Texas is taking a major step to address its mental health workforce shortage by abandoning the national psychologist licensing exam and developing its own state-based alternative.
The Texas State Board of Examiners of Psychologists announced the move following a contentious decision by the national licensing board to require an additional $450 “skills” test on top of the existing $800 knowledge exam, known as the Examination for Professional Practice in Psychology (EPPP).
Texas officials argued the change would pose a financial burden on aspiring psychologists, further deepening the state’s critical mental health care gap—particularly in underserved communities. In response, Gov. Greg Abbott signed off on funding to create a new, more affordable state-level exam.
“This decision is about increasing access to care and reducing unnecessary barriers to entry in a field that desperately needs more professionals,” the board said in a statement.
Texas is the first state to formally reject the national exam structure, in place since 1965. Officials say they hope the initiative will inspire other states to reconsider similar reforms.
The timeline for rolling out the new exam has not yet been announced. Meanwhile, current licensure requirements remain in effect.