10 | 4 | | AN ACT |
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11 | 5 | | relating to the establishment of the Work Group on Mental Health |
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12 | 6 | | Access for First Responders. |
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13 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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14 | 8 | | SECTION 1. (a) In this section: |
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15 | 9 | | (1) "Executive commissioner" means the executive |
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16 | 10 | | commissioner of the Health and Human Services Commission. |
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17 | 11 | | (2) "First responder" has the meaning assigned by |
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18 | 12 | | Section 421.095, Government Code. |
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19 | 13 | | (3) "First responder organization" means: |
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20 | 14 | | (A) an organization, including a fire |
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21 | 15 | | department, law enforcement agency, or emergency medical services |
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22 | 16 | | provider, of a political subdivision of this state that employs a |
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23 | 17 | | first responder; or |
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24 | 18 | | (B) a volunteer fire department. |
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25 | 19 | | (4) "Work group" means the Work Group on Mental Health |
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26 | 20 | | Access for First Responders. |
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27 | 21 | | (b) Not later than December 1, 2017, the Health and Human |
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28 | 22 | | Services Commission shall establish the Work Group on Mental Health |
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29 | 23 | | Access for First Responders to develop and make recommendations for |
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30 | 24 | | improving access to mental health care services for first |
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31 | 25 | | responders. |
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32 | 26 | | (c) The work group is composed of 15 members appointed by |
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33 | 27 | | the executive commissioner, unless otherwise provided, as follows: |
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34 | 28 | | (1) one member from the Health and Human Services |
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35 | 29 | | Commission with expertise in the field of mental health care; |
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36 | 30 | | (2) the dean of the Sam Houston State University |
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37 | 31 | | College of Criminal Justice or the dean's designee; |
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38 | 32 | | (3) three practicing mental health professionals, as |
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39 | 33 | | defined by Section 61.601, Education Code; |
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40 | 34 | | (4) one representative of volunteer fire departments; |
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41 | 35 | | (5) one representative of paid fire departments, |
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42 | 36 | | appointed from a list provided by a statewide association of paid |
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43 | 37 | | firefighters; |
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44 | 38 | | (6) two representatives of paid police departments, |
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45 | 39 | | appointed from a list provided by a statewide association of police |
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46 | 40 | | officers; |
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47 | 41 | | (7) one representative of a sheriff's department; |
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48 | 42 | | (8) two representatives of emergency medical services |
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49 | 43 | | providers and personnel licensed under Chapter 773, Health and |
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50 | 44 | | Safety Code, one of whom must be a representative of a fire |
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51 | 45 | | department that provides emergency medical services and must be |
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52 | 46 | | appointed from a list provided by a statewide association of paid |
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53 | 47 | | firefighters; |
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54 | 48 | | (9) one municipal government representative; |
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55 | 49 | | (10) one county government representative; and |
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56 | 50 | | (11) one representative of the Texas Department of |
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57 | 51 | | Insurance. |
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58 | 52 | | (d) The member described by Subsection (c)(1) of this |
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59 | 53 | | section is the presiding officer of the work group. |
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60 | 54 | | (e) A work group member is not entitled to compensation for |
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61 | 55 | | service on the work group or to reimbursement for any expenses |
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62 | 56 | | incurred in performing work group duties. |
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63 | 57 | | (f) The work group shall meet at least quarterly at the call |
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64 | 58 | | of the presiding officer. Work group meetings are subject to the |
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65 | 59 | | open meetings law, Chapter 551, Government Code, except that the |
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66 | 60 | | work group may meet by teleconference. |
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67 | 61 | | (g) The Health and Human Services Commission shall provide |
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68 | 62 | | administrative support for the work group. Funding for the |
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69 | 63 | | administrative and operational expenses of the work group shall be |
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70 | 64 | | provided from the commission's existing budget. The work group may |
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71 | 65 | | accept gifts, grants, and donations from any source to perform a |
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72 | 66 | | work group duty. |
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73 | 67 | | (h) The work group shall develop recommendations to |
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74 | 68 | | address: |
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75 | 69 | | (1) the difference in access to mental health care |
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76 | 70 | | services between: |
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77 | 71 | | (A) volunteer fire departments and small law |
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78 | 72 | | enforcement agencies, fire departments, and emergency medical |
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79 | 73 | | services providers; and |
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80 | 74 | | (B) large law enforcement agencies, fire |
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81 | 75 | | departments, and emergency medical services providers; |
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82 | 76 | | (2) potential solutions for state and local |
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83 | 77 | | governments to provide greater access to mental health care |
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84 | 78 | | services for first responders; |
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85 | 79 | | (3) the sufficiency of first responder organizations' |
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86 | 80 | | employee health insurance plans for obtaining access to mental |
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87 | 81 | | health care services for first responders; |
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88 | 82 | | (4) the sufficiency of first responder organizations' |
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89 | 83 | | human resources policies, including: |
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90 | 84 | | (A) whether guaranteed employment should be |
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91 | 85 | | offered for a first responder who self-reports a mental health |
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92 | 86 | | issue; |
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93 | 87 | | (B) the effectiveness of existing municipal |
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94 | 88 | | employee assistance programs for treating post-traumatic stress |
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95 | 89 | | disorder and whether those programs should be expanded; |
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96 | 90 | | (C) any policy modification necessary to improve |
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97 | 91 | | access to mental health care services for first responders; and |
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98 | 92 | | (D) the establishment of best practices for |
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99 | 93 | | municipalities, counties, and state agencies regarding legal |
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100 | 94 | | reporting duties for first responders anonymously seeking mental |
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101 | 95 | | health treatment; |
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102 | 96 | | (5) the effectiveness of workers' compensation and |
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103 | 97 | | other benefit claims for first responders, including determining: |
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104 | 98 | | (A) the process by which those claims for first |
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105 | 99 | | responders are handled and whether that process may be improved; |
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106 | 100 | | (B) the feasibility of requiring post-traumatic |
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107 | 101 | | stress disorder to be covered under workers' compensation for first |
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108 | 102 | | responders and if covered, the standards for diagnosing that |
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109 | 103 | | condition; |
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110 | 104 | | (C) the effectiveness of workers' compensation |
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111 | 105 | | benefits and related benefits under Chapter 607, Government Code, |
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112 | 106 | | and whether those benefits are excessively denied; |
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113 | 107 | | (D) the effectiveness of outsourcing workers' |
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114 | 108 | | compensation and other benefit claims to third parties; and |
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115 | 109 | | (E) methods for improving the appeals process for |
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116 | 110 | | workers' compensation and other benefit claims; |
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117 | 111 | | (6) the feasibility of mental health training during |
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118 | 112 | | the licensing or certification and renewal process for first |
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119 | 113 | | responders; |
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120 | 114 | | (7) the effectiveness of methods for assessing a first |
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121 | 115 | | responder's mental health care needs after a critical incident, |
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122 | 116 | | including determining: |
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123 | 117 | | (A) the feasibility of creating a standardized |
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124 | 118 | | post-critical incident checklist to assess a first responder's |
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125 | 119 | | mental health and of establishing minimum requirements for a first |
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126 | 120 | | responder to return to duty; and |
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127 | 121 | | (B) the effectiveness of critical incident |
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128 | 122 | | stress debriefing programs used by local governments in this state |
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129 | 123 | | and whether: |
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130 | 124 | | (i) those programs may be expanded |
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131 | 125 | | statewide; and |
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132 | 126 | | (ii) peer support may benefit those |
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133 | 127 | | programs; |
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134 | 128 | | (8) the opportunities for public-private partnerships |
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135 | 129 | | to provide mental health care services to first responders; and |
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136 | 130 | | (9) possible Texas-specific barriers, including |
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137 | 131 | | stigmas, for first responders seeking mental health care services. |
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138 | 132 | | (i) In developing the recommendations described by |
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139 | 133 | | Subsection (h) of this section, and for academic research related |
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140 | 134 | | to the recommendations, the work group may collaborate with the |
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141 | 135 | | Bill Blackwood Law Enforcement Management Institute of Texas at Sam |
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142 | 136 | | Houston State University, the College of Criminal Justice at Sam |
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143 | 137 | | Houston State University, or any other academic institution |
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144 | 138 | | considered necessary by the presiding officer of the work group. |
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145 | 139 | | (j) The work group shall develop a written report of the |
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146 | 140 | | work group's recommendations described by Subsection (h) of this |
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147 | 141 | | section. The work group shall electronically deliver the report to |
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148 | 142 | | the governor, the lieutenant governor, and all members of the |
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149 | 143 | | legislature not later than January 1, 2019. |
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150 | 144 | | (k) The work group is abolished and this Act expires June 1, |
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151 | 145 | | 2019. |
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152 | 146 | | SECTION 2. This Act takes effect September 1, 2017. |
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