1 | 1 | | 83R24596 AED-F |
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2 | 2 | | By: Zaffirini, et al. S.B. No. 421 |
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3 | 3 | | (Naishtat) |
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4 | 4 | | Substitute the following for S.B. No. 421: No. |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to the Texas System of Care and the development of local |
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10 | 10 | | mental health systems of care for certain children. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. The heading to Subchapter G-1, Chapter 531, |
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13 | 13 | | Government Code, is amended to read as follows: |
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14 | 14 | | SUBCHAPTER G-1. DEVELOPING LOCAL MENTAL HEALTH [CARE] SYSTEMS OF |
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15 | 15 | | CARE FOR CERTAIN CHILDREN |
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16 | 16 | | SECTION 2. Section 531.251, Government Code, is amended to |
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17 | 17 | | read as follows: |
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18 | 18 | | Sec. 531.251. TEXAS SYSTEM OF CARE [PILOT PROJECT] |
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19 | 19 | | CONSORTIUM[; EXPANSION PLAN]. (a) The commission shall form a |
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20 | 20 | | consortium to have responsibility [develop criteria] for and |
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21 | 21 | | oversight over a state system of care [and implement the expansion |
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22 | 22 | | of the Texas Integrated Funding Initiative pilot project and] to |
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23 | 23 | | develop local mental health systems of care [systems] in |
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24 | 24 | | communities for minors who are receiving residential mental health |
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25 | 25 | | services or inpatient mental health hospitalization or who are at |
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26 | 26 | | risk of being removed from the minor's home and placed in a more |
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27 | 27 | | restrictive environment to receive mental health services, |
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28 | 28 | | including an inpatient mental health hospital, a residential |
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29 | 29 | | treatment facility, or a facility or program operated by the |
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30 | 30 | | Department of Family and Protective Services or an agency that is |
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31 | 31 | | part of the juvenile justice system [placement to receive mental |
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32 | 32 | | health services]. |
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33 | 33 | | (a-1) The consortium must include: |
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34 | 34 | | (1) representatives of the [Texas] Department of State |
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35 | 35 | | [Mental] Health Services [and Mental Retardation], Department of |
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36 | 36 | | Family and Protective [and Regulatory] Services, Health and Human |
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37 | 37 | | Services Commission's Medicaid program, Texas Education Agency, |
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38 | 38 | | [Texas Youth Commission,] Texas Juvenile Justice Department |
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39 | 39 | | [Probation Commission], and Texas Correctional Office on Offenders |
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40 | 40 | | with Medical or Mental Impairments; |
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41 | 41 | | (2) one youth or young adult who has a serious |
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42 | 42 | | emotional disturbance and has received mental health services and |
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43 | 43 | | supports; or |
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44 | 44 | | (3) a family member of a youth or young adult described |
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45 | 45 | | by Subdivision (2) [Commission on Alcohol and Drug Abuse and an |
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46 | 46 | | equal number of family advocates]. |
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47 | 47 | | (a-2) The consortium may coordinate with the Children's |
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48 | 48 | | Policy Council for the purposes of including the representation |
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49 | 49 | | required by Subsections (a-1)(2) and (3). |
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50 | 50 | | (b) The commission and the consortium shall: |
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51 | 51 | | (1) maintain [develop] a comprehensive plan [model and |
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52 | 52 | | guidelines] for the delivery of mental health services and supports |
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53 | 53 | | [support] to a minor and a minor's family using a system of care |
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54 | 54 | | framework [, initiated before the person's 18th birthday], |
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55 | 55 | | including best practices in the financing, administration, |
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56 | 56 | | governance, and delivery of those services; |
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57 | 57 | | (2) implement strategies [establish a plan] to expand |
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58 | 58 | | the use of system of care practices [Texas Integrated Funding |
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59 | 59 | | Initiative so that the initiative may operate] in the planning and |
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60 | 60 | | delivery of services throughout the state [up to six communities]; |
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61 | 61 | | [and] |
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62 | 62 | | (3) identify appropriate local, [sources of] state, |
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63 | 63 | | and federal funding sources to finance infrastructure and mental |
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64 | 64 | | health services needed to support state and local system of care |
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65 | 65 | | efforts; and |
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66 | 66 | | (4) develop an evaluation system to measure outcomes |
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67 | 67 | | of state and local system of care efforts [under the initiative from |
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68 | 68 | | a central fund for expansion communities]. |
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69 | 69 | | (b-1) Not later than November 1 of each even-numbered year, |
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70 | 70 | | the consortium shall submit a report to the legislature and the |
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71 | 71 | | Council on Children and Families that contains an evaluation of the |
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72 | 72 | | outcomes of the Texas System of Care and recommendations on |
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73 | 73 | | strengthening state policies and practices that support local |
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74 | 74 | | systems of care, including recommendations relating to: |
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75 | 75 | | (1) methods to increase access to effective and |
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76 | 76 | | coordinated services and supports; |
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77 | 77 | | (2) methods to increase community capacity to |
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78 | 78 | | implement local systems of care through training and technical |
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79 | 79 | | assistance; |
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80 | 80 | | (3) use of cross-system performance and outcome data |
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81 | 81 | | to make informed decisions at individual and system levels; and |
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82 | 82 | | (4) strategies to maximize public and private funding |
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83 | 83 | | at the local, state, and federal levels. |
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84 | 84 | | SECTION 3. Section 531.255(a), Government Code, is amended |
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85 | 85 | | to read as follows: |
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86 | 86 | | (a) The commission and the [Texas] Department of State |
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87 | 87 | | [Mental] Health Services [and Mental Retardation] jointly shall |
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88 | 88 | | monitor the progress of the [expansion] communities that implement |
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89 | 89 | | a local system of care, including monitoring cost avoidance and the |
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90 | 90 | | net savings that result from implementing a local system of care. |
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91 | 91 | | SECTION 4. Section 531.257, Government Code, is amended to |
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92 | 92 | | read as follows: |
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93 | 93 | | Sec. 531.257. TECHNICAL ASSISTANCE FOR [GRANT] PROJECTS. |
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94 | 94 | | The commission may provide technical assistance to a community that |
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95 | 95 | | implements a local system of care [receives a grant under Section |
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96 | 96 | | 531.256]. |
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97 | 97 | | SECTION 5. Sections 531.252, 531.253, 531.254, 531.255(b), |
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98 | 98 | | (c), and (d), 531.256, and 531.258, Government Code, are repealed. |
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99 | 99 | | SECTION 6. This Act takes effect September 1, 2013. |
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