By Madla                                               S.B. No. 358
         76R825 JJT-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the continuation and functions of the Texas Department
 1-3     of Mental Health and Mental Retardation.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Section 532.002, Health and Safety Code, is
 1-6     amended to read as follows:
 1-7           Sec. 532.002.  SUNSET PROVISION.  The Texas Department of
 1-8     Mental Health and Mental Retardation is subject to Chapter 325,
 1-9     Government Code (Texas Sunset Act).  Unless continued in existence
1-10     as provided by that Act, the department is abolished and this
1-11     chapter expires September 1, 2007 [1999].
1-12           SECTION 2.  Chapter 532, Health and Safety Code, is amended
1-13     by adding Section 532.0035 to read as follows:
1-14           Sec. 532.0035.  BOARD TRAINING.  (a)  A person who is
1-15     appointed to and qualifies for office as a member of the board may
1-16     not vote, deliberate, or be counted as a member in attendance at a
1-17     meeting of the board until the person completes a training session
1-18     that complies with this section.
1-19           (b)  The training program must provide the person with
1-20     information regarding:
1-21                 (1)  the legislation that created the department and
1-22     board;
1-23                 (2)  the programs operated by the department;
1-24                 (3)  the roles and functions of the department;
 2-1                 (4)  the rules of the department with an emphasis on
 2-2     the rules that relate to disciplinary and investigatory authority;
 2-3                 (5)  the current budget for the department;
 2-4                 (6)  the results of the most recent formal audit of the
 2-5     department;
 2-6                 (7)  the requirements of:
 2-7                       (A)  the open meetings law, Chapter 551,
 2-8     Government Code;
 2-9                       (B)  the public information law, Chapter 552,
2-10     Government Code;
2-11                       (C)  the administrative procedure law, Chapter
2-12     2001, Government Code; and
2-13                       (D)  other laws relating to public officials,
2-14     including conflict-of-interest laws; and
2-15                 (8)  any applicable ethics policies adopted by the
2-16     department or the Texas Ethics Commission.
2-17           (c)  A person appointed to the board is entitled to
2-18     reimbursement, as provided by the General Appropriations Act, for
2-19     the travel expenses incurred in attending the training program
2-20     regardless of whether the attendance at the program occurs before
2-21     or after the person qualifies for office.
2-22           SECTION 3.  Sections 532.016(d) and (e), Health and Safety
2-23     Code, are amended to read as follows:
2-24           (d)  The commissioner or the commissioner's designee shall
2-25     prepare and maintain a written policy statement that implements [to
2-26     assure implementation of] a program of equal employment opportunity
2-27     to ensure that [under which] all personnel decisions [transactions]
 3-1     are made without regard to race, color, disability [handicap], sex,
 3-2     religion, age, or national origin.  The policy statement must
 3-3     include:
 3-4                 (1)  personnel policies, including policies relating to
 3-5     recruitment, evaluation, selection, [appointment,] training, and
 3-6     promotion of personnel, that show the intent of the department to
 3-7     avoid the unlawful employment practices described by Chapter 21,
 3-8     Labor Code;
 3-9                 (2)  an analysis of the extent to which the composition
3-10     of the department's personnel is in accordance with state and
3-11     federal law and a description of reasonable methods to achieve
3-12     compliance with state and federal law [;]
3-13                 [(2)  a comprehensive analysis of the department work
3-14     force that meets federal and state guidelines]; and
3-15                 (3)  procedures by which a determination can be made of
3-16     significant underutilization in the department work force of all
3-17     persons for whom federal or state guidelines encourage a more
3-18     equitable balance and reasonable methods to appropriately address
3-19     those areas of significant underutilization.
3-20           (e)  The [A] policy statement [prepared under Subsection (d)]
3-21     must:
3-22                 (1)  [cover an annual period;]
3-23                 [(2)]  be updated [at least] annually;
3-24                 (2)  be reviewed by the state Commission on Human
3-25     Rights for compliance with Subsection (d)(1); and
3-26                 (3)  be filed with the governor's office [governor].
3-27           SECTION 4.  Chapter 532, Health and Safety Code, is amended
 4-1     by adding Section 532.0175 to read as follows:
 4-2           Sec. 532.0175.  BIENNIAL REPORT ON FACILITIES USE.  (a)  The
 4-3     department shall develop a report containing recommendations and
 4-4     information regarding the most efficient long-term use of the
 4-5     department's campus-based facilities.  The report must include a
 4-6     summary of the plan required by Section 533.032.
 4-7           (b)  The department shall:
 4-8                 (1)  attach the report to its legislative
 4-9     appropriations request for each biennium; and
4-10                 (2)  at the time the department presents that request,
4-11     present the report to the:
4-12                       (A)  governor's office;
4-13                       (B)  governor's budget office;
4-14                       (C)  lieutenant governor;
4-15                       (D)  speaker of the house of representatives;
4-16                       (E)  Legislative Budget Board; and
4-17                       (F)  Health and Human Services Commission.
4-18           SECTION 5.  Subchapter A, Chapter 533, Health and Safety
4-19     Code, is amended by adding Section 533.013 to read as follows:
4-20           Sec. 533.013.  DUPLICATION OF REHABILITATION SERVICES.  The
4-21     board shall enter into an agreement with the Texas Rehabilitation
4-22     Commission that defines the roles and responsibilities of the
4-23     department and the commission regarding the agencies' shared client
4-24     populations.  The agreement must establish methods to prevent the
4-25     duplication and fragmentation of employment services provided by
4-26     the agencies.
4-27           SECTION 6.  Section 533.032, Health and Safety Code, is
 5-1     amended to read as follows:
 5-2           Sec. 533.032.  LONG-RANGE PLANNING [PLAN].  (a)  The
 5-3     department shall have a long-range plan covering at least six years
 5-4     that includes at least the provisions required by Sections 531.022
 5-5     and 531.023, Government Code [Section 10, Article 4413(502),
 5-6     Revised Statutes], and Chapter 2056, Government Code.
 5-7           (b)  The board shall adopt a long-range plan for
 5-8     state-operated institutions.  In developing the plan, the
 5-9     department must solicit input from local community centers,
5-10     community representatives, and other interested persons.
5-11           (c)  The plan must:
5-12                 (1)  project future bed requirements for state schools
5-13     and state hospitals;
5-14                 (2)  document the methodology used to develop the
5-15     projection of future bed requirements;
5-16                 (3)  project maintenance costs for institutional
5-17     facilities;
5-18                 (4)  recommend strategies to maximize the use of
5-19     institutional facilities; and
5-20                 (5)  specify how each state school and state hospital
5-21     will:
5-22                       (A)  serve and support the communities and
5-23     consumers in its service area; and
5-24                       (B)  fulfill statewide needs for specialized
5-25     services.
5-26           SECTION 7.  Subchapter B, Chapter 533, Health and Safety
5-27     Code, is amended by adding Section 533.0325 to read as follows:
 6-1           Sec. 533.0325.  CONTINUUM OF SERVICES IN CAMPUS FACILITIES.
 6-2     The board by rule shall establish criteria regarding the uses of
 6-3     the department's campus-based facilities to ensure that the
 6-4     facilities offer a full continuum of services.
 6-5           SECTION 8.  Subchapter B, Chapter 533, Health and Safety
 6-6     Code, is amended by adding Section 533.0345 to read as follows:
 6-7           Sec. 533.0345.  STATE AGENCY SERVICES STANDARDS.  (a)  The
 6-8     board by rule shall establish standards of care for mental health
 6-9     services provided by a state agency or a state agency's
6-10     contractors.
6-11           (b)  Standards under Subsection (a) must be designed to
6-12     ensure that the quality of mental health services provided by or
6-13     through an agency of this state is consistent with that provided by
6-14     the department.
6-15           (c)  Biennially, the department shall review the standards
6-16     established under this section and determine whether each standard
6-17     is necessary to ensure consistent quality of care.
6-18           SECTION 9.  Subchapter B, Chapter 533, Health and Safety
6-19     Code, is amended by adding Section 533.0351 to read as follows:
6-20           Sec. 533.0351.  LOCAL AUTHORITY ADVISORY COMMITTEE.  (a)  In
6-21     this section "local authority" means a local mental health or
6-22     mental retardation authority.
6-23           (b)  The commissioner shall establish a nine-member local
6-24     authority advisory committee.
6-25           (c)  The committee is composed of representatives of local
6-26     authorities appointed by the commissioner.  In appointing the
6-27     members, the commissioner shall ensure equal representation from:
 7-1                 (1)  different regions of this state;
 7-2                 (2)  rural and urban counties; and
 7-3                 (3)  multi-county local authorities.
 7-4           (d)  The advisory committee shall:
 7-5                 (1)  review rules and proposed rules related to local
 7-6     authorities;
 7-7                 (2)  advise the department in its evaluation and
 7-8     coordination of initiatives that affect local operations directly;
 7-9                 (3)  advise and assist the department in developing a
7-10     proposal-based method of contracting with local authorities;
7-11                 (4)  coordinate and monitor activities of work groups
7-12     whose actions may affect local service delivery;
7-13                 (5)  report to the board at least once each fiscal
7-14     quarter; and
7-15                 (6)  work with the commissioner as the commissioner
7-16     directs.
7-17           (e)  For any recommendation the committee makes to the
7-18     department, the department shall provide to the committee a written
7-19     response regarding any action taken on the recommendation or the
7-20     reasons for the department's inaction on the subject of the
7-21     recommendation.
7-22           (f)  The committee is subject to Chapter 2110, Government
7-23     Code.  The department by rule shall provide, in accordance with
7-24     Section 2110.008, Government Code, that the committee is abolished
7-25     on September 1, 2007, unless the board affirmatively votes to
7-26     continue the committee in existence.
7-27           SECTION 10.  Subchapter B, Chapter 533, Health and Safety
 8-1     Code, is amended by adding Section 533.0356 to read as follows:
 8-2           Sec. 533.0356.  LOCAL BEHAVIORAL HEALTH AUTHORITIES.  (a)  In
 8-3     this section, "commission" means the Texas Commission on Alcohol
 8-4     and Drug Abuse.
 8-5           (b)  As the board determines appropriate, the department
 8-6     shall integrate the department's local service delivery structure
 8-7     with that of the commission through the creation of local
 8-8     behavioral health authorities.
 8-9           (c)  A local behavioral health authority shall:
8-10                 (1)  plan and supervise the delivery of mental health
8-11     and substance abuse services in the authority's region to ensure
8-12     consistent:
8-13                       (A)  quality of care for mental health and
8-14     substance abuse services; and
8-15                       (B)  access to mental health and substance abuse
8-16     services;
8-17                 (2)  provide training, information, management, and
8-18     administrative support functions for department and commission
8-19     programs in the authority's region;
8-20                 (3)  provide a single point of entry for mental health
8-21     or substance abuse services with centralized screening, intake,
8-22     assessment, and scheduling of patients for services of either type;
8-23                 (4)  facilitate integrated case management for clients
8-24     receiving both mental health and substance abuse services; and
8-25                 (5)  conduct assessments of mental health and substance
8-26     abuse services needs in the authority's region.
8-27           SECTION 11.  Subchapter B, Chapter 533, Health and Safety
 9-1     Code, is amended by adding Section 533.039 to read as follows:
 9-2           Sec. 533.039.  CLIENT SERVICES OMBUDSMAN.  (a)  The
 9-3     commissioner shall employ an ombudsman responsible for assisting a
 9-4     person, or a parent or guardian of a person, who has been denied
 9-5     service by the department, a department program or facility, or a
 9-6     local mental health or mental retardation authority.
 9-7           (b)  The ombudsman shall:
 9-8                 (1)  explain and provide information on department and
 9-9     local mental health or mental retardation authority services,
9-10     facilities, and programs, and the rules, procedures, and guidelines
9-11     applicable to the person denied services; and
9-12                 (2)  refer the person to an appropriate program,
9-13     facility, or service of the department or any other entity, if any.
9-14           SECTION 12.  Section 534.007, Health and Safety Code, is
9-15     amended to read as follows:
9-16           Sec. 534.007.  PROHIBITED ACTIVITIES BY FORMER OFFICERS OR
9-17     EMPLOYEES; OFFENSE.  (a)  A [For one year after the date on which
9-18     a] former officer or employee of a community center who ceases
9-19     [terminates] service or employment with the center[, the
9-20     individual] may not represent any person or receive compensation
9-21     for services rendered on behalf of any person regarding a
9-22     particular matter in which the former officer or employee
9-23     participated during the period of employment, either through
9-24     personal involvement or because the case or proceeding was a matter
9-25     within the officer's or employee's official[, directly or
9-26     indirectly, attempt or aid in the attempt to procure a contract
9-27     with the community center in which the individual served or was
 10-1    employed if the contract relates to a program or service in which
 10-2    the individual was directly concerned or for which the individual
 10-3    had administrative] responsibility.
 10-4          (b)  This section does not apply to:
 10-5                (1)  a former employee who is compensated on the last
 10-6    date of service or employment below the amount prescribed by the
 10-7    General Appropriations Act for step 1, salary group 17, of the
 10-8    position classification salary schedule; or
 10-9                (2)  a former officer or employee who is employed by a
10-10    state agency or another community center.
10-11          (c)  Subsection (a) does not apply to a proceeding related to
10-12    policy development that was concluded before the officer's or
10-13    employee's service or employment ceased.
10-14          (d)  A former officer or employee of a community center
10-15    commits an offense if the former officer or employee violates this
10-16    section.  An offense under this section is a Class A misdemeanor.
10-17          (e)  In this section:
10-18                (1)  "Participated" means to have taken action as an
10-19    officer or employee through decision, approval, disapproval,
10-20    recommendation, giving advice, investigation, or similar action.
10-21                (2)  "Particular matter" means a specific
10-22    investigation, application, request for a ruling or determination,
10-23    proceeding related to the development of policy, contract, claim,
10-24    charge, accusation, arrest, or judicial or other proceeding.
10-25          SECTION 13.  Section 534.065(b), Health and Safety Code, is
10-26    amended to read as follows:
10-27          (b)  The mental health or mental retardation authority may
 11-1    [shall] renew the contract only if the contract meets the criteria
 11-2    provided by Sections 2155.074 and 2155.144, Government Code [if the
 11-3    authority finds that:]
 11-4                [(1)  funding is available;]
 11-5                [(2)  the authority plans to continue the services;]
 11-6                [(3)  the provider is in substantial compliance with
 11-7    each material provision of the contract, unless the authority
 11-8    determines that the provision is not legal and enforceable under
 11-9    applicable state and federal law;]
11-10                [(4)  the provider is providing a reasonably adequate
11-11    level of service in accordance with the contract and at a
11-12    reasonable cost;]
11-13                [(5)  the provider agrees to a renewal contract that is
11-14    substantially in compliance with a model contract developed by the
11-15    department under Section 534.055;]
11-16                [(6)  the provider was during the term of any contract
11-17    with the authority and is at the time of renewal in compliance with
11-18    applicable laws governing the subject matter of the contract; and]
11-19                [(7)  neither the provider nor any of its officers,
11-20    directors, or principal employees has been convicted or found by a
11-21    final administrative decision to have been guilty of fraud or abuse
11-22    in the provision of health care services under a contract with a
11-23    state or federal agency].
11-24          SECTION 14.  Chapter 461, Health and Safety Code, is amended
11-25    by adding Section 461.0128 to read as follows:
11-26          Sec. 461.0128.  STATE AGENCY SERVICES STANDARDS.  (a)  The
11-27    commission by rule shall establish standards of care for substance
 12-1    abuse services provided by a state agency or a state agency's
 12-2    contractors.
 12-3          (b)  Standards under Subsection (a) must be designed to
 12-4    ensure that the quality of substance abuse services provided by or
 12-5    through an agency of this state is consistent with that provided by
 12-6    the commission.
 12-7          (c)  Biennially, the commission shall review the standards
 12-8    established under this section and determine whether each standard
 12-9    is necessary to ensure consistent quality of care.
12-10          SECTION 15.  Chapter 461, Health and Safety Code, is amended
12-11    by adding Section 461.0129 to read as follows:
12-12          Sec. 461.0129.  LOCAL BEHAVIORAL HEALTH AUTHORITIES.  (a)  In
12-13    this section, "department" means the Texas Department of Mental
12-14    Health and Mental Retardation.
12-15          (b)  As the commission determines appropriate, the commission
12-16    shall integrate the commission's local service delivery structure
12-17    with that of the department through the creation of local
12-18    behavioral health authorities.
12-19          (c)  A local behavioral health authority shall:
12-20                (1)  plan and supervise the delivery of mental health
12-21    and substance abuse services in the authority's region to ensure
12-22    consistent:
12-23                      (A)  quality of care for mental health and
12-24    substance abuse services; and
12-25                      (B)  access to mental health and substance abuse
12-26    services;
12-27                (2)  provide training, information, management, and
 13-1    administrative support functions for department and commission
 13-2    programs in the authority's region;
 13-3                (3)  provide a single point of entry for mental health
 13-4    or substance abuse services with centralized screening, intake,
 13-5    assessment, and scheduling of patients for services of either type;
 13-6                (4)  facilitate integrated case management for clients
 13-7    receiving both mental health and substance abuse services; and
 13-8                (5)  conduct assessments of mental health and substance
 13-9    abuse services needs in the authority's region.
13-10          SECTION 16.  (a)  The changes in law made by Section
13-11    532.0035, Health and Safety Code, as added by this Act, apply only
13-12    to a member of the Texas Board of Mental Health and Mental
13-13    Retardation appointed on or after the effective date of this Act.
13-14    The qualifications of a director appointed before the effective
13-15    date of this Act are governed by the law as it existed immediately
13-16    before that date and the former law is continued in effect for that
13-17    purpose.
13-18          (b)  The changes in law to Section 534.007, Health and Safety
13-19    Code, made by this Act apply only to a person who ceases employment
13-20    on or after the effective date of this Act.  The relationship
13-21    between a community center and a former employee who terminated
13-22    employment before the effective date of this Act is governed by
13-23    Section 534.007, Health and Safety Code, as it existed immediately
13-24    before the effective date of this Act, and the former law is
13-25    continued in effect for that purpose.
13-26          (c)  The changes in law to Section 534.065(b), Health and
13-27    Safety Code, made by this Act apply only to a contract considered
 14-1    for renewal on or after the effective date of this Act.  Actions
 14-2    related to the renewal of a contract that are taken before the
 14-3    effective date of this Act and a contract renewed before that date
 14-4    are governed by Section 534.065, Health and Safety Code, as it
 14-5    existed immediately before the effective date of this Act, and the
 14-6    former law is continued in effect for that purpose.
 14-7          SECTION 17.  This Act takes effect September 1, 1999.
 14-8          SECTION 18.  The importance of this legislation and the
 14-9    crowded condition of the calendars in both houses create an
14-10    emergency and an imperative public necessity that the
14-11    constitutional rule requiring bills to be read on three several
14-12    days in each house be suspended, and this rule is hereby suspended.