By:  Ellis, Gallegos                                  S.B. No. 1343
                                 A BILL TO BE ENTITLED
                                        AN ACT
    1-1  relating to the home health visitor program and to the
    1-2  establishment and operation of a healthy start/healthy families
    1-3  program.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Subtitle B, Title 2, Health and Safety Code, is
    1-6  amended by adding Chapter 46 to read as follows:
    1-7          CHAPTER 46.  HEALTH START/HEALTHY FAMILIES PROGRAM
    1-8        Sec. 46.001.  DEFINITIONS.  In this chapter:
    1-9              (1)  "Program" means the health start/healthy families
   1-10  program established under this chapter.
   1-11              (2)  "Family support worker" means a person providing
   1-12  home-based family support services.
   1-13              (3)  "Home-based family support services" means
   1-14  services to provide pregnant women and new parents with information
   1-15  and access to health care, social services, and related services
   1-16  through home visits by workers trained in the Hawaii healthy start
   1-17  model.
   1-18              (4)  "Early identification worker" means a person who
   1-19  identifies program participants during the prenatal period or at
   1-20  birth.
   1-21              (5)  "High risk" means at risk of child abuse or
   1-22  neglect as determined by a valid and reliable assessment
   1-23  instrument.
    2-1        Sec. 46.002.  HEALTHY START/HEALTHY FAMILIES PROGRAM.
    2-2  (a)  The department shall establish a healthy start/healthy
    2-3  families program modeled after the Hawaii healthy start program to
    2-4  provide services to families and children during the prenatal
    2-5  period, from birth through five years of age, or both.
    2-6        (b)  The goal of the program is to prevent child abuse and
    2-7  neglect.  The program shall be designed to:
    2-8              (1)  promote optimal child development;
    2-9              (2)  improve family coping skills and functioning;
   2-10              (3)  promote positive parenting skills and
   2-11  intrafamilial interaction;
   2-12              (4)  ensure 100 percent immunization rates; and
   2-13              (5)  increase school readiness.
   2-14        (c)  The program shall provide:
   2-15              (1)  family and children's services during the prenatal
   2-16  period, from birth through five years of age, or both;
   2-17              (2)  home-based family support; and
   2-18              (3)  referral to community services and referral to
   2-19  individuals providing those services.
   2-20        (d)  The program shall be administered by a grant recipient
   2-21  selected under Section 46.003.
   2-22        Sec. 46.003.  GRANT.  (a)  The board shall adopt rules
   2-23  governing the establishment of a grant to a community agency or
   2-24  nonprofit organization serving youths that has experience in
   2-25  providing child abuse prevention services for the development and
    3-1  implementation of the program.
    3-2        (b)  The board shall adopt rules establishing the
    3-3  responsibilities of the recipient.
    3-4        (c)  A local governmental unit or a private entity may
    3-5  provide matching funds to a grant recipient under this section.
    3-6        SECTION 2.  The healthy start/healthy families program
    3-7  required by Chapter 46, Health and Safety Code, as added by this
    3-8  Act, shall begin operations not later that January 1, 1996.
    3-9        SECTION 3.   The importance of this legislation and the
   3-10  crowded condition of the calendars in both houses create an
   3-11  emergency and an imperative public necessity that the
   3-12  constitutional rule requiring bills to be read on three several
   3-13  days in each house be suspended, and this rule is hereby suspended,
   3-14  and that this Act take effect and be in force from and after its
   3-15  passage, and it is so enacted.