75R10272 SKB-F                           

         By Delisi, Maxey                                      H.B. No. 2226

         Substitute the following for H.B. No. 2226:

         By Glaze                                          C.S.H.B. No. 2226

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to local mental health and mental retardation authorities

 1-3     and community centers.

 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-5           SECTION 1.  Sections 534.035(g), (h), and (i), Health and

 1-6     Safety Code, are amended to read as follows:

 1-7           (g)  If, by the date prescribed by the commissioner, the

 1-8     community center fails to respond to a deficiency identified in a

 1-9     review or audit to the satisfaction of the commissioner, the

1-10     department may withhold [discontinue the transfer of] related

1-11     department funds to the community center until the dispute is

1-12     resolved in accordance with Section 534.059.  [The community center

1-13     is entitled to notice and an opportunity for a hearing before the

1-14     transfer of department funds is discontinued.  The board by rule

1-15     shall prescribe the hearings procedure.]

1-16           [(h)  The department may withhold funds during the pendency

1-17     of an appeal to a court if the department hearing upholds the

1-18     discontinuation of the funds.  The department shall transfer the

1-19     withheld funds to the community center if the final determination

1-20     is favorable to the community center.]

1-21           [(i)]  The department shall incorporate the community

1-22     center's responses into the official management audit report in

1-23     accordance with the Government Auditing Standards published by the

1-24     United States General Accounting Office.  The department shall

 2-1     publish the final report within the period prescribed by department

 2-2     rules, but not later than the 60th day after the date on which the

 2-3     audit staff conducts the official exit conference with the

 2-4     community center.  If the department disagrees with the community

 2-5     center's responses as provided by Subsection (f), the department

 2-6     shall publish the official report within the period prescribed by

 2-7     department rules.

 2-8           SECTION 2.  Subchapter A, Chapter 534, Health and Safety

 2-9     Code, is amended by adding Section 534.036 to read as follows:

2-10           Sec. 534.036.  MANAGEMENT IN CERTAIN CIRCUMSTANCES.  (a)  The

2-11     commissioner may appoint a management team or an individual to

2-12     manage and operate a community center if the commissioner finds:

2-13                 (1)  the community center has wilfully or negligently

2-14     failed to discharge its duties under a contract with the

2-15     department;

2-16                 (2)  an officer or employee of the center has misused

2-17     state or federal money;

2-18                 (3)  an officer or employee of the center has engaged

2-19     in a fraudulent act, transaction, practice, or course of business;

2-20                 (4)  the life, health, welfare, or safety of a person

2-21     served by the community center is or may be endangered by an act or

2-22     omission of the community center;

2-23                 (5)  the community center has failed to keep fiscal

2-24     records in accordance with Chapter 783, Government Code;

2-25                 (6)  the community center has failed to maintain proper

2-26     control over its assets in accordance with Chapter 783, Government

2-27     Code;

 3-1                 (7)  the community center has failed to respond as

 3-2     prescribed by the commissioner to a deficiency in a review or

 3-3     audit; or

 3-4                 (8)  the community center has failed to comply with

 3-5     applicable sections of this subchapter and department rules.

 3-6           (b)  The department, in writing, shall notify the community

 3-7     center and local agency or organizational combination of local

 3-8     agencies responsible for making appointments to the local board of

 3-9     trustees of the appointment of the management team or individual

3-10     and the circumstances on which the appointment is based.

3-11           (c)  The management team or individual may perform any or all

3-12     of the following functions as defined by the commissioner:

3-13                 (1)  evaluate, redesign, modify, administer, supervise,

3-14     or monitor the management, procedures, or operations of the

3-15     community center;

3-16                 (2)  hire, supervise, discipline, or reassign employees

3-17     of the community center or terminate the employment of the

3-18     employees;

3-19                 (3)  reallocate resources and manage assets of the

3-20     community center;

3-21                 (4)  provide technical assistance to officers and

3-22     employees of the community center and require or provide staff

3-23     development;

3-24                 (5)  approve or disapprove each financial transaction

3-25     or expenditure or contract for goods and services that the

3-26     community center makes;

3-27                 (6)  redesign, modify, or terminate the community

 4-1     center's programs or services;

 4-2                 (7)  direct the local board of trustees, executive

 4-3     director, chief financial officer, or other fiscal or programmatic

 4-4     officer of the community center to take an action;

 4-5                 (8)  exercise all powers and duties of the officers and

 4-6     employees of the community center; and

 4-7                 (9)  make recommendations to the local agency or

 4-8     organizational combination of local agencies responsible for

 4-9     appointments to the board of trustees regarding the removal of some

4-10     or all of the community center's trustees.

4-11           (d)  The management team or individual shall report the

4-12     activities of the team or individual to the commissioner and the

4-13     local board of trustees monthly.

4-14           (e)  The commissioner shall review and evaluate the

4-15     performance of the community center each month to determine the

4-16     feasibility of restoring the management and operation of the

4-17     community center to local control.

4-18           (f)  The powers and duties of the board of trustees shall be

4-19     exercised under the supervision of the management team or

4-20     individual.

4-21           (g)  The commissioner may direct that all costs of the

4-22     management team or individual shall be paid by the community

4-23     center.

4-24           (h)  The appointment of a management team or individual under

4-25     this section continues until:

4-26                 (1)  the commissioner determines that circumstances

4-27     that would support a finding under Subsection (a) no longer exist;

 5-1     or

 5-2                 (2)  the department cancels the contract with the

 5-3     community center.

 5-4           (i)  When the commissioner finds that circumstances that

 5-5     would support a finding under Subsection (a) no longer exist, the

 5-6     commissioner shall terminate the powers and appointment of the team

 5-7     or individual, and after the termination, the community center's

 5-8     authorized officers and employees shall manage and operate the

 5-9     community center.

5-10           (j)  The community center may appeal an appointment made

5-11     under Subsection (a) as prescribed by board rule.  The filing of a

5-12     notice of appeal does not stay the appointment of a management team

5-13     or individual if the appointment is made on a finding made under

5-14     Subsection (a)(4).

5-15           (k)  A member of the management team or individual appointed

5-16     under this section is immune from suit or liability arising from

5-17     the good faith performance of any functions described in this

5-18     section.

5-19           SECTION 3.  Section 534.059, Health and Safety Code, is

5-20     amended to read as follows:

5-21           Sec. 534.059.  PERFORMANCE STANDARDS.  (a)  The department

5-22     shall specify performance standards, including measures of results,

5-23     to use in evaluating the compliance of a local mental health or

5-24     mental retardation authority with its obligation or contract to

5-25     ensure the provision of [provide] specific services to priority

5-26     populations.

5-27           (b)  If, by the date prescribed by the commissioner, a mental

 6-1     health or mental retardation authority fails to comply with its

 6-2     obligation or contract to ensure provision of services to the

 6-3     satisfaction of the commissioner, the department may withhold

 6-4     related department money to the authority until the dispute is

 6-5     resolved.  The department shall notify the local mental health and

 6-6     mental retardation authority in writing of the department's

 6-7     decision to withhold money under this section.

 6-8           (c)  The local mental health or mental retardation authority

 6-9     may appeal to the board the department's decision to withhold money

6-10     under this section.  The board by rule shall prescribe the appeal

6-11     procedure.  The filing of a notice of appeal under this subsection

6-12     stays the imposition of the department's decision to withhold

6-13     money.

6-14           (d)  Notwithstanding Subsection (c), the department may limit

6-15     general revenue allocations to the local mental health and mental

6-16     retardation authority to monthly distributions during the appeal.

6-17           (e)  The department may withhold money during an appeal to a

6-18     court if the board finally affirms the withholding of money after

6-19     an appeal filed under Subsection (c).

6-20           SECTION 4.  Section 534.060(b), Health and Safety Code, is

6-21     amended to read as follows:

6-22           (b)  The department shall review the program quality and

6-23     program performance results of each local mental health or mental

6-24     retardation authority in accordance with a risk assessment and

6-25     evaluation system appropriate to contract requirements [at least

6-26     once each fiscal year].  The department may determine the scope of

6-27     each review.

 7-1           SECTION 5.  Sections 534.061(a), (b), and (c), Health and

 7-2     Safety Code, are amended to read as follows:

 7-3           (a)  The department shall develop mechanisms for periodically

 7-4     monitoring the services provided by a [private] provider who

 7-5     contracts with a mental health or mental retardation authority to

 7-6     provide services for persons with mental retardation or mental

 7-7     illness at the community level, including residential services, if

 7-8     state funds or funds for which the state has oversight

 7-9     responsibility are used to pay for at least part of the services.

7-10           (b)  The local mental health or mental retardation authority

7-11     [department] shall monitor the services to ensure that the

7-12     [private] provider is delivering the services in a manner

7-13     consistent with the contract.  [The department shall also provide

7-14     for periodic fiscal audits of those private providers.]

7-15           (c)  Each [private] provider contract involving the use of

7-16     state funds or funds for which the state has oversight

7-17     responsibility must authorize the local mental health or mental

7-18     retardation authority or the authority's designee, and the

7-19     department or the department's designee to have unrestricted access

7-20     to all facilities, records, data, and other information under the

7-21     control of the provider as necessary to enable the department to

7-22     audit, monitor, and review the financial and program activities and

7-23     services associated with the contract.

7-24           SECTION 6.  This Act takes effect September 1, 1997.

7-25           SECTION 7.  The importance of this legislation and the

7-26     crowded condition of the calendars in both houses create an

7-27     emergency and an imperative public necessity that the

 8-1     constitutional rule requiring bills to be read on three several

 8-2     days in each house be suspended, and this rule is hereby suspended.