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.
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. HSCS is 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.
- 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.
- People are better served when services are available close to home. Working alongside community partners to develop an array of services that support peoples' needs 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 - Replacement Hospital
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 is a replacement project and will replace the existing 240 adult beds.
Construction: 78% completed.
Exterior of the building is near completion. The construction of exterior courtyards, fences and site structures is progressing.
The interior walls and ceilings are getting closed in. The finishes like flooring, painting, and millwork are being installed.
- 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
- Revised Estimated Construction Completion: February 2024. (The construction completion is delayed due to the supply chain issue, added time to complete additional work and shortage of skilled labor to perform the work).
- Replacement Hospital opens: June 2024
Photos, Videos and Virtual Tours
- Click here for the Austin State Hospital construction video.
- Open House Presentation (PDF)
- Click here for a 3D virtual tour.
- View a map of the construction areas on campus (PDF).
Kerrville State Hospital
Kerrville State Hospital campus buildings 612 and 613 have been renovated and 70 maximum-security unit beds have been added. Learn more from this video.
Capacity added: 70 new maximum security unit beds
- $30.5 million for design and renovation
- $8.6 million from deferred maintenance funds to add programming and therapy spaces to support the individuals staying in the MSU wing.
Phase I – 70 Bed unit – Building 612 and 613
Phase II – Programming and Administrative Spaces – Building 604
Phase I: 70-Bed Patient Unit Opened in April of 2023
- Substantial Construction Completion: June 2022.
- Move-in Ready and Operational: April 2023
- Accepted First Patients: April 2023
Phase II: Programming and Administrative Spaces
- Estimated Substantial Completion: December 2023
- Estimated Move-in Ready: February 2024
Click here for the Kerrville State Hospital construction video.
Rusk State Hospital
Rusk State Hospital has just completed the construction of a new maximum-security unit with 100 beds and a new non-maximum-security unit with 100 beds. Rusk has also replaced the administration building. Learn more from this video.
Capacity added: The three-story, 227,368-square-foot patient complex includes a 100-bed non-maximum-security unit, and 100-bed maximum security unit. This 200-bed unit will increase the number of maximum-security beds from 40 to 100. The hospital’s overall capacity will stay the same
200-bed patient building
- $191.9 million for planning, construction, and demolition of an additional five buildings.
- $98.8 million for planning and construction of maximum-security unit, approved by 2017 Legislature.
- $90.1 million in for construction of the non-maximum-security unit, approved by 2019 Legislature.
- $3 million for demolition of five building, approved by 2021 Legislature.
- $10.7 million
- Construction of the 200-bed new patient unit is completed except for some site work.
- The administration building is complete and operating.
Construction is substantially completed and building is ready to be occupied.
- Construction Completion: May 2023. The building is move-in ready.
- Ribbon cutting ceremony on June 7, 2023.
- The administration building opened September 2021.
Click here for the Rusk State Hospital construction video.
San Antonio State Hospital
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 Replacement Project
Capacity Added: This project will replace the existing 300 beds.
- 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.
Construction of Replacement Hospital: Replacement Hospital is 82% completed.
Exterior site work is progressing.
Interior finishes like flooring, tile, painting, and millwork are being installed.
The punch list process has started to review and confirm the quality of workmanship.
- Current Estimated Construction Completion: December 2023.
- Current Replacement Hospital opens: March 2024.
Capacity added: 40 beds
- Phase I - $11.5 million for planning and construction approved by 2017 Legislature.
Renovation is completed, and the unit is open for operations.
- The renovation was completed in March 2021.
- 40-bed unit is now open for patients.
Click here for the San Antonio State Hospital construction video.
John S. Dunn Behavioral Sciences Center
HHSC and UTHealth Houston worked together to build, design and operate the 264-bed John S. Dunn Behavioral Sciences Center in Houston's Texas Medical Center.
Capacity added: 264 beds
- $126.5 million
- Construction Completed: February 2022.
- The first unit opened in April 2022.
Click here for the John S. Dunn Behavioral Sciences Center construction video.
Texas Behavioral Health Center at UT Southwestern
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).
- $282.5 million for the adult wing and $200 million for the pediatric wing.
- Adult Unit:
- The design documents have been issued for the adult unit. The contractor is in the process of bidding the trade packages for the adult wing.
- Demolition of the existing structures on site has been completed.
- Sitework is progressing as per schedule including the utilities.
- Drilling of piers and preparation for the foundations adult wing is in progress.
- Mockups of selected rooms are completed at the construction site and have been reviewed.
- Guaranteed Maximum Price
- GMP was approved for the 200-bed adult unit.
- Pediatric Unit:
- Amendment to the IAC is executed adding scope of including up to 96 beds for the pediatric unit.
- The Design Team is working on the Design Development phase for the pediatric unit.
- Estimated substantial completion date: July 2025 for the adult unit.
- Estimated substantial completion date: January 2026 for pediatric unit.