By:  Zaffirini                                                    S.B. No. 60 

A BILL TO BE ENTITLED
AN ACT
relating to the provision of public mental health and related services for certain children who need the services of more than one agency. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. PROVISION OF SERVICES FOR CERTAIN CHILDREN WITH MULTIAGENCY NEEDS. Chapter 531, Government Code, is amended by adding Subchapter K to read as follows:
SUBCHAPTER K. PROVISION OF SERVICES FOR CERTAIN CHILDREN
WITH MULTIAGENCY NEEDS
Sec. 531.401. DEFINITIONS. In this subchapter: (1) "Children with severe emotional disturbances" includes: (A) children who are at risk of incarceration or placement in a residential mental health facility; (B) children for whom a court may appoint the Department of Protective and Regulatory Services as managing conservator; (C) children who are students in a special education program under Subchapter A, Chapter 29, Education Code; and (D) children who have a substance abuse disorder or a developmental disability. (2) "Systems of care agency" includes each health and human services agency, the Health and Human Services Commission, the Texas Council on Offenders with Mental Impairments, the Texas Education Agency, the Texas Juvenile Probation Commission, and the Texas Youth Commission. (3) "Systems of care services" means a comprehensive state system of mental health services and other necessary and related services that is organized as a coordinated network to meet the multiple and changing needs of children with severe emotional disturbances and their families. Sec. 531.402. EXECUTIVE COUNCIL MEMBERSHIP. (a) The systems of care executive council is composed of 21 members as described by this section. (b) The commissioner of health and human services and the commissioner of education serve as ex officio members. Service on the systems of care executive council is an additional duty of the positions of those commissioners. The ex officio members have voting authority. (c) The commissioner of health and human services shall appoint 12 members, each of whom must be the administrative head of a systems of care agency. (d) The governor shall appoint two members, one of whom must be appointed from a list of nominees submitted to the governor by the speaker of the house of representatives. The governor may reject one or more of the nominees on the list. If the governor rejects all the nominees on the list, the speaker shall submit to the governor a new list of different nominees. (e) The lieutenant governor shall appoint one member. (f) The commissioner of health and human services and the commissioner of education, acting jointly, shall appoint the following members: (1) one member who must be a judge of a state juvenile court; (2) one member who must be a representative of a group that advocates on behalf of children with severe emotional disturbances; (3) one member who must be a representative of a group that advocates on behalf of family members of children with severe emotional disturbances; and (4) one member who must be a representative of a community in which systems of care services are provided. (g) The appointed members of the systems of care executive council serve two-year terms expiring February 1 of each odd-numbered year. Sec. 531.403. EXECUTIVE COUNCIL OFFICERS; MEETINGS. (a) The systems of care executive council shall elect from its members a presiding officer, an assistant presiding officer, and other officers the council considers necessary to perform the council's duties. The assistant presiding officer shall preside over meetings in the presiding officer's absence. (b) The systems of care executive council shall meet at least three times each year at the call of the presiding officer. Sec. 531.404. EXECUTIVE COUNCIL DUTIES. The systems of care executive council shall: (1) review and take appropriate action on the plan developed under Section 531.406 for expanding the provision of systems of care services; (2) approve and oversee the implementation of program and fiscal policies developed by the systems of care policy team; (3) review and take appropriate action on recommendations that the policy team presents to the council; (4) approve and oversee the actions of the policy team; (5) ensure that systems of care agencies have adequate administrative support to provide systems of care services; (6) oversee the distribution and use of funding for systems of care services; and (7) issue a biennial report to the governor, the senate, and the house of representatives that includes: (A) legislative proposals relating to systems of care services; and (B) an evaluation of the provision of systems of care services. Sec. 531.405. POLICY TEAM MEMBERSHIP AND OFFICERS; MEETINGS. (a) The systems of care policy team is composed of the following members who are appointed by the systems of care executive council and serve at the will of the executive council: (1) one or more members of the senior staff of each systems of care agency; (2) the judge of a juvenile or domestic relations court; (3) a representative of an organization whose membership is composed primarily of persons representing county governments; and (4) one or more representatives of: (A) an organization that supports families of children with severe emotional disturbances; (B) a private organization that provides services to children with severe emotional disturbances; (C) a group that advocates on behalf of children with severe emotional disturbances and their families; and (D) a community in which systems of care services are provided. (b) Each member of the systems of care policy team appointed under Subsection (a)(4)(A) must also be a member of the family of a child with a severe emotional disturbance. (c) The systems of care policy team shall elect from its members a presiding officer, an assistant presiding officer, and other officers the policy team considers necessary to perform the policy team's duties. The assistant presiding officer shall preside over meetings in the presiding officer's absence. (d) The systems of care policy team shall meet at least once in each quarter of the calendar year at the call of the presiding officer. Sec. 531.406. POLICY TEAM DUTIES. (a) In this section, "community resource coordination group" means a coordination group established under the memorandum of understanding adopted under Section 531.055, as added by Chapter 114, Acts of the 77th Legislature, Regular Session, 2001. (b) The systems of care policy team shall: (1) develop a plan for expanding the provision of systems of care services throughout this state, including a time frame for the expansion of those services and provisions for working with community resource coordination groups in implementing the plan; (2) develop policies for integrating the services provided to children with severe emotional disturbances who need the services of more than one systems of care agency; (3) develop procedures for distributing and monitoring the use of funds for systems of care services; (4) develop methods for collecting, analyzing, and reporting data that can be used by each systems of care agency to evaluate systems of care services; (5) develop methods that the systems of care executive council and each systems of care agency can use to evaluate: (A) the provision of systems of care services; and (B) the outcome of those services for the children and families who receive them; (6) make recommendations to the systems of care executive council regarding policies, procedures, and methods developed under this section; (7) provide training for and technical assistance to governmental entities involved in providing systems of care services; (8) establish work groups to study issues relating to the implementation of this subchapter and the provision of systems of care services and submit the recommendations of those groups to the systems of care executive council; (9) issue a biennial report to the systems of care executive council that evaluates the provision of systems of care services using the methods developed under this section and includes: (A) the number of children and families who received systems of care services during the reporting period and the outcome of those services for the children and families who received them; (B) recommendations for improving the coordination of: (i) funding for systems of care services; and (ii) the provision of services by systems of care agencies; (C) a description of any barriers to the ability of a systems of care agency to provide effective systems of care services and recommendations for overcoming those barriers; and (D) any other information relevant to improving the provision of services to children with severe emotional disturbances who have multiagency needs; and (10) perform other duties that the systems of care executive council may assign. (c) The actions of the systems of care policy team are subject to approval by the systems of care executive council. Sec. 531.407. MERGER OF TEXAS INTEGRATED FUNDING INITIATIVE. (a) The systems of care policy team shall develop and implement a plan to merge the duties of the consortium that oversees the Texas Integrated Funding Initiative under Subchapter G, as added by Chapter 446, Acts of the 76th Legislature, Regular Session, 1999, with the duties of the policy team. The plan must ensure that: (1) the same population groups served under the Texas Integrated Funding Initiative are served under this subchapter; and (2) the availability and quality of services provided to those population groups do not decrease. (b) A reference in another statute to the consortium that oversees the Texas Integrated Funding Initiative under Subchapter G, as added by Chapter 446, Acts of the 76th Legislature, Regular Session, 1999, includes within its meaning the systems of care policy team established under this subchapter. Sec. 531.408. ADMINISTRATIVE SUPPORT FROM COMMISSION. The commission shall provide administrative support: (1) to the systems of care executive council and policy team to assist the executive council and policy team in performing their duties; and (2) where otherwise needed to fulfill the requirements of this subchapter. Sec. 531.409. REIMBURSEMENT FOR EXPENSES. (a) An appointed member of the systems of care executive council or systems of care policy team may not receive compensation for service on the council or team but is entitled to reimbursement of the travel expenses incurred by the member while conducting the business of the council or team, as provided by the General Appropriations Act. (b) The reimbursement may be paid from: (1) available funds of the systems of care agency with which the member is employed or that the member represents, in the case of a person whose membership on the council or team is a result of being an employee or representative of that agency; or (2) available funds of the commission, in the case of other members of the council or team. SECTION 2. FUNDING PLAN FOR PROVISION OF MULTIAGENCY SERVICES. (a) The systems of care executive council created by Section 531.402, Government Code, as added by this Act, shall develop a plan for funding systems of care services established under Subchapter K, Chapter 531, Government Code, as added by this Act, using all available state and federal money, including money used to fund a site participating in the Texas Integrated Funding Initiative under Subchapter G, Chapter 531, Government Code, as added by Chapter 446, Acts of the 76th Legislature, Regular Session, 1999. (b) The systems of care executive council shall report on the plan to the legislature not later than September 1, 2004. SECTION 3. INITIAL APPOINTEES TO EXECUTIVE COUNCIL. The initial appointees to the systems of care executive council created by Section 531.402, Government Code, as added by this Act, serve terms expiring February 1, 2005. SECTION 4. EFFECTIVE DATE. This Act takes effect September 1, 2003.