Texas 2023 - 88th Regular

Texas Senate Bill SB2452 Compare Versions

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1	1	88R8554 MPF-F
2	2	By: Menéndez S.B. No. 2452
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the provision of behavioral health crisis services,
8	8	including the establishment of crisis centers and mobile crisis
9	9	teams; authorizing a fee.
10	10	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
11	11	SECTION 1. Chapter 531, Government Code, is amended by
12	12	adding Subchapter P to read as follows:
13	13	SUBCHAPTER P. BEHAVIORAL HEALTH CRISIS SERVICES
14	14	Sec. 531.601. DEFINITIONS. In this subchapter:
15	15	(1) "Crisis center" means a state-designated 988
16	16	Suicide & Crisis Lifeline center participating in the National
17	17	Suicide Prevention Lifeline network to respond to statewide or
18	18	regional communications.
19	19	(2) "Mobile crisis team" means a regionally located
20	20	multidisciplinary response behavioral health team.
21	21	Sec. 531.602. 988 SUICIDE AND CRISIS LIFELINE ADVISORY
22	22	COMMITTEE. (a) The 988 suicide and crisis lifeline advisory
23	23	committee is established to advise the commission and make
24	24	recommendations regarding implementing a state-designated 988
25	25	suicide and crisis lifeline.
26	26	(b) The advisory committee is composed of representatives
27	27	of the following:
28	28	(1) a crisis center;
29	29	(2) a 9-1-1 call center;
30	30	(3) a local mental health authority;
31	31	(4) the Department of Public Safety of the State of
32	32	Texas;
33	33	(5) a hospital emergency department;
34	34	(6) a state court;
35	35	(7) an individual or family member or caregiver of an
36	36	individual who has lived experience with suicide prevention or
37	37	usage of behavioral health crisis services; and
38	38	(8) a behavioral health crisis service provider.
39	39	(c) The executive commissioner shall appoint members to the
40	40	advisory committee.
41	41	Sec. 531.603. ESTABLISHMENT OF CRISIS CENTERS AND MOBILE
42	42	CRISIS TEAMS. (a) The commission shall establish:
43	43	(1) at least one crisis center to provide crisis
44	44	stabilization services to individuals in this state who are
45	45	accessing the 988 Suicide & Crisis Lifeline; and
46	46	(2) mobile crisis teams to respond to behavioral
47	47	health crises and provide crisis stabilization services.
48	48	(b) In establishing a crisis center, the executive
49	49	commissioner shall adopt rules to allow information sharing and
50	50	communication between a crisis center and a mobile crisis team to
51	51	enhance crisis care coordination.
52	52	(c) In establishing a mobile crisis team, the commission
53	53	must:
54	54	(1) design the team in partnership with members of the
55	55	community to be served, including people with lived experience
56	56	using crisis services;
57	57	(2) staff the team with personnel who reflect the
58	58	demographics of the community served; and
59	59	(3) require the team to collect customer service data
60	60	from individuals served by the team.
61	61	Sec. 531.604. CRISIS CENTER POWERS AND DUTIES. (a) A
62	62	crisis center established by the commission shall:
63	63	(1) contract with the 988 Suicide & Crisis Lifeline;
64	64	(2) satisfy the requirements of and best practices
65	65	identified by the 988 Suicide & Crisis Lifeline;
66	66	(3) provide and report any applicable data;
67	67	(4) be equipped to deploy a mobile crisis team;
68	68	(5) satisfy the requirements for serving at-risk and
69	69	specialized populations as identified by the Substance Abuse and
70	70	Mental Health Services Administration;
71	71	(6) provide linguistically and culturally competent
72	72	care, including by requiring training and providing policies for
73	73	transferring a crisis center caller to an appropriate specialized
74	74	center within the 988 Suicide & Crisis Lifeline network; and
75	75	(7) provide follow-up services to individuals who call
76	76	the crisis center.
77	77	(b) The executive commissioner shall adopt rules to allow
78	78	appropriate information sharing and communication across crisis
79	79	response systems and emergency response systems to provide
80	80	real-time crisis care coordination.
81	81	Sec. 531.605. SERVING AT-RISK AND SPECIALIZED POPULATIONS.
82	82	A crisis center shall serve at-risk and specialized populations as
83	83	identified by the Substance Abuse and Mental Health Services
84	84	Administration. The populations served must include the LGBTQ
85	85	community, youth, minorities, individuals residing in rural areas,
86	86	veterans, American Indians, Alaska Natives, and individuals with
87	87	co-occurring substance use disorder and mental illness.
88	88	Sec. 531.606. CRISIS CARE COORDINATION. (a) The
89	89	commission shall ensure that an individual who contacts a crises
90	90	center is provided ongoing care through active collaboration and
91	91	coordination of services among crisis centers and mental health and
92	92	substance use disorder treatment providers, community mental
93	93	health centers, certified community behavioral health clinics,
94	94	community behavioral health centers, mobile crisis teams, hospital
95	95	emergency departments, and inpatient psychiatric settings.
96	96	(b) The commission may contract with the entities listed
97	97	under Subsection (a) to ensure the coordination of services.
98	98	Sec. 531.607. 988 SUICIDE AND CRISIS LIFELINE TRUST FUND.
99	99	(a) The 988 suicide and crisis lifeline trust fund is established
100	100	as a trust fund to be held by the comptroller outside the state
101	101	treasury and administered by the commission.
102	102	(b) The trust fund consists of:
103	103	(1) revenue derived from the fee described by Section
104	104	531.608;
105	105	(2) legislative appropriations of money for the
106	106	purposes of this subchapter;
107	107	(3) available federal funding this state allocates for
108	108	the purposes of the 988 Suicide & Crisis Lifeline;
109	109	(4) gifts, grants, and donations received by this
110	110	state for the purposes of the trust fund;
111	111	(5) interest, dividends, and other income of the trust
112	112	fund; and
113	113	(6) money from any other source that is deposited in or
114	114	transferred to the trust fund.
115	115	(c) Money deposited in the trust fund may only be used to:
116	116	(1) implement, maintain, or improve the 988 Suicide &
117	117	Crisis Lifeline, including personnel and technological
118	118	infrastructure improvements necessary to achieve operational and
119	119	clinical standards and best practices as provided by the National
120	120	Suicide Prevention Lifeline;
121	121	(2) provide funding for crisis outreach and
122	122	stabilization services by directly responding to the 988 Suicide &
123	123	Crisis Lifeline;
124	124	(3) provide funding for uninsured individuals
125	125	receiving crisis and stabilization services;
126	126	(4) provide personnel for crisis centers and mobile
127	127	crisis teams;
128	128	(5) fund data provision, reporting, participation in
129	129	evaluations, and other related quality improvement activities; and
130	130	(6) administer, oversee, and evaluate the trust fund.
131	131	(d) The state may not transfer or use trust fund assets for
132	132	any purpose other than the uses provided in this subchapter.
133	133	(e) The executive commissioner shall submit an annual
134	134	report to the legislature and the Federal Communications Commission
135	135	detailing the trust fund deposits and expenditures in the preceding
136	136	year.
137	137	Sec. 531.608. 988 SUICIDE AND CRISIS LIFELINE FEE. (a) The
138	138	commission may impose a 988 suicide and crisis lifeline service fee
139	139	to supplement any federal, state, or local funding for suicide
140	140	prevention or behavioral health crisis services on each:
141	141	(1) local exchange access line or equivalent local
142	142	exchange access line, not including public telephone equipment
143	143	operated by coin or by card reader;
144	144	(2) wireless telecommunications connection;
145	145	(3) Voice over Internet Protocol service connection;
146	146	and
147	147	(4) purchase of a prepaid wireless telecommunications
148	148	service by any method.
149	149	(b) The executive commissioner by rule shall set the fee in
150	150	an amount sufficient to cover the costs of creating, operating, and
151	151	maintaining the suicide prevention services provided under this
152	152	subchapter, according to the national guidelines for crisis
153	153	services. The commission shall periodically adjust the fee amount
154	154	as necessary to provide for continuous operation, volume increases,
155	155	and maintenance.
156	156	(c) Revenue from the fee shall be deposited in the 988
157	157	suicide and crisis lifeline trust fund established under Section
158	158	531.607.
159	159	(d) A fee collected under this section may only be used to
160	160	offset costs as provided by 47 U.S.C. Section 251a.
161	161	(e) Revenue from the fee may not be used for expenses that
162	162	are:
163	163	(1) reimbursable through Medicaid, Medicare, or
164	164	another insurer or governmental program; or
165	165	(2) covered because the service recipient's name and
166	166	health coverage information cannot be obtained or billed.
167	167	(f) The executive commissioner shall submit an annual
168	168	report to the legislature and the Federal Communications Commission
169	169	detailing the revenue generated by the fee in the preceding year.
170	170	Sec. 531.609. ANNUAL REPORT. (a) The commission shall
171	171	prepare an annual report of the usage of crisis centers and the
172	172	services provided by the centers.
173	173	(b) The commission shall present the annual report to the
174	174	legislature and the Substance Abuse and Mental Health Services
175	175	Administration.
176	176	SECTION 2. This Act takes effect September 1, 2023.