By Zaffirini                                           S.B. No. 368
         77R1700 KLA-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to permanency planning procedures for children in state
 1-3     institutions.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1. Section 531.153, Government Code, is amended to
 1-6     read as follows:
 1-7           Sec. 531.153.  DEVELOPMENT OF PERMANENCY PLAN. (a)  To
 1-8     further the policy stated in Section 531.152, the commission and
 1-9     each appropriate health and human services agency shall develop
1-10     procedures to ensure that a permanency plan is developed for each
1-11     child residing in an institution in this state on a temporary or
1-12     long-term basis or for whom institutional care is sought.
1-13           (b)  In developing procedures under Subsection (a), the
1-14     commission and other appropriate health and human services agencies
1-15     shall develop to the extent possible uniform procedures that
1-16     promote efficiency for the agencies and stability for each child
1-17     who is the subject of a permanency plan.
1-18           SECTION 2. Section 242.043(a), Health and Safety Code, is
1-19     amended to read as follows:
1-20           (a)  The department or the department's representative may
1-21     make any inspection, survey, or investigation that it considers
1-22     necessary and may enter the premises of an institution at
1-23     reasonable times to make an inspection, survey, or investigation in
1-24     accordance with board rules.  In each inspection, survey, or
 2-1     investigation of a nursing home in which a child with a
 2-2     developmental disability resides, the department shall determine
 2-3     the extent to which the nursing home is complying with the
 2-4     permanency planning requirements under Subchapter P.
 2-5           SECTION 3. The heading to Subchapter O, Chapter 242, Health
 2-6     and Safety Code, as added by Chapter 913, Acts of the 75th
 2-7     Legislature, Regular Session, 1997, is amended to read as follows:
 2-8       SUBCHAPTER P [O].  PLACEMENT OF CERTAIN CHILDREN IN INSTITUTION
 2-9           SECTION 4. Subchapter O, Chapter 242, Health and Safety Code,
2-10     as added by Chapter 913, Acts of the 75th Legislature, Regular
2-11     Session, 1997, and relettered as Subchapter P by this Act, is
2-12     amended by amending Section 242.804 and adding Sections 242.805,
2-13     242.806, and 242.807 to read as follows:
2-14           Sec. 242.804.  PERMANENCY PLAN. (a)  A community resource
2-15     coordination group shall establish a permanency plan for each child
2-16     with a developmental disability who is placed in an institution,
2-17     including a nursing facility licensed under this chapter.
2-18           (b)  The community resource coordination group shall ensure
2-19     that the following are involved in developing the permanency plan
2-20     for the child:
2-21                 (1)  the state agency that requested the child's
2-22     placement in the institution or, if the person that requested the
2-23     placement is not a state agency, the department;
2-24                 (2)  the child's parent or guardian, if the institution
2-25     in which the child resides can locate a parent or guardian; and
2-26                 (3)  a person designated by the department under
2-27     Section 242.805 to serve as an advocate for the child, if the
 3-1     department designates an advocate.
 3-2           (c)  In developing a permanency plan for a child, the
 3-3     community resource coordination group shall ensure that the
 3-4     parental rights of the child's parent are appropriately protected.
 3-5           Sec. 242.805.  DESIGNATION OF ADVOCATE. (a)  The department
 3-6     shall designate a person to serve as an advocate for a child
 3-7     residing in an institution to assist in developing a permanency
 3-8     plan for the child if:
 3-9                 (1)  the child's parent or guardian requests the
3-10     assistance of an advocate; or
3-11                 (2)  the institution in which the child is placed
3-12     cannot locate the child's parent or guardian.
3-13           (b)  The person designated by the department to serve as the
3-14     child's advocate under this section may be:
3-15                 (1)  a person selected by the child's parent or
3-16     guardian;
3-17                 (2)  an adult relative of the child; or
3-18                 (3)  a representative of a child advocacy group.
3-19           Sec. 242.806.  COMMUNITY-BASED SERVICES. (a)  The department
3-20     shall ensure that, not later than 24 hours after a child is
3-21     initially placed in an institution, the child is placed on a
3-22     waiting list for waiver program services under Section 1915(c) of
3-23     the federal Social Security Act appropriate to the child's needs.
3-24           (b)  The parent or guardian of a child placed on a waiting
3-25     list under Subsection (a) shall determine whether to accept waiver
3-26     program services under Section 1915(c) of the federal Social
3-27     Security Act for the child when those services are available.
 4-1           Sec. 242.807.  EFFECT ON OTHER LAW. This subchapter does not
 4-2     affect responsibilities imposed by federal or other state law on a
 4-3     physician or other professional.
 4-4           SECTION 5. If before implementing any provision of this Act a
 4-5     state agency determines that a waiver or authorization from a
 4-6     federal agency is necessary for implementation of that provision,
 4-7     the agency affected by the provision shall request the waiver or
 4-8     authorization and may delay implementing that provision until the
 4-9     waiver or authorization is granted.
4-10           SECTION 6. This Act takes effect September 1, 2001.