrontations, and violent attacks often caused by a homeless individual with a substance use disorder or mental health condition have made cities unsafe.

4.

The state needs to create space for many homeless individuals in a long-term institutional setting to provide the humane treatment these individuals need to address the root cause of homelessness and restore public order.

Sec.

2.

By1. July 1, 2027, the department of health and human services shall, at a minimum, double the number of inpatient psychiatric beds based on the number of inpatient psychiatric beds that were at each state mental health institute on June 30, 2025.

No later than OctoberJuly 1, 2026,2027, the department of health and human services shall apply to the centers for Medicare and Medicaid services of the United States department of health and human services for a waiver of Medicaid’s institution for mental diseases exclusion.

EXPLANATION2. The inclusion of this explanation does not constitute agreement with the explanation’s substance by the members of the general assembly.

ThisNo billlater directsthan one calendar year after the departmentcenters offor healthMedicare and humanMedicaid services (HHS),approves bythe Julywaiver requested under subsection 1, 2027,the todepartment atof leasthealth and human services shall double the number of inpatient psychiatric beds (beds)in the state based on the number of beds that were at each state mental health institute (MHI) on June 30, 2025.

TheHF bill2292 requires(2) HHS,91 by-1- Octoberdg/ko/md 1,1/1 2026, to apply to the centers for Medicare and Medicaid services of the United States department of health and human services for a waiver of Medicaid’s institution for mental diseases exclusion so the state may use Medicaid funds for the increase in inpatient psychiatric beds.

LSB 5437HV (1) 91 -1- dg/ko 1/1