1-1 By: Maxey (Senate Sponsor - Rosson) H.B. No. 1713 1-2 (In the Senate - Received from the House May 5, 1993; 1-3 May 6, 1993, read first time and referred to Committee on Health 1-4 and Human Services; May 19, 1993, reported adversely, with 1-5 favorable Committee Substitute by the following vote: Yeas 8, Nays 1-6 0; May 19, 1993, sent to printer.) 1-7 COMMITTEE VOTE 1-8 Yea Nay PNV Absent 1-9 Zaffirini x 1-10 Ellis x 1-11 Madla x 1-12 Moncrief x 1-13 Nelson x 1-14 Patterson x 1-15 Shelley x 1-16 Truan x 1-17 Wentworth x 1-18 COMMITTEE SUBSTITUTE FOR H.B. No. 1713 By: Moncrief 1-19 A BILL TO BE ENTITLED 1-20 AN ACT 1-21 relating to the use of certain drugs for schizophrenics and to the 1-22 use of facility beds vacated by schizophrenic patients through the 1-23 use of a certain treatment program. 1-24 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-25 SECTION 1. Subchapter B, Chapter 533, Health and Safety 1-26 Code, is amended by adding Section 533.044 to read as follows: 1-27 Sec. 533.044. USE OF CERTAIN DRUGS FOR CERTAIN PATIENTS. 1-28 (a) The department may place on a clozapine treatment plan each 1-29 patient in a state hospital for whom the treatment is medically 1-30 feasible and appropriate. The department may place a patient on a 1-31 treatment plan using a drug other than clozapine if the drug 1-32 produces results that are similar to or better than clozapine in 1-33 treating schizophrenics. 1-34 (b) If a patient in a state hospital responds to a treatment 1-35 plan required or authorized by Subsection (a) to the extent that 1-36 the patient can be discharged from the hospital, the department 1-37 may: 1-38 (1) assist the patient in applying for disability 1-39 benefits and for Medicaid if the patient is potentially eligible; 1-40 (2) place the patient in a community setting with 1-41 continuing drug treatments and with medical monitoring; 1-42 (3) provide or ensure that the patient is provided 1-43 supportive housing, rehabilitation services, and job placement, as 1-44 appropriate; and 1-45 (4) provide outpatient care at state hospitals or 1-46 require a local mental health authority to provide outpatient care, 1-47 as appropriate. 1-48 (c) The department may use facility beds vacated by patients 1-49 discharged through the use of a treatment plan allowed by 1-50 Subsection (a) for other appropriate uses. 1-51 SECTION 2. This Act takes effect September 1, 1993. 1-52 SECTION 3. The importance of this legislation and the 1-53 crowded condition of the calendars in both houses create an 1-54 emergency and an imperative public necessity that the 1-55 constitutional rule requiring bills to be read on three several 1-56 days in each house be suspended, and this rule is hereby suspended. 1-57 * * * * * 1-58 Austin, 1-59 Texas 1-60 May 19, 1993 1-61 Hon. Bob Bullock 1-62 President of the Senate 1-63 Sir: 1-64 We, your Committee on Health and Human Services to which was 1-65 referred H.B. No. 1713, have had the same under consideration, and 1-66 I am instructed to report it back to the Senate with the 1-67 recommendation that it do not pass, but that the Committee 1-68 Substitute adopted in lieu thereof do pass and be printed. 2-1 Truan, 2-2 Acting Chair 2-3 * * * * * 2-4 WITNESSES 2-5 FOR AGAINST ON 2-6 ___________________________________________________________________ 2-7 Name: Barrett Markland x 2-8 Representing: Advocacy, Inc. 2-9 City: Austin 2-10 ------------------------------------------------------------------- 2-11 Name: Charlotte Provencher x 2-12 Representing: TX Alliance Mentally Ill 2-13 City: Austin 2-14 ------------------------------------------------------------------- 2-15 Name: Mary Ellen Nudd x 2-16 Representing: Mental Health Asso 2-17 City: Austin 2-18 -------------------------------------------------------------------