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.