81R12246 UM-D
 
  By: Ellis S.B. No. 2360
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to reducing state school commitments and increasing
  community services for persons with mental retardation.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 533.0355(b), Health and Safety Code, is
  amended to read as follows:
         (b)  In adopting rules under this section, the executive
  commissioner must include rules regarding the following local
  mental retardation authority responsibilities:
               (1)  access;
               (2)  intake;
               (3)  eligibility functions;
               (4)  enrollment, initial person-centered assessment,
  and service authorization;
               (5)  case management services for individuals
  receiving services under a Home and Community-based Services (HCS)
  waiver program;
               (6)  utilization management;
               (7) [(6)]  safety net functions, including crisis
  management services and assistance in accessing facility-based
  care;
               (8) [(7)]  service coordination functions;
               (9) [(8)]  provision and oversight of state general
  revenue services;
               (10) [(9)]  local planning functions, including
  stakeholder involvement, technical assistance and training, and
  provider complaint and resolution processes; and
               (11) [(10)]  processes to assure accountability in
  performance, compliance, and monitoring.
         SECTION 2.  Subchapter A, Chapter 553, Health and Safety
  Code, is amended by adding Section 553.002 to read as follows:
         Sec. 553.002.  STATE SCHOOL CENSUS REQUIREMENTS. (a) In this
  section:
               (1)  "Alleged offender resident" means a resident who:
                     (A)  was committed to or transferred to a state
  school under Chapter 46B or 46C, Code of Criminal Procedure, as a
  result of being charged with or convicted of a criminal offense; or
                     (B)  is a child committed to or transferred to a
  state school under Chapter 55, Family Code, as a result of being
  alleged by petition or having been found to have engaged in
  delinquent conduct constituting a criminal offense.
               (2)  "Department" means the Department of Aging and
  Disability Services.
               (3)  "Resident" means a person with mental retardation
  who resides in a state school or the ICF-MR component of the Rio
  Grande State Center.
         (b)  On or before September 1, 2013, the total census of
  residents in state schools and the ICF-MR component of the Rio
  Grande State Center may not exceed 3,000 residents, excluding
  alleged offender residents, and the census of each state school may
  not exceed 350 residents, excluding alleged offender residents.
         (c)  To achieve the census requirement under Subsection (b),
  the department shall:
               (1)  reduce the total state school census by at least
  500 residents on or before September 1, 2011; and
               (2)  identify at least 1,500 residents who can
  transition to receiving services in the community through a Section
  1915(c) waiver program and transition those residents not later
  than September 1, 2013.
         SECTION 3.  (a) The Health and Human Services Commission and
  the Department of Aging and Disability Services shall jointly
  conduct a study regarding the feasibility of providing medical
  assistance for long-term services and supports through the Medicaid
  managed care program under Chapter 533, Government Code, to persons
  with mental retardation who are eligible for that assistance.
         (b)  Not later than December 1, 2010, the Health and Human
  Services Commission and the Department of Aging and Disability
  Services shall submit a report regarding the results of the study to
  the governor, the Legislative Budget Board, the lieutenant
  governor, the speaker of the house of representatives, the Senate
  Finance Committee, the Senate Health and Human Services Committee,
  the House Appropriations Committee, and the House Human Services
  Committee. The report must include:
               (1)  a cost-benefit analysis of providing medical
  assistance to persons with mental retardation in the manner
  described by Subsection (a) of this section;
               (2)  a proposal for the implementation of the provision
  of that medical assistance if implementation is feasible; and
               (3)  a description of any legislative action necessary
  to provide that medical assistance if implementation is feasible.
         SECTION 4.  Not later than January 1, 2010, the executive
  commissioner of the Health and Human Services Commission shall
  adopt rules relating to the provision of case management services
  for individuals receiving services under a Home and Community-based
  Services (HCS) waiver and shall ensure that this function is
  transferred to local mental retardation authorities as quickly as
  possible without disrupting the provision of services.
         SECTION 5.  This Act takes effect September 1, 2009.