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Amend HB 2572 (House engrossment) as follows:
(1) Strike SECTION 7 and SECTION 8 of the bill (page 10, line
23, through page 14, line 4).
(2) Add the following SECTIONS to the bill, appropriately
numbered, and renumber subsequent SECTIONS accordingly:
SECTION __. Subchapter B, Chapter 533, Health and Safety
Code, is amended by adding Section 533.0357 to read as follows:
Sec. 533.0357. LOCAL AUTHORITY PARTNERSHIP DEVELOPMENT.
(a) The department shall encourage local authorities to develop
partnerships and greater coordination of services to persons who
have a physical illness as well as mental illness or chemical
dependency.
(b) At the request of a local authority, the department
shall approve a request for the development of an integrated
physical health and behavioral health service delivery model that
is developed in partnership with a public hospital, county health
department, or other governmental entity and that furthers the
following goals:
(1) establishing a health care services delivery
system that integrates primary health care services and behavioral
health care services delivery;
(2) involving consumers, families, and stakeholders
fully in the development of a system that is oriented toward
resiliency and recovery;
(3) protecting and enhancing the rights of people with
mental illness or substance abuse problems;
(4) enhancing the implementation of the resiliency and
disease management model for mental health services; and
(5) screening for co-occurring physical, mental, and
substance abuse disorders and treating persons with integrated
treatment strategies.
(c) A public hospital, county health department, or other
governmental entity acting under a contract with the Department of
State Health Services under this section may provide primary health
care services and behavioral health care services as necessary to
enhance the integration of physical and behavioral health care
services delivery in the separate service delivery area.
(d) A contract developed under this section must be a
performance-based contract that provides flexibility in the design
of the behavioral health care services delivery system while
assuring that the local authority will achieve improved performance
outcomes.
SECTION __. Subchapter B, Chapter 533, Health and Safety
Code, is amended by adding Section 533.0405 to read as follows:
Sec. 533.0405. RESOURCES FOR EMOTIONALLY DISTURBED
CHILDREN AND YOUTH. (a) The department shall ensure that local
authorities design systems of care resources for children with
serious emotional disturbances that recognize:
(1) the unique needs of those children;
(2) the various programs in this state through which a
child may be directed to the authority for services; and
(3) the various programs available to the child, the
child's family, and the authority through which the child and the
child's family may receive behavioral health services or other
services.
(b) A local authority shall develop formal partnerships and
coordinate with entities to ensure that a child with a serious
emotional disturbance receives the most appropriate and effective
care and services, to the extent possible.
(c) As appropriate, the authority shall use teams composed
of representatives of public and private service providers and
members of the child's family to develop individual and family
service plans that encompass, to the extent possible, appropriate
services and direct interagency and provider cooperation as
necessary to further the plans.
(d) This section does not affect a requirement of state or
federal law for informed parental consent before a child receives
or is assessed or is screened for health or mental health services.
SECTION __. (a) The legislature shall establish a joint
interim committee to study the local mental health and mental
retardation services delivery system and to develop
recommendations for improving the provision of services and
increasing the accountability for funds management in the system.
(b) The committee should consider whether the current local
system meets the following goals:
(1) improving the integration of services to persons
who have physical illness as well as mental illness or chemical
dependency and developing a continuum of services to all persons
who are aging or who have physical or cognitive disabilities; and
(2) allowing the appropriate level of flexibility
needed to meet unique community needs, while addressing state
requirements and ensuring an appropriate level of budget certainty
for the state.
(c) In developing recommendations for the improvement of
services delivery the committee should consider:
(1) the role of a community center and whether a
community center should be designated as a provider of public
safety net services for jail diversion services, crisis services,
certain community-oriented services, community hospital services,
or other services necessary to ensure the statewide availability of
services; and
(2) the findings and recommendations of the mental
health services task force as reported to the Senate Health and
Human Services interim committee of the 77th Legislature in March
2002 and the House Bill 1734 committee report from the 75th
Legislature, Regular Session, 1997.
(d) Not later than January 1, 2007, the committee shall
report its findings and recommendations to the governor, the
lieutenant governor, and the speaker of the house of
representatives.
(e) The lieutenant governor and the speaker of the house of
representatives shall determine the composition of the committee.
The committee must be composed of five members of the senate and
five members of the house of representatives. The presiding
officer of the committee must be a member designated from the
senate.
(f) This section expires September 1, 2007.