6 | 4 | | AN ACT |
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7 | 5 | | relating to reports on the consolidation and certain functions of |
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8 | 6 | | the health and human services system, including advisory committees |
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9 | 7 | | within the system, and the re-creation of the Texas system of care |
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10 | 8 | | framework. |
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11 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 10 | | SECTION 1. Section 531.0051(c), Government Code, is amended |
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13 | 11 | | to read as follows: |
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14 | 12 | | (c) The council is composed of: |
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15 | 13 | | (1) the executive commissioner; |
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16 | 14 | | (2) the director of each division established by the |
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17 | 15 | | executive commissioner under Section 531.008(c); |
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18 | 16 | | (3) the commissioner of a health and human services |
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19 | 17 | | agency; [and] |
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20 | 18 | | (4) the commissioner of the Department of Family and |
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21 | 19 | | Protective Services, regardless of whether that agency continues as |
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22 | 20 | | a state agency separate from the commission; and |
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23 | 21 | | (5) other individuals appointed by the executive |
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24 | 22 | | commissioner as the executive commissioner determines necessary. |
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25 | 23 | | SECTION 2. Sections 531.02031(a) and (b), Government Code, |
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26 | 24 | | are amended to read as follows: |
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27 | 25 | | (a) Not later than July 31 [September 1], 2018, the |
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28 | 26 | | executive commissioner shall conduct a study and submit a report |
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29 | 27 | | and recommendations [recommendation] to the Health and Human |
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30 | 28 | | Services Transition Legislative Oversight Committee that include: |
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31 | 29 | | (1) a recommendation regarding the need to continue |
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32 | 30 | | the Department of Family and Protective Services as a state agency |
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33 | 31 | | separate from the commission, unless a determination on the |
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34 | 32 | | continuation is made before that date; |
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35 | 33 | | (2) a recommendation regarding the need to continue |
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36 | 34 | | [and] the Department of State Health Services as a state agency |
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37 | 35 | | [agencies] separate from the commission; |
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38 | 36 | | (3) an assessment of the quality and consistency of |
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39 | 37 | | data sharing, communication, and coordination between the |
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40 | 38 | | Department of Family and Protective Services and the commission; |
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41 | 39 | | and |
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42 | 40 | | (4) an assessment of any known or potential conflicts |
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43 | 41 | | of interest concerning licensing and regulation activities by the |
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44 | 42 | | Department of Family and Protective Services or the commission, |
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45 | 43 | | including the process by which known conflicts of interest are |
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46 | 44 | | mitigated or managed by those agencies. |
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47 | 45 | | (b) Not later than December 1, 2018, the Health and Human |
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48 | 46 | | Services Transition Legislative Oversight Committee shall review |
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49 | 47 | | the report and recommendations [recommendation] submitted under |
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50 | 48 | | Subsection (a) and submit a report and recommendations |
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51 | 49 | | [recommendation] to the legislature that include: |
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52 | 50 | | (1) a recommendation regarding the need to continue |
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53 | 51 | | the Department of Family and Protective Services as a state agency |
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54 | 52 | | separate from the commission, unless a determination on the |
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55 | 53 | | continuation is made before that date; |
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56 | 54 | | (2) a recommendation regarding the need to continue |
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57 | 55 | | [and] the Department of State Health Services as a state agency |
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58 | 56 | | [agencies] separate from the commission; and |
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59 | 57 | | (3) an assessment of and any necessary recommendations |
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60 | 58 | | concerning data sharing, communication, and coordination between |
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61 | 59 | | the Department of Family and Protective Services and the |
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62 | 60 | | commission. |
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63 | 61 | | SECTION 3. Section 531.251, Government Code, is reenacted |
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64 | 62 | | to read as follows: |
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65 | 63 | | Sec. 531.251. TEXAS SYSTEM OF CARE FRAMEWORK. (a) In this |
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66 | 64 | | section: |
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67 | 65 | | (1) "Minor" means an individual younger than 18 years |
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68 | 66 | | of age. |
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69 | 67 | | (2) "Serious emotional disturbance" means a mental, |
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70 | 68 | | behavioral, or emotional disorder of sufficient duration to result |
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71 | 69 | | in functional impairment that substantially interferes with or |
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72 | 70 | | limits a person's role or ability to function in family, school, or |
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73 | 71 | | community activities. |
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74 | 72 | | (3) "System of care framework" means a framework for |
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75 | 73 | | collaboration among state agencies, minors who have a serious |
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76 | 74 | | emotional disturbance or are at risk of developing a serious |
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77 | 75 | | emotional disturbance, and the families of those minors that |
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78 | 76 | | improves access to services and delivers effective community-based |
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79 | 77 | | services that are family-driven, youth- or young adult-guided, and |
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80 | 78 | | culturally and linguistically competent. |
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81 | 79 | | (b) The commission shall implement a system of care |
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82 | 80 | | framework to develop local mental health systems of care in |
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83 | 81 | | communities for minors who are receiving residential mental health |
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84 | 82 | | services and supports or inpatient mental health hospitalization, |
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85 | 83 | | have or are at risk of developing a serious emotional disturbance, |
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86 | 84 | | or are at risk of being removed from the minor's home and placed in a |
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87 | 85 | | more restrictive environment to receive mental health services and |
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88 | 86 | | supports, including an inpatient mental health hospital, a |
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89 | 87 | | residential treatment facility, or a facility or program operated |
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90 | 88 | | by the Department of Family and Protective Services or an agency |
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91 | 89 | | that is part of the juvenile justice system. |
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92 | 90 | | (c) The commission shall: |
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93 | 91 | | (1) maintain a comprehensive plan for the delivery of |
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94 | 92 | | mental health services and supports to a minor and a minor's family |
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95 | 93 | | using a system of care framework, including best practices in the |
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96 | 94 | | financing, administration, governance, and delivery of those |
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97 | 95 | | services; |
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98 | 96 | | (2) enter memoranda of understanding with the |
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99 | 97 | | Department of State Health Services, the Department of Family and |
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100 | 98 | | Protective Services, the Texas Education Agency, the Texas Juvenile |
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101 | 99 | | Justice Department, and the Texas Correctional Office on Offenders |
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102 | 100 | | with Medical or Mental Impairments that specify the roles and |
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103 | 101 | | responsibilities of each agency in implementing the comprehensive |
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104 | 102 | | plan described by Subdivision (1); |
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105 | 103 | | (3) identify appropriate local, state, and federal |
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106 | 104 | | funding sources to finance infrastructure and mental health |
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107 | 105 | | services and supports needed to support state and local system of |
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108 | 106 | | care framework efforts; |
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109 | 107 | | (4) develop an evaluation system to measure |
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110 | 108 | | cross-system performance and outcomes of state and local system of |
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111 | 109 | | care framework efforts; and |
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112 | 110 | | (5) in implementing the provisions of this section, |
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113 | 111 | | consult with stakeholders, including: |
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114 | 112 | | (A) minors who have or are at risk of developing a |
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115 | 113 | | serious emotional disturbance or young adults who received mental |
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116 | 114 | | health services and supports as a minor with or at risk of |
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117 | 115 | | developing a serious emotional disturbance; and |
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118 | 116 | | (B) family members of those minors or young |
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119 | 117 | | adults. |
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120 | 118 | | SECTION 4. Not later than July 31, 2018, the executive |
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121 | 119 | | commissioner of the Health and Human Services Commission shall |
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122 | 120 | | submit to the Health and Human Services Transition Legislative |
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123 | 121 | | Oversight Committee the report required by Section 531.02031(a), |
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124 | 122 | | Government Code, as amended by this Act. The report must also |
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125 | 123 | | include: |
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126 | 124 | | (1) the latest information available on the |
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127 | 125 | | commission's progress in transferring and consolidating the |
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128 | 126 | | administrative support services functions of the health and human |
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129 | 127 | | services system as mandated by Subchapter A-1, Chapter 531, |
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130 | 128 | | Government Code; and |
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131 | 129 | | (2) recommendations on: |
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132 | 130 | | (A) whether to abolish each statutory advisory |
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133 | 131 | | committee that considers issues related to the health and human |
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134 | 132 | | services system; and |
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135 | 133 | | (B) for an advisory committee for which |
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136 | 134 | | abolishment is recommended, whether to reestablish the advisory |
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137 | 135 | | committee by rule, consolidate the advisory committee with another |
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138 | 136 | | advisory committee, or permanently discontinue the advisory |
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139 | 137 | | committee in any form. |
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140 | 138 | | SECTION 5. This Act takes effect immediately if it receives |
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141 | 139 | | a vote of two-thirds of all the members elected to each house, as |
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142 | 140 | | provided by Section 39, Article III, Texas Constitution. If this |
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143 | 141 | | Act does not receive the vote necessary for immediate effect, this |
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144 | 142 | | Act takes effect September 1, 2017. |
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