By Delisi H.B. No. 1734 75R3747 SKB-D A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to the monitoring of community mental health and mental 1-3 retardation centers. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 SECTION 1. Subchapter A, Chapter 534, Health and Safety 1-6 Code, is amended by adding Section 534.036 to read as follows: 1-7 Sec. 534.036. FINANCIAL AUDIT. (a) The Health and Human 1-8 Services Commission periodically shall audit the finances of a 1-9 community mental health and mental retardation center. 1-10 (b) The commission shall prescribe procedures for financial 1-11 audits of community mental health and mental retardation centers by 1-12 the commission. The commission shall develop the procedures with 1-13 the assistance of the state agencies and departments that contract 1-14 with community mental health and mental retardation centers. 1-15 Before prescribing or amending the procedures, the commission shall 1-16 set a deadline for state agencies and departments to submit to the 1-17 commission proposals relating to the financial audit procedures. 1-18 The procedures may not require more than one financial audit of a 1-19 community mental health and mental retardation center in a calendar 1-20 year. The procedures must be consistent with any requirements 1-21 connected with federal funding received by the community mental 1-22 health and mental retardation center. 1-23 (c) The state auditor shall review and recommend changes to 1-24 the financial audit procedures developed by the commission. The 2-1 commission shall revise the financial audit procedures to conform 2-2 the procedures to the recommendations of the state auditor. The 2-3 commission may not implement the financial audit procedures without 2-4 the approval of the state auditor. 2-5 (d) The commission shall develop protocols for a state 2-6 agency or department other than the commission to conduct an 2-7 additional financial audit of a community mental health and mental 2-8 retardation center. A state agency or department may not conduct a 2-9 financial audit of a community mental health and mental retardation 2-10 center without the approval of the commission. 2-11 (e) The commission shall evaluate the fiscal impact of 2-12 financial audit procedures developed under this section. The 2-13 commission shall complete the evaluation and submit a report to 2-14 each house of the legislature not later than December 1, 1998. 2-15 This subsection expires January 1, 1999. 2-16 SECTION 2. Subchapter A, Chapter 534, Health and Safety 2-17 Code, is amended by adding Section 534.037 to read as follows: 2-18 Sec. 534.037. PERFORMANCE AUDIT. (a) The Health and Human 2-19 Services Commission periodically shall audit the performance of a 2-20 community mental health and mental retardation center. 2-21 (b) The commission shall prescribe procedures for 2-22 performance audits of community mental health and mental 2-23 retardation centers by the commission. The commission shall 2-24 develop the procedures with the assistance of state agencies and 2-25 departments that contract with community mental health and mental 2-26 retardation centers. The procedures may not require more than one 2-27 performance audit of a community mental health and mental 3-1 retardation center in a calendar year. The procedures must be 3-2 consistent with any requirements connected with federal funding 3-3 received by the community mental health and mental retardation 3-4 center. 3-5 (c) The state auditor shall review and recommend changes to 3-6 the financial audit procedures developed by the commission. The 3-7 commission shall revise the financial audit procedures to conform 3-8 the procedures to the recommendations of the state auditor. The 3-9 commission may not implement the financial audit procedures without 3-10 the approval of the state auditor. 3-11 (d) A performance audit under this section must evaluate the 3-12 center's: 3-13 (1) consideration and protection of clients' rights; 3-14 (2) procedures for prevention and reporting of abuse 3-15 and neglect; 3-16 (3) complaint processes; 3-17 (4) confidentiality procedures; 3-18 (5) physical plant conditions; 3-19 (6) infection surveillance and control; 3-20 (7) personnel training programs; 3-21 (8) food services; 3-22 (9) transportation safety; and 3-23 (10) organizational status. 3-24 (e) The commission shall develop protocols for a state 3-25 agency or department other than the commission to conduct an 3-26 additional performance audit of a community mental health and 3-27 mental retardation center. A state agency or department may not 4-1 conduct a performance audit of a community mental health and mental 4-2 retardation center without the approval of the commission. 4-3 (f) The commission shall evaluate the fiscal impact of the 4-4 performance audit procedures developed under this section. The 4-5 commission shall complete the evaluation and submit a report to 4-6 each house of the legislature not later than December 1, 1998. 4-7 SECTION 3. (a) This Act takes effect September 1, 1997. 4-8 (b) The Health and Human Services Commission shall prescribe 4-9 procedures for audits under Sections 534.036 and 534.037, Health 4-10 and Safety Code, as added by this Act, not later than January 1, 4-11 1998. 4-12 SECTION 4. The importance of this legislation and the 4-13 crowded condition of the calendars in both houses create an 4-14 emergency and an imperative public necessity that the 4-15 constitutional rule requiring bills to be read on three several 4-16 days in each house be suspended, and this rule is hereby suspended.