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SECTION 4. Subchapter A,
Chapter 266, Family Code, is amended by adding Sections 266.011, 266.012,
266.013, 266.014, and 266.015 to read as follows:
Sec. 266.011. PRIOR
AUTHORIZATION FOR CERTAIN PSYCHOTROPIC DRUGS. The executive commissioner
shall adopt rules requiring prior authorization from the STAR Health
Medicaid managed care program before a psychotropic drug prescribed for a
foster child may be dispensed. The rules must:
(1) prohibit a pharmacy
from dispensing a psychotropic drug prescribed for a foster child until the
pharmacy receives prior authorization from the STAR Health Medicaid managed
care program for the prescribed psychotropic drug if the prescription is
for:
(A) four or more
psychotropic drugs to be taken concurrently;
(B) two or more
psychotropic drugs of the same class to be taken concurrently;
(C) a psychotropic drug
prescribed for a child younger than five years of age; or
(D) a psychotropic drug
the commission determines should be reviewed; and
(2) require the STAR
Health Medicaid managed care program to respond to a request for
authorization required under Subdivision (1) not later than 24 hours after
receiving the request.
Sec. 266.012. MEDICAL
REPORT FOR PRESCRIPTION OF PSYCHOTROPIC DRUG. (a) The commission, in
conjunction with the department, and with the assistance of appropriate
health and human services agencies, community partners, and physicians and
other health care providers, shall develop a form to report the
prescription of a psychotropic drug to a foster child.
(b) The foster child's
physician shall use the form described by Subsection (a) to report the
prescription of a psychotropic drug to a foster child or a change in the
dosage of a psychotropic drug prescribed for the child and shall update the
report as appropriate to document the child's progress in reaching the
child's treatment goals.
(c) The executive
commissioner shall adopt rules specifying the information required to be
included in the report. The report must include:
(1) the child's diagnosis
and a description of the symptoms and behaviors for which the physician is
prescribing the psychotropic drug;
(2) any possible side
effects of the psychotropic drug that the child's care provider should
monitor;
(3) a description of
generally accepted alternatives to the psychotropic drug, if any, and the
reasons why the physician believes that the alternatives are not
appropriate;
(4) a description of
clearly defined target symptoms and treatment goals based on recognized
clinical rating scales or other measures to quantify the child's progress
toward the treatment goals;
(5) other information
that the physician considers appropriate, including the child's height,
weight, blood pressure, and laboratory results; and
(6) if the child has been
taking the psychotropic drug for longer than six months, the physician's
analysis of the necessity of continuing the psychotropic drug.
(d) The physician and the
person authorized to consent to medical care for the foster child under
this chapter must review and sign the medical report.
(e) The department shall
make the medical report available as part of the child's health passport
described by Section 266.006.
Sec. 266.013.
COMPREHENSIVE ASSESSMENTS. Not later than the 30th day after the date a child enters the conservatorship of
the department, the child shall receive a comprehensive, multidisciplinary assessment that includes a
screening for trauma.
Sec. 266.014. ASSESSMENT
REQUIRED BEFORE PRESCRIBING PSYCHOTROPIC DRUG. Except for authorizing a
refill of an existing prescription or in an emergency that requires the
urgent administration of a psychotropic drug, a physician may not prescribe
a psychotropic drug for a foster child until the assessment described by
Section 266.013 is complete.
Sec. 266.015. STUDY
REGARDING USE OF PSYCHOTROPIC DRUGS; REPORT. (a) The department shall
review the use of psychotropic drugs in the treatment of foster children.
(b) Not later than
December 1 of each even-numbered year, the department shall deliver a
report on the review conducted under Subsection (a), including an analysis
of any trends in the use of psychotropic drugs in the treatment of foster
children, to the governor, the lieutenant governor, and the speaker of the
house of representatives.
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SECTION 1. Chapter 266,
Family Code, is amended by adding Section 266.011 to read as follows:
No
equivalent provision.
No
equivalent provision.
Sec. 266.011.
COMPREHENSIVE ASSESSMENTS. (a) Not later than the 45th day after the date a child enters the conservatorship of
the department, the child shall receive a developmentally
appropriate, comprehensive psychosocial
assessment. The assessment must include:
(1) a screening for
trauma; and
(2) interviews with individuals who have knowledge of the child's
needs.
(b) The department shall develop:
(1) a schedule of approved assessment tools that may be used in the
performance of an assessment; and
(2) guidelines regarding the contents of an assessment report.
No
equivalent provision.
No
equivalent provision.
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