1 | 1 | | 85R4892 MK-D |
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2 | 2 | | By: Thompson of Harris H.B. No. 914 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the administration of services provided by the |
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8 | 8 | | Department of Family and Protective Services, including foster |
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9 | 9 | | care, child protective, and prevention and early intervention |
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10 | 10 | | services. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Subchapter A, Chapter 261, Family Code, is |
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13 | 13 | | amended by adding Section 261.004 to read as follows: |
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14 | 14 | | Sec. 261.004. TRACKING OF RECURRENCE OF CHILD ABUSE OR |
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15 | 15 | | NEGLECT REPORTS. The department shall collect, compile, and |
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16 | 16 | | monitor data regarding repeated reports of abuse or neglect |
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17 | 17 | | involving the same child or by the same alleged perpetrator. In |
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18 | 18 | | compiling reports under this section, the department shall group |
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19 | 19 | | together separate reports involving different children residing in |
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20 | 20 | | the same household. |
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21 | 21 | | SECTION 2. Section 264.1075, Family Code, is amended by |
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22 | 22 | | adding Subsection (c) to read as follows: |
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23 | 23 | | (c) The department shall collaborate with a managed care |
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24 | 24 | | organization that contracts to provide STAR Health program benefits |
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25 | 25 | | to develop and implement an assessment tool for a caseworker to use |
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26 | 26 | | in triaging a child's medical and behavioral health care needs not |
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27 | 27 | | later than the fifth day after the date the child is removed from |
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28 | 28 | | the child's home. The results of the assessment must be used to |
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29 | 29 | | identify whether a child has high medical or behavioral health care |
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30 | 30 | | needs and to expedite delivery of appropriate services for the |
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31 | 31 | | child. |
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32 | 32 | | SECTION 3. (a) Subchapter B, Chapter 264, Family Code, is |
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33 | 33 | | amended by adding Sections 264.1261, 264.128, and 264.129 to read |
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34 | 34 | | as follows: |
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35 | 35 | | Sec. 264.1261. FOSTER CARE CAPACITY NEEDS PLAN. (a) In |
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36 | 36 | | this section, "catchment area" has the meaning assigned by Section |
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37 | 37 | | 264.151. |
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38 | 38 | | (b) Appropriate department management from a child |
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39 | 39 | | protective services region that includes a catchment area, in |
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40 | 40 | | collaboration with foster care providers, faith-based entities, |
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41 | 41 | | and child advocates in that catchment area, shall use data |
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42 | 42 | | collected by the department on foster care capacity needs and |
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43 | 43 | | availability of each type of foster care placement in the catchment |
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44 | 44 | | area to create a plan to address the foster care capacity needs in |
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45 | 45 | | the catchment area. The plan must identify both short-term and |
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46 | 46 | | long-term goals and strategies for addressing those capacity needs. |
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47 | 47 | | (c) A foster care capacity needs plan developed under |
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48 | 48 | | Subsection (b) must be: |
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49 | 49 | | (1) submitted to, and approved by, the department; and |
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50 | 50 | | (2) updated annually. |
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51 | 51 | | (d) The department shall publish each initial foster care |
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52 | 52 | | capacity needs plan and each annual update to a plan on the |
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53 | 53 | | department's Internet website. |
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54 | 54 | | Sec. 264.128. PILOT PROGRAM FOR INTEGRATED CASE MANAGEMENT |
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55 | 55 | | FOR CERTAIN CHILDREN. (a) The department shall develop and |
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56 | 56 | | implement in one child protective services region of the state a |
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57 | 57 | | pilot program under which the commission contracts with a nonprofit |
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58 | 58 | | entity that has an organizational mission focused on child welfare |
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59 | 59 | | to serve as a single service provider to provide integrated case |
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60 | 60 | | management services for children in foster care in that region who |
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61 | 61 | | have the most severe medical and behavioral health care needs. The |
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62 | 62 | | contract must require the single service provider to coordinate the |
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63 | 63 | | activities of all other providers of medical, placement, and |
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64 | 64 | | behavioral health case management services for a child described by |
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65 | 65 | | this subsection to ensure that all services are used effectively |
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66 | 66 | | without duplication for the purpose of achieving a quality outcome. |
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67 | 67 | | (b) The executive commissioner shall set a payment rate for |
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68 | 68 | | the contracted single service provider that is separate from |
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69 | 69 | | standard foster care payment amounts provided under this chapter. |
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70 | 70 | | (c) The contract with the single service provider must |
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71 | 71 | | include performance-based provisions that require the provider to |
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72 | 72 | | achieve the following outcomes: |
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73 | 73 | | (1) an increase in child safety, placement stability, |
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74 | 74 | | and permanency; |
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75 | 75 | | (2) a decrease in placements at residential treatment |
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76 | 76 | | centers and in length of stay for a child placed at a residential |
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77 | 77 | | treatment center; and |
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78 | 78 | | (3) a decrease in inpatient psychiatric placements and |
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79 | 79 | | in length of stay for a child receiving inpatient psychiatric |
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80 | 80 | | treatment. |
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81 | 81 | | (d) Not later than December 31, 2018, the department shall |
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82 | 82 | | report to the appropriate standing committees of the legislature |
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83 | 83 | | having jurisdiction over child protective services and foster care |
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84 | 84 | | matters on the progress of the pilot program. The report must |
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85 | 85 | | include: |
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86 | 86 | | (1) an evaluation of the single service provider's |
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87 | 87 | | success in achieving the outcomes described by Subsection (c); and |
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88 | 88 | | (2) a recommendation as to whether the pilot program |
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89 | 89 | | should be continued, expanded, or terminated. |
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90 | 90 | | (e) This section expires December 31, 2019. |
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91 | 91 | | Sec. 264.129. SINGLE CHILD PLAN OF SERVICE INITIATIVE. (a) |
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92 | 92 | | In this section, "foster care redesign" has the meaning assigned by |
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93 | 93 | | Section 264.151. |
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94 | 94 | | (b) In regions of the state where foster care redesign has |
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95 | 95 | | not been implemented, the department shall: |
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96 | 96 | | (1) collaborate with child-placing agencies to |
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97 | 97 | | implement the single child plan of service model developed under |
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98 | 98 | | the single child plan of service initiative; and |
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99 | 99 | | (2) ensure that a single child plan of service is |
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100 | 100 | | developed for each child in foster care in those regions. |
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101 | 101 | | (b) Notwithstanding Section 264.129(b), Family Code, as |
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102 | 102 | | added by this section, the Department of Family and Protective |
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103 | 103 | | Services shall develop and implement a single child plan of service |
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104 | 104 | | for each child in foster care in a region of the state described by |
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105 | 105 | | that section not later than December 1, 2017. |
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106 | 106 | | SECTION 4. (a) Chapter 264, Family Code, is amended by |
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107 | 107 | | adding Subchapter B-1 to read as follows: |
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108 | 108 | | SUBCHAPTER B-1. FOSTER CARE REDESIGN |
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109 | 109 | | Sec. 264.151. DEFINITIONS. In this subchapter: |
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110 | 110 | | (1) "Catchment area" means a geographic service area |
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111 | 111 | | for providing child protective services that is identified as part |
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112 | 112 | | of foster care redesign. |
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113 | 113 | | (2) "Foster care redesign" means the foster care |
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114 | 114 | | redesign required by Chapter 598 (S.B. 218), Acts of the 82nd |
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115 | 115 | | Legislature, Regular Session, 2011. |
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116 | 116 | | Sec. 264.153. READINESS REVIEW PROCESS FOR FOSTER CARE |
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117 | 117 | | REDESIGN CONTRACTOR. (a) The department shall develop a formal |
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118 | 118 | | review process to assess the ability of a single source continuum |
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119 | 119 | | contractor to satisfy the responsibilities and administrative |
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120 | 120 | | requirements of delivering foster care services, including the |
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121 | 121 | | contractor's ability to provide: |
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122 | 122 | | (1) high-quality case management services; |
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123 | 123 | | (2) evidence-based or promising practice services and |
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124 | 124 | | supports for children and families; and |
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125 | 125 | | (3) sufficient available capacity for inpatient and |
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126 | 126 | | outpatient services and supports for children. |
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127 | 127 | | (b) The department must develop the review process under |
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128 | 128 | | Subsection (a) before the department may expand foster care |
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129 | 129 | | redesign outside of the initial catchment areas where foster care |
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130 | 130 | | redesign has been implemented. |
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131 | 131 | | (c) If after conducting the review process developed under |
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132 | 132 | | Subsection (a) the department determines that a single source |
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133 | 133 | | continuum contractor is able to adequately deliver foster care |
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134 | 134 | | services in advance of the projected readiness date stated in the |
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135 | 135 | | foster care redesign timeline developed under Section |
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136 | 136 | | 264.152(a)(2), the department may adjust the timeline to allow for |
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137 | 137 | | an earlier transition of service delivery to the contractor. |
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138 | 138 | | Sec. 264.154. QUALIFICATIONS OF SINGLE SOURCE CONTINUUM |
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139 | 139 | | CONTRACTOR. To be eligible to enter into a contract with the |
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140 | 140 | | commission to serve as a single source continuum contractor to |
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141 | 141 | | provide foster care service delivery, an entity must be a nonprofit |
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142 | 142 | | entity that has an organizational mission focused on child welfare. |
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143 | 143 | | Sec. 264.155. TRANSFER OF CASE MANAGEMENT SERVICES TO |
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144 | 144 | | SINGLE SOURCE CONTINUUM CONTRACTOR. (a) In each initial catchment |
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145 | 145 | | area where foster care redesign has been implemented, the |
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146 | 146 | | department shall transfer to the single source continuum contractor |
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147 | 147 | | providing foster care services in that area: |
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148 | 148 | | (1) the case management of children and families |
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149 | 149 | | receiving services from that contractor; and |
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150 | 150 | | (2) family reunification support services to be |
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151 | 151 | | provided for six months after a child receiving services from the |
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152 | 152 | | contractor is returned to the child's family. |
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153 | 153 | | (b) The commission shall include a provision in a contract |
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154 | 154 | | with a single source continuum contractor to provide foster care |
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155 | 155 | | services in a catchment area to which foster care redesign is |
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156 | 156 | | expanded after September 1, 2017, that requires the transfer to the |
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157 | 157 | | contractor of the provision of: |
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158 | 158 | | (1) high-quality case management services for |
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159 | 159 | | children and families receiving services from the contractor in the |
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160 | 160 | | catchment area where the contractor will be operating; and |
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161 | 161 | | (2) family reunification support services to be |
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162 | 162 | | provided for six months after a child receiving services from the |
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163 | 163 | | contractor is returned to the child's family. |
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164 | 164 | | Sec. 264.156. PILOT PROGRAM FOR FAMILY-BASED SAFETY |
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165 | 165 | | SERVICES AND CASE MANAGEMENT. (a) The department shall develop and |
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166 | 166 | | implement in two child protective services regions of the state a |
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167 | 167 | | pilot program under which the commission contracts with a single |
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168 | 168 | | nonprofit entity that has an organizational mission focused on |
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169 | 169 | | child welfare in each region to provide family-based safety |
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170 | 170 | | services and case management for children and families receiving |
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171 | 171 | | family-based safety services. The contract must include a |
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172 | 172 | | transition plan for the provision of services that ensures the |
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173 | 173 | | continuity of services for children and families in the selected |
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174 | 174 | | regions. |
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175 | 175 | | (b) The contract with an entity must include |
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176 | 176 | | performance-based provisions that require the entity to achieve the |
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177 | 177 | | following outcomes for families receiving services from the entity: |
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178 | 178 | | (1) a decrease in recidivism; and |
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179 | 179 | | (2) an increase in home safety factors. |
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180 | 180 | | (c) The commission may only contract for implementation of |
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181 | 181 | | the pilot program with entities that the department considers to |
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182 | 182 | | have the capacity to provide, either directly or through |
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183 | 183 | | subcontractors, an array of evidence-based services and support |
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184 | 184 | | programs to children and families in the selected child protective |
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185 | 185 | | services regions. |
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186 | 186 | | (d) Not later than December 31, 2018, the department shall |
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187 | 187 | | report to the appropriate standing committees of the legislature |
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188 | 188 | | having jurisdiction over child protective services and foster care |
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189 | 189 | | matters on the progress of the pilot program. The report must |
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190 | 190 | | include: |
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191 | 191 | | (1) an evaluation of each contracted entity's success |
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192 | 192 | | in achieving the outcomes described by Subsection (b); and |
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193 | 193 | | (2) a recommendation as to whether the pilot program |
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194 | 194 | | should be continued, expanded, or terminated. |
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195 | 195 | | (e) This section expires December 31, 2019. |
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196 | 196 | | (b) Section 264.126, Family Code, is transferred to |
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197 | 197 | | Subchapter B-1, Chapter 264, Family Code, as added by this section, |
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198 | 198 | | redesignated as Section 264.152, Family Code, and amended to read |
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199 | 199 | | as follows: |
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200 | 200 | | Sec. 264.152 [264.126]. REDESIGN IMPLEMENTATION PLAN. |
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201 | 201 | | (a) The department shall develop and maintain a plan for |
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202 | 202 | | implementing [the] foster care redesign [required by Chapter 598 |
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203 | 203 | | (S.B. 218), Acts of the 82nd Legislature, Regular Session, 2011]. |
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204 | 204 | | The plan must: |
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205 | 205 | | (1) describe the department's expectations, goals, and |
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206 | 206 | | approach to implementing foster care redesign; |
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207 | 207 | | (2) include a timeline for implementing the foster |
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208 | 208 | | care redesign throughout this state, any limitations related to the |
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209 | 209 | | implementation, and a progressive intervention plan and a |
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210 | 210 | | contingency plan to provide continuity of foster care service |
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211 | 211 | | delivery if a contract with a single source continuum contractor |
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212 | 212 | | ends prematurely; |
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213 | 213 | | (3) delineate and define the case management roles and |
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214 | 214 | | responsibilities of the department and the department's |
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215 | 215 | | contractors and the duties, employees, and related funding that |
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216 | 216 | | will be transferred to the contractor by the department; |
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217 | 217 | | (4) identify any training needs and include long-range |
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218 | 218 | | and continuous plans for training and cross-training staff; |
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219 | 219 | | (5) include a plan for evaluating the costs and tasks |
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220 | 220 | | associated with each contract procurement, including the initial |
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221 | 221 | | and ongoing contract costs for the department and contractor; |
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222 | 222 | | (6) include the department's contract monitoring |
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223 | 223 | | approach and a plan for evaluating the performance of each |
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224 | 224 | | contractor and the foster care redesign system as a whole that |
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225 | 225 | | includes an independent evaluation of processes and outcomes; and |
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226 | 226 | | (7) include a report on transition issues resulting |
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227 | 227 | | from implementation of the foster care redesign. |
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228 | 228 | | (b) The department shall annually: |
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229 | 229 | | (1) update the implementation plan developed under |
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230 | 230 | | this section and post the updated plan on the department's Internet |
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231 | 231 | | website; and |
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232 | 232 | | (2) post on the department's Internet website the |
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233 | 233 | | progress the department has made toward its goals for implementing |
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234 | 234 | | the foster care redesign. |
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235 | 235 | | (c) Section 264.154, Family Code, as added by this section, |
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236 | 236 | | applies only to a contract entered into with a single source |
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237 | 237 | | continuum contractor on or after the effective date of this |
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238 | 238 | | section. |
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239 | 239 | | SECTION 5. Subchapter A, Chapter 265, Family Code, is |
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240 | 240 | | amended by adding Sections 265.0041 and 265.0042 to read as |
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241 | 241 | | follows: |
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242 | 242 | | Sec. 265.0041. GEOGRAPHIC RISK MAPPING FOR PREVENTION AND |
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243 | 243 | | EARLY INTERVENTION SERVICES. (a) The department shall use |
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244 | 244 | | existing risk terrain modeling systems, predictive analytics, or |
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245 | 245 | | geographic risk assessments to: |
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246 | 246 | | (1) identify geographic areas that have high risk |
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247 | 247 | | indicators of child maltreatment and child fatalities resulting |
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248 | 248 | | from abuse or neglect; and |
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249 | 249 | | (2) target the implementation and use of prevention |
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250 | 250 | | and early intervention services to those geographic areas. |
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251 | 251 | | (b) The department may not use data gathered under this |
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252 | 252 | | section to identify a specific family or individual. |
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253 | 253 | | Sec. 265.0042. COLLABORATION WITH INSTITUTIONS OF HIGHER |
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254 | 254 | | EDUCATION. (a) The Health and Human Services Commission, on behalf |
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255 | 255 | | of the department, shall enter into agreements with institutions of |
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256 | 256 | | higher education to conduct efficacy reviews of any prevention and |
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257 | 257 | | early intervention programs that have not previously been evaluated |
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258 | 258 | | for effectiveness through a scientific research evaluation |
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259 | 259 | | process. |
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260 | 260 | | (b) The department shall collaborate with an institution of |
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261 | 261 | | higher education to create and track indicators of child well-being |
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262 | 262 | | to determine the effectiveness of prevention and early intervention |
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263 | 263 | | services. |
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264 | 264 | | SECTION 6. Section 265.005(b), Family Code, is amended to |
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265 | 265 | | read as follows: |
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266 | 266 | | (b) A strategic plan required under this section must: |
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267 | 267 | | (1) identify methods to leverage other sources of |
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268 | 268 | | funding or provide support for existing community-based prevention |
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269 | 269 | | efforts; |
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270 | 270 | | (2) include a needs assessment that identifies |
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271 | 271 | | programs to best target the needs of the highest risk populations |
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272 | 272 | | and geographic areas; |
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273 | 273 | | (3) identify the goals and priorities for the |
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274 | 274 | | department's overall prevention efforts; |
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275 | 275 | | (4) report the results of previous prevention efforts |
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276 | 276 | | using available information in the plan; |
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277 | 277 | | (5) identify additional methods of measuring program |
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278 | 278 | | effectiveness and results or outcomes; |
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279 | 279 | | (6) identify methods to collaborate with other state |
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280 | 280 | | agencies on prevention efforts; [and] |
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281 | 281 | | (7) identify specific strategies to implement the plan |
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282 | 282 | | and to develop measures for reporting on the overall progress |
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283 | 283 | | toward the plan's goals; and |
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284 | 284 | | (8) identify specific strategies to increase local |
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285 | 285 | | capacity for the delivery of prevention and early intervention |
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286 | 286 | | services through collaboration with communities and stakeholders. |
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287 | 287 | | SECTION 7. (a) Section 531.02013, Government Code, is |
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288 | 288 | | amended to read as follows: |
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289 | 289 | | Sec. 531.02013. FUNCTIONS REMAINING WITH CERTAIN |
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290 | 290 | | AGENCIES. The following functions are not subject to transfer |
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291 | 291 | | under Sections 531.0201 and 531.02011: |
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292 | 292 | | (1) the functions of the Department of Family and |
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293 | 293 | | Protective Services, including the statewide intake of reports and |
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294 | 294 | | other information, related to the following: |
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295 | 295 | | (A) child protective services, including |
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296 | 296 | | services that are required by federal law to be provided by this |
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297 | 297 | | state's child welfare agency; |
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298 | 298 | | (B) adult protective services, other than |
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299 | 299 | | investigations of the alleged abuse, neglect, or exploitation of an |
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300 | 300 | | elderly person or person with a disability: |
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301 | 301 | | (i) in a facility operated, or in a facility |
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302 | 302 | | or by a person licensed, certified, or registered, by a state |
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303 | 303 | | agency; or |
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304 | 304 | | (ii) by a provider that has contracted to |
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305 | 305 | | provide home and community-based services; [and] |
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306 | 306 | | (C) prevention and early intervention services; |
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307 | 307 | | and |
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308 | 308 | | (D) investigations of alleged abuse or neglect |
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309 | 309 | | occurring at a child-care facility, including a residential |
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310 | 310 | | child-care facility, as those terms are defined by Section 42.002, |
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311 | 311 | | Human Resources Code; and |
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312 | 312 | | (2) the public health functions of the Department of |
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313 | 313 | | State Health Services, including health care data collection and |
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314 | 314 | | maintenance of the Texas Health Care Information Collection |
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315 | 315 | | program. |
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316 | 316 | | (b) Notwithstanding any provision of Subchapter A-1, |
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317 | 317 | | Chapter 531, Government Code, or any other law, the responsibility |
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318 | 318 | | for conducting investigations of reports of abuse or neglect |
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319 | 319 | | occurring at a child-care facility, including a residential |
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320 | 320 | | child-care facility, as those terms are defined by Section 42.002, |
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321 | 321 | | Human Resources Code, may not be transferred to the Health and Human |
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322 | 322 | | Services Commission and remains the responsibility of the |
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323 | 323 | | Department of Family and Protective Services. |
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324 | 324 | | (c) As soon as possible after the effective date of this |
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325 | 325 | | section, the commissioner of the Department of Family and |
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326 | 326 | | Protective Services shall transfer the responsibility for |
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327 | 327 | | conducting investigations of reports of abuse or neglect occurring |
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328 | 328 | | at a child-care facility, including a residential child-care |
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329 | 329 | | facility, as those terms are defined by Section 42.002, Human |
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330 | 330 | | Resources Code, to the child protective services division of the |
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331 | 331 | | department. The commissioner shall transfer appropriate |
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332 | 332 | | investigators and staff as necessary to implement this section. |
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333 | 333 | | (d) This section takes effect immediately if this Act |
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334 | 334 | | receives a vote of two-thirds of all the members of each house, as |
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335 | 335 | | provided by Section 39, Article III, Texas Constitution. If this |
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336 | 336 | | Act does not receive the vote necessary for this section to take |
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337 | 337 | | immediate effect, this section takes effect on the 91st day after |
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338 | 338 | | the last day of the legislative session. |
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339 | 339 | | SECTION 8. (a) Subchapter A, Chapter 533, Government Code, |
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340 | 340 | | is amended by adding Section 533.0054 to read as follows: |
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341 | 341 | | Sec. 533.0054. HEALTH SCREENING REQUIREMENTS FOR ENROLLEE |
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342 | 342 | | UNDER STAR HEALTH PROGRAM. (a) A managed care organization that |
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343 | 343 | | contracts with the commission to provide health care services to |
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344 | 344 | | recipients under the STAR Health program must ensure that at least |
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345 | 345 | | 90 percent of the managed care organization's STAR Health program |
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346 | 346 | | enrollees receive a complete early and periodic screening, |
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347 | 347 | | diagnosis, and treatment checkup not later than the 30th day after |
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348 | 348 | | the date the enrollee is removed from the enrollee's home and placed |
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349 | 349 | | in the conservatorship of the Department of Family and Protective |
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350 | 350 | | Services. |
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351 | 351 | | (b) The commission shall include a provision in a contract |
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352 | 352 | | with a managed care organization to provide health care services to |
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353 | 353 | | recipients under the STAR Health program specifying monetary |
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354 | 354 | | penalties for the organization's failure to comply with Subsection |
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355 | 355 | | (a). The penalties must be in amounts that are proportional to the |
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356 | 356 | | number of percentage points by which the organization fails to |
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357 | 357 | | comply with the percentage required by Subsection (a). |
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358 | 358 | | (b) The Health and Human Services Commission shall, in a |
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359 | 359 | | contract for the provision of health care services under the STAR |
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360 | 360 | | Health program between the commission and a managed care |
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361 | 361 | | organization under Chapter 533, Government Code, that is entered |
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362 | 362 | | into or renewed on or after the effective date of this section, |
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363 | 363 | | require that the managed care organization comply with Section |
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364 | 364 | | 533.0054, Government Code, as added by this section. |
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365 | 365 | | (c) The Health and Human Services Commission shall seek to |
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366 | 366 | | amend contracts for the provision of health care services under the |
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367 | 367 | | STAR Health program entered into with managed care organizations |
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368 | 368 | | under Chapter 533, Government Code, before the effective date of |
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369 | 369 | | this section to require those managed care organizations to comply |
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370 | 370 | | with Section 533.0054, Government Code, as added by this section. |
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371 | 371 | | To the extent of a conflict between Section 533.0054, Government |
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372 | 372 | | Code, as added by this section, and a provision of a contract with a |
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373 | 373 | | managed care organization entered into before the effective date of |
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374 | 374 | | this section, the contract provision prevails. |
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375 | 375 | | (d) The Health and Human Services Commission may not impose |
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376 | 376 | | a monetary penalty for noncompliance with a contract provision |
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377 | 377 | | described by Section 533.0054(b), Government Code, as added by this |
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378 | 378 | | section, until September 1, 2018. |
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379 | 379 | | (e) If before implementing Section 533.0054, Government |
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380 | 380 | | Code, as added by this section, the Health and Human Services |
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381 | 381 | | Commission determines that a waiver or authorization from a federal |
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382 | 382 | | agency is necessary for implementation of that provision, the |
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383 | 383 | | agency affected by the provision shall request the waiver or |
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384 | 384 | | authorization and may delay implementing that provision until the |
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385 | 385 | | waiver or authorization is granted. |
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386 | 386 | | SECTION 9. Subchapter B, Chapter 40, Human Resources Code, |
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387 | 387 | | is amended by adding Sections 40.039 and 40.040 to read as follows: |
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388 | 388 | | Sec. 40.039. REVIEW OF RECORDS RETENTION POLICY. The |
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389 | 389 | | department shall periodically review the department's records |
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390 | 390 | | retention policy with respect to case and intake records relating |
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391 | 391 | | to department functions. The department shall make changes to the |
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392 | 392 | | policy consistent with the records retention schedule submitted |
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393 | 393 | | under Section 441.185, Government Code, that are necessary to |
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394 | 394 | | improve case prioritization and the routing of cases to the |
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395 | 395 | | appropriate division of the department. |
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396 | 396 | | Sec. 40.040. FOSTER CARE SERVICES VENDOR QUALITY OVERSIGHT |
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397 | 397 | | AND ASSURANCE DIVISION; MONITORING OF CONTRACT ADHERENCE. (a) In |
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398 | 398 | | this section, "foster care redesign" has the meaning assigned by |
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399 | 399 | | Section 264.151, Family Code. |
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400 | 400 | | (b) The department shall create within the department the |
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401 | 401 | | foster care services vendor quality oversight and assurance |
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402 | 402 | | division. The division shall: |
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403 | 403 | | (1) oversee quality and ensure accountability of any |
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404 | 404 | | vendor that provides foster care and full case management services |
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405 | 405 | | for the department under foster care redesign; and |
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406 | 406 | | (2) monitor the transfer from the department to a |
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407 | 407 | | vendor of full case management services for children and families |
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408 | 408 | | receiving services from the vendor, including any transfer |
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409 | 409 | | occurring under a pilot program. |
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410 | 410 | | (c) The commission shall contract with an independent |
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411 | 411 | | verification and validation vendor to develop, in coordination with |
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412 | 412 | | the department, standards for the continuous monitoring of the |
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413 | 413 | | adherence of a vendor providing foster care services under foster |
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414 | 414 | | care redesign to the terms of the contract entered into by the |
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415 | 415 | | vendor and the commission. The standards must include performance |
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416 | 416 | | benchmarks relating to the provision of case management services in |
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417 | 417 | | the catchment area where the vendor operates. |
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418 | 418 | | SECTION 10. (a) Section 40.058(f), Human Resources Code, |
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419 | 419 | | is amended to read as follows: |
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420 | 420 | | (f) A contract for residential child-care services provided |
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421 | 421 | | by a general residential operation or by a child-placing agency |
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422 | 422 | | must include provisions that: |
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423 | 423 | | (1) enable the department and commission to monitor |
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424 | 424 | | the effectiveness of the services; |
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425 | 425 | | (2) specify performance outcomes, financial penalties |
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426 | 426 | | for failing to meet any specified performance outcomes, and |
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427 | 427 | | financial incentives for exceeding any specified performance |
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428 | 428 | | outcomes; |
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429 | 429 | | (3) authorize the department or commission to |
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430 | 430 | | terminate the contract or impose monetary sanctions for a violation |
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431 | 431 | | of a provision of the contract that specifies performance criteria |
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432 | 432 | | or for underperformance in meeting any specified performance |
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433 | 433 | | outcomes; |
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434 | 434 | | (4) authorize the department or commission, an agent |
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435 | 435 | | of the department or commission, and the state auditor to inspect |
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436 | 436 | | all books, records, and files maintained by a contractor relating |
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437 | 437 | | to the contract; and |
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438 | 438 | | (5) are necessary, as determined by the department or |
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439 | 439 | | commission, to ensure accountability for the delivery of services |
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440 | 440 | | and for the expenditure of public funds. |
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441 | 441 | | (b) The Health and Human Services Commission shall, in a |
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442 | 442 | | contract for residential child-care services between the |
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443 | 443 | | commission and a general residential operation or child-placing |
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444 | 444 | | agency that is entered into on or after the effective date of this |
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445 | 445 | | section, including a renewal contract, include the provisions |
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446 | 446 | | required by Section 40.058(f), Human Resources Code, as amended by |
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447 | 447 | | this section. |
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448 | 448 | | (c) The Health and Human Services Commission shall seek to |
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449 | 449 | | amend contracts for residential child-care services entered into |
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450 | 450 | | with general residential operations or child-placing agencies |
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451 | 451 | | before the effective date of this section to include the provisions |
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452 | 452 | | required by Section 40.058(f), Human Resources Code, as amended by |
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453 | 453 | | this section. |
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454 | 454 | | (d) The Department of Family and Protective Services and the |
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455 | 455 | | Health and Human Services Commission may not impose a financial |
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456 | 456 | | penalty against a general residential operation or child-placing |
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457 | 457 | | agency under a contract provision described by Section |
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458 | 458 | | 40.058(f)(2), Human Resources Code, as amended by this section, |
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459 | 459 | | until September 1, 2018. |
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460 | 460 | | SECTION 11. (a) Subchapter C, Chapter 40, Human Resources |
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461 | 461 | | Code, is amended by adding Section 40.0581 to read as follows: |
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462 | 462 | | Sec. 40.0581. PERFORMANCE MEASURES FOR CERTAIN SERVICE |
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463 | 463 | | PROVIDER CONTRACTS. (a) The commission shall contract with a |
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464 | 464 | | vendor or enter into an agreement with an institution of higher |
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465 | 465 | | education to develop, in coordination with the department, |
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466 | 466 | | performance quality metrics for family-based safety services and |
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467 | 467 | | post-adoption support services providers. The quality metrics must |
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468 | 468 | | be included in each contract with those providers. |
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469 | 469 | | (b) Each provider whose contract with the commission to |
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470 | 470 | | provide department services includes the quality metrics developed |
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471 | 471 | | under Subsection (a) must prepare and submit to the department a |
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472 | 472 | | report each calendar quarter regarding the provider's performance |
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473 | 473 | | based on the quality metrics. |
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474 | 474 | | (c) The department shall distribute each report prepared by |
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475 | 475 | | a family-based safety services provider as required by Subsection |
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476 | 476 | | (b) to appropriate family-based safety services caseworkers and |
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477 | 477 | | child protective services region management. |
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478 | 478 | | (d) The department shall distribute each report prepared by |
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479 | 479 | | a post-adoption support services provider as required by Subsection |
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480 | 480 | | (b) to appropriate conservatorship and adoption caseworkers and |
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481 | 481 | | child protective services region management. |
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482 | 482 | | (e) This section does not apply to a provider that has |
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483 | 483 | | entered into a contract with the commission to provide family-based |
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484 | 484 | | safety services under Section 264.156, Family Code. This |
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485 | 485 | | subsection expires on the date Section 264.156, Family Code, |
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486 | 486 | | expires. |
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487 | 487 | | (b) The quality metrics required by Section 40.0581, Human |
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488 | 488 | | Resources Code, as added by this section, must be developed not |
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489 | 489 | | later than September 1, 2018, and included in any contract, |
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490 | 490 | | including a renewal contract, entered into by the Health and Human |
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491 | 491 | | Services Commission with a family-based safety services provider or |
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492 | 492 | | a post-adoption support services provider on or after January 1, |
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493 | 493 | | 2019, except as provided by Section 40.0581(e), Human Resources |
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494 | 494 | | Code, as added by this section. |
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495 | 495 | | SECTION 12. (a) Subchapter C, Chapter 42, Human Resources |
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496 | 496 | | Code, is amended by adding Section 42.0432 to read as follows: |
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497 | 497 | | Sec. 42.0432. HEALTH SCREENING REQUIREMENTS FOR CHILD |
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498 | 498 | | PLACED WITH CHILD-PLACING AGENCY. (a) A child-placing agency that |
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499 | 499 | | contracts with the department to provide services must ensure that |
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500 | 500 | | at least 90 percent of the children that are in the managing |
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501 | 501 | | conservatorship of the department and are placed with the |
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502 | 502 | | child-placing agency receive a complete early and periodic |
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503 | 503 | | screening, diagnosis, and treatment checkup not later than the 30th |
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504 | 504 | | day after the date the child is placed with the child-placing |
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505 | 505 | | agency. |
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506 | 506 | | (b) The commission shall include a provision in a contract |
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507 | 507 | | with a child-placing agency specifying monetary penalties for the |
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508 | 508 | | child-placing agency's failure to comply with Subsection (a). The |
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509 | 509 | | penalties must be in amounts that are proportional to the number of |
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510 | 510 | | percentage points by which the child-placing agency fails to comply |
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511 | 511 | | with the percentage required by Subsection (a). |
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512 | 512 | | (b) A child-placing agency that contracts to provide |
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513 | 513 | | services for the Department of Family and Protective Services must |
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514 | 514 | | comply with the requirements of Section 42.0432, Human Resources |
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515 | 515 | | Code, as added by this section, not later than August 31, 2018. The |
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516 | 516 | | department and the Health and Human Services Commission may not |
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517 | 517 | | impose a monetary penalty for noncompliance with a contract |
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518 | 518 | | provision described by that section until September 1, 2018. |
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519 | 519 | | SECTION 13. Except as otherwise provided by this Act, this |
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520 | 520 | | Act takes effect September 1, 2017. |
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