Texas 2015 - 84th Regular

Texas Senate Bill SB1891 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	84R8925 GCB-F
2	2	By: Zaffirini S.B. No. 1891
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the delivery of mental health services and supports
8	8	under a system of care framework to minors who have or are at risk of
9	9	developing a serious emotional disturbance or who are at risk of
10	10	being removed from the minor's home.
11	11	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	12	SECTION 1. Section 531.251, Government Code, is amended to
13	13	read as follows:
14	14	Sec. 531.251. TEXAS SYSTEM OF CARE FRAMEWORK [CONSORTIUM].
15	15	(a) In this section:
16	16	(1) "Minor" means an individual younger than 18 years
17	17	of age.
18	18	(2) "Serious emotional disturbance" means a mental,
19	19	behavioral, or emotional disorder of sufficient duration to result
20	20	in functional impairment that substantially interferes with or
21	21	limits a person's role or ability to function in family, school, or
22	22	community activities.
23	23	(3) "System of care framework" means a framework for
24	24	collaboration among state agencies, minors who have a serious
25	25	emotional disturbance or are at risk of developing a serious
26	26	emotional disturbance, and the families of those minors that
27	27	improves access to services and delivers effective community-based
28	28	services that are family-driven, youth- or young adult-guided, and
29	29	culturally and linguistically competent.
30	30	(b) The commission shall implement [form a consortium to
31	31	have responsibility for and oversight over] a [state] system of
32	32	care framework to develop local mental health systems of care in
33	33	communities for minors who are receiving residential mental health
34	34	services and supports or inpatient mental health hospitalization,
35	35	have or are at risk of developing a serious emotional disturbance,
36	36	or [who] are at risk of being removed from the minor's home and
37	37	placed in a more restrictive environment to receive mental health
38	38	services and supports, including an inpatient mental health
39	39	hospital, a residential treatment facility, or a facility or
40	40	program operated by the Department of Family and Protective
41	41	Services or an agency that is part of the juvenile justice system.
42	42	(c) [(a-1) The consortium must include:
43	43	[(1) representatives of the Department of State Health
44	44	Services, Department of Family and Protective Services, Health and
45	45	Human Services Commission's Medicaid program, Texas Education
46	46	Agency, Texas Juvenile Justice Department, and Texas Correctional
47	47	Office on Offenders with Medical or Mental Impairments;
48	48	[(2) one youth or young adult who has a serious
49	49	emotional disturbance and has received mental health services and
50	50	supports; or
51	51	[(3) a family member of a youth or young adult
52	52	described by Subdivision (2).
53	53	[(a-2) The consortium may coordinate with the Children's
54	54	Policy Council for the purposes of including the representation
55	55	required by Subsections (a-1)(2) and (3).
56	56	[(b)] The commission [and the consortium] shall:
57	57	(1) maintain a comprehensive plan for the delivery of
58	58	mental health services and supports to a minor and a minor's family
59	59	using a system of care framework, including best practices in the
60	60	financing, administration, governance, and delivery of those
61	61	services;
62	62	(2) enter memoranda of understanding with the
63	63	Department of State Health Services, the Department of Family and
64	64	Protective Services, the Texas Education Agency, the Texas Juvenile
65	65	Justice Department, and the Texas Correctional Office on Offenders
66	66	with Medical or Mental Impairments that specify the roles and
67	67	responsibilities of each agency in implementing the comprehensive
68	68	plan described by Subdivision (1) [implement strategies to expand
69	69	the use of system of care practices in the planning and delivery of
70	70	services throughout the state];
71	71	(3) identify appropriate local, state, and federal
72	72	funding sources to finance infrastructure and mental health
73	73	services and supports needed to support state and local system of
74	74	care framework efforts; [and]
75	75	(4) develop an evaluation system to measure
76	76	cross-system performance and outcomes of state and local system of
77	77	care framework efforts; and
78	78	(5) in implementing the provisions of this section,
79	79	consult with stakeholders, including:
80	80	(A) minors who have or are at risk of developing a
81	81	serious emotional disturbance or young adults who received mental
82	82	health services and supports as a minor with or at risk of
83	83	developing a serious emotional disturbance; and
84	84	(B) family members of those minors or young
85	85	adults.
86	86	[(b-1) Not later than November 1 of each even-numbered year,
87	87	the consortium shall submit a report to the legislature and the
88	88	Council on Children and Families that contains an evaluation of the
89	89	outcomes of the Texas System of Care and recommendations on
90	90	strengthening state policies and practices that support local
91	91	systems of care, including recommendations relating to:
92	92	[(1) methods to increase access to effective and
93	93	coordinated services and supports;
94	94	[(2) methods to increase community capacity to
95	95	implement local systems of care through training and technical
96	96	assistance;
97	97	[(3) use of cross-system performance and outcome data
98	98	to make informed decisions at individual and system levels; and
99	99	[(4) strategies to maximize public and private funding
100	100	at the local, state, and federal levels.]
101	101	SECTION 2. Section 531.255, Government Code, is amended to
102	102	read as follows:
103	103	Sec. 531.255. EVALUATION. [(a)] The commission [and the
104	104	Department of State Health Services jointly] shall monitor the
105	105	implementation of a system of care framework under Section 531.251
106	106	and adopt rules as necessary to facilitate or adjust that
107	107	implementation [progress of the communities that implement a local
108	108	system of care, including monitoring cost avoidance and the net
109	109	savings that result from implementing a local system of care].
110	110	SECTION 3. This Act takes effect immediately if it receives
111	111	a vote of two-thirds of all the members elected to each house, as
112	112	provided by Section 39, Article III, Texas Constitution. If this
113	113	Act does not receive the vote necessary for immediate effect, this
114	114	Act takes effect September 1, 2015.