H.B. No. 869
    1-1                                AN ACT
    1-2  relating to coordinated delivery of health and human services
    1-3  programs.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Section 10, Article 4413(502), Revised Statutes,
    1-6  is amended by amending Subsection (c) and adding Subsection (e) to
    1-7  read as follows:
    1-8        (c)  In developing a strategic health and human services plan
    1-9  and plan updates under this section, the commissioner shall
   1-10  consider:
   1-11              (1)  existing strategic plans of health and human
   1-12  services agencies;
   1-13              (2)  the health and human services priorities and plans
   1-14  submitted to the commissioner by governmental entities under
   1-15  Subsection (e) of this section;
   1-16              (3)  facilitation of pending reorganizations or
   1-17  consolidations of health and human services agencies and programs;
   1-18              (4) <(3)>  public comment, including comment documented
   1-19  through public hearings conducted under Section 11 of this article;
   1-20  and
   1-21              (5) <(4)>  budgetary issues, including projected agency
   1-22  needs and projected availability of funds.
   1-23        (e)  The commissioner shall identify governmental entities
   1-24  that coordinate the delivery of health and human services in
    2-1  different regions, counties, and municipalities in the state and
    2-2  shall request that each of these entities:
    2-3              (1)  identify the health and human services priorities
    2-4  in the entity's jurisdiction and the most effective ways to deliver
    2-5  and coordinate services in that jurisdiction;
    2-6              (2)  develop a coordinated plan for the delivery of
    2-7  health and human services, including transition services that
    2-8  prepare special education students for adulthood, in the entity's
    2-9  jurisdiction; and
   2-10              (3)  make the information described by Subdivisions (1)
   2-11  and (2) of this section available to the commission.
   2-12        SECTION 2.  Section 14(a), Article 4413(502), Revised
   2-13  Statutes, is amended to read as follows:
   2-14        (a)  The commissioner shall:
   2-15              (1)  arbitrate and render the <a> final decision on
   2-16  interagency disputes;
   2-17              (2)  facilitate and enforce coordinated planning and
   2-18  delivery of health and human services, including compliance with
   2-19  the coordinated strategic plan, co-location of services, integrated
   2-20  intake, and coordinated referral and case management;
   2-21              (3)  at the request of a governmental entity identified
   2-22  under Section 10(e) of this article, assist the governmental entity
   2-23  in implementing a coordinated plan, which may include co-location
   2-24  of services, integrated intake, and coordinated referral and case
   2-25  management, tailored to the needs and priorities of that entity;
   2-26              (4)  request budget execution for the transfer of funds
   2-27  from one agency to another;
    3-1              (5) <(4)>  establish a federal health and human
    3-2  services funds management system and maximize the availability of
    3-3  those funds;
    3-4              (6) <(5)>  develop with the Department of Information
    3-5  Resources automation standards for computer systems to enable
    3-6  health and human services agencies, including agencies operating on
    3-7  a local level, to share pertinent data;
    3-8              (7) <(6)>  establish and enforce uniform regional
    3-9  boundaries for all health and human services agencies;
   3-10              (8) <(7)>  carry out statewide health and human
   3-11  services needs surveys and forecasting;
   3-12              (9) <(8)>  perform independent special outcome
   3-13  evaluations of health and human services programs and activities;
   3-14              (10) <(9)>  adopt rules necessary to carry out the
   3-15  commission's duties under this Act; and
   3-16              (11) <(10)>  develop a formula for distribution of
   3-17  funds that considers such need factors as client base, population,
   3-18  and economic and geographic factors within the regions of the
   3-19  state.
   3-20        SECTION 3.  Article 4413(502), Revised Statutes, is amended
   3-21  by adding Section 10A to read as follows:
   3-22        Sec. 10A.  USE OF AGENCY STAFF.  To the extent requested by
   3-23  the commission, a health and human services agency shall assign
   3-24  existing staff to perform a function under this article.
   3-25        SECTION 4.  Section 533.044(a), Health and Safety Code, as
   3-26  added by Chapter 905, Acts of the 73rd Legislature, Regular
   3-27  Session, 1993, is amended to read as follows:
    4-1        (a)  The department<, Texas Department of Health,> and Texas
    4-2  Department of Human Services by rule shall adopt a joint memorandum
    4-3  of understanding that requires the use of a uniform assessment tool
    4-4  to assess whether an elderly person, a person with mental
    4-5  retardation, a person with a developmental disability, or a person
    4-6  who is suspected of being a person with mental retardation or a
    4-7  developmental disability and who is receiving services in a
    4-8  facility regulated or operated by the department<, Texas Department
    4-9  of Health,> or Texas Department of Human Services needs a guardian
   4-10  of the person or estate, or both.
   4-11        SECTION 5.  (a)  The commissioner of health and human
   4-12  services, in collaboration with the state agencies listed in this
   4-13  section, the Regional Administration for Children and Families Head
   4-14  Start and Child Care Bureaus, the Texas Head Start Association, and
   4-15  the Texas Association of Community Action Agencies, shall
   4-16  coordinate the program services, eligibility requirements, funding,
   4-17  enrollment periods, fees, and administrative functions of the
   4-18  following programs by no later than December 1, 1996:
   4-19              (1)  the child-care programs of the Texas Department of
   4-20  Human Services; and
   4-21              (2)  the prekindergarten programs of the Central
   4-22  Education Agency.
   4-23        (b)  The commissioner of health and human services shall
   4-24  report the results of the initiative prescribed by this provision
   4-25  to the legislature on or before December 1, 1996.
   4-26        (c)  Nothing in this section shall be construed to transfer
   4-27  funding for or the administration of child-care or prekindergarten
    5-1  programs to the Health and Human Services Commission.
    5-2        SECTION 6.  The importance of this legislation and the
    5-3  crowded condition of the calendars in both houses create an
    5-4  emergency and an imperative public necessity that the
    5-5  constitutional rule requiring bills to be read on three several
    5-6  days in each house be suspended, and this rule is hereby suspended,
    5-7  and that this Act take effect and be in force from and after its
    5-8  passage, and it is so enacted.