Texas 2017 - 85th Regular

Texas House Bill HB3000 Compare Versions

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11 85R9041 GCB/LHC-D
22 By: Price H.B. No. 3000
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55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to the eligibility for medical assistance of certain
88 persons with mental illness confined in certain facilities, certain
99 duties of the Office of Court Administration of the Texas Judicial
1010 System related to persons with mental illness, and the creation of a
1111 grant program to reduce recidivism of persons with mental illness.
1212 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1313 SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
1414 is amended by adding Section 32.0266 to read as follows:
1515 Sec. 32.0266. SUSPENSION AND AUTOMATIC REINSTATEMENT OF
1616 ELIGIBILITY FOR CERTAIN INMATES. (a) In this section, "department"
1717 means the Texas Department of Criminal Justice.
1818 (b) The eligibility for medical assistance of an inmate in
1919 the custody of the department is suspended during the period of
2020 custody if the inmate is determined by a physician to be a person
2121 with mental illness.
2222 (c) An inmate whose eligibility for medical assistance is
2323 suspended under this section is automatically reinstated on the
2424 date the individual is released from the custody of the department.
2525 Following the reinstatement, the individual whose eligibility was
2626 suspended while an inmate in the custody of the department remains
2727 eligible until the expiration of the period of months for which the
2828 individual was certified as eligible, excluding the period during
2929 which the individual's eligibility was suspended.
3030 (d) The executive commissioner and the department by rule
3131 shall adopt a memorandum of understanding that establishes the
3232 respective responsibilities of the commission and the department to
3333 ensure the suspension and automatic reinstatement of the
3434 eligibility of an individual for medical assistance under this
3535 section. The memorandum of understanding must establish methods
3636 for:
3737 (1) identifying inmates in the custody of the
3838 department who have mental illness and who are eligible for medical
3939 assistance; and
4040 (2) coordinating the period of an inmate's
4141 incarceration with the period of the inmate's suspension of
4242 eligibility for medical assistance under this section to ensure
4343 suspension under this section begins on the date the department's
4444 custody of the individual begins, and reinstatement under this
4545 section occurs on the date the individual is released from the
4646 department's custody.
4747 SECTION 2. Subchapter C, Chapter 72, Government Code, is
4848 amended by adding Section 72.032 to read as follows:
4949 Sec. 72.032. BEST PRACTICES EDUCATION. The director shall
5050 make available to courts information concerning best practices for
5151 addressing the needs of persons with mental illness in the court
5252 system, including the use of the preferred terms and phrases
5353 provided by Section 392.002.
5454 SECTION 3. Chapter 121, Government Code, is amended by
5555 adding Section 121.003 to read as follows:
5656 Sec. 121.003. SPECIALTY COURTS REPORT. (a) In this
5757 section, "office" means the Office of Court Administration of the
5858 Texas Judicial System.
5959 (b) For the period beginning September 1, 2017, and ending
6060 September 1, 2018, the office shall collect information from
6161 specialty courts in this state regarding outcomes of participants
6262 in those specialty courts who are persons with mental illness,
6363 including recidivism rates of those participants, and other
6464 relevant information as determined by the office.
6565 (c) Not later than December 1, 2018, the office shall submit
6666 to the legislature a report containing and evaluating the
6767 information collected under Subsection (a).
6868 (d) This section expires September 1, 2019.
6969 SECTION 4. Subchapter B, Chapter 531, Government Code, is
7070 amended by adding Section 531.0993 to read as follows:
7171 Sec. 531.0993. GRANT PROGRAM TO REDUCE RECIDIVISM, ARREST,
7272 AND INCARCERATION AMONG INDIVIDUALS WITH MENTAL ILLNESS AND TO
7373 REDUCE WAIT TIME FOR FORENSIC COMMITMENT. (a) For purposes of this
7474 section, "low-income household" means a household with a total
7575 income at or below 200 percent of the federal poverty guideline.
7676 (b) The commission shall establish a program to award grants
7777 to county-based community collaboratives for the purposes of
7878 reducing:
7979 (1) recidivism by, the frequency of arrests of, and
8080 incarceration of persons with mental illness; and
8181 (2) the total waiting time for forensic commitment of
8282 persons with mental illness to a state hospital.
8383 (c) A community collaborative may petition the commission
8484 for a grant under the program only if the collaborative includes a
8585 county, a local mental health authority that operates in the
8686 county, and each hospital district, if any, located in the county.
8787 A community collaborative may include other local entities
8888 designated by the collaborative's members.
8989 (d) The commission shall condition each grant awarded to a
9090 community collaborative under this section on the collaborative
9191 providing matching funds from non-state sources in a total amount
9292 at least equal to the awarded grant amount. To raise matching
9393 funds, a collaborative may seek and receive gifts, grants, or
9494 donations from any person.
9595 (e) For each state fiscal year for which a community
9696 collaborative seeks a grant, the collaborative must submit a
9797 petition to the commission not later than the first day of that
9898 fiscal year. The community collaborative must include with a
9999 petition:
100100 (1) a statement indicating the amount of matching
101101 funds the collaborative is able to provide; and
102102 (2) a plan that:
103103 (A) is endorsed by each of the collaborative's
104104 member entities;
105105 (B) identifies a target population;
106106 (C) describes how the grant money and matching
107107 funds will be used;
108108 (D) includes outcome measures to evaluate the
109109 success of the plan; and
110110 (E) describes how the success of the plan in
111111 accordance with the outcome measures would further the state's
112112 interest in the grant program's purposes.
113113 (f) The commission must review and approve plans submitted
114114 with a petition under Subsection (e) before the commission awards a
115115 grant under this section. If the commission determines that a plan
116116 includes insufficient outcome measures, the commission may make the
117117 necessary changes to the plan to establish appropriate outcome
118118 measures. The commission may not make other changes to a plan.
119119 (g) For each petition timely submitted and containing the
120120 statement and plan required by Subsection (e), the commission shall
121121 estimate the number of cases of serious mental illness in
122122 low-income households located in the county included in the
123123 community collaborative that submitted the petition.
124124 (h) For each state fiscal year, the commission shall
125125 determine an amount of grant money available for the program on a
126126 per-case basis by dividing the total amount of money appropriated
127127 to the commission for the purpose of awarding grants under this
128128 section for that fiscal year by the total number of the cases
129129 estimated under Subsection (g) for all collaboratives to which the
130130 commission intends to award grants under this section.
131131 (i) The commission shall make available to a community
132132 collaborative awarded a grant under this section a grant in an
133133 amount equal to the lesser of:
134134 (1) the amount determined by multiplying the per-case
135135 amount determined under Subsection (h) by the number of cases of
136136 serious mental illness in low-income households estimated for that
137137 collaborative under Subsection (g); or
138138 (2) the collaborative's available matching funds.
139139 (j) Acceptable uses for the grant money and matching funds
140140 include:
141141 (1) the continuation of a mental health jail diversion
142142 program;
143143 (2) the establishment or expansion of a mental health
144144 jail diversion program;
145145 (3) the establishment of alternatives to competency
146146 restoration in a state hospital, including outpatient competency
147147 restoration, inpatient competency restoration in a setting other
148148 than a state hospital, or jail-based competency restoration;
149149 (4) the provision of assertive community treatment or
150150 forensic assertive community treatment with an outreach component;
151151 (5) the provision of intensive mental health services
152152 and substance abuse treatment not readily available in the county;
153153 (6) the provision of continuity of care services for
154154 an individual being released from a state hospital;
155155 (7) the establishment of interdisciplinary rapid
156156 response teams to reduce law enforcement's involvement with mental
157157 health emergencies; and
158158 (8) the provision of local community hospital, crisis,
159159 respite, or residential beds.
160160 (k) Not later than the 90th day after the last day of the
161161 state fiscal year for which the commission distributes a grant
162162 under this section, each community collaborative that receives a
163163 grant shall prepare and submit a report describing the effect of the
164164 grant money and matching funds in achieving the standard defined by
165165 the outcome measures in the plan submitted under Subsection (e).
166166 (l) The commission may make inspections of the operation and
167167 provision of mental health services provided by a community
168168 collaborative to ensure state money appropriated for the grant
169169 program is used effectively.
170170 SECTION 5. The changes in law made by this Act apply to an
171171 individual who is released from a facility or other setting
172172 described by Section 32.0266, Human Resources Code, as added by
173173 this Act, on or after the effective date of this Act, regardless of
174174 the date the individual was:
175175 (1) confined in a facility or other setting described
176176 by Section 32.0266, Human Resources Code, as added by this Act; or
177177 (2) determined eligible for medical assistance under
178178 Chapter 32, Human Resources Code.
179179 SECTION 6. If before implementing any provision of Section
180180 32.0266, Human Resources Code, as added by this Act, a state agency
181181 determines that a waiver or authorization from a federal agency is
182182 necessary for implementation of that provision, the agency affected
183183 by the provision shall request the waiver or authorization and may
184184 delay implementing that provision until the waiver or authorization
185185 is granted.
186186 SECTION 7. This Act takes effect September 1, 2017.