82R1327 MCK/SJM-D
 
  By: Nelson S.B. No. 219
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to health and mental health services for children in
  foster care and kinship care.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 264.015, Family Code, is amended to read
  as follows:
         Sec. 264.015.  TRAINING. (a)  The department shall include
  training in trauma-informed programs and services in any training
  the department provides to foster parents, adoptive parents,
  kinship caregivers, [and] department caseworkers, and department
  caseworker supervisors.  The department shall pay for the training
  provided under this subsection [section] with gifts, donations, and
  grants and any federal money available through the Fostering
  Connections to Success and Increasing Adoptions Act of 2008 (Pub.
  L. No. 110-351). The department shall annually evaluate the
  effectiveness of the training provided under this subsection to
  ensure progress toward a trauma-informed system of care.
         (b)  The department shall require department caseworkers and
  department caseworker supervisors to complete an annual refresher
  training course in trauma-informed programs and services.
         (c)  In addition to the recipients of training under
  Subsection (a), the department shall offer training in
  trauma-informed programs and services to:
               (1)  court-appointed special advocates;
               (2)  children's advocacy center staff;
               (3)  therapists at Department of Aging and Disability
  Services mental health centers; and
               (4)  domestic violence shelter staff.
         (d)  The department shall include trauma-informed programs
  and services training in parenting classes the department provides
  to parents receiving services from the department.
         SECTION 2.  Section 531.0216, Government Code, is amended by
  adding Subsection (c-1) to read as follows:
         (c-1)  The commission shall:
               (1)  explore opportunities to increase STAR Health
  program providers' use of telemedicine medical services in
  medically underserved areas of this state; and
               (2)  encourage STAR Health program providers to use
  telemedicine medical services as appropriate.
         SECTION 3.  Subchapter A, Chapter 533, Government Code, is
  amended by adding Section 533.0052 to read as follows:
         Sec. 533.0052.  STAR HEALTH PROGRAM: CONTRACT PROVISIONS.
  (a) A contract between a managed care organization and the
  commission for the organization to provide health care services to
  recipients under the STAR Health program must include a requirement
  that each physician or provider under a managed care plan receive
  training in trauma-informed care.
         (b)  The commission shall encourage each managed care
  organization providing health care services to recipients under the
  STAR Health program to include in a written agreement between the
  organization and a physician or provider under a managed care plan a
  requirement that the physician or provider receive training in
  post-traumatic stress disorder and
  attention-deficit/hyperactivity disorder within a reasonable time
  after the date the physician or provider begins providing services
  under the managed care plan.
         SECTION 4.  Subchapter B, Chapter 32, Human Resources Code,
  is amended by adding Section 32.0561 to read as follows:
         Sec. 32.0561.  PRELIMINARY BEHAVIORAL HEALTH ASSESSMENT. In
  addition to complying with the regimen of care prescribed by the
  Texas Health Steps program under Section 32.056, a provider of
  health care to recipients under the STAR Health program shall
  conduct a preliminary behavioral health assessment of each
  recipient who is a child during the child's initial visit to the
  provider.
         SECTION 5.  (a)  Section 533.0052(a), Government Code, as
  added by this Act, applies only to a contract between the Health and
  Human Services Commission and a managed care organization that is
  entered into or renewed on or after the effective date of this Act.
         (b)  To the extent permitted by law or the terms of the
  contract, the Health and Human Services Commission shall amend a
  contract entered into before the effective date of this Act with a
  managed care organization to require compliance with Section
  533.0052(a), Government Code, as added by this Act.
         SECTION 6.  If before implementing any provision of this Act
  a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         SECTION 7.  This Act takes effect September 1, 2011.