Texas 2023 - 88th Regular

Texas Senate Bill SB26

Filed
3/9/23  
Out of Senate Committee
4/3/23  
Voted on by Senate
4/13/23  
Out of House Committee
5/19/23  
Voted on by House
5/23/23  
Governor Action
6/18/23  

Caption

Relating to local mental health authority and local behavioral health authority audits and mental and behavioral health reporting, services, and programs.

Impact

If implemented, SB 26 will reform existing practices at local mental health authorities by incorporating regular performance evaluations and audits, thus enhancing the quality of mental healthcare delivered. It will also set a framework for transitioning patients from state hospitals to community-based services, aiming to foster continuity of care that is responsive to individual needs. As part of its provisions, the bill encourages the development of community resources and initiatives geared towards early intervention and preventative care. This approach seeks to reduce reliance on institutional care and provide resources for at-risk populations, particularly youth.

Summary

Senate Bill 26 focuses on enhancing the oversight and reporting mechanisms of local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) in Texas. It mandates rigorous performance audits and financial audits to ensure transparency and accountability in the services provided by these authorities. The bill aims to allocate new funding for community health programs and improve services for individuals with mental health challenges, particularly emphasizing the need for innovations in mental health care delivery and support systems for young people. The act is seen as a significant investment in the public mental health infrastructure, particularly in response to challenges exacerbated by the COVID-19 pandemic.

Sentiment

The sentiment around Senate Bill 26 has generally leaned towards support, with mental health advocacy groups and service providers expressing positive views on the proposed reforms and funding increases. However, some concerns have been raised regarding the full implementation of these audits and whether they may inadvertently create additional bureaucratic hurdles that could delay access to essential services. The bill's proponents assert that while there may be some challenges, the improvements it could lead to in accountability and service delivery far outweigh potential drawbacks.

Contention

The primary points of contention revolve around the capacity and readiness of local authorities to adapt to the increased scrutiny and the implications of mandatory audits. Some critics argue that the legislative focus should be on providing resources rather than increasing oversight, which may stretch the already limited capacities of these local agencies. Others are concerned about the balance between accountability and the flexibility required to meet the diverse needs of the community effectively. The discussions highlight contrasting views on the relationship between governance and mental health service delivery in Texas.

Texas Constitutional Statutes Affected

Education Code

  • Chapter 8. Regional Education Service Centers
    • Section: New Section

Government Code

  • Chapter 531. Health And Human Services Commission
    • Section: 09915
    • Section: 09991
    • Section: 09915
    • Section: 09991
    • Section: 09915
    • Section: 09991
    • Section: 09915
    • Section: 09991
    • Section: New Section
    • Section: 1025

Health And Safety Code

  • Chapter 1001. Department Of State Health Services
    • Section: 084
    • Section: 084
    • Section: 084
    • Section: 084
    • Section: 084
  • Chapter 534. Community Services
    • Section: 0535
    • Section: 0535
    • Section: 0535
    • Section: 0535
    • Section: 0535
  • Chapter 572. Voluntary Mental Health Services
    • Section: 0026
    • Section: 0026
    • Section: 0026
    • Section: 0026

Companion Bills

No companion bills found.

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