1 | 1 | | 88R23803 MPF-F |
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2 | 2 | | By: Campos H.B. No. 4687 |
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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 funding for the coordination of |
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8 | 8 | | mental health, substance use, and public health care services in |
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9 | 9 | | this state. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | SECTION 1. Chapter 403, Government Code, is amended by |
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12 | 12 | | adding Subchapter T to read as follows: |
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13 | 13 | | SUBCHAPTER T. MENTAL HEALTH, SUBSTANCE USE, AND PUBLIC HEALTH |
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14 | 14 | | INITIATIVES |
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15 | 15 | | Sec. 403.601. DEFINITIONS. In this subchapter: |
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16 | 16 | | (1) "Council" means the mental health, substance use, |
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17 | 17 | | and public health initiative council established by Section |
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18 | 18 | | 403.602. |
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19 | 19 | | (2) "Fund" means the mental health, substance use, and |
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20 | 20 | | public health initiative trust fund established by Section 403.603. |
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21 | 21 | | Sec. 403.602. MENTAL HEALTH, SUBSTANCE USE, AND PUBLIC |
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22 | 22 | | HEALTH INITIATIVE COUNCIL. (a) The mental health, substance use, |
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23 | 23 | | and public health initiative council is established to ensure that |
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24 | 24 | | money allocated to the mental health, substance use, and public |
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25 | 25 | | health initiative trust fund is allocated fairly and spent to |
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26 | 26 | | improve the coordination among mental health, substance use, and |
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27 | 27 | | public health. |
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28 | 28 | | (b) The council is composed of the following 14 members: |
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29 | 29 | | (1) one member appointed by the governor who is a |
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30 | 30 | | current or retired health care operations professional with 10 or |
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31 | 31 | | more years of experience in matters of substance use, mental |
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32 | 32 | | health, and public health; |
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33 | 33 | | (2) one member appointed by the lieutenant governor |
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34 | 34 | | who is a current or retired health care operations professional |
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35 | 35 | | with 10 or more years of experience in matters of substance use, |
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36 | 36 | | mental health, and public health; |
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37 | 37 | | (3) one member appointed by the speaker of the house of |
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38 | 38 | | representatives who is a current or retired health care operations |
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39 | 39 | | professional with 10 or more years of experience in matters of |
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40 | 40 | | substance use, mental health, and public health; |
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41 | 41 | | (4) three members appointed by the executive |
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42 | 42 | | commissioner of the Health and Human Services Commission who are |
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43 | 43 | | from academia or the medical profession and have significant |
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44 | 44 | | experience in matters of substance use, mental health, and public |
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45 | 45 | | health; |
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46 | 46 | | (5) seven members appointed by the executive |
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47 | 47 | | commissioner of the Health and Human Services Commission as |
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48 | 48 | | follows: |
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49 | 49 | | (A) one member who is a current or former |
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50 | 50 | | employee of a rural hospital district; |
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51 | 51 | | (B) one member who is a current or former |
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52 | 52 | | employee of a local health authority; |
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53 | 53 | | (C) one member who is a current or former |
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54 | 54 | | employee of a local mental health authority, as defined by Section |
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55 | 55 | | 531.002, Health and Safety Code; |
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56 | 56 | | (D) one member who is a current or former |
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57 | 57 | | employee of a federally qualified health center in this state; |
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58 | 58 | | (E) one member who has lived experience with a |
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59 | 59 | | mental health condition or substance abuse condition; and |
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60 | 60 | | (F) two members with at least 10 years of |
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61 | 61 | | experience working with a health philanthropy nonprofit |
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62 | 62 | | organization or foundation; and |
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63 | 63 | | (6) the comptroller or the comptroller's designee. |
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64 | 64 | | (c) The comptroller or the comptroller's designee serves as |
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65 | 65 | | the presiding officer of the council and is a nonvoting member. |
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66 | 66 | | (d) In making appointments under Subsection (b)(4), the |
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67 | 67 | | executive commissioner of the Health and Human Services Commission |
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68 | 68 | | shall appoint members from lists provided by the governing bodies |
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69 | 69 | | of six rural counties and six rural municipalities selected by the |
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70 | 70 | | executive commissioner with each list naming two qualified |
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71 | 71 | | candidates with experience in substance use treatment, education, |
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72 | 72 | | and research. |
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73 | 73 | | (e) In making appointments under Subsection (b), the |
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74 | 74 | | governor, lieutenant governor, and speaker of the house of |
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75 | 75 | | representatives shall coordinate to ensure that the membership of |
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76 | 76 | | the council reflects, to the extent possible, the ethnic and |
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77 | 77 | | geographic diversity of this state. |
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78 | 78 | | (f) The council is administratively attached to the |
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79 | 79 | | Department of State Health Services. The Department of State Health |
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80 | 80 | | Services shall provide the staff and facilities necessary to assist |
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81 | 81 | | the council in performing its duties. |
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82 | 82 | | (g) A decision by the council to award a grant under Section |
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83 | 83 | | 403.604 requires the unanimous approval of all members of the |
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84 | 84 | | council. |
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85 | 85 | | (h) The council is subject to Chapter 551. |
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86 | 86 | | Sec. 403.603. MENTAL HEALTH, SUBSTANCE USE, AND PUBLIC |
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87 | 87 | | HEALTH INITIATIVE TRUST FUND. (a) The mental health, substance |
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88 | 88 | | use, and public health initiative trust fund is a trust fund |
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89 | 89 | | established outside the state treasury for the purposes of this |
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90 | 90 | | subchapter. The fund is not a part of this state's general funds. |
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91 | 91 | | (b) The fund is administered by the Texas Treasury |
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92 | 92 | | Safekeeping Trust Company. The trust company may authorize money |
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93 | 93 | | from the fund to be invested with money from the state treasury. |
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94 | 94 | | The trust company may establish in the fund accounts to facilitate |
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95 | 95 | | the administration of money in the fund. |
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96 | 96 | | (c) The fund consists of: |
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97 | 97 | | (1) an initial appropriation of money by the |
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98 | 98 | | legislature to the fund as permanent principal for the fund; |
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99 | 99 | | (2) any additional legislative appropriations of |
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100 | 100 | | money for the purposes of the fund; |
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101 | 101 | | (3) interest or other earnings on money credited to or |
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102 | 102 | | allocable to the fund; and |
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103 | 103 | | (4) money from gifts, grants, or donations to the |
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104 | 104 | | fund. |
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105 | 105 | | (d) The money initially appropriated by the legislature as |
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106 | 106 | | permanent principal for the fund may not be used for any purpose |
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107 | 107 | | other than to gain interest or other investment earnings. |
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108 | 108 | | (e) Money in the fund gained as interest or other earnings |
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109 | 109 | | on the investment of the permanent principal of the fund may be used |
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110 | 110 | | only to: |
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111 | 111 | | (1) provide grants in accordance with Section 403.604; |
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112 | 112 | | and |
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113 | 113 | | (2) pay the necessary and reasonable expenses of |
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114 | 114 | | administering the fund. |
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115 | 115 | | (f) In making investments of money in the fund, the Texas |
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116 | 116 | | Treasury Safekeeping Trust Company shall exercise the judgment and |
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117 | 117 | | care under the circumstances then prevailing that a person of |
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118 | 118 | | ordinary prudence, discretion, and intelligence exercises in the |
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119 | 119 | | management of the person's own affairs. |
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120 | 120 | | (g) The Texas Treasury Safekeeping Trust Company may |
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121 | 121 | | appoint one or more commercial banks, depository trust companies, |
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122 | 122 | | or other similar entities to serve as the custodian of the fund. |
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123 | 123 | | Sec. 403.604. ESTABLISHMENT OF GRANT PROGRAM. (a) The |
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124 | 124 | | council shall establish a grant program to award grants for |
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125 | 125 | | programs that improve the coordination between substance use, |
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126 | 126 | | mental health, and public health care services in this state |
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127 | 127 | | providing services to individuals with co-occurring mental health |
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128 | 128 | | and substance use disorders. |
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129 | 129 | | (b) A program funded through a grant awarded under this |
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130 | 130 | | subchapter must improve the coordination between substance use, |
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131 | 131 | | mental health, and public health care services in the state |
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132 | 132 | | through: |
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133 | 133 | | (1) evidence-based preventative or therapeutic |
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134 | 134 | | measures, research, the implementation of new technology, data |
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135 | 135 | | collection, education programs, or capital improvements; and |
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136 | 136 | | (2) providing an efficient and cost-effective method |
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137 | 137 | | that is directed to support the coordination of personnel, capital |
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138 | 138 | | improvements, data interoperability, or long-term financial |
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139 | 139 | | sustainability of the mental health care, substance use, and public |
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140 | 140 | | health care providers. |
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141 | 141 | | (c) Annually, the council shall establish procedures for |
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142 | 142 | | submitting, accepting, and evaluating grant applications under |
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143 | 143 | | this subchapter. |
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144 | 144 | | (d) The council, in coordination with the statewide |
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145 | 145 | | behavioral health coordinating council established under |
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146 | 146 | | Subchapter M-1, Chapter 531, shall evaluate grant applications at |
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147 | 147 | | least biennially. |
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148 | 148 | | Sec. 403.605. REPORT. Not later than October 1 of each |
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149 | 149 | | year, the Texas Treasury Safekeeping Trust Company shall submit a |
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150 | 150 | | written report to the legislature detailing: |
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151 | 151 | | (1) all expenditures made by the council during the |
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152 | 152 | | preceding state fiscal year; and |
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153 | 153 | | (2) any amount of money greater than the initial |
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154 | 154 | | appropriation of permanent principal by the legislature that is |
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155 | 155 | | held in the fund. |
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156 | 156 | | Sec. 403.606. RULES. The council shall adopt rules to |
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157 | 157 | | implement this subchapter. |
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158 | 158 | | SECTION 2. As soon as practicable after the effective date |
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159 | 159 | | of this Act, the executive commissioner of the Health and Human |
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160 | 160 | | Services Commission, the governor, the lieutenant governor, and the |
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161 | 161 | | speaker of the house of representatives shall appoint the members |
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162 | 162 | | of the mental health, substance use, and public health initiative |
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163 | 163 | | council as provided by Section 403.602, Government Code, as added |
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164 | 164 | | by this Act. |
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165 | 165 | | SECTION 3. This Act takes effect immediately if it receives |
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166 | 166 | | a vote of two-thirds of all the members elected to each house, as |
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167 | 167 | | provided by Section 39, Article III, Texas Constitution. If this |
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168 | 168 | | Act does not receive the vote necessary for immediate effect, this |
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169 | 169 | | Act takes effect September 1, 2023. |
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