By Van de Putte, Park                                 H.B. No. 2333
       74R5146 KLL-D
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to health and human services strategic planning at the
    1-3  regional level.
    1-5        SECTION 1.  Section 10(c), Article 4413(502), Revised
    1-6  Statutes, is amended to read as follows:
    1-7        (c)  In developing a strategic health and human services plan
    1-8  and plan updates under this section, the commissioner shall
    1-9  consider:
   1-10              (1)  <existing> strategic plans of health and human
   1-11  services agencies and plans developed under Section 22 of this
   1-12  article;
   1-13              (2)  facilitation of pending reorganizations or
   1-14  consolidations of health and human services agencies and programs;
   1-15              (3)  public comment, including comment documented
   1-16  through public hearings conducted under Section 11 of this article;
   1-17  and
   1-18              (4)  budgetary issues, including projected agency needs
   1-19  and projected availability of funds.
   1-20        SECTION 2.  Article 4413(502), Revised Statutes, is amended
   1-21  by adding Section 22 to read as follows:
   1-23  (a)  To promote regional accountability and local control, a health
   1-24  and human services agency developing its strategic plan shall give
    2-1  the governor's planning regions delineated under Chapter 391, Local
    2-2  Government Code, and the council of governments in each region the
    2-3  opportunity to be the primary agency for regional planning.
    2-4        (b)  A plan shall be developed by a regional health and human
    2-5  services committee supported by regional councils of governments
    2-6  and composed of representatives from:
    2-7              (1)  public and private health and human services
    2-8  providers;
    2-9              (2)  consumer groups;
   2-10              (3)  the regional interagency council of state
   2-11  agencies;
   2-12              (4)  state and local elected officials;
   2-13              (5)  local funding entities such as the United Way,
   2-14  foundations, and corporate trusts;
   2-15              (6)  school districts;
   2-16              (7)  businesses; and
   2-17              (8)  professionals or governing body members of
   2-18  political subdivisions.
   2-19        (c)  A plan must include:
   2-20              (1)  a description of the current health and human
   2-21  services delivery status;
   2-22              (2)  the availability of local resources;
   2-23              (3)  prioritization of community health and human
   2-24  services needs;
   2-25              (4)  ways to improve client access to services;
   2-26              (5)  measurable outcome objectives;
   2-27              (6)  evaluation design; and
    3-1              (7)  funding requirements and sources.
    3-2        (d)  If appropriate, regional plans shall be aggregated to
    3-3  coincide with administrative regions of the commission and
    3-4  submitted to the commissioner, the presiding officers of the senate
    3-5  and house, the governor, and the executive director of the health
    3-6  and human services agency requesting  assistance with local plan
    3-7  development.
    3-8        (e)  Each health and human services agency that develops a
    3-9  strategic plan shall identify funds in its annual operating budget
   3-10  to be provided by grant or contract to each of the regional
   3-11  councils of governments to support regional health and human
   3-12  services planning.  A health and human services agency shall report
   3-13  the amount of those funds, their use, and equitable distribution
   3-14  throughout the state to the Legislative Budget Board and the
   3-15  governor annually.
   3-16        (f)  Each regional council of governments shall report to the
   3-17  state all public and private contributions to the regional health
   3-18  and human services plan  and to implementation of the plan.  The
   3-19  regional council of governments shall identify regional and local
   3-20  expenditures that are eligible for a Medicaid match  and aggregate
   3-21  the dollars for state matching in a form prescribed by the state
   3-22  Medicaid director.
   3-23        (g)  Regional health and human services plans must be
   3-24  approved by the local elected officials and citizens on the
   3-25  governing body of each regional council of governments.  The
   3-26  governing body shall evaluate plan accomplishments.
   3-27        (h)  Each regional health and human services committee shall
    4-1  oversee implementation of  regional health and human services plans
    4-2  and report to the  state through the regional councils of
    4-3  governments' governing  bodies.   A health and human services
    4-4  agency may waive rules and share resources and staff with local and
    4-5  regional agencies for cooperative planning, colocation of
    4-6  facilities, establishment of multiple access points for citizens,
    4-7  training, data collection, technical assistance, fiscal management
    4-8  and budgeting, and plan evaluation.  Political subdivisions of the
    4-9  state may share staff for purposes provided by this section.
   4-10        SECTION 3.  The importance of this legislation and the
   4-11  crowded condition of the calendars in both houses create an
   4-12  emergency and an imperative public necessity that the
   4-13  constitutional rule requiring bills to be read on three several
   4-14  days in each house be suspended, and this rule is hereby suspended,
   4-15  and that this Act take effect and be in force from and after its
   4-16  passage, and it is so enacted.