All Roll Calls
Yes: 121 • No: 13
Sponsored By: Brenda Stanley (Republican)
Signed by Governor
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5 provisions identified: 4 benefits, 0 costs, 1 mixed.
Starting November 1, 2026, non-hospital behavioral health facilities must join the registry. They report licensed and staffed capacity, open beds or slots, who they serve, level of care, admission limits, and a 24-hour placement contact. They must update entries when availability changes and at Board-set intervals, and respond to placement requests within Board-set times. Confirmed reservations must be honored for the set window unless clinical facts change or the person no longer meets written criteria. Facilities must apply their criteria fairly and cannot refuse an eligible person when the registry shows capacity, except for documented clinical or safety reasons.
The Department may audit registry entries and responses for accuracy and timeliness. It can require corrective action plans and use administrative remedies for noncompliance. The registry holds no personally identifiable health information and follows HIPAA and 42 CFR Part 2, when applicable. Registry data are confidential and not open to the public, except for aggregate, de-identified reports. The registry is not a clinical record and does not collect diagnosis, payer, or preauthorization details. These rules apply starting November 1, 2026.
Subject to funding, the Department sets up a secure, statewide registry. It shows near real-time bed and treatment capacity at covered behavioral health facilities. It speeds placements for emergency detention, protective custody, assessment, and court-ordered competency services. The registry includes a court-competency module and follows all state laws and any consent decrees. These features apply beginning November 1, 2026.
The Board sets the operating rules for the registry. Rules cover reporting standards, update intervals, placement priorities and queues, access controls, denial documentation, reservation windows, forensic standards, and hospital technical rules. Subject to funding, within six months after November 1, 2026, the Department must issue an RFP to procure the registry, following state purchasing law. It must seek best value, may prefer acceptable no-cost options, and may use gifts or grants if the state keeps data control and security. State funds for software are not used unless no acceptable no-cost option exists; the act takes effect November 1, 2026.
Starting November 1, 2026, hospitals and hospital psychiatric units may choose to opt in to the registry. They can report staffed capacity and consider placement requests. Opting in does not make a hospital a covered facility and does not create a duty to accept transfers. Evaluation, stabilization, admission, and transfer decisions still follow EMTALA and state law. Reasonable intake or patient-care delays do not count as a registry violation.
Brenda Stanley
Republican • Senate
Ellyn Hefner
Democratic • House
Julia Kirt
Democratic • Senate
Ellyn Hefner
Democratic • House
Cynthia Roe
Republican • House
All Roll Calls
Yes: 121 • No: 13
House vote • 5/6/2026
Top_of_Page
Yes: 87 • No: 2
House vote • 4/15/2026
DO PASS
Yes: 12 • No: 0
House vote • 4/15/2026
DO PASS
Yes: 12 • No: 0
House vote • 4/1/2026
DO PASS
Yes: 5 • No: 0
House vote • 4/1/2026
DO PASS
Yes: 5 • No: 0
Senate vote • 3/11/2026
THIRD READING
Yes: 0 • No: 6
Senate vote • 3/4/2026
Top_of_Page
Yes: 0 • No: 2
Senate vote • 3/4/2026
Top_of_Page
Yes: 0 • No: 1
Senate vote • 3/4/2026
Top_of_Page
Yes: 0 • No: 1
Senate vote • 2/16/2026
Top_of_Page
Yes: 0 • No: 1
Approved by Governor 05/12/2026
Sent to Governor
Signed, returned to Senate
Enrolled, to House
Referred for enrollment
Signed, returned to Senate
Third Reading, Measure passed: Ayes: 87 Nays: 2
General Order
Coauthored by Representative(s) Hefner
CR; Do Pass Health and Human Services Oversight Committee
Policy recommendation to the Health and Human Services Oversight committee; Do Pass Public Health
Referred to Public Health
Second Reading referred to Health and Human Services Oversight
First Reading
Engrossed to House
Referred for engrossment
Measure passed: Ayes: 35 Nays: 6
Title restored
General Order, Amended
Placed on General Order
Coauthored by Senator Kirt
Reported Do Pass, amended by committee substitute Appropriations committee; CR filed
Coauthored by Representative Roe (principal House author)
Referred to Appropriations
Title stricken
Enrolled (final version)
5/6/2026
Floor (House)
4/20/2026
House Committee Report
4/16/2026
House Policy Committee Report
4/1/2026
Engrossed
3/12/2026
Floor (Senate)
3/5/2026
Committee Substitute
3/4/2026
Senate Committee Report 2
3/4/2026
Senate Committee Report 1
2/16/2026
Introduced
1/14/2026
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