Texas 2019 - 86th Regular

Texas House Bill HB1448 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	86R8538 JG-F
2	2	By: Zerwas H.B. No. 1448
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the creation of the Texas Mental Health Care
8	8	Consortium.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Subtitle E, Title 2, Health and Safety Code, is
11	11	amended by adding Chapter 113 to read as follows:
12	12	CHAPTER 113. TEXAS MENTAL HEALTH CARE CONSORTIUM
13	13	SUBCHAPTER A. GENERAL PROVISIONS
14	14	Sec. 113.0001. DEFINITIONS. In this chapter:
15	15	(1) "Community mental health provider" means an entity
16	16	that provides mental health care services at a local level. The
17	17	term includes community centers established under Subchapter A,
18	18	Chapter 534.
19	19	(2) "Consortium" means the Texas Mental Health Care
20	20	Consortium.
21	21	(3) "Executive committee" means the executive
22	22	committee of the consortium.
23	23	SUBCHAPTER B. CONSORTIUM
24	24	Sec. 113.0051. ESTABLISHMENT; PURPOSE. The Texas Mental
25	25	Health Care Consortium is established to:
26	26	(1) leverage the expertise and capacity in the
27	27	health-related institutions of higher education listed in Section
28	28	113.0052 to address urgent mental health challenges and improve the
29	29	mental health care system in this state;
30	30	(2) enhance the state's ability to address mental
31	31	health care needs through stronger collaboration and institutional
32	32	alignment of the health-related institutions of higher education
33	33	listed in Section 113.0052;
34	34	(3) improve the effectiveness and efficiency of mental
35	35	health care services delivered in this state;
36	36	(4) facilitate access to mental health care services
37	37	through telemedicine and other cost-effective, evidence-based
38	38	programs;
39	39	(5) improve mental health and substance use disorder
40	40	research efforts conducted by institutions of higher education; and
41	41	(6) improve and expand the behavioral health workforce
42	42	through training and development opportunities between the
43	43	health-related institutions of higher education listed in Section
44	44	113.0052 and community mental health providers.
45	45	Sec. 113.0052. COMPOSITION. The consortium is composed of:
46	46	(1) the following health-related institutions of
47	47	higher education:
48	48	(A) Baylor College of Medicine;
49	49	(B) The Texas A&M University System Health
50	50	Science Center;
51	51	(C) Texas Tech University Health Sciences
52	52	Center;
53	53	(D) Texas Tech University Health Sciences Center
54	54	at El Paso;
55	55	(E) University of North Texas Health Science
56	56	Center at Fort Worth;
57	57	(F) Dell Medical School at The University of
58	58	Texas at Austin;
59	59	(G) The University of Texas Medical Branch at
60	60	Galveston;
61	61	(H) The University of Texas Health Science Center
62	62	at Houston;
63	63	(I) The University of Texas Health Science Center
64	64	at San Antonio;
65	65	(J) The University of Texas Rio Grande Valley
66	66	School of Medicine;
67	67	(K) The University of Texas Health Science Center
68	68	at Tyler; and
69	69	(L) The University of Texas Southwestern Medical
70	70	Center;
71	71	(2) the commission;
72	72	(3) not fewer than three nonprofit organizations that
73	73	focus on mental health care; and
74	74	(4) any other entity that the executive committee
75	75	considers necessary.
76	76	Sec. 113.0053. ADMINISTRATIVE ATTACHMENT. (a) The
77	77	consortium is administratively attached to the Texas Higher
78	78	Education Coordinating Board for the purpose of receiving and
79	79	administering appropriations and other funds under this chapter.
80	80	The board is not responsible for providing to the consortium staff
81	81	human resources, contract monitoring, purchasing, or any other
82	82	administrative support services.
83	83	(b) The Texas Higher Education Coordinating Board may not
84	84	use funds intended to carry out the purposes of this chapter for any
85	85	costs incurred by the board under this chapter.
86	86	SUBCHAPTER C. EXECUTIVE COMMITTEE
87	87	Sec. 113.0101. EXECUTIVE COMMITTEE COMPOSITION. The
88	88	consortium is governed by an executive committee composed of the
89	89	following members:
90	90	(1) the chair of the academic department of psychiatry
91	91	of each of the health-related institutions of higher education
92	92	listed in Section 113.0052;
93	93	(2) a representative of the commission with expertise
94	94	in the delivery of mental health care services, appointed by the
95	95	executive commissioner;
96	96	(3) a representative of the commission with expertise
97	97	in mental health facilities, appointed by the executive
98	98	commissioner;
99	99	(4) a representative of an organization that
100	100	represents the interests of community centers established under
101	101	Subchapter A, Chapter 534, designated by a majority of the members
102	102	described by Subdivision (1);
103	103	(5) a representative of each nonprofit organization
104	104	described by Section 113.0052 that is part of the consortium,
105	105	designated by a majority of the members described by Subdivision
106	106	(1); and
107	107	(6) any other representative designated by a majority
108	108	of the members described by Subdivision (1) at the request of the
109	109	executive committee.
110	110	Sec. 113.0102. PRESIDING OFFICER. The executive committee
111	111	shall elect a presiding officer from among the membership of the
112	112	executive committee.
113	113	Sec. 113.0103. MEETINGS. The executive committee shall
114	114	meet at the call of the presiding officer.
115	115	Sec. 113.0104. VACANCY. A vacancy on the executive
116	116	committee shall be filled in the same manner as the original
117	117	appointment.
118	118	Sec. 113.0105. GIFTS, GRANTS, AND DONATIONS. The executive
119	119	committee may accept on behalf of the consortium gifts, grants, or
120	120	donations from any public or private source for the purpose of
121	121	carrying out this chapter.
122	122	SUBCHAPTER D. POWERS AND DUTIES
123	123	Sec. 113.0151. GENERAL DUTIES. (a) The executive
124	124	committee shall:
125	125	(1) coordinate the provision of grants or other
126	126	funding to the health-related institutions of higher education
127	127	listed in Section 113.0052 to carry out the purposes of this
128	128	chapter;
129	129	(2) establish procedures and policies for the
130	130	administration of funds under this chapter;
131	131	(3) monitor contracts and other agreements entered
132	132	into under this chapter to ensure recipients of grants or other
133	133	funding comply with the terms and conditions of those contracts or
134	134	agreements; and
135	135	(4) establish procedures to document compliance by
136	136	executive committee members and staff with applicable laws
137	137	governing conflicts of interest.
138	138	(b) In carrying out the duties under Subsection (a), the
139	139	consortium shall ensure that evidence-based tools, including
140	140	telemedicine, are used to help expand the delivery of mental health
141	141	care services.
142	142	(c) The consortium shall designate a member of the executive
143	143	committee to work in liaison with the statewide behavioral health
144	144	coordinating council.
145	145	Sec. 113.0152. COMPREHENSIVE CHILD PSYCHIATRY ACCESS
146	146	CENTERS. (a) The consortium shall establish a network of
147	147	comprehensive child psychiatry access centers at the
148	148	health-related institutions of higher education listed in Section
149	149	113.0052.
150	150	(b) A center established under Subsection (a) shall
151	151	collaborate with community mental health providers to better care
152	152	for children and youth with behavioral health needs by:
153	153	(1) providing consultation services and training
154	154	opportunities for pediatricians and primary care providers
155	155	operating in the center's geographic region; and
156	156	(2) establishing or expanding a telemedicine or
157	157	telehealth program for identifying and assessing behavioral health
158	158	needs and providing access to mental health care services.
159	159	(c) A center established under Subsection (a) may enter into
160	160	a memorandum of understanding with a community mental health
161	161	provider to carry out this section.
162	162	Sec. 113.0153. MENTAL HEALTH RESEARCH PLAN. The consortium
163	163	shall:
164	164	(1) develop and implement a mental health research
165	165	plan to advance the research component of the statewide behavioral
166	166	health strategic plan;
167	167	(2) create an aggregated inventory of mental health
168	168	and substance use disorder research completed by institutions of
169	169	higher education in this state; and
170	170	(3) coordinate mental health and substance use
171	171	disorder research efforts by the health-related institutions of
172	172	higher education listed in Section 113.0052 to ensure those
173	173	institutions engage in effective and targeted research to leverage
174	174	additional funding.
175	175	Sec. 113.0154. BEHAVIORAL HEALTH WORKFORCE EXPANSION
176	176	PROJECT. (a) The consortium shall enhance collaboration between
177	177	the health-related institutions of higher education listed in
178	178	Section 113.0052 and community mental health providers to increase
179	179	psychiatric residency training and improve the quality of care for
180	180	persons receiving mental health care services in this state.
181	181	(b) The executive committee may provide grants or other
182	182	funding to the academic department of psychiatry at a
183	183	health-related institution of higher education listed in Section
184	184	113.0052 for the purpose of funding:
185	185	(1) one full-time psychiatrist to serve as academic
186	186	medical director for a community mental health provider; and
187	187	(2) two resident positions.
188	188	(c) An academic medical director described by Subsection
189	189	(b) shall collaborate and coordinate with community mental health
190	190	providers to expand the amount and availability of mental health
191	191	care resources by:
192	192	(1) developing training opportunities for residents
193	193	and medical students; and
194	194	(2) promoting the use of telemedicine or other
195	195	evidence-based tools to provide comprehensive mental health care
196	196	services to a greater population.
197	197	(d) An institution of higher education that receives grants
198	198	or other funding under Subsection (b) shall include in its
199	199	curriculum a requirement that psychiatric residents and medical
200	200	students participate in rotations through a facility operated by
201	201	community mental health providers.
202	202	Sec. 113.0155. REIMBURSEMENT FOR SERVICES. A person may
203	203	not be reimbursed by the consortium for providing mental health
204	204	care services under this chapter if the person is reimbursed under
205	205	Medicaid or another program operated by the commission for
206	206	providing those services.
207	207	Sec. 113.0156. ANNUAL REPORT. Not later than July 31 of
208	208	each year, the consortium shall submit to the governor, the
209	209	lieutenant governor, the speaker of the house of representatives,
210	210	and the standing committee of each house of the legislature with
211	211	primary jurisdiction over behavioral health issues and post on its
212	212	Internet website a written report that outlines:
213	213	(1) the activities and objectives of the consortium;
214	214	(2) the health-related institutions of higher
215	215	education listed in Section 113.0052 awarded grants or other
216	216	funding by the executive committee;
217	217	(3) any prospective grants or funding the consortium
218	218	expects to receive; and
219	219	(4) any research accomplishments associated with the
220	220	consortium.
221	221	SUBCHAPTER E. MISCELLANEOUS PROVISIONS
222	222	Sec. 113.0201. JUDICIAL INSTRUCTION REGARDING MENTAL
223	223	HEALTH CARE RESOURCES. The Supreme Court of Texas and the Texas
224	224	Court of Criminal Appeals, in consultation with the consortium,
225	225	shall develop a training program to educate and inform designated
226	226	judges and their staff on mental health care resources available
227	227	within the geographic region in which the designated judges
228	228	preside. The Supreme Court of Texas and the Texas Court of Criminal
229	229	Appeals may develop and operate the training program in conjunction
230	230	with any other training programs.
231	231	SECTION 2. As soon as practicable after the effective date
232	232	of this Act, the executive commissioner of the Health and Human
233	233	Services Commission and the members of the executive committee
234	234	described by Section 113.0101(1), Health and Safety Code, as added
235	235	by this Act, shall make the appointments and designations required
236	236	by Section 113.0101, Health and Safety Code, as added by this Act.
237	237	SECTION 3. This Act takes effect immediately if it receives
238	238	a vote of two-thirds of all the members elected to each house, as
239	239	provided by Section 39, Article III, Texas Constitution. If this
240	240	Act does not receive the vote necessary for immediate effect, this
241	241	Act takes effect September 1, 2019.