Changes to the State Hospital System

The Texas Legislature has invested more than $1 billion for replacement and renovation of the hospitals in Austin, Kerrville, Rusk and San Antonio, and a new hospital in Houston. HHSC spent $10.7 million to replace the administration building in Rusk. In addition to this, during the 87th Legislature, regular session and special session, $282.5 million has been approved by the Legislature for a new hospital in the Dallas Metroplex, which is still in the planning stages.

HHSC's Health and Specialty Care System is working with medical schools across Texas to design these hospitals and with community providers and resources to ensure continuity of care. We are building partnerships that will join cutting-edge research with operational expertise to create a more effective healing environment.

These projects are a part of the Health and Specialty Care System's transformation of inpatient psychiatric care in Texas. They are founded on three bedrock principles: Systems-based continuum of care, unparalleled care and easy access.

Systems-Based Continuum of Care

  • State hospitals provide inpatient psychiatric care for adults, adolescents and children and are important for people requiring psychiatric services.
  • Inpatient care at the state hospitals should not be the first line of treatment for a person. Texans need access to the full array of mental health services. State hospitals are a critical component of that system.

Unparalleled Care

  • The planned renovations and new buildings will incorporate the latest design elements, complementing cutting-edge services.
  • The design of behavioral health facilities can affect treatment and care. These projects' modern design will match the state-of-the-art care provided within them.

Easy Access

  • People are better served when services are available close to home. Working alongside community partners to develop an array of services that support people's need as close to their homes as possible is a top priority.
  • By incorporating technology to bridge geographic gaps in areas where psychiatric staff are difficult to recruit, our plan allows us to provide services in locations that lack sufficient inpatient psychiatric treatment.

State Hospital Comprehensive Plan

HHSC worked with stakeholders to develop a Comprehensive Plan for the State Hospitals (PDF).

State Hospital Construction Projects

Austin State Hospital

Summary
HHSC is working with Dell Medical School at The University of Texas at Austin to design and build a 240-bed hospital to replace the current one on campus.

Capacity Added: This project will replace existing beds.

Status:
54 percent completed.

Cost

  • Phase I - $15.5 million in planning and pre-planning approved by 2017 Legislature.
  • Phase II - $165 million for construction approved by 2019 Legislature.
  • Phase III - $124.1 million for construction approved by 2021 Legislature.
  • Total - $304.6 million

Schedule

  • Estimated Construction Completion: September 2023.
  • Replacement Hospital opens: November 2023.

Photos, Videos and Virtual Tours

Artist's rendering of Austin State Hospital.
An aerial view of th new Austin State Hospital. Photo from September 2022.
Construction progress at Austin State Hospital. Photo from September 2022.

Kerrville State Hospital

Summary
Kerrville State Hospital is planning to renovate existing campus buildings and add 70-maximum security unit beds. Learn more from this video.

Capacity added: 70 new maximum security unit beds

Cost

  • $30.5 million for design and renovation

Status
Substantially complete, final completion is pending the delivery and installation of furniture.

Schedule

  • Construction Completion: June 2022.
  • MSU 70 Bed unit opens: October 2022.

Click here for the Kerrville State Hospital construction video.

Artist's rendering of Kerrville State Hospital.
This picture shows Kerrville State Hospital being complete. Photo from July 2022.

Rusk State Hospital

Summary
Rusk State Hospital is building a new maximum-security unit with 100 beds and a new non-maximum-security unit with 100 beds. Rusk is also replacing the administration building. Learn more from this video.

Capacity added: The overall capacity after the completion of this project will remain the same at 288 beds. The capacity of the maximum-security beds will increase from 40 to 100 without adding capacity to the overall number of beds.

Cost

200 bed patient building

  • $191,854,363 for planning, construction and demolition of an additional five buildings.

Administration building

  • $10.7 million

Status

  • New Patient Units are 66 percent completed.
  • Administration building is complete and operating.
  • Demolition of additional 5 buildings is estimated to start at the end of July 2022.

Schedule

  • Construction Completion: April 2023
  • New 200 Bed Unit opens: May 2023
  • Administration building opened September 2021.

Click here for the Rusk State Hospital construction video.

Artist’s rendering of Rusk State Hospital.
This photo shows the construction progress at Rusk State Hospital. Photo from July 2022.
An aerial view of the Rusk State Hospital. Photo from September 2022.

San Antonio State Hospital

Summary
HHSC is building a 300-bed hospital to replace the current facility at San Antonio State Hospital and renovating another building to add 40 new beds on campus.

New Hospital Project
Capacity Added:
The new hospital will replace existing beds.

Cost

  • Phase I - $14.5 million for planning and pre-planning approved by 2017 Legislature
  • Phase II - $190.3 million for construction approved by 2019 Legislature.
  • Phase III – $152.4 million approved by 2021 Legislature.

Status
Replacement Hospital is 50.1 percent completed.

Schedule

  • Construction Completion: November 2023
  • Opens January 2024.

Hospital Renovation

Capacity added: 40 beds

Cost

  • Phase I - $11.5 million for planning and construction approved by 2017 Legislature.

Status
Renovation is completed.

Schedule

  • Renovation completed March 2021.
  • 40 Bed unit is now open for the patients.

Click here for the San Antonio State Hospital construction video.

Artist’s rendering of the new hospital project at San Antonio State Hospital.
An aerial view of the new San Antonio State Hospital. Photo from September 2022.
The exterior of the construction of San Antonio State Hospital. Taken July 2022.
Construction on the interior spaces fo the new San Antonio State Hospital. Photo from September 2022.
This photo shows a room located inside the renovated Alamo Hall 40 bed unit at San Antonio State Hospital. Photo from January 2022.

John S. Dunn Behavioral Sciences Center

Summary
HHSC and UTHealth Houston are working together to build, design and operate the 264-bed John S. Dunn Behavioral Sciences Center in Houston's Texas Medical Center. The hospital will serve patients with short-term commitments.

Capacity added: 264 beds

Cost

  • $126.5 million

Status
100 percent complete.

Schedule

  • Construction Completed: March 2022.
  • The first unit was opened in April 2022

Click here for the John S. Dunn Behavioral Sciences Center construction video.

Artist's rendering of the John S. Dunn Behavioral Sciences Center Campus in the Texas Medical Center.
When completed, the new hospital will have 264 beds. Photo from January 2020.
Inside view of the John S. Dunn Behavioral Sciences Center. Photo from January 2022.

New State Hospital in the Dallas-Fort Worth Metropolitan Area

Summary
HHSC in partnership with UT Southwestern Dallas is working to design, construct and operate the 200-bed New Psychiatric Hospital in the Dallas- Fort Worth Metropolitan Area.

Children’s Health, upon learning about the hospital, approached the Health and Specialty Care System about its desire to support the Texas Legislature’s and HHSC’s goal of expanding the state hospital system. Children’s made a gift of $200 million that will add approximately 96 additional beds to the hospital to exclusively treat children and adolescent patients.

Capacity added: 200 beds

  • Total of up to 296 beds (200 adult beds and 96 pediatric beds)

Cost

  • $282.5 million for the adult wing and $200 million for the pediatric wing.

Status

  • Currently in the design phase. The schematic design phase is completed and approved. Project team is currently in the design and development phase.
  • UT Southwestern and Health and Human Services Commission is finalizing the land acquisition for the new hospital. Land acquisition and transfer of the title is estimated to be completed in August 2022.
  • Design Team has completed the demolition package for the existing site structures and other infrastructure. Demolition work will start after the land transfer is completed.
  • The gift agreement was executed between HHSC and Children’s Health to add a 96-bed Pediatric Unit.
  • A design meeting for the pediatric unit is scheduled to start the week of October 10th.

Schedule

  • Estimated substantial completion date: July 2025 for the adult unit.
  • Estimated substantial completion date: TBD for pediatric unit.

To Get Involved or Learn More

Email: healthandspecialtycare@hhsc.state.tx.us