88R3375 EAS-D
By: Romero, Jr. H.B. No. 1644
A BILL TO BE ENTITLED
AN ACT
relating to a study on mental health professionals or mental health
response teams responding to a behavioral health-related emergency
call.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. (a) In this Act:
(1) "Commission" means the Health and Human Services
Commission.
(2) "Law enforcement agency" means an office,
department, or other division of a political subdivision that is
authorized to employ a law enforcement officer.
(3) "Law enforcement officer" means a municipal police
officer, sheriff, deputy sheriff, constable, deputy constable,
marshal, or deputy marshal.
(4) "Mental health professional" does not include a
law enforcement officer certified as a special officer for
offenders with mental impairments under Section 1701.404,
Occupations Code.
(5) "Mental health response team" includes:
(A) a mobile crisis outreach team;
(B) a mental health response model that serves as
an alternative to traditional law enforcement and employs mental
health professionals, whether connected to or independent of a law
enforcement agency; and
(C) a community mental health crisis call center.
(b) The commission shall conduct a study to evaluate the
availability, outcomes, and efficacy of using mental health
response teams and mental health professionals to assist in
reducing the number of incarcerations of persons with:
(1) mental illness;
(2) substance use disorders; or
(3) intellectual or developmental disabilities.
(c) In conducting the study, the commission shall evaluate
the types of behavioral health-related emergency calls or other
community interactions that have been safely resolved wholly or
partly by a mental health professional or mental health response
team. Emergency calls and community interactions evaluated under
this subsection include circumstances in which a mental health
professional or mental health response team responds to an
emergency call in person or by telephone and when a professional or
team responds to a behavioral health-related emergency call with a
law enforcement officer. A safely resolved situation includes:
(1) preventing the incarceration of the person
experiencing the behavioral health crisis;
(2) de-escalating the situation; and
(3) receiving positive feedback from the community.
(d) In conducting the study, the commission shall evaluate
community-based outcomes of behavioral health-related emergency
calls to which a mental health professional or a mental health
response team responds. A community-based outcome may include:
(1) prevention of persons with mental illness,
substance use disorders, or intellectual or developmental
disabilities from entering the criminal justice system;
(2) an increase in referrals to community resources or
treatment options for community members with mental illness or
substance use disorders;
(3) an increase in referrals described by Subdivision
(2) that result in responsive short-term treatment or long-term
case management; and
(4) an impact on the number of referrals to resources
in the community serving persons with intellectual or developmental
disabilities.
(e) The information described by Subsection (d) must be
disaggregated by age, race, ethnicity, gender, veteran status,
income level, and whether the person presented with a mental
illness, a substance use disorder, or an intellectual or
developmental disability.
(f) In conducting the study, the commission shall include an
assessment of whether the information suggests that municipalities
would benefit from mental health response teams assisting
traditional law enforcement officers in efforts to:
(1) reduce the incarceration rates of persons with
mental illness, substance use disorders, or intellectual or
developmental disabilities;
(2) increase the number of referrals to community
resources and treatment for persons described by Subdivision (1);
(3) reduce the use of force when responding to
emergency calls involving persons described by Subdivision (1); and
(4) gain understanding about persons described by
Subdivision (1).
(g) In conducting the study, the commission shall evaluate
the fiscal and staffing implications of a law enforcement agency
using a mental health response team to respond remotely to
emergency calls.
(h) In conducting the study, the commission shall evaluate
the impact of the following funding sources on establishing mental
health response teams across this state, particularly the impact on
the staffing and maintenance of those teams:
(1) funding from a waiver under Section 1115 of the
Social Security Act (42 U.S.C. Section 1315);
(2) money allocated by Chapter 528 (S.B. 292), Acts of
the 85th Legislature, Regular Session, 2017; or
(3) funding implemented by municipalities.
(i) The commission shall gather information for the study
from:
(1) each county in this state;
(2) each local mental health authority in this state;
and
(3) each municipality in this state with a population
greater than 100,000.
(j) Unless a law enforcement agency has not used mental
health response teams or mental health professionals for two years
or more, information collected for the study must include at least
two years of information regarding the use of mental health
response teams by the law enforcement agency.
(k) Not later than December 1, 2024, the commission shall
prepare and submit to the governor and the legislature a written
report containing the results of the study and any recommendations
for legislative or other action, including any additional insights
about the operation and outcomes of mental health response teams
that the commission considers significant. The commission shall
post the report on the commission's Internet website.
SECTION 2. This Act expires September 1, 2025.
SECTION 3. This Act takes effect September 1, 2023.