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A BILL TO BE ENTITLED
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AN ACT
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relating to child protective services. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Chapter 261.301(a), Family Code, is amended to |
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read as follows: |
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(a) With assistance from the appropriate state or local law |
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enforcement agency as provided by this section, the department or |
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designated agency shall make a prompt and thorough investigation of |
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a report of child abuse or neglect allegedly committed by a person |
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responsible for a child's care, custody, or welfare. The |
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investigation shall be conducted without regard to any pending suit |
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affecting the parent-child relationship. The department may |
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contract with a local law enforcement agency to provide forensic |
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investigation support and assist case workers with assessment |
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decisions and intervention activities. The department shall ensure |
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that a law enforcement officer who conducts an investigation under |
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a contract with the department receives the training described by |
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Section 261.3011(b). |
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SECTION 2. Section 261.303, Family Code, is amended by |
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amending Subsection (d) and adding Subsection (e) to read as |
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follows: |
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(d) A person, including a medical facility, that makes a |
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report under Subchapter B shall release to the department or |
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designated agency, as part of the required report under Section |
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261.103, records that directly relate to the suspected abuse or |
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neglect without requiring parental consent or a court order. If a |
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child is transferred from a reporting medical facility to another |
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medical facility to treat the injury or condition that formed the |
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basis for the original report, the transferee medical facility |
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shall, at the department's request, release to the department |
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records relating to the injury or condition without requiring |
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parental consent or a court order. |
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(e) A person, including a utility company, that has |
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confidential locating or identifying information regarding a |
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family that is the subject of an investigation under this chapter |
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shall release that information to the department. |
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SECTION 3. Section 263.102, Family Code, is amended by |
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adding Subsection (f) to read as follows: |
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(f) In developing the service plan for a child under two |
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years of age, the department shall consult with relevant |
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professionals to determine the skills or knowledge that the child's |
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parents must learn or acquire to meet the goals of the service plan. |
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The service plan must require therapeutic family visits between the |
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child and the child's parents supervised by a licensed psychologist |
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to promote family reunification and to educate the parents about |
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issues relating to the removal of the child. |
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SECTION 4. Section 264.012, Family Code, is amended by |
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adding Subsection (a-1) and amending Subsection (b) to read as |
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follows: |
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(a-1) The department shall spend money appropriated for the |
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child protective services program to pay reasonable and necessary |
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burial expenses for a person for whom the department is paying for |
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foster care under Section 264.101(a-1)(2) and who dies while in |
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foster care unless there is money in the person's estate or other |
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money available to pay the person's burial expenses. |
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(b) The department may accept donations, gifts, or in-kind |
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contributions to cover the costs of any burial expenses paid by the |
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department under this section [for children for whom the department
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has been appointed managing conservator]. |
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SECTION 5. Sections 264.106(b), (e), (g), (i), (j), and (k), |
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Family Code, are amended to read as follows: |
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(b) The department shall, in accordance with Section |
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45.004, Human Resources Code: |
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(1) assess the need for substitute care and case |
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management services throughout the state; |
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(2) [either] contract [directly] with private |
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agencies as part of regional community-centered networks for the |
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provision of: |
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(A) all necessary substitute care services; and |
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(B) case management services in at least 10 |
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percent of the cases in the state [or use an independent
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administrator to contract for those services]; |
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(3) [contract with an independent administrator, if
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cost beneficial, to coordinate and manage all services needed for
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children in the temporary or permanent managing conservatorship of
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the department in a designated geographic area;
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[(4)] monitor the quality of services for which the |
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department contracts [and each independent administrator contract] |
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under this section; and |
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(4) [(5)] ensure that the services are provided in |
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accordance with federal law and the laws of this state, including |
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department rules and rules of the Department of State Health |
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Services and the Texas Commission on Environmental Quality. |
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(e) In addition to the requirements of Section 40.058(b), |
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Human Resources Code, a contract with a private agency [an
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independent administrator] must include provisions that: |
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(1) enable the department to monitor the effectiveness |
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of the services; |
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(2) specify performance outcomes; |
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(3) authorize the department to terminate the contract |
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or impose sanctions for a violation of a provision of the contract |
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that specifies performance criteria; |
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(4) ensure that a private agency [an independent
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administrator] may not refuse to accept a client who is referred for |
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services or reject a client who is receiving services unless the |
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department has reviewed the private agency's [independent
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administrator's] decision and approved the decision in writing; |
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(5) authorize the department, an agent of the |
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department, and the state auditor to inspect all books, records, |
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and files maintained by a private agency [an independent
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administrator] relating to the contract; and |
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(6) the department determines are necessary to ensure |
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accountability for the delivery of services and for the expenditure |
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of public funds. |
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(g) In determining whether to contract with a substitute |
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care provider [or an independent administrator], the department |
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shall consider the provider's [or administrator's] performance |
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under any previous contract between the department and the provider |
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[or administrator]. |
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(i) Except as provided by Subsections (j) and (k) and |
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notwithstanding any other law, on and after September 1, 2009 |
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[2011], the department may not directly provide substitute care |
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[and case management] services for children for whom the department |
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has been appointed temporary or permanent managing conservator. |
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(j) On and after September 1, 2009 [2011], the department |
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may provide substitute care [and case management] services in an |
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emergency. The executive commissioner shall adopt rules describing |
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the circumstances in which the department may provide those |
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services. |
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(k) The department may provide substitute care [and case
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management] services as a provider of last resort in any region of |
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the state in which the department [or an independent administrator
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contracting with the department] is unable to contract with a |
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private agency to provide those services. |
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SECTION 6. Section 264.1062, Family Code, is amended to |
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read as follows: |
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Sec. 264.1062. CONTRACT FOR CASE MANAGEMENT SERVICES |
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[EVALUATION OF INDEPENDENT ADMINISTRATORS]. Not later than |
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September 1, 2009, the [The] department shall contract with private |
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agencies to provide case management services in at least 10 percent |
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of the cases in the state. The department shall select the private |
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agencies through a competitive procurement process [develop and
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implement a comprehensive multidisciplinary team to monitor and
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evaluate the performance of independent administrators. The team
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must consist of specialized staff who can enable the department to
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measure critical dimensions of community-based organization
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performance, obtained through the quality assurance functions of
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the independent administrator, including:
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[(1)achievement of client and system outcomes;
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[(2) compliance with contractual terms and
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conditions; and
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[(3) any history of the community-based organization's
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noncompliance with the department's licensing standards]. |
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SECTION 7. Section 264.1063, Family Code, is amended to |
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read as follows: |
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Sec. 264.1063. MONITORING PERFORMANCE OF SUBSTITUTE CARE |
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AND CASE MANAGEMENT PROVIDERS. (a) The department, in |
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consultation with private entities under contract with [either an
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independent administrator or] the department to provide substitute |
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care or case management services, shall establish a quality |
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assurance program that uses comprehensive, multitiered assurance |
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and improvement systems based, subject to the availability of |
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funds, on real-time data to evaluate performance. |
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(b) The contract performance outcomes specified in a |
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contract under Section 264.106 must be consistent with the fiscal |
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goals of privatizing substitute care and case management services |
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and must be within the contractor's authority to deliver. The |
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contract must clearly define the manner in which the substitute |
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care or case management provider's performance will be measured and |
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identify the information sources the department [and, if
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applicable, the independent administrator] will use to evaluate the |
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performance. |
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SECTION 8. Sections 264.107(c), (d), (e), and (f), Family |
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Code, are amended to read as follows: |
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(c) The department shall institute [contract between the
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department and an independent administrator or other authorized
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entity must require, not later than September 1, 2009,] the use of |
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real-time technology in the department's [independent
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administrator's or other authorized entity's] placement system to |
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screen possible placement options for a child and match the child's |
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needs with the most qualified providers with vacancies. |
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(d) The department shall [institute a quality assurance
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system in monitoring the independent administrators or other
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authorized entities to] ensure that placement decisions are |
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reliable and are made in a consistent manner. |
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(e) In making placement decisions, the department [an
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independent administrator or other authorized entity] shall: |
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(1) consult with the child's caseworker and the |
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child's guardian ad litem or court-appointed volunteer advocate; |
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and |
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(2) use clinical protocols to match a child to the most |
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appropriate placement resource. |
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(f) The department may create a regional advisory council in |
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a region to assist the department [and independent administrator or
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other authorized entity] in: |
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(1) assessing the need for resources in the region; |
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and |
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(2) locating substitute care services in the region |
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for hard-to-place children. |
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SECTION 9. Subchapter B, Chapter 264, Family Code, is |
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amended by adding Section 264.1071 to read as follows: |
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Sec. 264.1071. PLACEMENT FOR CHILDREN UNDER AGE TWO. In |
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making a placement decision for a child under two years of age, the |
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department shall ensure that the child is placed with a person who |
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will provide a safe and emotionally stable environment for the |
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child and who will be able to provide care for the child without |
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disruption until the child is returned to the child's parents or the |
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department makes a permanent placement for the child. |
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SECTION 10. Section 264.113, Family Code, is amended by |
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adding Subsection (c) to read as follows: |
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(c) The department shall work with the Department of |
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Assistive and Rehabilitative Services to recruit foster parents and |
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adoptive parents who have skills, training, or experience suitable |
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to care for children with hearing impairments. |
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SECTION 11. Section 264.121, Family Code, is amended by |
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adding Subsection (c) to read as follows: |
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(c) At the time a child enters the Preparation for Adult |
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Living Program, the department shall provide an information booklet |
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to the child and the foster parent describing the program and the |
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benefits available to the child, including extended Medicaid |
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coverage until age 21, priority status with the Texas Workforce |
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Commission, and the exemption from the payment of tuition and fees |
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at institutions of higher education as defined by Section 61.003, |
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Education Code. |
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SECTION 12. Subchapter C, Chapter 264, Family Code, is |
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amended by adding Section 264.2011 to read as follows: |
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Sec. 264.2011. ENHANCED IN-HOME SUPPORT PROGRAM. (a) To |
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the extent that funding is available, the department shall develop |
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a program to strengthen families through enhanced in-home support. |
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The program shall assist certain low-income families and children |
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in child neglect cases in which poverty is believed to be a |
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significant underlying cause of the neglect and in which the |
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enhancement of in-home support appears likely to prevent removal of |
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the child from the home or to speed reunification of the child with |
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the family. |
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(b) A family that meets eligibility criteria for inclusion |
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in the program is eligible to receive limited funding from a |
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flexible fund account to cover nonrecurring expenses that are |
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designed to help the family accomplish the objectives included in |
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the family's service plan. |
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(c) The executive commissioner shall adopt rules |
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establishing: |
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(1) specific eligibility criteria for the program |
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described in this section; |
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(2) the maximum amount of money that may be made |
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available to a family through the flexible fund account; and |
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(3) the purposes for which money made available under |
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the program may be spent. |
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(d) The department shall evaluate the results of the program |
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to determine whether the program is successful in safely keeping |
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families together. If the department determines that the program is |
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successful, the department shall continue the program to the extent |
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that funding is available. |
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SECTION 13. Section 264.203(a), Family Code, is amended to |
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read as follows: |
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(a) Except as provided by Subsection (d), the court on |
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request of the department may order the parent, managing |
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conservator, guardian, or other member of the subject [abused or
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neglected] child's household to: |
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(1) participate in the services the department |
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provides or purchases for: |
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(A) alleviating the effects of the abuse or |
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neglect that has occurred; or |
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(B) reducing the reasonable likelihood that the |
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child may be abused or neglected in the immediate or foreseeable |
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future; and |
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(2) [to] permit the child and any siblings of the child |
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to receive the services. |
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SECTION 14. Chapter 266, Family Code, as added by Chapter |
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268, Acts of the 79th Legislature, Regular Session, 2005, is |
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amended by adding Section 266.0031 to read as follows: |
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Sec. 266.0031. COMMITTEE ON MEDICAL AND FINANCIAL ISSUES |
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RELATING TO ABUSE AND NEGLECT. (a) The committee on medical and |
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financial issues relating to abuse and neglect is composed of nine |
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members appointed by the executive commissioner. The members must |
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include: |
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(1) a representative of the attorney general's office; |
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(2) a representative of the Department of State Health |
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Services; |
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(3) a representative of the Department of Family and |
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Protective Services; |
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(4) a representative of the Health and Human Services |
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Commission; |
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(5) a representative of a child advocacy center; |
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(6) a physician representative who specializes in |
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pediatrics; |
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(7) a representative from a children's hospital; and |
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(8) two additional representatives, each of whom |
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represents one of the interests described by Subdivisions (1) |
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through (7). |
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(b) The executive commissioner shall designate a member |
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representing the Department of State Health Services as the |
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presiding officer of the committee. |
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(c) The committee shall: |
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(1) develop procedures and protocols for physicians, |
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nurses, hospitals, and other health care providers to follow in |
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detecting child abuse and neglect; and |
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(2) recommend methods to finance programs that: |
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(A) provide medical services to abused and |
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neglected children; and |
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(B) assist the department in investigating and |
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proving allegations of abuse and neglect. |
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(d) The committee shall report its findings and |
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recommendations to the department and the legislature not later |
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than September 1, 2009. |
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(e) This section expires January 1, 2010. |
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SECTION 15. Section 2155.1442(a), Government Code, is |
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amended to read as follows: |
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(a) Subject to Subsection (e), the state auditor shall |
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conduct a management review of the residential contract management |
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employees of the Health and Human Services Commission and the |
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Department of Family and Protective Services and make |
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recommendations regarding the organization of, and skills and |
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educational requirements for, those employees. The state auditor |
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shall also make recommendations regarding the implementation of |
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financial accountability provisions and processes to ensure |
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effective and efficient expenditure of state and other contract |
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funds. [The state auditor shall report annually to the governor,
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the lieutenant governor, the speaker of the house of
|
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representatives, and the comptroller on the auditor's
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recommendations and the commission's and department's
|
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implementation of each recommendation.] |
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SECTION 16. Section 40.071, Human Resources Code, is |
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amended to read as follows: |
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Sec. 40.071. DRUG-ENDANGERED CHILD INITIATIVE. The |
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department shall establish a drug-endangered child initiative |
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aimed at protecting children who are exposed to heroin, cocaine or |
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any of its forms, or methamphetamine or to chemicals and other |
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hazardous materials used in the illicit manufacture of |
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methamphetamine. |
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SECTION 17. (a) Subchapter B, Chapter 42, Human Resources |
|
Code, is amended by adding Section 42.0211 to read as follows: |
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Sec. 42.0211. SAFETY SPECIALISTS, RISK ANALYSTS, AND |
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PERFORMANCE MANAGEMENT. (a) The division shall employ at least one |
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specially trained investigation safety specialist, whose duties |
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include the duty to: |
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(1) review and evaluate the intake of reports that |
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include allegations associated with a higher risk of harm to the |
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child; and |
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(2) consult with the assigned investigator to provide |
|
specialized guidance and resources to assist the investigation. |
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(b) The division shall employ at least one risk analyst, |
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whose duties include the duty to: |
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(1) identify facilities, including child-placing |
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agencies, whose compliance histories indicate the potential for a |
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higher risk of harm to children in the care of the facility; |
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(2) review the monitoring and inspection reports for |
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any facilities described by Subdivision (1) to assess the quality |
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of the investigation or monitoring; and |
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(3) identify any additional monitoring or enforcement |
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action that may be appropriate to ensure the safety of a child in |
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the care of the facility. |
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(c) The division must include a performance management unit |
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with duties that include: |
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(1) conducting quality assurance reviews of randomly |
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selected monitoring and investigative reports to ensure compliance |
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with all relevant laws, rules, and agency policies; and |
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(2) making recommendations to improve the quality and |
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consistency of monitoring and investigations. |
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(b) The Department of Family and Protective Services shall |
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implement the change in law made by the enactment of Section |
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42.0211, Human Resources Code, only to the extent that funding is |
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available. |
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SECTION 18. Subchapter B, Chapter 42, Human Resources Code, |
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is amended by adding Section 42.0221 to read as follows: |
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Sec. 42.0221. COMMITTEE ON LICENSING STANDARDS. (a) The |
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committee on licensing standards shall review the standards |
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relating to each license issued by the department. |
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(b) The committee is composed of six members appointed by |
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the governor as follows: |
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(1) one member who operates a facility licensed by the |
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department; |
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(2) one member who is a parent, guardian, or custodian |
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of a child who uses a facility licensed by the department; |
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(3) one member who is an expert in the field of child |
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care and child development; and |
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(4) three members employed by the department who work |
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with facilities licensed by the department. |
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(c) Members of the committee serve two-year terms, with the |
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terms of three members expiring February 1 of each year. |
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(d) The committee shall review and analyze the information |
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provided by the department under Section 42.0455 and shall make |
|
recommendations for policy and statutory changes relating to |
|
licensing standards and facility inspections. |
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(e) The committee shall report its findings and |
|
recommendations to the department and the legislature not later |
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than December 1 of each year. |
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SECTION 19. (a) Section 42.044, Human Resources Code, is |
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amended by adding Subsection (b-1) and amending Subsection (e) to |
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read as follows: |
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(b-1) At least one of the unannounced, annual inspections of |
|
a residential child-care facility must be conducted by a team of at |
|
least two residential child-care monitoring staff, and, if |
|
feasible, members of the inspection team must be from different |
|
residential child-care monitoring units. |
|
(e) In addition to the department's responsibility to |
|
investigate an agency foster home or agency foster group home under |
|
Subsection (c), the [The] department shall: |
|
(1) periodically conduct inspections of a random |
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sample of agency foster homes and agency foster group homes; |
|
(2) investigate any report of a serious incident in an |
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agency foster home or agency foster group home that pertains to a |
|
child under the age of six; |
|
(3) investigate any alleged violation of a minimum |
|
standard by an agency foster home or agency foster group home that |
|
poses a high degree of risk to a child in the care of the home who is |
|
under the age of six; and |
|
(4) conduct at least one annual enforcement team |
|
conference for each child-placing agency to thoroughly review the |
|
investigations or inspections of the child-placing agency and all |
|
of its agency homes [. The department shall use the inspections] to |
|
monitor and enforce compliance by a child-placing agency with rules |
|
and standards established under Section 42.042. |
|
(b) The executive commissioner of the Health and Human |
|
Services Commission shall adopt rules specifying the types of |
|
alleged minimum standards violations that are considered to pose a |
|
high degree of risk to a child in the care of an agency foster home |
|
or agency foster group home under the age of six and must be |
|
investigated by the department under Section 42.044(e)(3), Human |
|
Resources Code, as added by this Act. |
|
(c) The Department of Family and Protective Services shall |
|
implement the change in law made by this Act to Section 42.044, |
|
Human Resources Code, only to the extent that funding is available. |
|
If funding is not available, the executive commissioner of the |
|
Health and Human Services Commission is not required to adopt rules |
|
as directed by Subsection (b) of this section. |
|
SECTION 20. Subchapter C, Chapter 42, Human Resources Code, |
|
is amended by adding Section 42.0455 to read as follows: |
|
Sec. 42.0455. FACILITY EVALUATION FORM. (a) The department |
|
shall develop an evaluation form to be completed by each facility |
|
regulated under this chapter or registered family home after an |
|
inspection of the facility or home. |
|
(b) The evaluation form must allow the facility or home to |
|
provide comments and suggest policy and statutory changes relating |
|
to licensing standards and inspection procedures. |
|
(c) The department shall compile the information from the |
|
evaluations and provide the information to the committee on |
|
licensing standards for review. |
|
SECTION 21. Subchapter C, Chapter 42, Human Resources Code, |
|
is amended by adding Section 42.064 to read as follows: |
|
Sec. 42.064. PROVIDER INFORMATION DATABASE. (a) The |
|
department shall maintain a database containing: |
|
(1) the name of each person who was denied a license to |
|
operate a foster home under this chapter; and |
|
(2) information relating to each complaint filed with |
|
the department against a person licensed to operate a foster home, |
|
including the manner in which the complaint was resolved and any |
|
disciplinary action taken against the license holder. |
|
(b) When the department denies, cancels, or refuses to renew |
|
a license to operate a foster home, the department shall maintain |
|
that information in the database established under this section. |
|
(c) The department shall make the information in the |
|
database established under this section available to child-placing |
|
agencies. |
|
SECTION 22. Section 45.002, Human Resources Code, is |
|
amended to read as follows: |
|
Sec. 45.002. PRIVATIZING SUBSTITUTE CARE AND CASE |
|
MANAGEMENT SERVICES; DEPARTMENT DUTIES. (a) Not later than |
|
September 1, 2009 [2011], the department shall: |
|
(1) complete the statewide privatization of the |
|
provision of substitute care services; and |
|
(2) privatize case management services in at least 10 |
|
percent of the cases in this state. |
|
(b) On and after September 1, 2009 [2011]: |
|
(1) all substitute care services and at least 10 |
|
percent of the case management services provided in the state for |
|
children for whom the department has been appointed temporary or |
|
permanent managing conservator must be provided by child-care |
|
institutions and child-placing agencies; |
|
(2) all substitute care and case management service |
|
providers shall, to the best extent possible, honor the cultural |
|
and religious affiliations of a child placed in the service |
|
provider's care, regardless of the religious affiliation of the |
|
service provider; and |
|
(3) except as provided by Subsections (d) and (e) and |
|
notwithstanding any other law, the department may not directly |
|
provide substitute care [and case management] services. |
|
(c) On and after September 1, 2009 [2011], the department |
|
shall: |
|
(1) monitor the quality of services for which the |
|
department contracts [and each independent administrator contract] |
|
under this chapter; and |
|
(2) ensure that the services are provided in |
|
accordance with federal law and the laws of this state, including |
|
department rules and rules of the Department of State Health |
|
Services and the Texas Commission on Environmental Quality. |
|
(d) On and after September 1, 2009 [2011], the department |
|
may provide substitute care [and case management] services in an |
|
emergency. The executive commissioner shall adopt rules describing |
|
the circumstances in which the department may provide those |
|
services. |
|
(e) The department may provide substitute care [and case
|
|
management] services as a provider of last resort as provided by |
|
Section 264.106(k), Family Code. |
|
SECTION 23. Section 45.004, Human Resources Code, is |
|
amended to read as follows: |
|
Sec. 45.004. [INDEPENDENT ADMINISTRATORS;] DEPARTMENT |
|
DATA SYSTEM DUTIES. [(a) The department shall research and develop
|
|
a comprehensive strategy for contracting for management support
|
|
services from independent administrators on a regional basis. If
|
|
the department determines that an independent administrator could
|
|
manage and procure substitute care and case management services
|
|
contracts with private agencies and conduct placement assessments
|
|
in a more cost-beneficial manner, the department shall implement a
|
|
transition plan to transfer the procurement, management, and
|
|
oversight of substitute care and case management services from the
|
|
department to an independent administrator, as well as
|
|
responsibility for placement assessments. If the department
|
|
determines that contracting for management support from an
|
|
independent administrator is not cost beneficial, the
|
|
privatization of substitute care and case management services will
|
|
occur as provided by Section 45.002(b).
|
|
[(b)The comprehensive strategy, at a minimum, must:
|
|
[(1) use competitively procured independent
|
|
administrators to procure and manage substitute care and case
|
|
management providers in a geographic region designated by the
|
|
department;
|
|
[(2) require independent administrators to contract
|
|
with private agencies that will:
|
|
[(A) increase local foster and adoptive
|
|
placement options for all children, especially teenagers, sibling
|
|
groups, children whose race or ethnicity is disproportionately
|
|
represented in foster care, children with severe or multiple
|
|
disabilities, and other children who are difficult to place; and
|
|
[(B) expand efforts to recruit foster families,
|
|
adoptive families, and alternative care providers through
|
|
faith-based and other targeted recruitment programs; and
|
|
[(3) allow permanency services providers to enter
|
|
client, service, and outcome information into the department's
|
|
client data system.
|
|
[(c)] Subject to the appropriation of funds, the department |
|
shall: |
|
(1) enhance existing data systems to include contract |
|
performance information; and |
|
(2) implement a contracting data system developed or |
|
procured by the department, to track quality assurance and other |
|
contracting tools to effectively manage, monitor, and evaluate |
|
performance-based contracting functions. |
|
SECTION 24. Section 45.052, Human Resources Code, is |
|
amended to read as follows: |
|
Sec. 45.052. FINANCING. The department shall create |
|
financing and payment arrangements that provide incentives for [an
|
|
independent administrator and] substitute care and case management |
|
providers to achieve safety, permanency, and well-being outcomes |
|
and improved system performance. In developing this financing |
|
arrangement, the department shall examine: |
|
(1) the use of case rates or performance-based |
|
fee-for-service contracts that include incentive payments or |
|
payment schedules that link reimbursement to results; and |
|
(2) ways to reduce a contractor's financial risk that |
|
could jeopardize the solvency of the contractor, including the use |
|
of a risk-reward corridor that limits risk of loss and potential |
|
profits or the establishment of a statewide risk pool. |
|
SECTION 25. The heading to Section 45.054, Human Resources |
|
Code, is amended to read as follows: |
|
Sec. 45.054. EVALUATION OF CASE MANAGEMENT SERVICES |
|
[REGIONAL IMPLEMENTATION]. |
|
SECTION 26. Sections 45.054(c) and (d), Human Resources |
|
Code, are amended to read as follows: |
|
(c) Not later than the second [first] anniversary of the |
|
date the department enters into the first contract for [substitute
|
|
care and] case management services under this section, the |
|
department shall contract with a qualified, independent third party |
|
to evaluate each phase of the privatization of [substitute care
|
|
and] case management services. Each evaluation must: |
|
(1) assess the performance of [substitute care and] |
|
case management services based on compliance with defined quality |
|
outcomes for children; |
|
(2) assess the achievement of performance measures; |
|
(3) compare for quality the performance of [substitute
|
|
care and] case management services provided by contractors to |
|
[substitute care and] case management services provided by the |
|
department [in similar regions]; |
|
(4) determine if contracted services are cost |
|
beneficial; and |
|
(5) assess the private sector's ability to meet the |
|
performance measures[, including service capacity, for the
|
|
remaining regions]. |
|
(d) The independent third party with whom the department |
|
contracts under Subsection (c) shall submit its reports and |
|
recommendations to the House Human Services Committee, or its |
|
successor, and the Senate Health and Human Services Committee, or |
|
its successor, not later than September 1, 2011. |
|
SECTION 27. Section 45.101, Human Resources Code, is |
|
amended to read as follows: |
|
Sec. 45.101. GOALS FOR PRIVATIZATION. In privatizing |
|
substitute care and case management services, the department [The
|
|
transition plan adopted under Section 45.053] must provide for a |
|
new structural model for the community-centered delivery of |
|
substitute care and case management services that is based on a goal |
|
of improving protective services, achieving timely permanency for |
|
children in substitute care, including family reunification, |
|
placement with a relative, or adoption, and improving the overall |
|
well-being of children in substitute care consistent with federal |
|
and state mandates. |
|
SECTION 28. (a) The Department of Family and Protective |
|
Services shall develop a child protective services improvement plan |
|
that is designed to build on the child protective services reform |
|
elements added by Chapter 268, Acts of the 79th Legislature, |
|
Regular Session, 2005. In developing the plan, the department |
|
shall seek to expand on or modify initiatives that have resulted in |
|
demonstrable improvements and that serve the primary goals of: |
|
(1) keeping families together while ensuring child |
|
safety in the home; |
|
(2) reducing the length of time children remain in |
|
state care; and |
|
(3) improving the quality and accountability of foster |
|
care. |
|
(b) The improvement plan must include: |
|
(1) expanding the use of family group decision making; |
|
(2) reducing caseloads for caseworkers providing |
|
family-based safety services and ongoing substitute care services; |
|
(3) implementing an enhanced in-home support program, |
|
as enacted by Section 264.2011, Family Code, as added by this Act, |
|
to provide enhanced in-home supports to certain families; |
|
(4) providing additional purchased client services |
|
designed to keep families together and to reunite families more |
|
quickly while ensuring child safety; |
|
(5) enhancing support of kinship placements by hiring |
|
additional kinship workers to provide additional support and |
|
education to relative placements and purchasing additional support |
|
services for relative placements; |
|
(6) enhancing services needed to support court |
|
services and preparation of records for adoptive placement; |
|
(7) transitioning all Department of Family and |
|
Protective Services foster and adoptive homes to private |
|
child-placing agencies, while enhancing the quality and |
|
accountability of those services through performance-based |
|
contracting and enhanced contract monitoring and enforcement; |
|
(8) improving the quality and accountability of |
|
child-care licensing monitoring and investigations by assigning |
|
those functions to separate staff, providing specialized training |
|
to staff who perform each function, performing additional |
|
investigations of certain reports involving young children, and |
|
providing additional support and oversight to both functions; |
|
(9) expanding substitute and adoptive placement |
|
quality and capacity in local communities through the procurement |
|
of a statewide needs assessment and through implementation of |
|
recommendations for expanding and improving provider capabilities; |
|
(10) streamlining criminal history background checks |
|
to increase the efficiency and effectiveness of those checks; |
|
(11) improving the quality of services delivered by |
|
the Department of Family and Protective Services through expanded |
|
use of mobile technology and enhancements to the department's CLASS |
|
and IMPACT database systems and operations; |
|
(12) expanding implementation of the remediation plan |
|
required under Section 1.54, Chapter 268, Acts of the 79th |
|
Legislature, Regular Session, 2005, to address racial or ethnic |
|
disparities in foster care; and |
|
(13) implementing a statewide pilot program for a |
|
time-limited, posthospitalization "step-down" rate, approved by |
|
the executive commissioner of the Health and Human Services |
|
Commission, to support the successful transition of children who |
|
have experienced or are likely to experience multiple inpatient |
|
admissions in a psychiatric hospital to an appropriate level of |
|
care. |
|
(c) The Department of Family and Protective Services shall |
|
implement the improvement plan described by this section only to |
|
the extent that funds are available for that purpose. If funds are |
|
available to support some, but not all, elements of the plan, the |
|
department shall implement only those parts of the plan for which |
|
funding is available. To the extent feasible, the department shall |
|
contract for services needed to implement elements of the |
|
improvement plan, including the services needed to expand family |
|
group decision making, family-based safety services, kinship |
|
support services, and purchased client services. |
|
SECTION 29. (a) Not later than December 31, 2007, the |
|
Department of Family and Protective Services shall prepare and |
|
submit a detailed plan for: |
|
(1) the implementation of each element of the child |
|
protective services improvement plan required by Section 29 of this |
|
Act for which funding has been obtained; and |
|
(2) the continued implementation of all child |
|
protective services reform activities required by Chapter 268, Acts |
|
of the 79th Legislature, Regular Session, 2005, as modified by this |
|
Act. |
|
(b) At the end of each fiscal year beginning August 31, |
|
2008, the Department of Family and Protective Services shall |
|
prepare and submit a progress report that details the department's |
|
activities in implementing the plan described by Subsection (a)(1) |
|
of this section. The progress report must include the department's |
|
calculation of cost savings from reduced stays in foster care and |
|
any other cost savings that can be attributed to the implementation |
|
of the improvement plan and continued child protective services |
|
reforms. |
|
(c) The Department of Family and Protective Services shall |
|
submit the implementation plan and periodic progress reports |
|
required by this section to: |
|
(1) the governor; |
|
(2) the lieutenant governor; |
|
(3) the speaker of the house of representatives; |
|
(4) appropriate oversight committees of the |
|
legislature; |
|
(5) the Legislative Budget Board; and |
|
(6) the state auditor. |
|
(d) This section expires September 1, 2010. |
|
SECTION 30. The following sections are repealed: |
|
(1) Sections 264.106(a)(2) and (4), Family Code; |
|
(2) Sections 264.106(c) and (d), Family Code; |
|
(3) Sections 45.001(6), (9), and (11), Human Resources |
|
Code; |
|
(4) Sections 45.054(a), (b), (e), (f), (g), and (h), |
|
Human Resources Code; and |
|
(5) Section 45.102, Human Resources Code. |
|
SECTION 31. This Act takes effect September 1, 2007. |