By: Hilderbran, Davis of Harris, Gallego, H.B. No. 654
      Macias, Rose
 
A BILL TO BE ENTITLED
AN ACT
relating to a pilot project to develop and operate a crisis
stabilization unit on Kerrville State Hospital grounds.
       BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
       SECTION 1.  Subchapter A, Chapter 551, Health and Safety
Code, is amended by adding Section 551.009 to read as follows:
       Sec. 551.009.  HILL COUNTRY LOCAL MENTAL HEALTH AUTHORITY
CRISIS STABILIZATION UNIT PILOT PROJECT.  (a)  The Department of
State Health Services shall implement a crisis stabilization unit
pilot project by establishing and operating a crisis stabilization
unit on the grounds of the Kerrville State Hospital as provided by
this section.  The unit must be a 16-bed facility separate from the
buildings used by the Kerrville State Hospital.
       (b)  The department shall contract with the local mental
health authority serving the Hill Country area, including Kerr
County, to operate the crisis stabilization unit. The department
shall ensure that the crisis stabilization unit provides short-term
residential treatment, including medical and nursing services,
designed to reduce a patient's acute symptoms of mental illness and
prevent a patient's admission to an inpatient mental health
facility.
       (c)  The local mental health authority shall contract with
Kerrville State Hospital to provide food service, laundry service,
lawn care, and equipment rental to the crisis stabilization unit.
The local mental health authority may contract with Kerrville State
Hospital to provide pharmaceutical services for the crisis
stabilization unit.
       (d)  The crisis stabilization unit may not be used to provide
care to:
             (1)  children; or
             (2)  adults sentenced to a state mental facility as
provided by Chapter 46C, Code of Criminal Procedure.
       (e)  The local mental health authority operating the crisis
stabilization unit under contract shall use, for the purpose of
operating the 16-bed unit, the money appropriated to the department
for operating 16 beds in state hospitals that is allocated to the
local mental health authority. The department shall ensure that
the local mental health authority retains the remainder of the
local authority's state hospital allocation that is not used for
operating the 16-bed unit. The department may allocate additional
funds appropriated to the department for state hospitals to the
crisis stabilization unit pilot project.
       (f)  The department shall reduce the number of beds the
department operates in the state hospital by 16.  The department, in
collaboration with the local mental health authority, shall ensure
that the 16 beds in the crisis stabilization unit are made available
to other mental health authorities for use as designated by the
department.
       (g)  Not later than December 1, 2008, the Department of State
Health Services shall submit a report to the governor, the
lieutenant governor, and the speaker of the house of
representatives that includes:
             (1)  an analysis of the effectiveness of the pilot
project; and
             (2)  recommendations regarding the continuation or
expansion of the pilot project.
       (h)  This section expires September 1, 2009.
       SECTION 2.  This Act takes effect immediately if it receives
a vote of two-thirds of all the members elected to each house, as
provided by Section 39, Article III, Texas Constitution.  If this
Act does not receive the vote necessary for immediate effect, this
Act takes effect September 1, 2007.