1 | 1 | | H.B. No. 1232 |
---|
2 | 2 | | |
---|
3 | 3 | | |
---|
4 | 4 | | AN ACT |
---|
5 | 5 | | relating to establishing a local behavioral health intervention |
---|
6 | 6 | | pilot project. |
---|
7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
8 | 8 | | SECTION 1. (a) The Department of State Health Services |
---|
9 | 9 | | shall establish a local behavioral health intervention pilot |
---|
10 | 10 | | project for children in Bexar County. |
---|
11 | 11 | | (b) In implementing the pilot project, the department shall |
---|
12 | 12 | | require a local mental health authority serving Bexar County to: |
---|
13 | 13 | | (1) enter into a memorandum of understanding or other |
---|
14 | 14 | | agreement with state and local agencies that work directly with |
---|
15 | 15 | | children, including the Department of State Health Services, the |
---|
16 | 16 | | Department of Family and Protective Services, the Texas Youth |
---|
17 | 17 | | Commission, and the Texas Education Agency, to: |
---|
18 | 18 | | (A) permit collaboration in the provision of |
---|
19 | 19 | | uniform early intervention behavioral health services to children; |
---|
20 | 20 | | (B) identify children, with written consent from |
---|
21 | 21 | | parents or guardians, who are at risk of placement in an alternative |
---|
22 | 22 | | setting for behavior management, in accordance with behavioral |
---|
23 | 23 | | standards established by the Texas Education Agency and local |
---|
24 | 24 | | school district policy, or intervention by the juvenile justice or |
---|
25 | 25 | | child protective services systems; and |
---|
26 | 26 | | (C) with written consent from parents or |
---|
27 | 27 | | guardians, divert children identified under Paragraph (B) to a |
---|
28 | 28 | | system of care services to reduce gaps or inefficiencies in the |
---|
29 | 29 | | provision of care; |
---|
30 | 30 | | (2) develop, in collaboration with the state and local |
---|
31 | 31 | | agencies, a best practices plan regarding: |
---|
32 | 32 | | (A) informed consent and confidentiality |
---|
33 | 33 | | practices; |
---|
34 | 34 | | (B) a consent form: |
---|
35 | 35 | | (i) by which parents may give or refuse |
---|
36 | 36 | | consent to share information with a specific agency or provider |
---|
37 | 37 | | that collaborates in the provision of treatment or service to a |
---|
38 | 38 | | child; |
---|
39 | 39 | | (ii) that informs a parent that the parent |
---|
40 | 40 | | has the right to withhold consent and may withdraw consent at any |
---|
41 | 41 | | time; and |
---|
42 | 42 | | (iii) that informs the parent of the type of |
---|
43 | 43 | | information that an agency or provider may share if the parent |
---|
44 | 44 | | consents; |
---|
45 | 45 | | (C) uniform referral processes between systems |
---|
46 | 46 | | and agencies related to behavioral health services; |
---|
47 | 47 | | (D) the delivery of early intervention and |
---|
48 | 48 | | treatment services; |
---|
49 | 49 | | (E) an information exchange process between |
---|
50 | 50 | | agencies to facilitate faster identification and assessment of |
---|
51 | 51 | | behavioral health problems and integrate service delivery; and |
---|
52 | 52 | | (F) an information exchange process between each |
---|
53 | 53 | | parent of a child participating in the pilot project and the |
---|
54 | 54 | | agencies and providers involved in the project to assist the parent |
---|
55 | 55 | | in remaining informed regarding the evaluations performed in |
---|
56 | 56 | | relation to the child and any conclusions or recommended treatment |
---|
57 | 57 | | options resulting from those evaluations or decisions that need to |
---|
58 | 58 | | be made by the parent as a result of an evaluation; |
---|
59 | 59 | | (3) identify outcome measures that may be used to |
---|
60 | 60 | | measure the efficiency of coordination; |
---|
61 | 61 | | (4) ensure that an extensive listing of providers is |
---|
62 | 62 | | available for children and their families, including information |
---|
63 | 63 | | regarding the services offered and the behavioral health issues |
---|
64 | 64 | | addressed by the provider; and |
---|
65 | 65 | | (5) ensure that parents, agencies, and providers |
---|
66 | 66 | | participating in the pilot project are informed that a parent or |
---|
67 | 67 | | child may not be penalized for refusing to consent to the |
---|
68 | 68 | | information sharing or services under the pilot project. |
---|
69 | 69 | | (c) In order to facilitate the pilot project and identify |
---|
70 | 70 | | children in accordance with Subsection (b)(1)(B), a local mental |
---|
71 | 71 | | health authority serving Bexar County, the Department of State |
---|
72 | 72 | | Health Services, the Department of Family and Protective Services, |
---|
73 | 73 | | the Texas Youth Commission, the Texas Education Agency, and local |
---|
74 | 74 | | school districts may, with the consent of the child's parents or |
---|
75 | 75 | | guardians: |
---|
76 | 76 | | (1) disclose information relating to a child, |
---|
77 | 77 | | including information concerning the child's identity, needs, |
---|
78 | 78 | | treatment, social, criminal, and educational history, probation or |
---|
79 | 79 | | supervision status and compliance with the conditions of the |
---|
80 | 80 | | child's probation or supervision, and medical or mental health |
---|
81 | 81 | | history, if the disclosure serves a purpose of the pilot project; |
---|
82 | 82 | | (2) accept information relating to a child that serves |
---|
83 | 83 | | a purpose of the pilot project, regardless of whether other state |
---|
84 | 84 | | law makes that information confidential; and |
---|
85 | 85 | | (3) before sharing information under this section, |
---|
86 | 86 | | enter into a memorandum of understanding with another local or |
---|
87 | 87 | | state governmental entity to specify: |
---|
88 | 88 | | (A) the types of information that may be |
---|
89 | 89 | | exchanged among agencies under this section without violating any |
---|
90 | 90 | | applicable provisions of federal law, including any federal funding |
---|
91 | 91 | | requirements; and |
---|
92 | 92 | | (B) the protocols for information sharing, |
---|
93 | 93 | | including methods for ensuring the continued protection of |
---|
94 | 94 | | confidential information by the recipient of the information. |
---|
95 | 95 | | (d) This section does not affect the confidential status of |
---|
96 | 96 | | the information being shared. |
---|
97 | 97 | | (e) The department may use funds for crisis prevention |
---|
98 | 98 | | programs in collaboration with funds from local authorities, |
---|
99 | 99 | | including school districts and criminal justice agencies, to |
---|
100 | 100 | | implement the pilot project. |
---|
101 | 101 | | (f) Not later than December 1, 2010, the local mental health |
---|
102 | 102 | | authority involved in the pilot project shall submit a report to the |
---|
103 | 103 | | department regarding the local behavioral health intervention |
---|
104 | 104 | | pilot project, including: |
---|
105 | 105 | | (1) a comprehensive analysis of the efficacy of the |
---|
106 | 106 | | project; and |
---|
107 | 107 | | (2) the local authority's findings and |
---|
108 | 108 | | recommendations. |
---|
109 | 109 | | (g) In implementing the pilot project, the Department of |
---|
110 | 110 | | State Health Services shall ensure that a parent of a child involved |
---|
111 | 111 | | in the project is provided with reasonable, standardized complaint |
---|
112 | 112 | | procedures for making complaints regarding the pilot project or an |
---|
113 | 113 | | agency or provider involved in the pilot project. |
---|
114 | 114 | | (h) The Department of State Health Services shall ensure |
---|
115 | 115 | | that the pilot project: |
---|
116 | 116 | | (1) is operated without regard to the race, color, |
---|
117 | 117 | | disability, sex, age, national origin, or religion of the |
---|
118 | 118 | | individuals involved in the pilot project; and |
---|
119 | 119 | | (2) does not disproportionately target or negatively |
---|
120 | 120 | | impact minorities. |
---|
121 | 121 | | (i) This section does not authorize the implementation of |
---|
122 | 122 | | school-based mental health screening. |
---|
123 | 123 | | (j) This Act expires September 1, 2011. |
---|
124 | 124 | | SECTION 2. This Act takes effect September 1, 2009. |
---|
125 | 125 | | ______________________________ ______________________________ |
---|
126 | 126 | | President of the Senate Speaker of the House |
---|
127 | 127 | | I certify that H.B. No. 1232 was passed by the House on April |
---|
128 | 128 | | 9, 2009, by the following vote: Yeas 148, Nays 0, 1 present, not |
---|
129 | 129 | | voting; and that the House concurred in Senate amendments to H.B. |
---|
130 | 130 | | No. 1232 on May 21, 2009, by the following vote: Yeas 138, Nays 2, |
---|
131 | 131 | | 2 present, not voting. |
---|
132 | 132 | | ______________________________ |
---|
133 | 133 | | Chief Clerk of the House |
---|
134 | 134 | | I certify that H.B. No. 1232 was passed by the Senate, with |
---|
135 | 135 | | amendments, on May 18, 2009, by the following vote: Yeas 30, Nays |
---|
136 | 136 | | 1. |
---|
137 | 137 | | ______________________________ |
---|
138 | 138 | | Secretary of the Senate |
---|
139 | 139 | | APPROVED: __________________ |
---|
140 | 140 | | Date |
---|
141 | 141 | | __________________ |
---|
142 | 142 | | Governor |
---|