Texas 2015 - 84th Regular

Texas House Bill HB2048 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		84R21244 GCB-F
2	2		By: Naishtat H.B. No. 2048
3		-	Substitute the following for H.B. No. 2048:
4		-	By: Raymond C.S.H.B. No. 2048
5	3
6	4
7	5		A BILL TO BE ENTITLED
8	6		AN ACT
9	7		relating to the delivery of mental health services and supports
10	8		under a system of care framework to minors who have or are at risk of
11	9		developing a serious emotional disturbance or who are at risk of
12	10		being removed from the minor's home.
13	11		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
14	12		SECTION 1. Section 531.251, Government Code, as amended by
15	13		S.B. No. 219, Acts of the 84th Legislature, Regular Session, 2015,
16	14		is amended to read as follows:
17	15		Sec. 531.251. TEXAS SYSTEM OF CARE FRAMEWORK [CONSORTIUM].
18	16		(a) In this section:
19	17		(1) "Minor" means an individual younger than 18 years
20	18		of age.
21	19		(2) "Serious emotional disturbance" means a mental,
22	20		behavioral, or emotional disorder of sufficient duration to result
23	21		in functional impairment that substantially interferes with or
24	22		limits a person's role or ability to function in family, school, or
25	23		community activities.
26	24		(3) "System of care framework" means a framework for
27	25		collaboration among state agencies, minors who have a serious
28	26		emotional disturbance or are at risk of developing a serious
29	27		emotional disturbance, and the families of those minors that
30	28		improves access to services and delivers effective community-based
31	29		services that are family-driven, youth- or young adult-guided, and
32	30		culturally and linguistically competent.
33	31		(b) The commission shall implement [form a consortium to
34	32		have responsibility for and oversight over] a [state] system of
35	33		care framework to develop local mental health systems of care in
36	34		communities for minors who are receiving residential mental health
37	35		services and supports or inpatient mental health hospitalization,
38	36		have or are at risk of developing a serious emotional disturbance,
39	37		or [who] are at risk of being removed from the minor's home and
40	38		placed in a more restrictive environment to receive mental health
41	39		services and supports, including an inpatient mental health
42	40		hospital, a residential treatment facility, or a facility or
43	41		program operated by the Department of Family and Protective
44	42		Services or an agency that is part of the juvenile justice system.
45	43		(c) [(a-1) The consortium must include:
46	44		[(1) representatives of the Department of State Health
47	45		Services, Department of Family and Protective Services,
48	46		commission's Medicaid program, Texas Education Agency, Texas
49	47		Juvenile Justice Department, and Texas Correctional Office on
50	48		Offenders with Medical or Mental Impairments; and
51	49		[(2) one member who is:
52	50		[(A) a youth or young adult who has a serious
53	51		emotional disturbance and has received mental health services and
54	52		supports; or
55	53		[(B) a family member of a youth or young adult
56	54		described by Paragraph (A).
57	55		[(a-2) The consortium may coordinate with the Children's
58	56		Policy Council for the purposes of including the representation
59	57		required by Subsection (a-1)(2).
60	58		[(b)] The commission [and the consortium] shall:
61	59		(1) maintain a comprehensive plan for the delivery of
62	60		mental health services and supports to a minor and a minor's family
63	61		using a system of care framework, including best practices in the
64	62		financing, administration, governance, and delivery of those
65	63		services;
66	64		(2) enter memoranda of understanding with the
67	65		Department of State Health Services, the Department of Family and
68	66		Protective Services, the Texas Education Agency, the Texas Juvenile
69	67		Justice Department, and the Texas Correctional Office on Offenders
70	68		with Medical or Mental Impairments that specify the roles and
71	69		responsibilities of each agency in implementing the comprehensive
72	70		plan described by Subdivision (1) [implement strategies to expand
73	71		the use of system of care practices in the planning and delivery of
74	72		services throughout the state];
75	73		(3) identify appropriate local, state, and federal
76	74		funding sources to finance infrastructure and mental health
77	75		services and supports needed to support state and local system of
78	76		care framework efforts; [and]
79	77		(4) develop an evaluation system to measure
80	78		cross-system performance and outcomes of state and local system of
81	79		care framework efforts; and
82	80		(5) in implementing the provisions of this section,
83	81		consult with stakeholders, including:
84	82		(A) minors who have or are at risk of developing a
85	83		serious emotional disturbance or young adults who received mental
86	84		health services and supports as a minor with or at risk of
87	85		developing a serious emotional disturbance; and
88	86		(B) family members of those minors or young
89	87		adults.
90	88		[(b-1) Not later than November 1 of each even-numbered year,
91	89		the consortium shall submit a report to the legislature and the
92	90		Council on Children and Families that contains an evaluation of the
93	91		outcomes of the Texas System of Care and recommendations on
94	92		strengthening state policies and practices that support local
95	93		systems of care, including recommendations relating to:
96	94		[(1) methods to increase access to effective and
97	95		coordinated services and supports;
98	96		[(2) methods to increase community capacity to
99	97		implement local systems of care through training and technical
100	98		assistance;
101	99		[(3) use of cross-system performance and outcome data
102	100		to make informed decisions at individual and system levels; and
103	101		[(4) strategies to maximize public and private funding
104	102		at the local, state, and federal levels.]
105	103		SECTION 2. Section 531.255, Government Code, is amended to
106	104		read as follows:
107	105		Sec. 531.255. EVALUATION. [(a)] The commission [and the
108	106		Department of State Health Services jointly] shall monitor the
109	107		implementation of a system of care framework under Section 531.251
110	108		and adopt rules as necessary to facilitate or adjust that
111	109		implementation [progress of the communities that implement a local
112	110		system of care, including monitoring cost avoidance and the net
113	111		savings that result from implementing a local system of care].
114	112		SECTION 3. This Act takes effect immediately if it receives
115	113		a vote of two-thirds of all the members elected to each house, as
116	114		provided by Section 39, Article III, Texas Constitution. If this
117	115		Act does not receive the vote necessary for immediate effect, this
118	116		Act takes effect September 1, 2015.