1 | 1 | | 85R9041 GCB/LHC-D |
---|
2 | 2 | | By: Price H.B. No. 3000 |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | A BILL TO BE ENTITLED |
---|
6 | 6 | | AN ACT |
---|
7 | 7 | | relating to the eligibility for medical assistance of certain |
---|
8 | 8 | | persons with mental illness confined in certain facilities, certain |
---|
9 | 9 | | duties of the Office of Court Administration of the Texas Judicial |
---|
10 | 10 | | System related to persons with mental illness, and the creation of a |
---|
11 | 11 | | grant program to reduce recidivism of persons with mental illness. |
---|
12 | 12 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
13 | 13 | | SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
---|
14 | 14 | | is amended by adding Section 32.0266 to read as follows: |
---|
15 | 15 | | Sec. 32.0266. SUSPENSION AND AUTOMATIC REINSTATEMENT OF |
---|
16 | 16 | | ELIGIBILITY FOR CERTAIN INMATES. (a) In this section, "department" |
---|
17 | 17 | | means the Texas Department of Criminal Justice. |
---|
18 | 18 | | (b) The eligibility for medical assistance of an inmate in |
---|
19 | 19 | | the custody of the department is suspended during the period of |
---|
20 | 20 | | custody if the inmate is determined by a physician to be a person |
---|
21 | 21 | | with mental illness. |
---|
22 | 22 | | (c) An inmate whose eligibility for medical assistance is |
---|
23 | 23 | | suspended under this section is automatically reinstated on the |
---|
24 | 24 | | date the individual is released from the custody of the department. |
---|
25 | 25 | | Following the reinstatement, the individual whose eligibility was |
---|
26 | 26 | | suspended while an inmate in the custody of the department remains |
---|
27 | 27 | | eligible until the expiration of the period of months for which the |
---|
28 | 28 | | individual was certified as eligible, excluding the period during |
---|
29 | 29 | | which the individual's eligibility was suspended. |
---|
30 | 30 | | (d) The executive commissioner and the department by rule |
---|
31 | 31 | | shall adopt a memorandum of understanding that establishes the |
---|
32 | 32 | | respective responsibilities of the commission and the department to |
---|
33 | 33 | | ensure the suspension and automatic reinstatement of the |
---|
34 | 34 | | eligibility of an individual for medical assistance under this |
---|
35 | 35 | | section. The memorandum of understanding must establish methods |
---|
36 | 36 | | for: |
---|
37 | 37 | | (1) identifying inmates in the custody of the |
---|
38 | 38 | | department who have mental illness and who are eligible for medical |
---|
39 | 39 | | assistance; and |
---|
40 | 40 | | (2) coordinating the period of an inmate's |
---|
41 | 41 | | incarceration with the period of the inmate's suspension of |
---|
42 | 42 | | eligibility for medical assistance under this section to ensure |
---|
43 | 43 | | suspension under this section begins on the date the department's |
---|
44 | 44 | | custody of the individual begins, and reinstatement under this |
---|
45 | 45 | | section occurs on the date the individual is released from the |
---|
46 | 46 | | department's custody. |
---|
47 | 47 | | SECTION 2. Subchapter C, Chapter 72, Government Code, is |
---|
48 | 48 | | amended by adding Section 72.032 to read as follows: |
---|
49 | 49 | | Sec. 72.032. BEST PRACTICES EDUCATION. The director shall |
---|
50 | 50 | | make available to courts information concerning best practices for |
---|
51 | 51 | | addressing the needs of persons with mental illness in the court |
---|
52 | 52 | | system, including the use of the preferred terms and phrases |
---|
53 | 53 | | provided by Section 392.002. |
---|
54 | 54 | | SECTION 3. Chapter 121, Government Code, is amended by |
---|
55 | 55 | | adding Section 121.003 to read as follows: |
---|
56 | 56 | | Sec. 121.003. SPECIALTY COURTS REPORT. (a) In this |
---|
57 | 57 | | section, "office" means the Office of Court Administration of the |
---|
58 | 58 | | Texas Judicial System. |
---|
59 | 59 | | (b) For the period beginning September 1, 2017, and ending |
---|
60 | 60 | | September 1, 2018, the office shall collect information from |
---|
61 | 61 | | specialty courts in this state regarding outcomes of participants |
---|
62 | 62 | | in those specialty courts who are persons with mental illness, |
---|
63 | 63 | | including recidivism rates of those participants, and other |
---|
64 | 64 | | relevant information as determined by the office. |
---|
65 | 65 | | (c) Not later than December 1, 2018, the office shall submit |
---|
66 | 66 | | to the legislature a report containing and evaluating the |
---|
67 | 67 | | information collected under Subsection (a). |
---|
68 | 68 | | (d) This section expires September 1, 2019. |
---|
69 | 69 | | SECTION 4. Subchapter B, Chapter 531, Government Code, is |
---|
70 | 70 | | amended by adding Section 531.0993 to read as follows: |
---|
71 | 71 | | Sec. 531.0993. GRANT PROGRAM TO REDUCE RECIDIVISM, ARREST, |
---|
72 | 72 | | AND INCARCERATION AMONG INDIVIDUALS WITH MENTAL ILLNESS AND TO |
---|
73 | 73 | | REDUCE WAIT TIME FOR FORENSIC COMMITMENT. (a) For purposes of this |
---|
74 | 74 | | section, "low-income household" means a household with a total |
---|
75 | 75 | | income at or below 200 percent of the federal poverty guideline. |
---|
76 | 76 | | (b) The commission shall establish a program to award grants |
---|
77 | 77 | | to county-based community collaboratives for the purposes of |
---|
78 | 78 | | reducing: |
---|
79 | 79 | | (1) recidivism by, the frequency of arrests of, and |
---|
80 | 80 | | incarceration of persons with mental illness; and |
---|
81 | 81 | | (2) the total waiting time for forensic commitment of |
---|
82 | 82 | | persons with mental illness to a state hospital. |
---|
83 | 83 | | (c) A community collaborative may petition the commission |
---|
84 | 84 | | for a grant under the program only if the collaborative includes a |
---|
85 | 85 | | county, a local mental health authority that operates in the |
---|
86 | 86 | | county, and each hospital district, if any, located in the county. |
---|
87 | 87 | | A community collaborative may include other local entities |
---|
88 | 88 | | designated by the collaborative's members. |
---|
89 | 89 | | (d) The commission shall condition each grant awarded to a |
---|
90 | 90 | | community collaborative under this section on the collaborative |
---|
91 | 91 | | providing matching funds from non-state sources in a total amount |
---|
92 | 92 | | at least equal to the awarded grant amount. To raise matching |
---|
93 | 93 | | funds, a collaborative may seek and receive gifts, grants, or |
---|
94 | 94 | | donations from any person. |
---|
95 | 95 | | (e) For each state fiscal year for which a community |
---|
96 | 96 | | collaborative seeks a grant, the collaborative must submit a |
---|
97 | 97 | | petition to the commission not later than the first day of that |
---|
98 | 98 | | fiscal year. The community collaborative must include with a |
---|
99 | 99 | | petition: |
---|
100 | 100 | | (1) a statement indicating the amount of matching |
---|
101 | 101 | | funds the collaborative is able to provide; and |
---|
102 | 102 | | (2) a plan that: |
---|
103 | 103 | | (A) is endorsed by each of the collaborative's |
---|
104 | 104 | | member entities; |
---|
105 | 105 | | (B) identifies a target population; |
---|
106 | 106 | | (C) describes how the grant money and matching |
---|
107 | 107 | | funds will be used; |
---|
108 | 108 | | (D) includes outcome measures to evaluate the |
---|
109 | 109 | | success of the plan; and |
---|
110 | 110 | | (E) describes how the success of the plan in |
---|
111 | 111 | | accordance with the outcome measures would further the state's |
---|
112 | 112 | | interest in the grant program's purposes. |
---|
113 | 113 | | (f) The commission must review and approve plans submitted |
---|
114 | 114 | | with a petition under Subsection (e) before the commission awards a |
---|
115 | 115 | | grant under this section. If the commission determines that a plan |
---|
116 | 116 | | includes insufficient outcome measures, the commission may make the |
---|
117 | 117 | | necessary changes to the plan to establish appropriate outcome |
---|
118 | 118 | | measures. The commission may not make other changes to a plan. |
---|
119 | 119 | | (g) For each petition timely submitted and containing the |
---|
120 | 120 | | statement and plan required by Subsection (e), the commission shall |
---|
121 | 121 | | estimate the number of cases of serious mental illness in |
---|
122 | 122 | | low-income households located in the county included in the |
---|
123 | 123 | | community collaborative that submitted the petition. |
---|
124 | 124 | | (h) For each state fiscal year, the commission shall |
---|
125 | 125 | | determine an amount of grant money available for the program on a |
---|
126 | 126 | | per-case basis by dividing the total amount of money appropriated |
---|
127 | 127 | | to the commission for the purpose of awarding grants under this |
---|
128 | 128 | | section for that fiscal year by the total number of the cases |
---|
129 | 129 | | estimated under Subsection (g) for all collaboratives to which the |
---|
130 | 130 | | commission intends to award grants under this section. |
---|
131 | 131 | | (i) The commission shall make available to a community |
---|
132 | 132 | | collaborative awarded a grant under this section a grant in an |
---|
133 | 133 | | amount equal to the lesser of: |
---|
134 | 134 | | (1) the amount determined by multiplying the per-case |
---|
135 | 135 | | amount determined under Subsection (h) by the number of cases of |
---|
136 | 136 | | serious mental illness in low-income households estimated for that |
---|
137 | 137 | | collaborative under Subsection (g); or |
---|
138 | 138 | | (2) the collaborative's available matching funds. |
---|
139 | 139 | | (j) Acceptable uses for the grant money and matching funds |
---|
140 | 140 | | include: |
---|
141 | 141 | | (1) the continuation of a mental health jail diversion |
---|
142 | 142 | | program; |
---|
143 | 143 | | (2) the establishment or expansion of a mental health |
---|
144 | 144 | | jail diversion program; |
---|
145 | 145 | | (3) the establishment of alternatives to competency |
---|
146 | 146 | | restoration in a state hospital, including outpatient competency |
---|
147 | 147 | | restoration, inpatient competency restoration in a setting other |
---|
148 | 148 | | than a state hospital, or jail-based competency restoration; |
---|
149 | 149 | | (4) the provision of assertive community treatment or |
---|
150 | 150 | | forensic assertive community treatment with an outreach component; |
---|
151 | 151 | | (5) the provision of intensive mental health services |
---|
152 | 152 | | and substance abuse treatment not readily available in the county; |
---|
153 | 153 | | (6) the provision of continuity of care services for |
---|
154 | 154 | | an individual being released from a state hospital; |
---|
155 | 155 | | (7) the establishment of interdisciplinary rapid |
---|
156 | 156 | | response teams to reduce law enforcement's involvement with mental |
---|
157 | 157 | | health emergencies; and |
---|
158 | 158 | | (8) the provision of local community hospital, crisis, |
---|
159 | 159 | | respite, or residential beds. |
---|
160 | 160 | | (k) Not later than the 90th day after the last day of the |
---|
161 | 161 | | state fiscal year for which the commission distributes a grant |
---|
162 | 162 | | under this section, each community collaborative that receives a |
---|
163 | 163 | | grant shall prepare and submit a report describing the effect of the |
---|
164 | 164 | | grant money and matching funds in achieving the standard defined by |
---|
165 | 165 | | the outcome measures in the plan submitted under Subsection (e). |
---|
166 | 166 | | (l) The commission may make inspections of the operation and |
---|
167 | 167 | | provision of mental health services provided by a community |
---|
168 | 168 | | collaborative to ensure state money appropriated for the grant |
---|
169 | 169 | | program is used effectively. |
---|
170 | 170 | | SECTION 5. The changes in law made by this Act apply to an |
---|
171 | 171 | | individual who is released from a facility or other setting |
---|
172 | 172 | | described by Section 32.0266, Human Resources Code, as added by |
---|
173 | 173 | | this Act, on or after the effective date of this Act, regardless of |
---|
174 | 174 | | the date the individual was: |
---|
175 | 175 | | (1) confined in a facility or other setting described |
---|
176 | 176 | | by Section 32.0266, Human Resources Code, as added by this Act; or |
---|
177 | 177 | | (2) determined eligible for medical assistance under |
---|
178 | 178 | | Chapter 32, Human Resources Code. |
---|
179 | 179 | | SECTION 6. If before implementing any provision of Section |
---|
180 | 180 | | 32.0266, Human Resources Code, as added by this Act, a state agency |
---|
181 | 181 | | determines that a waiver or authorization from a federal agency is |
---|
182 | 182 | | necessary for implementation of that provision, the agency affected |
---|
183 | 183 | | by the provision shall request the waiver or authorization and may |
---|
184 | 184 | | delay implementing that provision until the waiver or authorization |
---|
185 | 185 | | is granted. |
---|
186 | 186 | | SECTION 7. This Act takes effect September 1, 2017. |
---|