Texas 2019 - 86th Regular

Texas House Bill HB1669 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	By: Lucio III (Senate Sponsor - Lucio) H.B. No. 1669
2		-	(In the Senate - Received from the House April 24, 2019;
3		-	April 29, 2019, read first time and referred to Committee on Health &
4		-	Human Services; May 19, 2019, reported adversely, with favorable
5		-	Committee Substitute by the following vote: Yeas 9, Nays 0;
6		-	May 19, 2019, sent to printer.)
7		-	Click here to see the committee vote
8		-	COMMITTEE SUBSTITUTE FOR H.B. No. 1669 By: Perry
	1	+	86R7287 JG-D
	2	+	By: Lucio III H.B. No. 1669
9	3
10	4
11	5		A BILL TO BE ENTITLED
12	6		AN ACT
13		-	relating to increasing and improving the mental health and
14		-	substance use disorder workforce in this state and increasing the
15		-	capacity of local mental health authorities to provide access to
16		-	mental health services in certain counties.
	7	+	relating to a comprehensive plan for increasing and improving the
	8	+	workforce in this state that serves persons with mental health and
	9	+	substance use issues.
17	10		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
18	11		SECTION 1. Subchapter B, Chapter 531, Government Code, is
19		-	amended by adding Sections 531.0221 and 531.02253 to read as
20		-	follows:
21		-	Sec. 531.0221. INITIATIVE TO INCREASE MENTAL HEALTH
22		-	SERVICES CAPACITY IN RURAL AREAS. (a) In this section, "local
23		-	mental health authority group" means a group of local mental health
24		-	authorities established under Subsection (b)(2).
25		-	(b) Not later than January 1, 2020, the commission, using
26		-	existing resources, shall:
27		-	(1) identify each local mental health authority that
28		-	is located in a county with a population of 250,000 or less or that
29		-	the commission determines provides services predominantly in a
30		-	county with a population of 250,000 or less;
31		-	(2) in a manner that the commission determines will
32		-	best achieve the reductions described by Subsection (d), assign the
33		-	authorities identified under Subdivision (1) to regional groups of
34		-	at least two authorities; and
35		-	(3) notify each authority identified under
36		-	Subdivision (1):
37		-	(A) that the commission has identified the
38		-	authority under that subdivision; and
39		-	(B) which local mental health authority group the
40		-	commission assigned the authority to under Subdivision (2).
41		-	(c) The commission, using existing resources, shall develop
42		-	a mental health services development plan for each local mental
43		-	health authority group that will increase the capacity of the
44		-	authorities in the group to provide access to needed services.
45		-	(d) In developing a plan under Subsection (c), the
46		-	commission shall focus on reducing:
47		-	(1) the cost to local governments of providing
48		-	services to persons experiencing a mental health crisis;
49		-	(2) the transportation of persons served by an
50		-	authority in the local mental health authority group to mental
51		-	health facilities;
52		-	(3) the incarceration of persons with mental illness
53		-	in county jails that are located in an area served by an authority
54		-	in the local mental health authority group; and
55		-	(4) the number of hospital emergency room visits by
56		-	persons with mental illness at hospitals located in an area served
57		-	by an authority in the local mental health authority group.
58		-	(e) In developing a plan under Subsection (c):
59		-	(1) the commission shall assess the capacity of the
60		-	authorities in the local mental health authority group to provide
61		-	access to needed services; and
62		-	(2) the commission and the local mental health
63		-	authority group shall evaluate:
64		-	(A) whether and to what degree increasing the
65		-	capacity of the authorities in the local mental health authority
66		-	group to provide access to needed services would offset the cost to
67		-	state or local governmental entities of:
68		-	(i) the transportation of persons for
69		-	mental health services to facilities that are not local providers;
70		-	(ii) admissions to and inpatient
71		-	hospitalizations at state hospitals or other treatment facilities;
72		-	(iii) the provision of services by hospital
73		-	emergency rooms to persons with mental illness who are served by or
74		-	reside in an area served by an authority in the local mental health
75		-	authority group; and
76		-	(iv) the incarceration in county jails of
77		-	persons with mental illness who are served by or reside in an area
78		-	served by an authority in the local mental health authority group;
79		-	(B) whether available state funds or grant
80		-	funding sources could be used to fund the plan; and
81		-	(C) what measures would be necessary to ensure
82		-	that the plan aligns with the statewide behavioral health strategic
83		-	plan and the comprehensive inpatient mental health plan.
84		-	(f) In each mental health services development plan
85		-	produced under this section, the commission, in collaboration with
86		-	the local mental health authority group, shall determine a method
87		-	of increasing the capacity of the authorities in the local mental
88		-	health authority group to provide access to needed services.
89		-	(g) The commission shall compile and evaluate each mental
90		-	health services development plan produced under this section and
91		-	determine:
92		-	(1) the cost-effectiveness of each plan; and
93		-	(2) how each plan would improve the delivery of mental
94		-	health treatment and care to residents in the service areas of the
95		-	authorities in the local mental health authority group.
96		-	(h) Not later than December 1, 2020, the commission, using
97		-	existing resources, shall produce and publish on its Internet
98		-	website a report containing:
99		-	(1) the commission's evaluation of each plan under
100		-	Subsection (g);
101		-	(2) each mental health services development plan
102		-	evaluated by the commission under Subsection (g); and
103		-	(3) a comprehensive statewide analysis of mental
104		-	health services in counties with a population of 250,000 or less,
105		-	including recommendations to the legislature for implementing the
106		-	plans developed under this section.
107		-	(i) The commission and the authorities in each local mental
108		-	health authority group may implement a mental health services
109		-	development plan evaluated by the commission under this section if
110		-	the commission and the local mental health authority group to which
111		-	the plan applies identify a method of funding that implementation.
112		-	(j) This section expires September 1, 2021.
	12	+	amended by adding Section 531.02253 to read as follows:
113	13		Sec. 531.02253. COMPREHENSIVE WORKFORCE PLAN FOR MENTAL
114		-	HEALTH AND SUBSTANCE USE. (a) The statewide behavioral health
115		-	coordinating council, under the direction of the commission, shall
116		-	develop and the commission shall implement a comprehensive plan to
117		-	increase and improve the workforce in this state to serve persons
118		-	with mental health and substance use issues. In developing the
119		-	plan, the council shall analyze and consider available studies,
120		-	reports, and recommendations regarding that segment of the
121		-	workforce in this state or elsewhere.
	14	+	HEALTH AND SUBSTANCE USE. (a) The commission shall develop and
	15	+	implement a comprehensive plan to increase and improve the
	16	+	workforce in this state to serve persons with mental health and
	17	+	substance use issues. In developing the plan, the commission shall
	18	+	analyze and consider available studies, reports, and
	19	+	recommendations regarding that segment of the workforce in this
	20	+	state or elsewhere.
122	21		(b) The plan must include:
123	22		(1) a strategy and timeline for implementing the plan,
124	23		including short-term, medium-term, and long-term goals;
125	24		(2) a system for monitoring the implementation of the
126	25		plan; and
127	26		(3) a method for evaluating the outcomes of the plan.
128		-	SECTION 2. Not later than September 1, 2020, the statewide
129		-	behavioral health coordinating council shall develop and the Health
130		-	and Human Services Commission shall begin implementing the plan
131		-	required under Section 531.02253, Government Code, as added by this
132		-	Act.
133		-	SECTION 3. The statewide behavioral health coordinating
134		-	council and the Health and Human Services Commission are required
135		-	to implement a provision of this Act only if the legislature
136		-	appropriates money specifically for that purpose. If the
137		-	legislature does not appropriate money specifically for that
138		-	purpose, the council and the commission may, but are not required
139		-	to, implement the provision using other appropriations made to the
140		-	commission that are available for that purpose.
141		-	SECTION 4. This Act takes effect September 1, 2019.
142		-	* * * * *
	27	+	SECTION 2. Not later than September 1, 2020, the Health and
	28	+	Human Services Commission shall develop and begin implementing the
	29	+	plan required under Section 531.02253, Government Code, as added by
	30	+	this Act.
	31	+	SECTION 3. This Act takes effect September 1, 2019.