84R4531 JSL/ADM-D
 
  By: Price H.B. No. 2304
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the continuation and functions of the Health and Human
  Services Commission and the provision of health and human services
  in this state.
 
  ARTICLE 1.  CONSOLIDATION OF HEALTH AND HUMAN SERVICES SYSTEM
         SECTION 1.01.  (a)  Chapter 531, Government Code, is amended
  by adding Subchapter A-1 to read as follows:
  SUBCHAPTER A-1.  CONSOLIDATION OF HEALTH AND HUMAN SERVICES SYSTEM
         Sec. 531.0201.  TRANSFERS TO COMMISSION.  (a) On the dates
  specified in the transition plan required under Section 531.0204,
  the powers, duties, functions, programs, and activities of each
  state agency or entity abolished by Section 531.0202 are
  transferred to the commission as provided by this subchapter.
         (b)  On the dates described by Subsection (a):
               (1)  all obligations and contracts of a state agency or
  entity abolished by Section 531.0202 are transferred to the
  commission;
               (2)  all property and records in the custody of a state
  agency or entity abolished by Section 531.0202 and all funds
  appropriated by the legislature to the state agency or entity shall
  be transferred to the commission; and
               (3)  all complaints, investigations, or contested
  cases that are pending before a state agency or entity abolished by
  Section 531.0202 or a governing person or entity of the state agency
  or entity are transferred without change in status to the
  commission.
         (c)  A rule, policy, or form adopted by or on behalf of a
  state agency or entity abolished by Section 531.0202 is a rule,
  policy, or form of the commission and remains in effect:
               (1)  until altered by the commission; or
               (2)  unless it conflicts with a rule, policy, or form of
  the commission.
         (d)  A license, permit, or certification in effect that was
  issued by a state agency or entity abolished by Section 531.0202 is
  continued in effect as a license, permit, or certification of the
  commission.
         Sec. 531.0202.  ABOLITION OF STATE AGENCIES AND ENTITIES.
  (a) On the dates specified in the transition plan required under
  Section 531.0204, the following state agencies and entities are
  abolished and their respective powers, duties, functions,
  programs, and activities are transferred to the commission in
  accordance with Section 531.0201:
               (1)  the Department of Aging and Disability Services;
               (2)  the Department of Assistive and Rehabilitative
  Services;
               (3)  the Department of Family and Protective Services;
               (4)  the Department of State Health Services;
               (5)  the Health and Human Services Council;
               (6)  the Aging and Disability Services Council;
               (7)  the Assistive and Rehabilitative Services
  Council;
               (8)  the Family and Protective Services Council;
               (9)  the State Health Services Council;
               (10)  the Office for the Prevention of Developmental
  Disabilities; and
               (11)  the Texas Council on Autism and Pervasive
  Developmental Disorders.
         (b)  The abolition of a state agency or entity listed in
  Subsection (a) and the transfer of its powers, duties, functions,
  programs, activities, obligations, rights, contracts, records,
  property, funds, and employees to the commission as provided by
  this subchapter do not affect or impair an act done, any obligation,
  right, order, permit, certificate, rule, criterion, standard, or
  requirement existing, or any penalty accrued under former law, and
  that law remains in effect for any action concerning those matters.
         Sec. 531.0203.  HEALTH AND HUMAN SERVICES TRANSITION
  LEGISLATIVE OVERSIGHT COMMITTEE. (a)  In this section, "committee" 
  means the Health and Human Services Transition Legislative
  Oversight Committee established under this section.
         (b)  The Health and Human Services Transition Legislative
  Oversight Committee is created to facilitate the transfer of
  powers, duties, functions, programs, and activities from the state
  agencies and entities subject to abolition under Section 531.0202
  to the commission as provided by this subchapter with a minimal
  negative effect on the delivery of services provided by those state
  agencies and entities.
         (c)  The committee is composed of 11 voting members, as
  follows:
               (1)  four members of the senate, appointed by the
  lieutenant governor;
               (2)  four members of the house of representatives,
  appointed by the speaker of the house of representatives; and
               (3)  three members of the public, appointed by the
  governor.
         (d)  The executive commissioner serves as an ex officio,
  nonvoting member of the committee.
         (e)  A member of the committee serves at the pleasure of the
  appointing official.
         (f)  The lieutenant governor and the speaker of the house of
  representatives shall each designate a presiding co-chair from
  among their respective appointments.
         (g)  A member of the committee may not receive compensation
  for serving on the committee but is entitled to reimbursement for
  travel expenses incurred by the member while conducting the
  business of the committee as provided by the General Appropriations
  Act.
         (h)  The committee shall:
               (1)  facilitate the transfer of powers, duties,
  functions, programs, and activities from the state agencies and
  entities subject to abolition under Section 531.0202 to the
  commission as provided by this subchapter with a minimal negative
  effect on the delivery of services provided by those agencies and
  entities;
               (2)  with assistance from the commission and the state
  agencies and entities subject to abolition under Section 531.0202,
  advise the executive commissioner concerning:
                     (A)  the powers, duties, functions, programs, and
  activities to be transferred under this subchapter and the funds
  and obligations that are related to the powers, duties, functions,
  programs, or activities;
                     (B)  the transfer of the powers, duties,
  functions, programs, activities, records, property, funds,
  obligations, and employees by the state agencies and entities as
  provided by this subchapter; and
                     (C)  the reorganization of the commission's
  administrative structure in accordance with this subchapter,
  Sections 531.0055, 531.00561, and 531.00562, and other provisions
  enacted by the 84th Legislature that become law; and
               (3)  meet:
                     (A)  during the period between the establishment
  of the committee and August 31, 2016, at least quarterly at the call
  of either chair, in addition to meeting at other times as determined
  appropriate by either chair; and
                     (B)  during the period between September 1, 2016,
  and August 31, 2023, at least annually at the call of either chair,
  in addition to meeting at other times as determined appropriate by
  either chair.
         (i)  Chapter 551 applies to the committee.
         (j)  The committee shall submit a report to the governor,
  lieutenant governor, and speaker of the house of representatives
  not later than December 1 of each even-numbered year. The report
  must include an update on the progress of and issues related to:
               (1)  the transfer of powers, duties, functions,
  programs, and activities from the state agencies and entities
  subject to abolition under Section 531.0202 to the commission as
  provided by this subchapter; and
               (2)  the reorganization of the commission's
  administrative structure in accordance with this subchapter,
  Sections 531.0055, 531.00561, and 531.00562, and other provisions
  enacted by the 84th Legislature that become law.
         (k)  The committee is abolished September 1, 2023.
         Sec. 531.0204.  TRANSITION AND WORK PLAN FOR IMPLEMENTATION
  OF CONSOLIDATION. (a)  The transfer of powers, duties, functions,
  programs, and activities under Section 531.0201 to the commission
  must be accomplished in accordance with a transition plan developed
  by the executive commissioner.  The transition plan must:
               (1)  include an outline of the commission's reorganized
  structure, including its divisions, in accordance with this
  subchapter, Sections 531.00561 and 531.00562, and other provisions
  enacted by the 84th Legislature that become law;
               (2)  include a broad plan and schedule that specify the
  date on which each state agency or entity subject to abolition under
  Section 531.0202 is abolished and the respective transfers under
  Section 531.0201 are accomplished, and the date on which each
  division of the commission is created and its director is
  appointed; and
               (3)  require all transfers under Section 531.0201 to be
  accomplished not later than September 1, 2016.
         (b)  In developing the transition plan, the executive
  commissioner shall hold public hearings in various geographic areas
  in this state before submitting the plan to the Health and Human
  Services Transition Legislative Oversight Committee, the governor,
  and the Legislative Budget Board as required by Subsection (d).
         (c)  Not later than the deadline specified by Subsection
  (a)(3), the commission shall begin administering the powers,
  duties, functions, programs, and activities assigned to the
  commission under this subchapter. The assumption of the
  administration of the powers, duties, functions, programs, and
  activities must be accomplished in accordance with a detailed work
  plan designed by the commission to ensure that the transfer and
  provision of health and human services in this state are
  accomplished in a careful and deliberative manner.  The work plan
  must include details regarding the movement and specific timelines
  for the transfer of programs administered by the state agencies and
  entities subject to abolition under Section 531.0202 to the
  commission under this subchapter.
         (d)  The executive commissioner shall submit the transition
  plan and the work plan to the Health and Human Services Transition
  Legislative Oversight Committee, the governor, and the Legislative
  Budget Board not later than December 1, 2015.  The committee must
  approve the transition plan before the transition and work plans
  may be implemented.
         (e)  The executive commissioner shall publish in the Texas
  Register:
               (1)  the transition plan developed under this section;
  and
               (2)  any changes to the transition plan required by the
  Health and Human Services Transition Legislative Oversight
  Committee.
         Sec. 531.0205.  APPLICABILITY OF FORMER LAW. An action
  brought or proceeding commenced before the date of a transfer
  prescribed by this subchapter in accordance with the transition
  plan required under Section 531.0204, including a contested case or
  a remand of an action or proceeding by a reviewing court, is
  governed by the laws and rules applicable to the action or
  proceeding before the transfer.
         Sec. 531.0206.  LIMITED-SCOPE SUNSET REVIEW. (a)  The
  Sunset Advisory Commission shall conduct a limited-scope review of
  the commission during the state fiscal biennium ending August 31,
  2023, in the manner provided by Chapter 325 (Texas Sunset Act). The
  review must provide:
               (1)  an update on the commission's progress with
  respect to the consolidation of the health and human services
  system mandated by this subchapter, including the commission's
  compliance with the transition and work plans required under
  Section 531.0204; and
               (2)  any additional information the Sunset Advisory
  Commission determines appropriate, including information regarding
  any additional organizational changes the Sunset Advisory
  Commission recommends.
         (b)  The commission is not abolished solely because the
  commission is not explicitly continued following the review
  required by this section.
         Sec. 531.0207.  EXPIRATION OF SUBCHAPTER.  This subchapter
  expires September 1, 2023.
         (b)  Not later than October 1, 2015:
               (1)  the lieutenant governor, the speaker of the house
  of representatives, and the governor shall make the appointments to
  the Health and Human Services Transition Legislative Oversight
  Committee as required by Section 531.0203(c), Government Code, as
  added by this article; and
               (2)  the lieutenant governor and the speaker of the
  house of representatives shall each designate a presiding co-chair
  of the Health and Human Services Transition Legislative Oversight
  Committee in accordance with Section 531.0203(f), Government Code,
  as added by this article.
         (c)  As soon as appropriate under the consolidation under
  Subchapter A-1, Chapter 531, Government Code, as added by this
  article, and in a manner that minimizes disruption of services, the
  Health and Human Services Commission shall take appropriate action
  to be designated as the state agency responsible under federal law
  for any state or federal program for which federal law requires the
  designation of a responsible state agency and for which an agency
  subject to abolition under Section 531.0202, Government Code, as
  added by this article, is responsible.
         SECTION 1.02.  Subchapter A, Chapter 531, Government Code,
  is amended by adding Sections 531.0011 and 531.0012 to read as
  follows:
         Sec. 531.0011.  REFERENCES IN LAW MEANING COMMISSION OR
  APPROPRIATE DIVISION. (a)  In this code or in any other law, a
  reference to any of the following state agencies or entities after
  its abolition under Section 531.0202 means the commission or the
  division of the commission performing a function previously
  performed by the state agency or entity before its abolition, as
  appropriate:
               (1)  health and human services agency;
               (2)  the Department of State Health Services;
               (3)  the Department of Aging and Disability Services;
               (4)  the Department of Family and Protective Services;
  or
               (5)  the Department of Assistive and Rehabilitative
  Services.
         (b)  In this code or in any other law and notwithstanding any
  other law, a reference to any of the following state agencies or
  entities, after the abolition under Section 531.0202 of the state
  agency that assumed the relevant function in accordance with
  Chapter 198 (H.B. 2292), Acts of the 78th Legislature, Regular
  Session, 2003, means the commission or the division of the
  commission performing the function previously performed by the
  agency that assumed the function before its abolition, as
  appropriate:
               (1)  the Texas Department on Aging;
               (2)  the Texas Commission on Alcohol and Drug Abuse;
               (3)  the Texas Commission for the Blind;
               (4)  the Texas Commission for the Deaf and Hard of
  Hearing;
               (5)  the Texas Department of Health;
               (6)  the Texas Department of Human Services;
               (7)  the Texas Department of Mental Health and Mental
  Retardation; 
               (8)  the Texas Rehabilitation Commission;
               (9)  the Texas Health Care Information Council; or
               (10)  the Interagency Council on Early Childhood
  Intervention.
         (c)  In this code or in any other law and notwithstanding any
  other law, a reference to the Department of Protective and
  Regulatory Services, after the abolition under Section 531.0202 of
  the Department of Family and Protective Services, means the
  commission or the division of the commission performing the
  function previously performed by the Department of Family and
  Protective Services before its abolition.
         (d)  This section applies notwithstanding Section
  531.001(4).  This subsection and Section 531.001(4) expire on the
  deadline specified in Section 531.0204(a)(3).
         Sec. 531.0012.  REFERENCES IN LAW MEANING EXECUTIVE
  COMMISSIONER OR DESIGNEE. (a)  In this code or in any other law, a
  reference to any of the following persons means the executive
  commissioner, the executive commissioner's designee, or the
  director appointed under Section 531.00561 of the division of the
  commission performing the relevant function previously performed
  by the state agency abolished by Section 531.0202 that the person
  represented, as appropriate:
               (1)  the commissioner of aging and disability services;
               (2)  the commissioner of assistive and rehabilitative
  services;
               (3)  the commissioner of state health services; or
               (4)  the commissioner of the Department of Family and
  Protective Services.
         (b)  In this code or in any other law and notwithstanding any
  other law, a reference to any of the following persons or entities,
  after the abolition under Section 531.0202 of the state agency that
  assumed or continued to perform a relevant function in accordance
  with Chapter 198 (H.B. 2292), Acts of the 78th Legislature, Regular
  Session, 2003, means the executive commissioner, or the director
  appointed under Section 531.00561 of the division of the commission
  performing the function previously performed by the state agency
  abolished or renamed by Chapter 198 (H.B. 2292) that the person or
  entity represented:
               (1)  an executive director or other chief
  administrative officer of a state agency listed in Section
  531.0011(b) or (c); and
               (2)  the governing body of a state agency listed in
  Section 531.0011(b) or (c).
         (c)  A reference to any of the following councils means the
  executive commissioner or the executive commissioner's designee,
  as appropriate, and a power, duty, function, program, or other
  activity of any of the following councils is a power, duty,
  function, program, or other activity of that appropriate person:
               (1)  the Health and Human Services Council;
               (2)  the State Health Services Council;
               (3)  the Aging and Disability Services Council;
               (4)  the Family and Protective Services Council; or
               (5)  the Assistive and Rehabilitative Services
  Council.
         SECTION 1.03.  (a)  Subchapter A, Chapter 531, Government
  Code, is amended by adding Section 531.0051 to read as follows:
         Sec. 531.0051.  HEALTH AND HUMAN SERVICES COMMISSION
  EXECUTIVE COUNCIL. (a)  The Health and Human Services Commission
  Executive Council is established to receive public input and advise
  the executive commissioner regarding the operation of the
  commission.  The council shall seek and receive public comment on:
               (1)  proposed rules;
               (2)  recommendations of advisory committees;
               (3)  legislative appropriations requests or other
  documents related to the appropriations process;
               (4)  the operation of health and human services
  programs; and
               (5)  other items the executive commissioner determines
  appropriate.
         (a-1)  The council shall also receive public input and advise
  the executive commissioner regarding the operation of the health
  and human services agencies.  This subsection expires on the
  deadline specified in Section 531.0204(a)(3).
         (b)  The council does not have authority to make
  administrative or policy decisions.
         (c)  The council is composed of:
               (1)  the executive commissioner;
               (2)  the director of each division established by the
  executive commissioner under Section 531.008(d); and
               (3)  other individuals appointed by the executive
  commissioner as the executive commissioner determines necessary.
         (d)  The executive commissioner serves as the chair of the
  council and shall adopt rules for the operation of the council.
         (e)  Members of the council appointed under Subsection
  (c)(3) serve at the pleasure of the executive commissioner.
         (f)  The council shall meet at the call of the executive
  commissioner at least quarterly.  The executive commissioner may
  call additional meetings as the executive commissioner determines
  necessary.
         (g)  The council shall give public notice of the date, time,
  and place of each meeting held by the council.  A live video
  transmission of each meeting must be publicly available through the
  Internet.
         (h)  A majority of the members of the council constitute a
  quorum for the transaction of business.
         (i)  A council member appointed under Subsection (c)(3) may
  not receive compensation for service as a member of the council but
  is entitled to reimbursement for travel expenses incurred by the
  member while conducting the business of the council as provided by
  the General Appropriations Act.
         (j)  The executive commissioner shall develop and implement
  policies that provide the public with a reasonable opportunity to
  appear before the council and to speak on any issue under the
  jurisdiction of the commission.
         (k)  A meeting of individual members of the council that
  occurs in the ordinary course of commission operation is not a
  meeting of the council, and the requirements of Subsection (g) do
  not apply.
         (l)  This section does not limit the authority of the
  executive commissioner to establish additional advisory committees
  or councils.
         (m)  Chapters 551 and 2110 do not apply to the council.
         (b)  As soon as possible after the executive commissioner of
  the Health and Human Services Commission appoints division
  directors in accordance with Section 531.00561, Government Code, as
  added by this article, the Health and Human Services Commission
  Executive Council established under Section 531.0051, Government
  Code, as added by this article, shall begin operation.
         SECTION 1.04.  The heading to Section 531.0055, Government
  Code, is amended to read as follows:
         Sec. 531.0055.  EXECUTIVE COMMISSIONER: GENERAL
  RESPONSIBILITY FOR HEALTH AND HUMAN SERVICES SYSTEM [AGENCIES].
         SECTION 1.05.  Section 531.0055, Government Code, is amended
  by amending Subsections (b), (d), (e), (f), (g), (h), and (l) and
  adding Subsection (n) to read as follows:
         (b)  The commission shall:
               (1)  supervise the administration and operation of the
  Medicaid program, including the administration and operation of the
  Medicaid managed care system in accordance with Section 531.021;
               (2)  perform information systems planning and
  management for the health and human services system [agencies]
  under Section 531.0273, with:
                     (A)  the provision of information technology
  services for the [at] health and human services system [agencies]
  considered to be a centralized administrative support service
  either performed by commission personnel or performed under a
  contract with the commission; and
                     (B)  an emphasis on research and implementation on
  a demonstration or pilot basis of appropriate and efficient uses of
  new and existing technology to improve the operation of the health
  and human services system [agencies] and delivery of health and
  human services;
               (3)  monitor and ensure the effective use of all
  federal funds received for the [by a] health and human services
  system [agency] in accordance with Section 531.028 and the General
  Appropriations Act;
               (4)  implement Texas Integrated Enrollment Services as
  required by Subchapter F, except that notwithstanding Subchapter F,
  determining eligibility for benefits under the following programs
  is the responsibility of and must be centralized by the commission:
                     (A)  the child health plan program;
                     (B)  the financial assistance program under
  Chapter 31, Human Resources Code;
                     (C)  the medical assistance program under Chapter
  32, Human Resources Code;
                     (D)  the nutritional assistance programs under
  Chapter 33, Human Resources Code;
                     (E)  long-term care services, as defined by
  Section 22.0011, Human Resources Code;
                     (F)  community-based support services identified
  or provided in accordance with Section 531.02481; and
                     (G)  other health and human services programs, as
  appropriate; and
               (5)  implement programs intended to prevent family
  violence and provide services to victims of family violence.
         (d)  After implementation of the commission's duties under
  Subsections (b) and (c), the commission shall implement the powers
  and duties given to the commission under Section 531.0248. Nothing
  in the priorities established by this section is intended to limit
  the authority of the commission to work simultaneously to achieve
  the multiple tasks assigned to the commission in this section, when
  such an approach is beneficial in the judgment of the commission.
  The commission shall plan and implement an efficient and effective
  centralized system of administrative support services for the
  health and human services system [agencies]. The performance of
  administrative support services for the health and human services
  system [agencies] is the responsibility of the commission. The
  term "administrative support services" includes, but is not limited
  to, strategic planning and evaluation, audit, legal, human
  resources, information resources, purchasing, contract management,
  financial management, and accounting services.
         (e)  Notwithstanding any other law, the executive
  commissioner shall adopt rules and policies for the operation of
  and provision of health and human services by the health and human
  services system [agencies]. In addition, the executive
  commissioner, as necessary to perform the functions described by
  Subsections (b), (c), and (d) in implementation of applicable
  policies established for a health and human services system [an]
  agency or division, as applicable, by the executive commissioner,
  shall:
               (1)  manage and direct the operations of each [health
  and human services] agency or division, as applicable;
               (2)  supervise and direct the activities of each agency
  or division director, as applicable; and
               (3)  be responsible for the administrative supervision
  of the internal audit program for the [all] health and human
  services system agencies, if applicable, including:
                     (A)  selecting the director of internal audit;
                     (B)  ensuring that the director of internal audit
  reports directly to the executive commissioner; and
                     (C)  ensuring the independence of the internal
  audit function.
         (f)  The operational authority and responsibility of the
  executive commissioner for purposes of Subsection (e) for [at] each
  health and human services system agency or division, as applicable, 
  includes authority over and responsibility for the:
               (1)  management of the daily operations of the agency
  or division, including the organization and management of the
  agency or division and its [agency] operating procedures;
               (2)  allocation of resources within the agency or
  division, including use of federal funds received by the agency or
  division;
               (3)  personnel and employment policies;
               (4)  contracting, purchasing, and related policies,
  subject to this chapter and other laws relating to contracting and
  purchasing by a state agency;
               (5)  information resources systems used by the agency
  or division;
               (6)  location of [agency] facilities; and
               (7)  coordination of agency or division activities with
  activities of other components of the health and human services
  system and state agencies[, including other health and human
  services agencies].
         (g)  Notwithstanding any other law, the operational
  authority and responsibility of the executive commissioner for
  purposes of Subsection (e) for [at] each health and human services
  system agency or division, as applicable, includes the authority
  and responsibility to adopt or approve, subject to applicable
  limitations, any rate of payment or similar provision required by
  law to be adopted or approved by a health and human services system 
  [the] agency.
         (h)  For each health and human services system agency and
  division, as applicable, the executive commissioner shall
  implement a program to evaluate and supervise [the] daily
  operations [of the agency]. The program must include measurable
  performance objectives for each agency or division director and
  adequate reporting requirements to permit the executive
  commissioner to perform the duties assigned to the executive
  commissioner under this section.
         (l)  Notwithstanding any other law, the executive
  commissioner has the authority to adopt policies and rules
  governing the delivery of services to persons who are served by the
  [each] health and human services system [agency] and the rights and
  duties of persons who are served or regulated by the system [each
  agency].
         (n)  This subsection and Subsections (a), (i), and (k) expire
  on the deadline specified by Section 531.0204(a)(3).
         SECTION 1.06.  Section 531.0056, Government Code, is amended
  by adding Subsections (g) and (h) to read as follows:
         (g)  The requirements of this section apply with respect to a
  state agency listed in Section 531.001(4) only until the agency is
  abolished under Section 531.0202.
         (h)  This section expires on the deadline specified by
  Section 531.0204(a)(3).
         SECTION 1.07.  (a) Subchapter A, Chapter 531, Government
  Code, is amended by adding Sections 531.00561 and 531.00562 to read
  as follows:
         Sec. 531.00561.  APPOINTMENT AND QUALIFICATIONS OF DIVISION
  DIRECTORS. (a)  The executive commissioner shall appoint a
  director for each division established within the commission under
  Sections 531.008(a) and (d).
         (b)  The executive commissioner shall:
               (1)  develop clear qualifications for the director of
  each division appointed under this section that ensure that an
  individual appointed director has:
                     (A)  demonstrated experience in fields relevant
  to the director position; and
                     (B)  executive-level administrative and
  leadership experience; and
               (2)  ensure the qualifications developed under
  Subdivision (1) are publicly available.
         Sec. 531.00562.  DIVISION DIRECTOR DUTIES.  (a)  The
  executive commissioner shall clearly define the duties and
  responsibilities of a division director appointed under Section
  531.00561, and develop clear policies for the delegation of
  specific decision-making authority, including budget authority, to
  division directors.
         (b)  The delegation of decision-making authority should be
  significant enough to ensure the efficient administration of the
  commission's programs and services.
         (b)  The executive commissioner of the Health and Human
  Services Commission shall implement Sections 531.00561 and
  531.00562, Government Code, as added by this article, on the date
  specified in the transition plan required under Section 531.0204,
  Government Code, as added by this article.
         SECTION 1.08.  Section 531.007, Government Code, is amended
  to read as follows:
         Sec. 531.007.  TERM. The executive commissioner serves a
  two-year term expiring February 1 of each odd-numbered year.
         SECTION 1.09.  (a)  Section 531.008, Government Code, is
  amended by amending Subsections (a) and (b) and adding Subsections
  (d) and (e) to read as follows:
         (a)  Subject to the requirements of this section [Subsection
  (c)], the executive commissioner shall [may] establish divisions
  within the commission as necessary for effective administration and
  for the discharge of the commission's functions.
         (b)  Subject to the requirements of this section [Subsection
  (c)], the executive commissioner may allocate and reallocate
  functions among the commission's divisions.
         (d)  In establishing divisions under this section, the
  executive commissioner shall:
               (1)  ensure that the commission is organized along
  functional lines; and
               (2)  consider creating a division within the commission
  for each of the following:
                     (A)  medical and social services;
                     (B)  state institutions and facilities functions;
                     (C)  family and protective services;
                     (D)  public health services;
                     (E)  regulatory functions;
                     (F)  centralized administrative services; and
                     (G)  inspector general responsibilities.
         (e)  Subsection (c) applies only until the executive
  commissioner establishes divisions in accordance with Subsections
  (a) and (d).  This subsection and Subsection (c) expire on the
  deadline specified by Section 531.0204(a)(3).
         (b)  The executive commissioner of the Health and Human
  Services Commission shall establish divisions within the
  commission as required under Section 531.008(a), Government Code,
  as amended by this article, and Section 531.008(d), Government
  Code, as added by this article, on the date specified in the
  transition plan required under Section 531.0204, Government Code,
  as added by this article.
         SECTION 1.10.  (a)  Subchapter A, Chapter 531, Government
  Code, is amended by adding Section 531.0083 to read as follows:
         Sec. 531.0083.  OFFICE OF POLICY AND PERFORMANCE. (a)  In
  this section, "office" means the office of policy and performance
  established by this section.
         (b)  The executive commissioner shall establish the office
  of policy and performance as an executive-level office designed to
  coordinate policy and performance efforts across divisions within
  the commission.  To coordinate those efforts, the office shall:
               (1)  develop a performance management system;
               (2)  take the lead in supporting and providing
  oversight for the implementation of major policy changes and in
  managing organizational changes; and
               (3)  act as a centralized body of experts within the
  commission that offers program evaluation and process improvement
  expertise.
         (c)  In developing a performance management system under
  Subsection (b)(1), the office shall:
               (1)  gather, measure, and evaluate performance
  measures and accountability systems used by the commission or a
  division within the commission;
               (2)  develop new and refined performance measures as
  appropriate; and
               (3)  establish targeted, high-level system metrics
  that are capable of measuring and communicating overall performance
  and achievement of goals by the commission to both internal and
  public audiences through various mechanisms, including the
  Internet.
         (d)  In providing support and oversight for the
  implementation of policy or organizational changes within the
  commission under Subsection (b)(2), the office shall:
               (1)  ensure individuals receiving services from or
  participating in programs administered by the commission do not
  lose visibility or attention during the implementation of any new
  policy or organizational change by:
                     (A)  establishing timelines and milestones for
  any transition;
                     (B)  supporting commission staff in any change
  between service delivery methods; and
                     (C)  providing feedback to executive management
  on technical assistance and other support needed to achieve a
  successful transition;
               (2)  address cultural differences among commission
  staff; and
               (3)  track and oversee changes in policy or
  organization mandated by legislation or administrative rule.
         (e)  In acting as a centralized body of experts under
  Subsection (b)(3), the office shall:
               (1)  for the commission and divisions within the
  commission, provide program evaluation and process improvement
  guidance both generally and for specific projects identified with
  executive or stakeholder input or through risk analysis; and
               (2)  identify and monitor cross-functional efforts
  involving different divisions or offices within the commission and
  the establishment of cross-functional teams when necessary to
  improve the coordination of services provided by the commission.
         (f)  The executive commissioner may otherwise develop the
  office's structure and duties as the executive commissioner
  determines appropriate.
         (b)  As soon as practicable after the effective date of this
  article but not later than October 1, 2015, the executive
  commissioner of the Health and Human Services Commission shall
  establish the office of policy and performance as an executive
  office within the commission as required under Section 531.0083,
  Government Code, as added by this article.
         (c)  The office of policy and performance required under
  Section 531.0083, Government Code, as added by this article, shall
  assist the Health and Human Services Transition Legislative
  Oversight Committee created under Section 531.0203, Government
  Code, as added by this article, by performing the functions
  required of the office under Section 531.0083(b)(2), Government
  Code, as added by this article, with respect to the consolidation
  mandated by Subchapter A-1, Chapter 531, Government Code, as added
  by this article.
         SECTION 1.11.  Section 531.017, Government Code, is amended
  to read as follows:
         Sec. 531.017.  PURCHASING UNIT [DIVISION]. (a) The
  commission shall establish a purchasing unit [division] for the
  management of administrative activities related to the purchasing
  functions within [of the commission and] the health and human
  services system [agencies].
         (b)  The purchasing unit [division] shall:
               (1)  seek to achieve targeted cost reductions, increase
  process efficiencies, improve technological support and customer
  services, and enhance purchasing support within the [for each]
  health and human services system [agency]; and
               (2)  if cost-effective, contract with private entities
  to perform purchasing functions for the [commission and the] health
  and human services system [agencies].
         SECTION 1.12.  (a)  Sections 40.0515(d) and (e), Human
  Resources Code, are amended to read as follows:
         (d)  A performance review conducted under Subsection (b)(3)
  is considered a performance evaluation for purposes of Section
  531.009(c), Government Code [40.032(c)].  The department shall
  ensure that disciplinary or other corrective action is taken
  against a supervisor or other managerial employee who is required
  to conduct a performance evaluation for adult protective services
  personnel under Section 531.009(c), Government Code, [40.032(c)]
  or a performance review under Subsection (b)(3) and who fails to
  complete that evaluation or review in a timely manner.
         (e)  The annual performance evaluation required under
  Section 531.009(c), Government Code, [40.032(c)] of the
  performance of a supervisor in the adult protective services
  division must:
               (1)  be performed by an appropriate program
  administrator; and
               (2)  include:
                     (A)  an evaluation of the supervisor with respect
  to the job performance standards applicable to the supervisor's
  assigned duties; and
                     (B)  an evaluation of the supervisor with respect
  to the compliance of employees supervised by the supervisor with
  the job performance standards applicable to those employees'
  assigned duties.
         (b)  The changes in law made by this section apply to a
  performance review performed on or after the date that the powers
  and duties of the Department of Family and Protective Services are
  transferred to the Health and Human Services Commission in
  accordance with Subchapter A-1, Chapter 531, Government Code, as
  added by this article.  A performance review to which Sections
  40.0515(d) and (e), Human Resources Code, as amended by this
  article, apply that is performed before that date is governed by the
  law in effect before the effective date of this article, and the
  former law is continued in effect for that purpose.
         SECTION 1.13.  (a)  The heading to Subchapter C, Chapter 112,
  Human Resources Code, is amended to read as follows:
  SUBCHAPTER C.  [OFFICE FOR THE] PREVENTION OF DEVELOPMENTAL
  DISABILITIES
         (b)  Section 112.042, Human Resources Code, is amended by
  amending Subdivision (1) and adding Subdivisions (1-a) and (1-b) to
  read as follows:
               (1)  "Commission" means the Health and Human Services
  Commission.
               (1-a)  "Developmental disability" means a severe,
  chronic disability that:
                     (A)  is attributable to a mental or physical
  impairment or to a combination of a mental and physical impairment;
                     (B)  is manifested before a person reaches the age
  of 22;
                     (C)  is likely to continue indefinitely;
                     (D)  results in substantial functional
  limitations in three or more major life activities, including:
                           (i)  self-care;
                           (ii)  receptive and expressive language;
                           (iii)  learning;
                           (iv)  mobility;
                           (v)  self-direction;
                           (vi)  capacity for independent living; and
                           (vii)  economic sufficiency; and
                     (E)  reflects the person's needs for a combination
  and sequence of special interdisciplinary or generic care,
  treatment, or other lifelong or extended services that are
  individually planned and coordinated.
               (1-b)  "Executive commissioner" means the executive
  commissioner of the Health and Human Services Commission.
         (c)  Subchapter C, Chapter 112, Human Resources Code, is
  amended by adding Sections 112.0421 and 112.0431 to read as
  follows:
         Sec. 112.0421.  APPLICABILITY AND EXPIRATION OF CERTAIN
  PROVISIONS. (a)  Sections 112.041(a), 112.043, 112.045, 112.0451,
  112.0452, 112.0453, 112.0454, 112.046, 112.047, 112.0471, and
  112.0472 apply only until the date the executive commissioner
  begins to administer this subchapter and the commission assumes the
  duties and functions of the Office for the Prevention of
  Developmental Disabilities in accordance with Section 112.0431.
         (b)  On the date the provisions listed in Subsection (a)
  cease to apply, the executive committee under Section 112.045 and
  the board of advisors under Section 112.046 are abolished.
         (c)  This section and Sections 112.041(a), 112.043, 112.045,
  112.0451, 112.0452, 112.0453, 112.0454, 112.046, 112.047,
  112.0471, and 112.0472 expire on the deadline specified by Section
  531.0204(a)(3), Government Code.
         Sec. 112.0431.  ADMINISTRATION OF SUBCHAPTER; CERTAIN
  REFERENCES.  (a)  Notwithstanding any other provision in this
  subchapter, the executive commissioner shall administer this
  subchapter beginning on the date specified in the transition plan
  under Section 531.0204, Government Code, and the commission shall
  perform the duties and functions of the Office for the Prevention of
  Developmental Disabilities in the organizational form the
  executive commissioner determines appropriate.
         (b)  Following the assumption of the administration of this
  subchapter by the executive commissioner and the duties and
  functions by the commission in accordance with Subsection (a):
               (1)  a reference in this subchapter to the office, the
  Office for the Prevention of Developmental Disabilities, or the
  executive committee of that office means the commission, the
  division or other organizational unit within the commission
  designated by the executive commissioner, or the executive
  commissioner, as appropriate; and
               (2)  a reference in any other law to the Office for the
  Prevention of Developmental Disabilities has the meaning assigned
  by Subdivision (1).
         (d)  Section 112.044, Human Resources Code, is amended to
  read as follows:
         Sec. 112.044.  DUTIES. The office shall:
               (1)  educate the public and attempt to promote sound
  public policy regarding the prevention of developmental
  disabilities;
               (2)  identify, collect, and disseminate information
  and data concerning the causes, frequency of occurrence, and
  preventability of developmental disabilities;
               (3)  work with appropriate divisions within the
  commission, state agencies, and other entities to develop a
  coordinated long-range plan to effectively monitor and reduce the
  incidence or severity of developmental disabilities;
               (4)  promote and facilitate the identification,
  development, coordination, and delivery of needed prevention
  services;
               (5)  solicit, receive, and spend grants and donations
  from public, private, state, and federal sources;
               (6)  identify and encourage establishment of needed
  reporting systems to track the causes and frequencies of occurrence
  of developmental disabilities;
               (7)  develop, operate, and monitor programs created
  under Section 112.048 addressing [task forces to address] the
  prevention of specific targeted developmental disabilities;
               (8)  monitor and assess the effectiveness of divisions
  within the commission and of state agencies in preventing [to
  prevent] developmental disabilities;
               (9)  recommend the role each division within the
  commission and each state agency should have with regard to
  prevention of developmental disabilities;
               (10)  facilitate coordination of state agency
  prevention services and activities within the commission and among
  appropriate state agencies; and
               (11)  encourage cooperative, comprehensive, and
  complementary planning among public, private, and volunteer
  individuals and organizations engaged in prevention activities,
  providing prevention services, or conducting related research.
         (e)  Sections 112.048 and 112.049, Human Resources Code, are
  amended to read as follows:
         Sec. 112.048.  PREVENTION PROGRAMS FOR TARGETED
  DEVELOPMENTAL DISABILITIES [TASK FORCES]. (a) The executive
  committee shall establish guidelines for:
               (1)  selecting targeted disabilities;
               (2)  assessing prevention services needs; and
               (3)  reviewing [task force] plans, budgets, and
  operations for programs under this section.
         (b)  The executive committee shall [create task forces made
  up of members of the board of advisors to] plan and implement
  prevention programs for specifically targeted developmental
  disabilities. [A task force operates as an administrative division
  of the office and can be abolished when it is ineffective or is no
  longer needed.]
         (c)  A program under this section [task force shall]:
               (1)  must include [develop] a plan designed to reduce
  the incidence of a specifically targeted disability;
               (2)  must include [prepare] a budget for implementing a
  plan;
               (3)  must be funded [arrange for funds] through:
                     (A)  contracts for services from participating
  agencies;
                     (B)  grants and gifts from private persons and
  consumer and advocacy organizations; and
                     (C)  foundation support; and
               (4)  must be approved by [submit the plan, budget, and
  evidence of funding commitments to] the executive committee [for
  approval].
         [(d)     A task force shall regularly report to the executive
  committee, as required by the committee, the operation, progress,
  and results of the task force's prevention plan.]
         Sec. 112.049.  EVALUATION. (a) The office shall identify or
  encourage the establishment of needed statistical bases for each
  targeted group against which the office can measure how effectively
  a [task force] program under Section 112.048 is reducing the
  frequency or severity of a targeted developmental disability.
         (b)  The executive committee shall regularly monitor and
  evaluate the results of [task force prevention] programs under
  Section 112.048.
         (f)  The heading to Section 112.050, Human Resources Code, is
  amended to read as follows:
         Sec. 112.050.  GRANTS AND OTHER FUNDING.
         (g)  Section 112.050, Human Resources Code, is amended by
  amending Subsection (c) and adding Subsection (d) to read as
  follows:
         (c)  The executive committee may not submit a legislative
  appropriation request for general revenue funds for purposes of
  this subchapter.
         (d)  In addition to funding under Subsection (a), the office
  may accept and solicit gifts, donations, and grants of money from
  public and private sources, including the federal government, local
  governments, and private entities, to assist in financing the
  duties and functions of the office.  The commission shall support
  office fund-raising efforts authorized by this subsection.  Funds
  raised under this subsection may only be spent in furtherance of a
  duty or function of the office or in accordance with rules
  applicable to the office.
         (h)  Section 112.051, Human Resources Code, is amended to
  read as follows:
         Sec. 112.051.  REPORTS TO LEGISLATURE. The office shall
  submit by February 1 of each odd-numbered year biennial reports to
  the legislature detailing findings of the office and the results of
  [task force prevention] programs under Section 112.048 and
  recommending improvements in the delivery of developmental
  disability prevention services.
         (i)  Notwithstanding the changes in law made by this section,
  the Office for the Prevention of Developmental Disabilities and any
  administrative entity of the Office for the Prevention of
  Developmental Disabilities shall continue to operate under the law
  as it existed before the effective date of this article, and that
  law is continued in effect for that purpose, until the executive
  commissioner of the Health and Human Services Commission begins
  administering Subchapter C, Chapter 112, Human Resources Code, as
  amended by this article, and the commission begins performing the
  duties and functions of the Office for the Prevention of
  Developmental Disabilities as required by Section 112.0431, Human
  Resources Code, as added by this article, on the date specified in
  the transition plan required under Section 531.0204, Government
  Code, as added by this article.
         (j)  The executive commissioner of the Health and Human
  Services Commission shall begin administering Subchapter C,
  Chapter 112, Human Resources Code, as amended by this article, and
  the commission shall begin performing the duties and functions of
  the Office for the Prevention of Developmental Disabilities as
  required by Section 112.0431, Human Resources Code, as added by
  this article, on the date specified in the transition plan required
  under Section 531.0204, Government Code, as added by this article.
         SECTION 1.14.  (a)  The heading to Chapter 114, Human
  Resources Code, is amended to read as follows:
  CHAPTER 114.  [TEXAS COUNCIL ON] AUTISM AND PERVASIVE
  DEVELOPMENTAL DISORDERS
         (b)  Section 114.002, Human Resources Code, is amended by
  adding Subdivisions (1-a) and (3) to read as follows:
               (1-a)  "Commission" means the Health and Human Services
  Commission.
               (3)  "Executive commissioner" means the executive
  commissioner of the Health and Human Services Commission.
         (c)  Chapter 114, Human Resources Code, is amended by adding
  Sections 114.0021 and 114.0031 to read as follows:
         Sec. 114.0021.  APPLICABILITY AND EXPIRATION OF CERTAIN
  PROVISIONS. (a)  Sections 114.001, 114.003, 114.004, 114.005,
  114.007(a), and 114.010(d) apply only until the date the executive
  commissioner begins to administer this chapter and the commission
  assumes the duties and functions of the Texas Council on Autism and
  Pervasive Developmental Disorders in accordance with Section
  114.0031.
         (b)  On the date the provisions listed in Subsection (a)
  cease to apply, the Texas Council on Autism and Pervasive
  Developmental Disorders is abolished.
         (c)  This section and Sections 114.001, 114.003, 114.004,
  114.005, 114.007(a), and 114.010(d) expire on the deadline
  specified by Section 531.0204(a)(3), Government Code.
         Sec. 114.0031.  ADMINISTRATION OF CHAPTER; CERTAIN
  REFERENCES.  (a)  Notwithstanding any other provision in this
  chapter, the executive commissioner shall administer this chapter
  beginning on the date specified in the transition plan under
  Section 531.0204, Government Code, and the commission shall perform
  the duties and functions of the Texas Council on Autism and
  Pervasive Developmental Disorders in the organizational form the
  executive commissioner determines appropriate.
         (b)  Following the assumption of the administration of this
  chapter by the executive commissioner and the duties and functions
  by the commission in accordance with Subsection (a):
               (1)  a reference in this chapter to the council, the
  Texas Council on Autism and Pervasive Developmental Disorders, or
  an agency represented on the council, means the commission, the
  division or other organizational unit within the commission
  designated by the executive commissioner, or the executive
  commissioner, as appropriate; and
               (2)  a reference in any other law to the Texas Council
  on Autism and Pervasive Developmental Disorders has the meaning
  assigned by Subdivision (1).
         (d)  Section 114.006(b), Human Resources Code, is amended to
  read as follows:
         (b)  The council shall make written recommendations on the
  implementation of this chapter. If the council considers a
  recommendation that will affect another state [an] agency [not
  represented on the council], the council shall seek the advice and
  assistance of the agency before taking action on the
  recommendation. On approval of the governing body of the agency,
  each agency affected by a council recommendation shall implement
  the recommendation. If an agency does not have sufficient funds to
  implement a recommendation, the agency shall request funds for that
  purpose in its next budget proposal.
         (e)  Sections 114.007(b) and (c), Human Resources Code, are
  amended to read as follows:
         (b)  The council with [the advice of the advisory task force
  and] input from people with autism and other pervasive
  developmental disorders, their families, and related advocacy
  organizations shall address contemporary issues affecting services
  available to persons with autism or other pervasive developmental
  disorders in this state, including:
               (1)  successful intervention and treatment strategies,
  including transitioning;
               (2)  personnel preparation and continuing education;
               (3)  referral, screening, and evaluation services;
               (4)  day care, respite care, or residential care
  services;
               (5)  vocational and adult training programs;
               (6)  public awareness strategies;
               (7)  contemporary research;
               (8)  early identification strategies;
               (9)  family counseling and case management; and
               (10)  recommendations for monitoring autism service
  programs.
         (c)  The council with [the advice of the advisory task force
  and] input from people with autism and other pervasive
  developmental disorders, their families, and related advocacy
  organizations shall advise the legislature on legislation that is
  needed to develop further and to maintain a statewide system of
  quality intervention and treatment services for all persons with
  autism or other pervasive developmental disorders.  The council may
  develop and recommend legislation to the legislature or comment on
  pending legislation that affects those persons.
         (f)  Section 114.008, Human Resources Code, is amended to
  read as follows:
         Sec. 114.008.  REPORT. (a)  [The agencies represented on the
  council and the public members shall report to the council any
  requirements identified by the agency or person to provide
  additional or improved services to persons with autism or other
  pervasive developmental disorders.]  Not later than November 1 of
  each even-numbered year, the council shall:
               (1)  prepare a report summarizing requirements the
  council identifies and recommendations for providing additional or
  improved services to persons with autism or other pervasive
  developmental disorders; and
               (2)  deliver the report to the executive commissioner
  [of the Health and Human Services Commission], the governor, the
  lieutenant governor, and the speaker of the house of
  representatives [a report summarizing the recommendations].
         (b)  The council shall develop a strategy for establishing
  new programs to meet the requirements identified through the
  council's review and assessment and from input from [the task
  force,] people with autism and related pervasive developmental
  disorders, their families, and related advocacy organizations.
         (g)  Section 114.013, Human Resources Code, is amended to
  read as follows:
         Sec. 114.013.  COORDINATION OF RESOURCES FOR INDIVIDUALS
  WITH AUTISM SPECTRUM DISORDERS [RESOURCE CENTER]. (a) The
  commission [Health and Human Services Commission] shall [establish
  and administer an autism spectrum disorders resource center to]
  coordinate resources for individuals with autism and other
  pervasive developmental disorders and their families.  In
  coordinating those resources [establishing and administering the
  center], the commission [Health and Human Services Commission]
  shall consult with [the council and coordinate with] appropriate
  state agencies[, including each agency represented on the council].
         (b)  As part of coordinating resources under Subsection (a),
  the commission [The Health and Human Services Commission] shall
  [design the center to]:
               (1)  collect and distribute information and research
  regarding autism and other pervasive developmental disorders;
               (2)  conduct training and development activities for
  persons who may interact with an individual with autism or another
  pervasive developmental disorder in the course of their employment,
  including school, medical, or law enforcement personnel;
               (3)  coordinate with local entities that provide
  services to an individual with autism or another pervasive
  developmental disorder; and
               (4)  provide support for families affected by autism
  and other pervasive developmental disorders.
         (h)  Notwithstanding the changes in law made by this section,
  the Texas Council on Autism and Pervasive Developmental Disorders
  and any administrative entity of the Texas Council on Autism and
  Pervasive Developmental Disorders shall continue to operate under
  the law as it existed before the effective date of this article, and
  that law is continued in effect for that purpose, until the
  executive commissioner of the Health and Human Services Commission
  begins administering Chapter 114, Human Resources Code, as amended
  by this article, and the commission begins performing the duties
  and functions of the Texas Council on Autism and Pervasive
  Developmental Disorders as required by Section 114.0031, Human
  Resources Code, as added by this article, on the date specified in
  the transition plan required under Section 531.0204, Government
  Code, as added by this article.
         (i)  The executive commissioner of the Health and Human
  Services Commission shall begin administering Chapter 114, Human
  Resources Code, as amended by this article, and the commission
  shall begin performing the duties and functions of the Texas
  Council on Autism and Pervasive Developmental Disorders as required
  by Section 114.0031, Human Resources Code, as added by this
  article, on the date specified in the transition plan required
  under Section 531.0204, Government Code, as added by this article.
         SECTION 1.15.  (a)  Effective September 1, 2016, the
  following provisions of the Government Code are repealed:
               (1)  Section 531.0163; and
               (2)  Subchapter K, Chapter 531.
         (b)  Effective September 1, 2016, the following provisions
  of the Health and Safety Code are repealed:
               (1)  Section 1001.002;
               (2)  Section 1001.021;
               (3)  Section 1001.022;
               (4)  Section 1001.023;
               (5)  Section 1001.024;
               (6)  Section 1001.025;
               (7)  Section 1001.026;
               (8)  Section 1001.027;
               (9)  Section 1001.028;
               (10)  Section 1001.029;
               (11)  Section 1001.030;
               (12)  Section 1001.032;
               (13)  Subchapter C, Chapter 1001; and
               (14)  Section 1001.074.
         (c)  Effective September 1, 2016, the following provisions
  of the Human Resources Code are repealed:
               (1)  Section 40.002(a);
               (2)  Section 40.004;
               (3)  Section 40.0041;
               (4)  Section 40.021;
               (5)  Section 40.022;
               (6)  Section 40.0226;
               (7)  Section 40.024;
               (8)  Section 40.025;
               (9)  Section 40.026;
               (10)  Section 40.027;
               (11)  Section 40.032;
               (12)  Section 40.033;
               (13)  Section 117.002;
               (14)  Section 117.021;
               (15)  Section 117.022;
               (16)  Section 117.023;
               (17)  Section 117.024;
               (18)  Section 117.025;
               (19)  Section 117.026;
               (20)  Section 117.027;
               (21)  Section 117.028;
               (22)  Section 117.029;
               (23)  Section 117.030;
               (24)  Section 117.032;
               (25)  Section 117.051;
               (26)  Section 117.052;
               (27)  Section 117.053;
               (28)  Section 117.054;
               (29)  Section 117.055;
               (30)  Section 117.056;
               (31)  Section 117.072;
               (32)  Section 161.002;
               (33)  Subchapter B, Chapter 161;
               (34)  Section 161.051;
               (35)  Section 161.052;
               (36)  Section 161.053;
               (37)  Section 161.054;
               (38)  Section 161.055;
               (39)  Section 161.056; and
               (40)  Section 161.072.
         (d)  Notwithstanding Subsections (a), (b), and (c) of this
  section, the implementation of a provision repealed by this section
  ceases on the date the responsible state agency or entity listed in
  Section 531.0202, Government Code, as added by this article, is
  abolished as provided by Subchapter A-1, Chapter 531, Government
  Code, as added by this article.
  ARTICLE 2.  HEALTH AND HUMAN SERVICES SYSTEM OPERATIONS
         SECTION 2.01.  Section 531.001, Government Code, is amended
  by adding Subdivision (3-a) to read as follows:
               (3-a)  "Health and human services system" means the
  system for providing or otherwise administering health and human
  services in this state by the commission, including through an
  office or division of the commission or through another entity
  under the administrative and operational control of the executive
  commissioner.
  SECTION 2.02.  Subchapter A, Chapter 531, Government Code,
  is amended by adding Section 531.00551 to read as follows:
         Sec. 531.00551.  CONSOLIDATED INTERNAL AUDIT PROGRAM. (a)
  Notwithstanding Section 2102.005, the commission shall operate the
  internal audit program required under Chapter 2102 for the
  commission and each health and human services agency as a
  consolidated internal audit program.
         (b)  For purposes of this section, a reference in Chapter
  2102 to the administrator of a state agency with respect to a health
  and human services agency means the executive commissioner.
         (c)  This section expires on the deadline specified by
  Section 531.0204(a)(3).
  SECTION 2.03.  Section 531.006, Government Code, is amended
  to read as follows:
         Sec. 531.006.  ELIGIBILITY FOR APPOINTMENT AS EXECUTIVE
  COMMISSIONER; EMPLOYEE RESTRICTIONS.  (a)  In this section, "Texas
  trade association" means a cooperative and voluntarily joined
  statewide association of business or professional competitors in
  this state designed to assist its members and its industry or
  profession in dealing with mutual business or professional problems
  and in promoting their common interest.
         (a-1)  A person may not be appointed [is not eligible for
  appointment] as executive commissioner, may not serve on the
  commission's executive council, and may not be a commission
  employee employed in a "bona fide executive, administrative, or
  professional capacity," as that phrase is used for purposes of
  establishing an exemption to the overtime provisions of the federal
  Fair Labor Standards Act of 1938 (29 U.S.C. Section 201 et seq.) if:
               (1)  the person is an officer, employee, or paid
  consultant of a Texas trade association in the field of health and
  human services; or
               (2)  the person's spouse is an [employee,] officer,
  manager, or paid consultant of a Texas trade association in the [a]
  field of health and human services [under the commission's
  jurisdiction].
         (b)  A person may not be appointed as executive commissioner
  or act as general counsel of the commission if the person [who] is
  required to register as a lobbyist under Chapter 305 because of the
  person's activities for compensation [in or] on behalf of a
  profession related to the operation of the commission [a field
  under the commission's jurisdiction may not serve as commissioner].
         (c)  A person may not be appointed [is not eligible for
  appointment] as executive commissioner if the person has a
  financial interest in a corporation, organization, or association
  under contract with the commission or a health and human services
  agency [the Texas Department of Mental Health and Mental
  Retardation], a local mental health or intellectual and
  developmental disability [mental retardation] authority, or a
  community center.
         SECTION 2.04.  Section 531.008(c), Government Code, is
  amended to read as follows:
         (c)  The executive commissioner shall establish the
  following divisions and offices within the commission:
               (1)  the eligibility services division to make
  eligibility determinations for services provided through the
  commission or a health and human services agency related to:
                     (A)  the child health plan program;
                     (B)  the financial assistance program under
  Chapter 31, Human Resources Code;
                     (C)  the medical assistance program under Chapter
  32, Human Resources Code;
                     (D)  the nutritional assistance programs under
  Chapter 33, Human Resources Code;
                     (E)  long-term care services, as defined by
  Section 22.0011, Human Resources Code;
                     (F)  community-based support services identified
  or provided in accordance with Section 531.02481; and
                     (G)  other health and human services programs, as
  appropriate;
               (2)  the office of inspector general to perform fraud
  and abuse investigation and enforcement functions as provided by
  Subchapter C and other law;
               (3)  the office of the ombudsman as provided by Section
  531.0171 [to:
                     [(A)     provide dispute resolution services for the
  commission and the health and human services agencies; and
                     [(B)     perform consumer protection functions
  related to health and human services];
               (4)  a purchasing division as provided by Section
  531.017; and
               (5)  an internal audit division to conduct a program of
  internal auditing in accordance with [Government Code,] Chapter
  2102.
         SECTION 2.05.  Section 531.0161, Government Code, is amended
  by adding Subsection (c) to read as follows:
         (c)  The commission shall:
               (1)  coordinate the implementation of the policy
  developed under Subsection (a);
               (2)  provide training as needed to implement the
  procedures for negotiated rulemaking or alternative dispute
  resolution; and
               (3)  collect data concerning the effectiveness of those
  procedures.
  SECTION 2.06.  (a)  Subchapter A, Chapter 531, Government
  Code, is amended by adding Section 531.0164 to read as follows:
         Sec. 531.0164.  HEALTH AND HUMAN SERVICES SYSTEM INTERNET
  WEBSITE COORDINATION. The commission shall establish a process to
  ensure Internet websites across the health and human services
  system are developed and maintained according to standard criteria
  for uniformity, efficiency, and technical capabilities.  Under the
  process, the commission shall:
               (1)  develop and maintain an inventory of all health
  and human services system Internet websites;
               (2)  on an ongoing basis, evaluate the inventory
  maintained under Subdivision (1) to:
                     (A)  determine whether any of the Internet
  websites should be consolidated to improve public access to those
  websites' content; and
                     (B)  ensure the Internet websites comply with the
  standard criteria; and
               (3)  if appropriate, consolidate the websites
  identified under Subdivision (2)(A).
         (b)  As soon as possible after the effective date of this
  article, the Health and Human Services Commission shall implement
  Section 531.0164, Government Code, as added by this article.
         (c)  As soon as possible after a state agency or entity is
  abolished as provided by Section 531.0202, Government Code, as
  added by this Act, the Health and Human Services Commission shall,
  in accordance with Section 531.0164, Government Code, as added by
  this article, ensure that an Internet website operated by or
  related to the abolished state agency or entity is updated,
  transferred, or consolidated to reflect the consolidation mandated
  by Subchapter A-1, Chapter 531, Government Code, as added by this
  Act.
         SECTION 2.07.  (a)  Subchapter A, Chapter 531, Government
  Code, is amended by adding Section 531.0171 to read as follows:
         Sec. 531.0171.  OFFICE OF OMBUDSMAN. (a)  The executive
  commissioner shall establish the commission's office of the
  ombudsman with authority and responsibility over the health and
  human services system in performing the following functions:
               (1)  providing dispute resolution services for the
  health and human services system;
               (2)  performing consumer protection and advocacy
  functions related to health and human services, including assisting
  a consumer or other interested person with:
                     (A)  raising a matter within the health and human
  services system that the person feels is being ignored; and
                     (B)  obtaining information regarding a filed
  complaint; and
               (3)  collecting inquiry and complaint data related to
  the health and human services system.
         (b)  The office of the ombudsman does not have the authority
  to provide a separate process for resolving complaints or appeals.
         (c)  The executive commissioner shall develop a standard
  process for tracking and reporting received inquiries and
  complaints within the health and human services system.  The
  process must provide for the centralized tracking of inquiries and
  complaints submitted to field, regional, or other local health and
  human services system offices.
         (d)  Using the process developed under Subsection (c), the
  office of the ombudsman shall collect inquiry and complaint data
  from all offices, agencies, divisions, and other entities within
  the health and human services system.  To assist with the collection
  of data under this subsection, the office may access any system or
  process for recording inquiries and complaints used or maintained
  within the health and human services system.
         (b)  As soon as possible after the effective date of this
  article, the executive commissioner of the Health and Human
  Services Commission shall implement Section 531.0171, Government
  Code, as added by this article.
         (c)  Notwithstanding any other provision of state law, each
  office of an ombudsman established before the effective date of
  this section that performs ombudsman duties for a state agency or
  entity subject to abolition under Section 531.0202, Government
  Code, as added by this Act, is abolished on the date the state
  agency or entity for which the office performs ombudsman duties is
  abolished in accordance with the transition plan under Section
  531.0204, Government Code, as added by this Act, except that the
  following are not abolished and continue in existence:
               (1)  the office of independent ombudsman for state
  supported living centers established under Subchapter C, Chapter
  555, Health and Safety Code;
               (2)  the office of the state long-term care ombudsman;
  and
               (3)  any other ombudsman office serving all or part of
  the health and human services system that is required by federal
  law.
         (d)  The executive commissioner of the Health and Human
  Services Commission shall certify which offices of ombudsman are
  abolished, and which are exempt from abolition, under Subsection
  (c) of this section and shall publish that certification in the
  Texas Register not later than September 1, 2016.
         (e)  Section 533.039, Health and Safety Code, is repealed.
         SECTION 2.08.  (a) Subchapter A, Chapter 531, Government
  Code, is amended by adding Section 531.0192 to read as follows:
         Sec. 531.0192.  HEALTH AND HUMAN SERVICES SYSTEM HOTLINE AND
  CALL CENTER COORDINATION. (a)  The commission shall establish a
  process to ensure all health and human services system hotlines and
  call centers are necessary and appropriate.  Under the process, the
  commission shall:
               (1)  develop criteria for use in assessing whether a
  hotline or call center serves an ongoing purpose;
               (2)  develop and maintain an inventory of all system
  hotlines and call centers;
               (3)  use the inventory and assessment criteria
  developed under this subsection to periodically consolidate
  hotlines and call centers along appropriate functional lines; and
               (4)  develop an approval process designed to ensure
  that a newly established hotline or call center, including the
  telephone system and contract terms for the hotline or call center,
  meets policies and standards established by the commission.
         (b)  In consolidating hotlines and call centers under
  Subsection (a)(3), the commission shall seek to maximize the use
  and effectiveness of the commission's 2-1-1 telephone number.
         (b)  As soon as possible after the effective date of this
  article, the Health and Human Services Commission shall implement
  Section 531.0192, Government Code, as added by this article.
         (c)  Not later than March 1, 2016, the Health and Human
  Services Commission shall complete an initial assessment and
  consolidation of hotlines and call centers, as required by Section
  531.0192, Government Code, as added by this article.
         (d)  As soon as possible after a state agency or entity is
  abolished as provided by Section 531.0202, Government Code, as
  added by this Act, the Health and Human Services Commission shall,
  in accordance with Section 531.0192, Government Code, as added by
  this article, ensure a hotline or call center operated or
  administered by the abolished state agency or entity is transferred
  or consolidated to reflect the consolidation mandated by Subchapter
  A-1, Chapter 531, Government Code, as added by this Act.
  SECTION 2.09.  (a)  Section 531.02111(b), Government Code,
  is amended to read as follows:
         (b)  The report must include:
               (1)  for each state agency described by Subsection (a):
                     (A)  a description of each of the Medicaid
  programs administered or operated by the agency; and
                     (B)  an accounting of all funds related to the
  state Medicaid program received and disbursed by the agency during
  the period covered by the report, including:
                           (i)  the amount of any federal medical
  assistance funds allocated to the agency for the support of each of
  the Medicaid programs operated or administered by the agency;
                           (ii)  the amount of any funds appropriated
  by the legislature to the agency for each of those programs; and
                           (iii)  the amount of medical assistance
  payments and related expenditures made by or in connection with
  each of those programs; and
               (2)  for each Medicaid program identified in the
  report:
                     (A)  the amount and source of funds or other
  revenue received by or made available to the agency for the program;
  [and]
                     (B)  the amount spent on each type of service or
  benefit provided by or under the program;
                     (C)  the amount spent on program operations,
  including eligibility determination, claims processing, and case
  management; and
                     (D)  the amount spent on any other administrative
  costs [information required by Section 531.02112(b)].
         (b)  The following provisions are repealed:
               (1)  Section 531.02112, Government Code;
               (2)  Sections 531.03131(f) and (g), Government Code;
               (3)  Section 2155.144(o), Government Code; and
               (4)  Section 22.0251(b), Human Resources Code.
  SECTION 2.10.  (a)  Subchapter B, Chapter 531, Government
  Code, is amended by adding Section 531.02118 to read as follows:
         Sec. 531.02118.  STREAMLINING MEDICAID PROVIDER ENROLLMENT
  AND CREDENTIALING PROCESSES. (a)  The commission shall streamline
  provider enrollment and credentialing processes under the Medicaid
  program.
         (b)  In streamlining the Medicaid provider enrollment
  process, the commission shall establish a centralized Internet
  portal through which providers may enroll in the Medicaid program.  
  The commission may use the Internet portal created under this
  subsection to create a single, consolidated Medicaid provider
  enrollment and credentialing process.
         (c)  In streamlining the Medicaid provider credentialing
  process under this section, the commission may designate a
  centralized credentialing entity and may:
               (1)  share information in the database established
  under Subchapter C, Chapter 32, Human Resources Code, with the
  centralized credentialing entity; and
               (2)  require all managed care organizations
  contracting with the commission to provide health care services to
  Medicaid recipients under a managed care plan issued by the
  organization to use the centralized credentialing entity as a hub
  for the collection and sharing of information.
         (d)  If cost-effective, the commission may contract with a
  third party to develop the single, consolidated Medicaid provider
  enrollment and credentialing process authorized under Subsection
  (b).
         (b)  The Health and Human Services Commission shall
  streamline provider enrollment and credentialing processes as
  required under Section 531.02118, Government Code, as added by this
  article, not later than September 1, 2016.
  SECTION 2.11.  (a)  Section 531.02141, Government Code, is
  amended by adding Subsections (c), (d), and (e) to read as follows:
         (c)  The commission shall regularly evaluate data submitted
  by managed care organizations that contract with the commission
  under Chapter 533 to determine whether:
               (1)  the data continues to serve a useful purpose; and
               (2)  additional data is needed to oversee contracts or
  evaluate the effectiveness of the Medicaid program.
         (d)  The commission shall collect Medicaid managed care data
  that effectively captures the quality of services received by
  Medicaid recipients.
         (e)  The commission shall develop a dashboard for agency
  leadership that is designed to assist leadership with overseeing
  the Medicaid program and comparing the performance of managed care
  organizations participating in the program.  The dashboard must
  identify a concise number of important Medicaid indicators,
  including key data, performance measures, trends, and problems.
         (b)  Not later than March 1, 2016, the Health and Human
  Services Commission shall develop the dashboard required by Section
  531.02141(e), Government Code, as added by this article.
         SECTION 2.12.  Subchapter B, Chapter 531, Government Code,
  is amended by adding Section 531.02731 to read as follows:
         Sec. 531.02731.  REPORT OF INFORMATION RESOURCES MANAGER TO
  COMMISSION. (a)  Notwithstanding Section 2054.075(b), the
  information resources manager of a health and human services agency
  shall report directly to the executive commissioner or a deputy
  executive commissioner designated by the executive commissioner.
         (b)  This section expires on the deadline specified by
  Section 531.0204(a)(3).
         SECTION 2.13.  Section 531.102, Government Code, is amended
  by adding Subsections (p) and (q) to read as follows:
         (p)  In accordance with Section 533.015(b), the office shall
  consult with the executive commissioner regarding the adoption of
  rules defining the office's role in and jurisdiction over, and the
  frequency of, audits of managed care organizations participating in
  the Medicaid program that are conducted by the office and the
  commission.
         (q)  The office shall coordinate all audit and oversight
  activities, including the development of audit plans, risk
  assessments, and findings, with the commission to minimize the
  duplication of activities. In coordinating activities under this
  subsection, the office shall:
               (1)  on an annual basis, seek input from the commission
  and consider previous audits and onsite visits made by the
  commission for purposes of determining whether to audit a managed
  care organization participating in the Medicaid program; and
               (2)  request the results of any informal audit or
  onsite visit performed by the commission that could inform the
  office's risk assessment when determining whether to conduct, or
  the scope of, an audit of a managed care organization participating
  in the Medicaid program.
  SECTION 2.14.  (a)  Section 531.1031(a), Government Code, is
  amended to read as follows:
         (a)  In this section and Sections 531.1032, 531.1033, and
  531.1034:
               (1)  "Health care professional" means a person issued a
  license[, registration, or certification] to engage in a health
  care profession.
               (1-a)  "License" means a license, certificate,
  registration, permit, or other authorization that:
                     (A)  is issued by a licensing authority; and
                     (B)  must be obtained before a person may practice
  or engage in a particular business, occupation, or profession.
               (1-b)  "Licensing authority" means a department,
  commission, board, office, or other agency of the state that issues
  a license.
               (1-c)  "Office" means the commission's office of
  inspector general unless a different meaning is plainly required by
  the context in which the term appears.
               (2)  "Participating agency" means:
                     (A)  the Medicaid fraud enforcement divisions of
  the office of the attorney general;
                     (B)  each licensing authority [board or agency]
  with authority to issue a license to [, register, regulate, or
  certify] a health care professional or managed care organization
  that may participate in the [state] Medicaid program; and
                     (C)  the [commission's] office [of inspector
  general].
               (3)  "Provider" has the meaning assigned by Section
  531.1011(10)(A).
         (b)  Subchapter C, Chapter 531, Government Code, is amended
  by adding Sections 531.1032, 531.1033, and 531.1034 to read as
  follows:
         Sec. 531.1032.  OFFICE OF INSPECTOR GENERAL: CRIMINAL
  HISTORY RECORD INFORMATION CHECK.  (a)  The office and each
  licensing authority that requires the submission of fingerprints
  for the purpose of conducting a criminal history record information
  check of a health care professional shall enter into a memorandum of
  understanding to ensure that only persons who are licensed and in
  good standing as health care professionals participate as providers
  in the Medicaid program. The memorandum under this section may be
  combined with a memorandum authorized under Section 531.1031(c-1)
  and must include a process by which:
               (1)  the office may confirm with a licensing authority
  that a health care professional is licensed and in good standing for
  purposes of determining eligibility to participate in the Medicaid
  program; and
               (2)  the licensing authority immediately notifies the
  office if:
                     (A)  a provider's license has been revoked or
  suspended; or
                     (B)  the licensing authority has taken
  disciplinary action against a provider.
         (b)  The office may not, for purposes of determining a health
  care professional's eligibility to participate in the Medicaid
  program as a provider, conduct a criminal history record
  information check of a health care professional who the office has
  confirmed under Subsection (a) is licensed and in good standing.
  This subsection does not prohibit the office from performing a
  criminal history record information check of a provider that is
  required or appropriate for other reasons, including for conducting
  an investigation of fraud, waste, or abuse.
         (c)  For purposes of determining eligibility to participate
  in the Medicaid program, the office, after seeking public input,
  shall establish and the executive commissioner by rule shall adopt
  guidelines for the evaluation of criminal history record
  information of providers and potential providers not subject to a
  criminal history record information check by a licensing authority
  described by Subsection (a).  The guidelines must outline conduct,
  by provider type, that may be contained in criminal history record
  information that will result in exclusion of a person from the
  Medicaid program, taking into consideration:
               (1)  the extent to which the underlying conduct relates
  to the services provided under the program;
               (2)  the degree to which the person would interact with
  Medicaid recipients as a provider; and
               (3)  any previous evidence that the person engaged in
  fraud, waste, or abuse under the Medicaid program.
         (d)  The office and the commission shall use the guidelines
  adopted under Subsection (c) to determine whether a provider about
  whom the office is notified as provided by Subsection (a)(2) may
  continue participating in the Medicaid program as a provider.
         (e)  The provider enrollment contractor, if applicable, and
  a managed care organization participating in the Medicaid program
  shall defer to the office regarding whether a person's criminal
  history record information precludes the person from participating
  in the Medicaid program as a provider.
         Sec. 531.1033.  MONITORING OF CERTAIN FEDERAL DATABASES.  
  The office shall routinely check appropriate federal databases,
  including databases referenced in 42 C.F.R. Section 455.436, to
  ensure that a person who is excluded from participating in the
  Medicaid or Medicare program by the federal government is not
  participating as a provider in the program.
         Sec. 531.1034.  TIME TO DETERMINE PROVIDER ELIGIBILITY;
  PERFORMANCE METRICS.  (a)  Not later than the 10th day after the
  date the office receives the complete application of a health care
  professional seeking to participate in the Medicaid program, the
  office shall inform the commission or the health care professional,
  as appropriate, of the office's determination regarding whether the
  health care professional should be excluded from participating in
  the Medicaid program based on:
               (1)  information concerning the licensing status of the
  health care professional obtained as described by Section
  531.1032(a);
               (2)  information contained in the criminal history
  record information check that is evaluated in accordance with
  guidelines adopted under Section 531.1032(c);
               (3)  a review of federal databases under Section
  531.1033;
               (4)  the pendency of an open investigation by the
  office; or
               (5)  any other reason the office determines
  appropriate.
         (b)  Completion of an on-site visit of a health care
  professional during the period prescribed by Subsection (a) is not
  required.
         (c)  The office shall develop performance metrics to measure
  the length of time for conducting a determination described by
  Subsection (a) with respect to applications that are complete when
  submitted and all other applications.
         (c)  Not later than September 1, 2016, the executive
  commissioner of the Health and Human Services Commission shall
  adopt the guidelines required under Section 531.1032(c),
  Government Code, as added by this section.
         SECTION 2.15.  (a) Chapter 531, Government Code, is amended
  by adding Subchapter M to read as follows:
  SUBCHAPTER M. COORDINATION OF QUALITY INITIATIVES
         Sec. 531.451.  OPERATIONAL PLAN TO COORDINATE INITIATIVES.
  (a) The commission shall develop and implement a comprehensive,
  coordinated operational plan to ensure a consistent approach across
  the major quality initiatives of the health and human services
  system for improving the quality of health care.
         (b)  The operational plan developed under this section must
  include broad goals for the improvement of the quality of health
  care in this state, including health care services provided through
  the Medicaid program.
         Sec. 531.452.  REVISION OF MAJOR INITIATIVES.
  Notwithstanding any other law, the commission shall revise major
  quality initiatives of the health and human services system in
  accordance with the operational plan and health care quality
  improvement goals developed under Section 531.451. To the extent it
  is possible, the commission shall ensure that outcome measure data
  is collected and reported consistently across all major quality
  initiatives to improve the evaluation of the initiatives' statewide
  impact.
         Sec. 531.453.  INCENTIVES FOR INITIATIVE COORDINATION. The
  commission shall consider and, if the commission determines it
  appropriate, develop incentives that promote coordination among
  the various major quality initiatives in accordance with this
  subchapter, including projects and initiatives approved under the
  Texas Health Care Transformation and Quality Improvement Program
  waiver issued under Section 1115 of the federal Social Security Act
  (42 U.S.C. Section 1315).
         Sec. 531.454.  RENEWAL OF FEDERAL AUTHORIZATION FOR MEDICAID
  REFORM.  (a)  When the commission seeks to renew the Texas Health
  Care Transformation and Quality Improvement Program waiver issued
  under Section 1115 of the federal Social Security Act (42 U.S.C.
  Section 1315), the commission shall, to the extent permitted under
  federal law:
               (1)  seek to reduce the number of approved project
  options that may be funded under the waiver using delivery system
  reform incentive payments to include only those projects that are:
                     (A)  the most critical for improving the quality
  of health care, including behavioral health services; and
                     (B)  consistent with the operational plan and
  health care quality improvement goals developed under Section
  531.451; and
               (2)  allow a delivery system reform incentive payment
  project that, as a result of Subdivision (1), is no longer an option
  under the waiver, to continue operating as long as the project meets
  funding requirements and outcome objectives.
         (b)  In reducing the number of approved project options under
  Subsection (a), the commission shall take into consideration the
  diversity of local and regional health care needs in this state.
         (c)  This section expires September 1, 2017.
         (b)  As soon as possible after the effective date of this
  article, the Health and Human Services Commission shall develop the
  operational plan and perform the other actions corresponding with
  the operational plan as required under Subchapter M, Chapter 531,
  Government Code, as added by this article.
         SECTION 2.16.  Section 533.00255(a), Government Code, is
  amended to read as follows:
         (a)  In this section, "behavioral health services" means
  mental health and substance abuse disorder services[, other than
  those provided through the NorthSTAR demonstration project].
         SECTION 2.17.  Subchapter A, Chapter 533, Government Code,
  is amended by adding Section 533.002551 to read as follows:
         Sec. 533.002551.  MONITORING OF COMPLIANCE WITH BEHAVIORAL
  HEALTH INTEGRATION. (a)  In this section, "behavioral health
  services" has the meaning assigned by Section 533.00255.
         (b)  In monitoring contracts the commission enters into with
  managed care organizations under this chapter, the commission
  shall:
               (1)  ensure managed care organizations fully integrate
  behavioral health services into a recipient's primary care
  coordination;
               (2)  use performance audits and other oversight tools
  to improve monitoring of the provision and coordination of
  behavioral health services; and
               (3)  establish performance measures that may be used to
  determine the effectiveness of the integration of behavioral health
  services.
         (c)  In monitoring a managed care organization's compliance
  with behavioral health services integration requirements under
  this section, the commission shall give particular attention to a
  managed care organization that provides behavioral health services
  through a contract with a third party.
         SECTION 2.18.  Subchapter A, Chapter 533, Government Code,
  is amended by adding Section 533.0061 to read as follows:
         Sec. 533.0061.  FREQUENCY OF PROVIDER CREDENTIALING. A
  managed care organization that contracts with the commission to
  provide health care services to Medicaid recipients under a managed
  care plan issued by the organization shall formally recredential a
  physician or other provider with the frequency required by the
  single, consolidated Medicaid provider enrollment and
  credentialing process, if that process is created under Section
  531.02118.  The required frequency of recredentialing may be less
  frequent than once in any three-year period, notwithstanding any
  other law.
         SECTION 2.19.  Subchapter A, Chapter 533, Government Code,
  is amended by adding Section 533.0077 to read as follows:
         Sec. 533.0077.  STATEWIDE EFFORT TO PROMOTE MAINTENANCE OF
  ELIGIBILITY. (a)  The commission shall develop and implement a
  statewide effort to assist recipients who satisfy Medicaid
  eligibility requirements and who receive Medicaid services through
  a managed care organization with maintaining eligibility and
  avoiding lapses in coverage under the Medicaid program.
         (b)  As part of its effort under Subsection (a), the
  commission shall:
               (1)  require each managed care organization providing
  health care services to recipients to assist those recipients with
  maintaining eligibility;
               (2)  if the commission determines it is cost-effective,
  develop specific strategies for assisting recipients who receive
  Supplemental Security Income (SSI) benefits under 42 U.S.C. Section
  1381 et seq. with maintaining eligibility; and
               (3)  ensure information that is relevant to a
  recipient's eligibility status is provided to the managed care
  organization through which the recipient receives Medicaid
  services.
         SECTION 2.20.  (a)  Section 533.015, Government Code, is
  amended to read as follows:
         Sec. 533.015.  COORDINATION OF EXTERNAL OVERSIGHT
  ACTIVITIES. (a) To the extent possible, the commission shall
  coordinate all external oversight activities to minimize
  duplication of oversight of managed care plans under the state
  Medicaid program and disruption of operations under those plans.
         (b)  The executive commissioner, after consulting with the
  commission's office of inspector general, shall, by rule, define
  the commission's and office's roles in and jurisdiction over, and
  frequency of, audits of managed care organizations participating in
  the Medicaid program that are conducted by the commission and the
  commission's office of inspector general.
         (c)  In accordance with Section 531.102(q), the commission
  shall share with the commission's office of inspector general, at
  the request of the office, the results of any informal audit or
  onsite visit that could inform that office's risk assessment when
  determining whether to conduct, or the scope of, an audit of a
  managed care organization participating in the Medicaid program.
         (b)  Not later than September 1, 2016, the executive
  commissioner of the Health and Human Services Commission shall
  adopt rules required by Section 533.015(b), Government Code, as
  added by this article.
         SECTION 2.21.  Section 533.041(a), Government Code, is
  amended to read as follows:
         (a)  The executive commissioner shall appoint a state
  Medicaid managed care advisory committee.  The advisory committee
  consists of representatives of:
               (1)  hospitals;
               (2)  managed care organizations and participating
  health care providers;
               (3)  primary care providers and specialty care
  providers;
               (4)  state agencies;
               (5)  low-income recipients or consumer advocates
  representing low-income recipients;
               (6)  recipients with disabilities, including
  recipients with intellectual and developmental disabilities or
  physical disabilities, or consumer advocates representing those
  recipients;
               (7)  parents of children who are recipients;
               (8)  rural providers;
               (9)  advocates for children with special health care
  needs;
               (10)  pediatric health care providers, including
  specialty providers;
               (11)  long-term services and supports providers,
  including nursing facility providers and direct service workers;
               (12)  obstetrical care providers;
               (13)  community-based organizations serving low-income
  children and their families;
               (14)  community-based organizations engaged in
  perinatal services and outreach;
               (15)  recipients who are 65 years of age or older;
               (16)  recipients with mental illness;
               (17)  nonphysician mental health providers
  participating in the Medicaid managed care program; and
               (18)  entities with responsibilities for the delivery
  of long-term services and supports or other Medicaid program
  service delivery, including:
                     (A)  independent living centers;
                     (B)  area agencies on aging;
                     (C)  aging and disability resource centers
  established under the Aging and Disability Resource Center
  initiative funded in part by the federal Administration on Aging
  and the Centers for Medicare and Medicaid Services; and
                     (D)  community mental health and intellectual
  disability centers[; and
                     [(E)     the NorthSTAR Behavioral Health Program
  provided under Chapter 534, Health and Safety Code].
         SECTION 2.22.  (a) Chapter 533, Government Code, is amended
  by adding Subchapter E to read as follows:
  SUBCHAPTER E. PILOT PROGRAM TO INCREASE INCENTIVE-BASED PROVIDER
  PAYMENTS
         Sec. 533.081.  DEFINITION.  In this subchapter, "pilot
  program" means the pilot program to increase incentive-based
  provider payments established under Section 533.082.
         Sec. 533.082.  PILOT PROGRAM TO INCREASE INCENTIVE-BASED
  PROVIDER PAYMENTS. With the assistance of the work group
  established under Section 533.083, the commission shall develop a
  pilot program to increase the use and effectiveness of
  incentive-based provider payments by managed care organizations
  providing services under the Medicaid managed care program. The
  pilot program must:
               (1)  be operated in one managed care service delivery
  area selected in accordance with Section 533.083(a)(1)(A);
               (2)  require all managed care organizations in the
  selected service delivery area to participate in the program; and
               (3)  pilot incentive-based provider payment structures
  determined in accordance with Section 533.083(a)(2).
         Sec. 533.083.  PILOT PROGRAM DEVELOPMENT WORK GROUP. (a)
  The executive commissioner shall establish a work group to assist
  the commission with developing the pilot program required under
  this subchapter. The work group shall assist the commission with:
               (1)  selecting:
                     (A)  the managed care service delivery area in
  which the pilot program will be implemented; and
                     (B)  managed care programs to be included in the
  pilot program;
               (2)  determining the types of incentive-based provider
  payment structures to pilot and the services that most
  appropriately fit into those payment structures; and
               (3)  determining a timeline for implementation of the
  pilot program that requires implementation to begin not later than
  January 1, 2017.
         (b)  The executive commissioner shall determine the number
  of members of the work group and ensure that the work group consists
  of representatives from:
               (1)  the commission;
               (2)  managed care organizations providing services
  under the Medicaid managed care program; and
               (3)  professional associations composed of health care
  providers.
         (c)  A member of the work group serves at the pleasure of the
  executive commissioner and without compensation.
         Sec. 533.084.  ASSESSMENT AND IMPLEMENTATION OF PILOT
  PROGRAM FINDINGS. Not later than September 1, 2018, and
  notwithstanding any other law, the commission shall:
               (1)  based on the results of the pilot program,
  identify which types of incentive-based provider payment
  structures are most appropriate for statewide implementation and
  the services that can be provided under those structures; and
               (2)  require that a managed care organization that has
  contracted with the commission to provide health care services to
  recipients implement the payment structures identified under
  Subdivision (1).
         Sec. 533.085.  EXPIRATION. Sections 533.081, 533.082, and
  533.083 and this section expire September 1, 2018.
         (b)  As soon as possible after the effective date of this
  article, the executive commissioner of the Health and Human
  Services Commission shall establish the work group and the
  commission shall develop the pilot program required under
  Subchapter E, Chapter 533, Government Code, as added by this
  article.
         (c)  The Health and Human Services Commission, in a contract
  between the commission and a managed care organization under
  Chapter 533, Government Code, that is entered into or renewed on or
  after September 1, 2018, shall require that the managed care
  organization implement the incentive-based provider payment
  structures identified by the commission under Section 533.084,
  Government Code, as added by this article.
         (d)  The Health and Human Services Commission shall seek to
  amend contracts entered into with managed care organizations under
  Chapter 533, Government Code, before September 1, 2018, to require
  that those managed care organizations implement the
  incentive-based provider payment structures identified by the
  commission under Section 533.084, Government Code, as added by this
  article. To the extent of a conflict between that section and a
  provision of a contract with a managed care organization entered
  into before September 1, 2018, the contract provision prevails.
         SECTION 2.23.  Section 1001.080(b), Health and Safety Code,
  is amended to read as follows:
         (b)  This section applies to health or mental health
  benefits, services, or assistance provided by the department that
  the department anticipates will be impacted by a health insurance
  exchange as defined by Section 1001.081(a), including:
               (1)  community primary health care services provided
  under Chapter 31;
               (2)  women's and children's health services provided
  under Chapter 32;
               (3)  services for children with special health care
  needs provided under Chapter 35;
               (4)  epilepsy program assistance provided under
  Chapter 40;
               (5)  hemophilia program assistance provided under
  Chapter 41;
               (6)  kidney health care services provided under Chapter
  42;
               (7)  human immunodeficiency virus infection and
  sexually transmitted disease prevention programs and services
  provided under Chapter 85;
               (8)  immunization programs provided under Chapter 161;
               (9)  programs and services provided by the Rio Grande
  State Center under Chapter 252;
               (10)  mental health services for adults provided under
  Chapter 534;
               (11)  mental health services for children provided
  under Chapter 534;
               (12)  [the NorthSTAR Behavioral Health Program
  provided under Chapter 534;
               [(13)]  programs and services provided by community
  mental health hospitals under Chapter 552;
               (13) [(14)]  programs and services provided by state
  mental health hospitals under Chapter 552; and
               (14) [(15)]  any other health or mental health program
  or service designated by the department.
         SECTION 2.24.  Section 1001.201(2), Health and Safety Code,
  as added by Chapter 1306 (H.B. 3793), Acts of the 83rd Legislature,
  Regular Session, 2013, is amended to read as follows:
               (2)  "Local mental health authority" has the meaning
  assigned by Section 531.002 [and includes the local behavioral
  health authority for the NorthSTAR Behavioral Health Program].
  ARTICLE 3. HEALTH AND HUMAN SERVICES SYSTEM ADVISORY ENTITIES
         SECTION 3.01.  Section 262.353(d), Family Code, is amended
  to read as follows:
         (d)  Not later than September 30, 2014, the department and
  the Department of State Health Services shall file a report with the
  legislature [and the Council on Children and Families] on the
  results of the study required by Subsection (a).  The report must
  include:
               (1)  each option to prevent relinquishment of parental
  custody that was considered during the study;
               (2)  each option recommended for implementation, if
  any;
               (3)  each option that is implemented using existing
  resources;
               (4)  any policy or statutory change needed to implement
  a recommended option;
               (5)  the fiscal impact of implementing each option, if
  any;
               (6)  the estimated number of children and families that
  may be affected by the implementation of each option; and
               (7)  any other significant information relating to the
  study.
         SECTION 3.02.  (a)  Section 531.012, Government Code, is
  amended to read as follows:
         Sec. 531.012.  ADVISORY COMMITTEES. (a) The executive
  commissioner shall establish and maintain [may appoint] advisory
  committees to consider issues and solicit public input across all
  major areas of the health and human services system, including
  relating to the following issues:
               (1)  Medicaid and other social services programs;
               (2)  managed care under Medicaid and the child health
  plan program;
               (3)  health care quality initiatives;
               (4)  aging;
               (5)  persons with disabilities, including persons with
  autism;
               (6)  rehabilitation, including for persons with brain
  injuries;
               (7)  children;
               (8)  public health;
               (9)  behavioral health;
               (10)  regulatory matters;
               (11)  protective services;
               (12)  prevention efforts; and
               (13)  faith- and community-based initiatives.
         (b)  Chapter 2110 applies to an advisory committee
  established under this section.
         (c)  The executive commissioner shall adopt rules:
               (1)  in compliance with Chapter 2110 to govern an
  advisory committee's purpose, tasks, reporting requirements, and
  date of abolition; and
               (2)  related to an advisory committee's:
                     (A)  size and quorum requirements;
                     (B)  membership, including:
                           (i)  qualifications to be a member,
  including any experience requirements;
                           (ii)  required geographic representation;
                           (iii)  appointment procedures; and
                           (iv)  terms of members; and
                     (C)  duty to comply with the requirements for open
  meetings under Chapter 551.
         (d)  An advisory committee established under this section
  shall report any recommendations to the executive commissioner at a
  meeting of the Health and Human Services Commission Executive
  Council established under Section 531.0051 [as needed].
         (b)  Not later than March 1, 2016, the executive commissioner
  of the Health and Human Services Commission shall adopt rules under
  Section 531.012, Government Code, as amended by this article.
         SECTION 3.03.  Subchapter A, Chapter 531, Government Code,
  is amended by adding Section 531.0121 to read as follows:
         Sec. 531.0121.  PUBLIC ACCESS TO ADVISORY COMMITTEE
  MEETINGS.  (a)  This section applies to an advisory committee
  established under Section 531.012.
         (b)  The commission shall create a master calendar that
  includes all advisory committee meetings across the health and
  human services system.
         (c)  The commission shall make available on the commission's
  Internet website:
               (1)  the master calendar;
               (2)  all meeting materials for an advisory committee
  meeting; and
               (3)  streaming live video of each advisory committee
  meeting.
         (d)  The commission shall provide Internet access in each
  room used for a meeting that appears on the master calendar.
         SECTION 3.04.  Section 531.0216(b), Government Code, is
  amended to read as follows:
         (b)  In developing the system, the executive commissioner by
  rule shall:
               (1)  review programs and pilot projects in other states
  to determine the most effective method for reimbursement;
               (2)  establish billing codes and a fee schedule for
  services;
               (3)  provide for an approval process before a provider
  can receive reimbursement for services;
               (4)  consult with the Department of State Health
  Services [and the telemedicine and telehealth advisory committee]
  to establish procedures to:
                     (A)  identify clinical evidence supporting
  delivery of health care services using a telecommunications system;
  and
                     (B)  annually review health care services,
  considering new clinical findings, to determine whether
  reimbursement for particular services should be denied or
  authorized;
               (5)  establish a separate provider identifier for
  telemedicine medical services providers, telehealth services
  providers, and home telemonitoring services providers; and
               (6)  establish a separate modifier for telemedicine
  medical services, telehealth services, and home telemonitoring
  services eligible for reimbursement.
         SECTION 3.05.  Section 531.02443(e), Government Code, is
  amended to read as follows:
         (e)  The department, with the advice and assistance of [the
  interagency task force on ensuring appropriate care settings for
  persons with disabilities and] representatives of family members or
  legally authorized representatives of adult residents, persons
  with an intellectual disability [mental retardation], state
  supported living centers [schools], and local intellectual and
  developmental disability [mental retardation] authorities, shall:
               (1)  develop an effective community living options
  information process;
               (2)  create uniform procedures for the implementation
  of the community living options information process; and
               (3)  minimize any potential conflict of interest
  regarding the community living options information process between
  a state supported living center [school] and an adult resident, an
  adult resident's legally authorized representative, or a local
  intellectual and developmental disability [mental retardation]
  authority.
         SECTION 3.06.  The heading to Section 531.0273, Government
  Code, is amended to read as follows:
         Sec. 531.0273.  INFORMATION RESOURCES PLANNING AND
  MANAGEMENT [; ADVISORY COMMITTEE].
         SECTION 3.07.  Section 531.051(c), Government Code, is
  amended to read as follows:
         (c)  In adopting rules for the consumer direction models, the
  executive commissioner [commission] shall:
               (1)  [with assistance from the work group established
  under Section 531.052,] determine which services are appropriate
  and suitable for delivery through consumer direction;
               (2)  ensure that each consumer direction model is
  designed to comply with applicable federal and state laws;
               (3)  maintain procedures to ensure that a potential
  consumer or the consumer's legally authorized representative has
  adequate and appropriate information, including the
  responsibilities of a consumer or representative under each service
  delivery option, to make an informed choice among the types of
  consumer direction models;
               (4)  require each consumer or the consumer's legally
  authorized representative to sign a statement acknowledging
  receipt of the information required by Subdivision (3);
               (5)  maintain procedures to monitor delivery of
  services through consumer direction to ensure:
                     (A)  adherence to existing applicable program
  standards;
                     (B)  appropriate use of funds; and
                     (C)  consumer satisfaction with the delivery of
  services;
               (6)  ensure that authorized program services that are
  not being delivered to a consumer through consumer direction are
  provided by a provider agency chosen by the consumer or the
  consumer's legally authorized representative; and
               (7)  [work in conjunction with the work group
  established under Section 531.052 to] set a timetable to complete
  the implementation of the consumer direction models.
         SECTION 3.08.  Sections 531.057(b) and (c), Government Code,
  are amended to read as follows:
         (b)  The executive commissioner shall [coordinate with the
  advisory committee established under Section 531.0571 to] develop a
  volunteer advocate program for the elderly receiving services from
  or under the direction of the commission or a health and human
  services agency.
         (c)  In developing the program, the executive commissioner
  [and the advisory committee] shall adhere to the following
  principles:
               (1)  the intent of the program is to evaluate, through
  operation of pilot projects, whether providing the services of a
  trained volunteer advocate selected by an elderly individual or the
  individual's designated caregiver is effective in achieving the
  following goals:
                     (A)  extend the time the elderly individual can
  remain in an appropriate home setting;
                     (B)  maximize the efficiency of services
  delivered to the elderly individual by focusing on services needed
  to sustain family caregiving;
                     (C)  protect the elderly individual by providing a
  knowledgeable third party to review the quality of care and
  services delivered to the individual and the care options available
  to the individual and the individual's family; and
                     (D)  facilitate communication between the elderly
  individual or the individual's designated caregiver and providers
  of health care and other services;
               (2)  a volunteer advocate curriculum must be
  established that incorporates best practices as determined and
  recognized by a professional organization recognized in the elder
  health care field;
               (3)  the use of pro bono assistance from qualified
  professionals must be maximized in developing the volunteer
  advocate curriculum and designing the program;
               (4)  trainers must be certified on the ability to
  deliver training;
               (5)  training shall be offered through multiple
  community-based organizations; and
               (6)  participation in the program is voluntary and must
  be initiated by the elderly individual or the individual's
  designated caregiver.
         SECTION 3.09.  Section 531.067, Government Code, is amended
  to read as follows:
         Sec. 531.067.  PROGRAM TO IMPROVE AND MONITOR CERTAIN
  OUTCOMES OF RECIPIENTS UNDER CHILD HEALTH PLAN AND MEDICAID
  PROGRAMS [PUBLIC ASSISTANCE HEALTH BENEFIT REVIEW AND DESIGN
  COMMITTEE]. The [(a) The commission shall appoint a Public
  Assistance Health Benefit Review and Design Committee. The
  committee consists of nine representatives of health care providers
  participating in the Medicaid program or the child health plan
  program, or both. The committee membership must include at least
  three representatives from each program.
         [(b)     The commissioner shall designate one member to serve as
  presiding officer for a term of two years.
         [(c)     The committee shall meet at the call of the presiding
  officer.
         [(d)     The committee shall review and provide recommendations
  to the commission regarding health benefits and coverages provided
  under the state Medicaid program, the child health plan program,
  and any other income-based health care program administered by the
  commission or a health and human services agency. In performing its
  duties under this subsection, the committee must:
               [(1)     review benefits provided under each of the
  programs; and
               [(2)     review procedures for addressing high
  utilization of benefits by recipients.
         [(e)     The commission shall provide administrative support
  and resources as necessary for the committee to perform its duties
  under this section.
         [(f)  Section 2110.008 does not apply to the committee.
         [(g)  In performing the duties under this section, the]
  commission may design and implement a program to improve and
  monitor clinical and functional outcomes of a recipient of services
  under the state child health plan or medical assistance program.
  The program may use financial, clinical, and other criteria based
  on pharmacy, medical services, and other claims data related to the
  child health plan or the state medical assistance program. [The
  commission must report to the committee on the fiscal impact,
  including any savings associated with the strategies utilized under
  this section.]
  SECTION 3.10.  (a)  Section 531.0691, Government Code, is
  redesignated as Section 531.0735, Government Code, and amended to
  read as follows:
         Sec. 531.0735 [531.0691].  MEDICAID DRUG UTILIZATION REVIEW
  PROGRAM:  DRUG USE REVIEWS AND ANNUAL REPORT. (a) In this section:
               (1)  "Medicaid Drug Utilization Review Program" means
  the program operated by the vendor drug program to improve the
  quality of pharmaceutical care under the Medicaid program.
               (2)  "Prospective drug use review" means the review of
  a patient's drug therapy and prescription drug order or medication
  order before dispensing or distributing a drug to the patient.
               (3)  "Retrospective drug use review" means the review
  of prescription drug claims data to identify patterns of
  prescribing.
         (b)  The commission shall provide for an increase in the
  number and types of retrospective drug use reviews performed each
  year under the Medicaid Drug Utilization Review Program, in
  comparison to the number and types of reviews performed in the state
  fiscal year ending August 31, 2009.
         (c)  In determining the number and types of drug use reviews
  to be performed, the commission shall:
               (1)  allow for the repeat of retrospective drug use
  reviews that address ongoing drug therapy problems and that, in
  previous years, improved client outcomes and reduced Medicaid
  spending;
               (2)  consider implementing disease-specific
  retrospective drug use reviews that address ongoing drug therapy
  problems in this state and that reduced Medicaid prescription drug
  use expenditures in other states; and
               (3)  regularly examine Medicaid prescription drug
  claims data to identify occurrences of potential drug therapy
  problems that may be addressed by repeating successful
  retrospective drug use reviews performed in this state and other
  states.
         (d)  In addition to any other information required by federal
  law, the commission shall include the following information in the
  annual report regarding the Medicaid Drug Utilization Review
  Program:
               (1)  a detailed description of the program's
  activities; and
               (2)  estimates of cost savings anticipated to result
  from the program's performance of prospective and retrospective
  drug use reviews.
         (e)  The cost-saving estimates for prospective drug use
  reviews under Subsection (d) must include savings attributed to
  drug use reviews performed through the vendor drug program's
  electronic claims processing system and clinical edits screened
  through the prior authorization system implemented under Section
  531.073.
         (f)  The commission shall post the annual report regarding
  the Medicaid Drug Utilization Review Program on the commission's
  website.
         (b)  Subchapter B, Chapter 531, Government Code, is amended
  by adding Section 531.0736 to read as follows:
         Sec. 531.0736.  DRUG UTILIZATION REVIEW BOARD.  (a)  In this
  section, "board" means the Drug Utilization Review Board.
         (b)  In addition to performing any other duties required by
  federal law, the board shall:
               (1)  develop and submit to the commission
  recommendations for preferred drug lists adopted by the commission
  under Section 531.072;
               (2)  suggest to the commission restrictions or clinical
  edits on prescription drugs;
               (3)  recommend to the commission educational
  interventions for Medicaid providers;
               (4)  review drug utilization across the Medicaid
  program; and
               (5)  perform other duties that may be specified by law
  and otherwise make recommendations to the commission.
         (c)  The executive commissioner shall determine the
  composition of the board, which must:
               (1)  comply with applicable federal law, including 42
  C.F.R. Section 456.716; and
               (2)  include two representatives of managed care
  organizations as nonvoting members, one of whom must be a physician
  and one of whom must be a pharmacist.
         (d)  Members appointed under Subsection (c)(2) may attend
  quarterly and other regularly scheduled meetings, but may not:
               (1)  attend executive sessions; or
               (2)  otherwise access confidential drug pricing
  information.
         (e)  Members of the board serve staggered four-year terms.
         (f)  The voting members of the board shall elect from among
  the voting members a presiding officer.
         (g)  The board shall hold a public meeting quarterly at the
  call of the presiding officer and shall permit public comment
  before voting on any changes in the preferred drug lists.  The board
  shall hold public meetings at other times at the call of the
  presiding officer.  Minutes of each meeting shall be made available
  to the public not later than the 10th business day after the date
  the minutes are approved.  The board may meet in executive session
  to discuss confidential information as described by Subsection (i).
         (h)  In developing its recommendations for the preferred
  drug lists, the board shall consider the clinical efficacy, safety,
  and cost-effectiveness of and any program benefit associated with a
  product.
         (i)  The executive commissioner shall adopt rules governing
  the operation of the board, including rules governing the
  procedures used by the board for providing notice of a meeting and
  rules prohibiting the board from discussing confidential
  information described by Section 531.071 in a public meeting.  The
  board shall comply with the rules adopted under this subsection and
  Subsection (j).
         (j)  In addition to the rules under Subsection (i), the
  executive commissioner by rule shall require the board or the
  board's designee to present a summary of any clinical efficacy and
  safety information or analyses regarding a drug under consideration
  for a preferred drug list that is provided to the board by a private
  entity that has contracted with the commission to provide the
  information.  The board or the board's designee shall provide the
  summary in electronic form before the public meeting at which
  consideration of the drug occurs.  Confidential information
  described by Section 531.071 must be omitted from the summary.  The
  summary must be posted on the commission's Internet website.
         (k)  To the extent feasible, the board shall review all drug
  classes included in the preferred drug lists adopted under Section
  531.072 at least once every 12 months and may recommend inclusions
  to and exclusions from the lists to ensure that the lists provide
  for cost-effective medically appropriate drug therapies for
  Medicaid recipients, children receiving health benefits coverage
  under the child health plan program, and any other affected
  individuals.
         (l)  The commission shall provide administrative support and
  resources as necessary for the board to perform its duties.
         (m)  Chapter 2110 does not apply to the board.
         (n)  The commission or the commission's agent shall publicly
  disclose, immediately after the board's deliberations conclude,
  each specific drug recommended for or against preferred drug list
  status for each drug class included in the preferred drug list for
  the Medicaid vendor drug program.  The disclosure must be posted on
  the commission's Internet website not later than the 10th business
  day after the date of conclusion of board deliberations that result
  in recommendations made to the executive commissioner regarding the
  placement of drugs on the preferred drug list.  The public
  disclosure must include:
               (1)  the general basis for the recommendation for each
  drug class; and
               (2)  for each recommendation, whether a supplemental
  rebate agreement or a program benefit agreement was reached under
  Section 531.070.
         (c)  Section 531.0692, Government Code, is redesignated as
  Section 531.0737, Government Code, and amended to read as follows:
         Sec. 531.0737 [531.0692].  [MEDICAID] DRUG UTILIZATION
  REVIEW BOARD:  CONFLICTS OF INTEREST. (a) A member of the [board of
  the Medicaid] Drug Utilization Review Board [Program] may not have
  a contractual relationship, ownership interest, or other conflict
  of interest with a pharmaceutical manufacturer or labeler or with
  an entity engaged by the commission to assist in the administration
  of the Medicaid Drug Utilization Review Program.
         (b)  The executive commissioner may implement this section
  by adopting rules that identify prohibited relationships and
  conflicts or requiring the board to develop a conflict-of-interest
  policy that applies to the board.
         (d)  Sections 531.072(c) and (e), Government Code, are
  amended to read as follows:
         (c)  In making a decision regarding the placement of a drug
  on each of the preferred drug lists, the commission shall consider:
               (1)  the recommendations of the Drug Utilization Review
  Board [Pharmaceutical and Therapeutics Committee established]
  under Section 531.0736 [531.074];
               (2)  the clinical efficacy of the drug;
               (3)  the price of competing drugs after deducting any
  federal and state rebate amounts; and
               (4)  program benefit offerings solely or in conjunction
  with rebates and other pricing information.
         (e)  In this subsection, "labeler" and "manufacturer" have
  the meanings assigned by Section 531.070. The commission shall
  ensure that:
               (1)  a manufacturer or labeler may submit written
  evidence supporting the inclusion of a drug on the preferred drug
  lists before a supplemental agreement is reached with the
  commission; and
               (2)  any drug that has been approved or has had any of
  its particular uses approved by the United States Food and Drug
  Administration under a priority review classification will be
  reviewed by the Drug Utilization Review Board [Pharmaceutical and
  Therapeutics Committee] at the next regularly scheduled meeting of
  the board [committee]. On receiving notice from a manufacturer or
  labeler of the availability of a new product, the commission, to the
  extent possible, shall schedule a review for the product at the next
  regularly scheduled meeting of the board [committee].
         (e)  Section 531.073(b), Government Code, is amended to read
  as follows:
         (b)  The commission shall establish procedures for the prior
  authorization requirement under the Medicaid vendor drug program to
  ensure that the requirements of 42 U.S.C. Section 1396r-8(d)(5) and
  its subsequent amendments are met. Specifically, the procedures
  must ensure that:
               (1)  a prior authorization requirement is not imposed
  for a drug before the drug has been considered at a meeting of the
  Drug Utilization Review Board [Pharmaceutical and Therapeutics
  Committee established] under Section 531.0736 [531.074];
               (2)  there will be a response to a request for prior
  authorization by telephone or other telecommunications device
  within 24 hours after receipt of a request for prior authorization;
  and
               (3)  a 72-hour supply of the drug prescribed will be
  provided in an emergency or if the commission does not provide a
  response within the time required by Subdivision (2).
         (f)  Section 531.0741, Government Code, is amended to read as
  follows:
         Sec. 531.0741.  PUBLICATION OF INFORMATION REGARDING
  COMMISSION DECISIONS ON PREFERRED DRUG LIST PLACEMENT. The
  commission shall publish on the commission's Internet website any
  decisions on preferred drug list placement, including:
               (1)  a list of drugs reviewed and the commission's
  decision for or against placement on a preferred drug list of each
  drug reviewed;
               (2)  for each recommendation, whether a supplemental
  rebate agreement or a program benefit agreement was reached under
  Section 531.070; and
               (3)  the rationale for any departure from a
  recommendation of the Drug Utilization Review Board
  [pharmaceutical and therapeutics committee established] under
  Section 531.0736 [531.074].
         (g)  Section 531.074, Government Code, is repealed.
         (h)  The term of a member serving on the Medicaid Drug
  Utilization Review Board on September 1, 2015, expires on that
  date.  Not later than September 1, 2015, the executive commissioner
  of the Health and Human Services Commission shall appoint members
  to the Drug Utilization Review Board in accordance with Section
  531.0736, Government Code, as added by this article, for terms
  beginning September 2, 2015. In making the initial appointments
  and notwithstanding Section 531.0736(e), Government Code, as added
  by this article, the executive commissioner shall designate as
  close to one-half as possible of the members to serve for terms
  expiring September 1, 2017, and the remaining members to serve for
  terms expiring September 1, 2019.
         (i)  Not later than January 1, 2016, the executive
  commissioner of the Health and Human Services Commission shall
  adopt or amend rules as necessary to reflect the changes in law made
  to the Drug Utilization Review Board under Section 531.0736,
  Government Code, as added by this article, including rules that
  reflect the changes to the board's functions and composition.
         SECTION 3.11.  The heading to Subchapter D, Chapter 531,
  Government Code, is amended to read as follows:
  SUBCHAPTER D. PLAN TO SUPPORT GUARDIANSHIPS [GUARDIANSHIP ADVISORY
  BOARD]
         SECTION 3.12.  Section 531.124, Government Code, is amended
  to read as follows:
         Sec. 531.124.  COMMISSION DUTIES.  The [(a)   With the advice
  of the advisory board, the] commission shall develop and, subject
  to appropriations, implement a plan to:
               (1)  ensure that each incapacitated individual in this
  state who needs a guardianship or another less restrictive type of
  assistance to make decisions concerning the incapacitated
  individual's own welfare and financial affairs receives that
  assistance; and
               (2)  foster the establishment and growth of local
  volunteer guardianship programs.
         [(b)     The advisory board shall biennially review and comment
  on the minimum standards adopted under Section 111.041 and the plan
  implemented under Subsection (a) and shall include its conclusions
  in the report submitted under Section 531.1235.]
         SECTION 3.13.  Section 531.159(f), Government Code, is
  amended to read as follows:
         (f)  The executive commissioner [commission] by rule shall
  develop procedures by which to conduct the reviews required by
  Subsections (c), (d), and (e).  [In developing the procedures, the
  commission may seek input from the work group on children's
  long-term services, health services, and mental health services
  established under Section 22.035, Human Resources Code.]
         SECTION 3.14.  Section 531.551(a), Government Code, is
  amended to read as follows:
         (a)  The executive commissioner shall adopt rules providing
  for:
               (1)  a standard definition of "uncompensated hospital
  care";
               (2)  a methodology to be used by hospitals in this state
  to compute the cost of that care that incorporates a [the] standard
  set of adjustments to a hospital's initial computation of the cost
  of uncompensated hospital care that account for all funding streams
  that:
                     (A)  are not patient-specific; and
                     (B)  are used to offset the hospital's initially
  computed amount of uncompensated care [described by Section
  531.552(g)(4)]; and
               (3)  procedures to be used by those hospitals to report
  the cost of that care to the commission and to analyze that cost.
         SECTION 3.15.  Section 531.907(a), Government Code, is
  amended to read as follows:
         (a)  Based on [the recommendations of the advisory committee
  established under Section 531.904 and] feedback provided by
  interested parties, the commission in stage two of implementing the
  health information exchange system may expand the system by:
               (1)  providing an electronic health record for each
  child enrolled in the child health plan program;
               (2)  including state laboratory results information in
  an electronic health record, including the results of newborn
  screenings and tests conducted under the Texas Health Steps
  program, based on the system developed for the health passport
  under Section 266.006, Family Code;
               (3)  improving data-gathering capabilities for an
  electronic health record so that the record may include basic
  health and clinical information in addition to available claims
  information, as determined by the executive commissioner;
               (4)  using evidence-based technology tools to create a
  unique health profile to alert health care providers regarding the
  need for additional care, education, counseling, or health
  management activities for specific patients; and
               (5)  continuing to enhance the electronic health record
  created under Section 531.905 as technology becomes available and
  interoperability capabilities improve.
         SECTION 3.16.  Section 531.909, Government Code, is amended
  to read as follows:
         Sec. 531.909.  INCENTIVES. The commission [and the advisory
  committee established under Section 531.904] shall develop
  strategies to encourage health care providers to use the health
  information exchange system, including incentives, education, and
  outreach tools to increase usage.
         SECTION 3.17.  Section 533.0025(a), Government Code, is
  amended to read as follows:
         (a)  In this section and Sections 533.00251, 533.002515, and
  [533.00252,] 533.00253, [and 533.00254,] "medical assistance" has
  the meaning assigned by Section 32.003, Human Resources Code.
         SECTION 3.18.  Section 533.00251(c), Government Code, is
  amended to read as follows:
         (c)  Subject to Section 533.0025 and notwithstanding any
  other law, the commission [, in consultation with the advisory
  committee,] shall provide benefits under the medical assistance
  program to recipients who reside in nursing facilities through the
  STAR + PLUS Medicaid managed care program.  In implementing this
  subsection, the commission shall ensure:
               (1)  that the commission is responsible for setting the
  minimum reimbursement rate paid to a nursing facility under the
  managed care program, including the staff rate enhancement paid to
  a nursing facility that qualifies for the enhancement;
               (2)  that a nursing facility is paid not later than the
  10th day after the date the facility submits a clean claim;
               (3)  the appropriate utilization of services
  consistent with criteria adopted by the commission;
               (4)  a reduction in the incidence of potentially
  preventable events and unnecessary institutionalizations;
               (5)  that a managed care organization providing
  services under the managed care program provides discharge
  planning, transitional care, and other education programs to
  physicians and hospitals regarding all available long-term care
  settings;
               (6)  that a managed care organization providing
  services under the managed care program:
                     (A)  assists in collecting applied income from
  recipients; and
                     (B)  provides payment incentives to nursing
  facility providers that reward reductions in preventable acute care
  costs and encourage transformative efforts in the delivery of
  nursing facility services, including efforts to promote a
  resident-centered care culture through facility design and
  services provided;
               (7)  the establishment of a portal that is in
  compliance with state and federal regulations, including standard
  coding requirements, through which nursing facility providers
  participating in the STAR + PLUS Medicaid managed care program may
  submit claims to any participating managed care organization;
               (8)  that rules and procedures relating to the
  certification and decertification of nursing facility beds under
  the medical assistance program are not affected; and
               (9)  that a managed care organization providing
  services under the managed care program, to the greatest extent
  possible, offers nursing facility providers access to:
                     (A)  acute care professionals; and
                     (B)  telemedicine, when feasible and in
  accordance with state law, including rules adopted by the Texas
  Medical Board.
         SECTION 3.19.  Section 533.00253(b), Government Code, is
  amended to read as follows:
         (b)  Subject to Section 533.0025, the commission shall[, in
  consultation with the advisory committee and the Children's Policy
  Council established under Section 22.035, Human Resources Code,]
  establish a mandatory STAR Kids capitated managed care program
  tailored to provide medical assistance benefits to children with
  disabilities.  The managed care program developed under this
  section must:
               (1)  provide medical assistance benefits that are
  customized to meet the health care needs of recipients under the
  program through a defined system of care;
               (2)  better coordinate care of recipients under the
  program;
               (3)  improve the health outcomes of recipients;
               (4)  improve recipients' access to health care
  services;
               (5)  achieve cost containment and cost efficiency;
               (6)  reduce the administrative complexity of
  delivering medical assistance benefits;
               (7)  reduce the incidence of unnecessary
  institutionalizations and potentially preventable events by
  ensuring the availability of appropriate services and care
  management;
               (8)  require a health home; and
               (9)  coordinate and collaborate with long-term care
  service providers and long-term care management providers, if
  recipients are receiving long-term services and supports outside of
  the managed care organization.
         SECTION 3.20.  Section 533.00256(a), Government Code, is
  amended to read as follows:
         (a)  In consultation with [the Medicaid and CHIP
  Quality-Based Payment Advisory Committee established under Section
  536.002 and other] appropriate stakeholders with an interest in the
  provision of acute care services and long-term services and
  supports under the Medicaid managed care program, the commission
  shall:
               (1)  establish a clinical improvement program to
  identify goals designed to improve quality of care and care
  management and to reduce potentially preventable events, as defined
  by Section 536.001; and
               (2)  require managed care organizations to develop and
  implement collaborative program improvement strategies to address
  the goals.
         SECTION 3.21.  Section 534.052, Government Code, is amended
  to read as follows:
         Sec. 534.052.  IMPLEMENTATION OF SYSTEM REDESIGN.  The
  commission and department shall [, in consultation with the
  advisory committee,] jointly implement the acute care services and
  long-term services and supports system for individuals with
  intellectual and developmental disabilities in the manner and in
  the stages described in this chapter.
         SECTION 3.22.  Section 534.104(d), Government Code, is
  amended to read as follows:
         (d)  The department [, in consultation with the advisory
  committee,] shall evaluate each submitted managed care strategy
  proposal and determine whether:
               (1)  the proposed strategy satisfies the requirements
  of this section; and
               (2)  the private services provider that submitted the
  proposal has a demonstrated ability to provide the long-term
  services and supports appropriate to the individuals who will
  receive services through the pilot program based on the proposed
  strategy, if implemented.
         SECTION 3.23.  Section 534.105, Government Code, is amended
  to read as follows:
         Sec. 534.105.  PILOT PROGRAM:  MEASURABLE GOALS. (a)  The
  department [, in consultation with the advisory committee,] shall
  identify measurable goals to be achieved by each pilot program
  implemented under this subchapter.  The identified goals must:
               (1)  align with information that will be collected
  under Section 534.108(a); and
               (2)  be designed to improve the quality of outcomes for
  individuals receiving services through the pilot program.
         (b)  The department [, in consultation with the advisory
  committee,] shall propose specific strategies for achieving the
  identified goals.  A proposed strategy may be evidence-based if
  there is an evidence-based strategy available for meeting the pilot
  program's goals.
         SECTION 3.24.  Section 534.108(d), Government Code, is
  amended to read as follows:
         (d)  On or before December 1, 2016, and December 1, 2017, the
  commission and the department [, in consultation with the advisory
  committee,] shall review and evaluate the progress and outcomes of
  each pilot program implemented under this subchapter and submit a
  report to the legislature during the operation of the pilot
  programs.  Each report must include recommendations for program
  improvement and continued implementation.
         SECTION 3.25.  Section 534.201(d), Government Code, is
  amended to read as follows:
         (d)  In implementing the transition described by Subsection
  (b), the commission shall develop a process to receive and evaluate
  input from interested statewide stakeholders [that is in addition
  to the input provided by the advisory committee].
         SECTION 3.26.  Section 534.202(d), Government Code, is
  amended to read as follows:
         (d)  In implementing the transition described by Subsection
  (b), the commission shall develop a process to receive and evaluate
  input from interested statewide stakeholders [that is in addition
  to the input provided by the advisory committee].
         SECTION 3.27.  Section 535.051(c), Government Code, is
  amended to read as follows:
         (c)  The commissioner of higher education[, in consultation
  with the presiding officer of the interagency coordinating group,]
  shall designate one employee from an institution of higher
  education, as that term is defined under Section 61.003, Education
  Code, to serve as a liaison for faith- and community-based
  organizations.
         SECTION 3.28.  Section 535.104(a), Government Code, is
  amended to read as follows:
         (a)  The commission shall:
               (1)  contract with the State Commission on National and
  Community Service to administer funds appropriated from the account
  in a manner that:
                     (A)  consolidates the capacity of and strengthens
  national service and community and faith- and community-based
  initiatives; and
                     (B)  leverages public and private funds to benefit
  this state;
               (2)  develop a competitive process to be used in
  awarding grants from account funds that is consistent with state
  law and includes objective selection criteria;
               (3)  oversee the delivery of training and other
  assistance activities under this subchapter;
               (4)  develop criteria limiting awards of grants under
  Section 535.105(1)(A) to small and medium-sized faith- and
  community-based organizations that provide charitable services to
  persons in this state;
               (5)  establish general state priorities for the
  account;
               (6)  establish and monitor performance and outcome
  measures for persons to whom grants are awarded under this
  subchapter; and
               (7)  establish policies and procedures to ensure that
  any money appropriated from the account to the commission that is
  allocated to build the capacity of a faith-based organization or
  for a faith-based initiative [, including money allocated for the
  establishment of the advisory committee under Section 535.108,] is
  not used to advance a sectarian purpose or to engage in any form of
  proselytization.
         SECTION 3.29.  Section 535.106(b), Government Code, is
  amended to read as follows:
         (b)  If awarded a contract or grant under Section 535.104,
  the State Commission on National and Community Service must provide
  to the commission periodic reports on a schedule determined by the
  executive commissioner.  The schedule of periodic reports must
  include an annual report that includes:
               (1)  a specific accounting with respect to the use by
  that entity of money appropriated from the account, including the
  names of persons to whom grants have been awarded and the purposes
  of those grants; and
               (2)  a summary of the efforts of the faith- and
  community-based liaisons designated under Section 535.051 to
  comply with the duties imposed by and the purposes of Section
  [Sections] 535.052 [and 535.053].
         SECTION 3.30.  Section 536.001(20), Government Code, is
  amended to read as follows:
               (20)  "Potentially preventable readmission" means a
  return hospitalization of a person within a period specified by the
  commission that may have resulted from deficiencies in the care or
  treatment provided to the person during a previous hospital stay or
  from deficiencies in post-hospital discharge follow-up.  The term
  does not include a hospital readmission necessitated by the
  occurrence of unrelated events after the discharge.  The term
  includes the readmission of a person to a hospital for:
                     (A)  the same condition or procedure for which the
  person was previously admitted;
                     (B)  an infection or other complication resulting
  from care previously provided;
                     (C)  a condition or procedure that indicates that
  a surgical intervention performed during a previous admission was
  unsuccessful in achieving the anticipated outcome; or
                     (D)  another condition or procedure of a similar
  nature, as determined by the executive commissioner [after
  consulting with the advisory committee].
         SECTION 3.31.  Section 536.003(a), Government Code, is
  amended to read as follows:
         (a)  The commission [, in consultation with the advisory
  committee,] shall develop quality-based outcome and process
  measures that promote the provision of efficient, quality health
  care and that can be used in the child health plan and Medicaid
  programs to implement quality-based payments for acute care
  services and long-term services and supports across all delivery
  models and payment systems, including fee-for-service and managed
  care payment systems.  Subject to Subsection (a-1), the
  commission, in developing outcome and process measures under this
  section, must include measures that are based on potentially
  preventable events and that advance quality improvement and
  innovation.  The commission may change measures developed:
               (1)  to promote continuous system reform, improved
  quality, and reduced costs; and
               (2)  to account for managed care organizations added to
  a service area.
         SECTION 3.32.  Section 536.004(a), Government Code, is
  amended to read as follows:
         (a)  Using quality-based outcome and process measures
  developed under Section 536.003 and subject to this section, the
  commission, after consulting with [the advisory committee and
  other] appropriate stakeholders with an interest in the provision
  of acute care and long-term services and supports under the child
  health plan and Medicaid programs, shall develop quality-based
  payment systems, and require managed care organizations to develop
  quality-based payment systems, for compensating a physician or
  other health care provider participating in the child health plan
  or Medicaid program that:
               (1)  align payment incentives with high-quality,
  cost-effective health care;
               (2)  reward the use of evidence-based best practices;
               (3)  promote the coordination of health care;
               (4)  encourage appropriate physician and other health
  care provider collaboration;
               (5)  promote effective health care delivery models; and
               (6)  take into account the specific needs of the child
  health plan program enrollee and Medicaid recipient populations.
         SECTION 3.33.  Section 536.006(a), Government Code, is
  amended to read as follows:
         (a)  The commission [and the advisory committee] shall:
               (1)  ensure transparency in the development and
  establishment of:
                     (A)  quality-based payment and reimbursement
  systems under Section 536.004 and Subchapters B, C, and D,
  including the development of outcome and process measures under
  Section 536.003; and
                     (B)  quality-based payment initiatives under
  Subchapter E, including the development of quality of care and
  cost-efficiency benchmarks under Section 536.204(a) and efficiency
  performance standards under Section 536.204(b);
               (2)  develop guidelines establishing procedures for
  providing notice and information to, and receiving input from,
  managed care organizations, health care providers, including
  physicians and experts in the various medical specialty fields, and
  other stakeholders, as appropriate, for purposes of developing and
  establishing the quality-based payment and reimbursement systems
  and initiatives described under Subdivision (1);
               (3)  in developing and establishing the quality-based
  payment and reimbursement systems and initiatives described under
  Subdivision (1), consider that as the performance of a managed care
  organization or physician or other health care provider improves
  with respect to an outcome or process measure, quality of care and
  cost-efficiency benchmark, or efficiency performance standard, as
  applicable, there will be a diminishing rate of improved
  performance over time; and
               (4)  develop web-based capability to provide managed
  care organizations and health care providers with data on their
  clinical and utilization performance, including comparisons to
  peer organizations and providers located in this state and in the
  provider's respective region.
         SECTION 3.34.  Section 536.052(b), Government Code, is
  amended to read as follows:
         (b)  The commission [, after consulting with the advisory
  committee,] shall develop quality of care and cost-efficiency
  benchmarks, including benchmarks based on a managed care
  organization's performance with respect to reducing potentially
  preventable events and containing the growth rate of health care
  costs.
         SECTION 3.35.  Section 536.102(a), Government Code, is
  amended to read as follows:
         (a)  Subject to this subchapter, the commission [, after
  consulting with the advisory committee,] may develop and implement
  quality-based payment systems for health homes designed to improve
  quality of care and reduce the provision of unnecessary medical
  services.  A quality-based payment system developed under this
  section must:
               (1)  base payments made to a participating enrollee's
  health home on quality and efficiency measures that may include
  measurable wellness and prevention criteria and use of
  evidence-based best practices, sharing a portion of any realized
  cost savings achieved by the health home, and ensuring quality of
  care outcomes, including a reduction in potentially preventable
  events; and
               (2)  allow for the examination of measurable wellness
  and prevention criteria, use of evidence-based best practices, and
  quality of care outcomes based on the type of primary or specialty
  care provider practice.
         SECTION 3.36.  Section 536.152(a), Government Code, is
  amended to read as follows:
         (a)  Subject to Subsection (b), using the data collected
  under Section 536.151 and the diagnosis-related groups (DRG)
  methodology implemented under Section 536.005, if applicable, the
  commission [, after consulting with the advisory committee,] shall
  to the extent feasible adjust child health plan and Medicaid
  reimbursements to hospitals, including payments made under the
  disproportionate share hospitals and upper payment limit
  supplemental payment programs, based on the hospital's performance
  with respect to exceeding, or failing to achieve, outcome and
  process measures developed under Section 536.003 that address the
  rates of potentially preventable readmissions and potentially
  preventable complications.
         SECTION 3.37.  Section 536.202(a), Government Code, is
  amended to read as follows:
         (a)  The commission shall [, after consulting with the
  advisory committee,] establish payment initiatives to test the
  effectiveness of quality-based payment systems, alternative
  payment methodologies, and high-quality, cost-effective health
  care delivery models that provide incentives to physicians and
  other health care providers to develop health care interventions
  for child health plan program enrollees or Medicaid recipients, or
  both, that will:
               (1)  improve the quality of health care provided to the
  enrollees or recipients;
               (2)  reduce potentially preventable events;
               (3)  promote prevention and wellness;
               (4)  increase the use of evidence-based best practices;
               (5)  increase appropriate physician and other health
  care provider collaboration;
               (6)  contain costs; and
               (7)  improve integration of acute care services and
  long-term services and supports, including discharge planning from
  acute care services to community-based long-term services and
  supports.
         SECTION 3.38.  Section 536.204(a), Government Code, is
  amended to read as follows:
         (a)  The executive commissioner shall [:
               [(1)  consult with the advisory committee to] develop
  quality of care and cost-efficiency benchmarks and measurable goals
  that a payment initiative must meet to ensure high-quality and
  cost-effective health care services and healthy outcomes [; and
               [(2)     approve benchmarks and goals developed as
  provided by Subdivision (1)].
         SECTION 3.39.  Section 536.251(a), Government Code, is
  amended to read as follows:
         (a)  Subject to this subchapter, the commission, after
  consulting with [the advisory committee and other] appropriate
  stakeholders representing nursing facility providers with an
  interest in the provision of long-term services and supports, may
  develop and implement quality-based payment systems for Medicaid
  long-term services and supports providers designed to improve
  quality of care and reduce the provision of unnecessary
  services.  A quality-based payment system developed under this
  section must base payments to providers on quality and efficiency
  measures that may include measurable wellness and prevention
  criteria and use of evidence-based best practices, sharing a
  portion of any realized cost savings achieved by the provider, and
  ensuring quality of care outcomes, including a reduction in
  potentially preventable events.
         SECTION 3.40.  Section 538.052(a), Government Code, is
  amended to read as follows:
         (a)  Subject to Subsection (b), the commission shall solicit
  and accept suggestions for clinical initiatives, in either written
  or electronic form, from:
               (1)  a member of the state legislature;
               (2)  the executive commissioner;
               (3)  the commissioner of aging [the Department of
  Aging] and disability services [Disability Services];
               (4)  the commissioner of state health services [the
  Department of State Health Services];
               (5)  the commissioner of the Department of Family and
  Protective Services;
               (6)  the commissioner of assistive and rehabilitative
  services [the Department of Assistive and Rehabilitative
  Services];
               (7)  the medical care advisory committee established
  under Section 32.022, Human Resources Code; and
               (8)  the physician payment advisory committee created
  under Section 32.022(d), Human Resources Code[; and
               [(9)     the Electronic Health Information Exchange
  System Advisory Committee established under Section 531.904].
         SECTION 3.41.  Sections 533.0335(c) and (d), Health and
  Safety Code, are amended to read as follows:
         (c)  The department [, in consultation with the advisory
  committee,] shall establish a prior authorization process for
  requests for supervised living or residential support services
  available in the home and community-based services (HCS) Medicaid
  waiver program.  The process must ensure that supervised living or
  residential support services available in the home and
  community-based services (HCS) Medicaid waiver program are
  available only to individuals for whom a more independent setting
  is not appropriate or available.
         (d)  The department shall [cooperate with the advisory
  committee to] establish the prior authorization process required by
  Subsection (c).  This subsection expires January 1, 2024.
         SECTION 3.42.  Section 533.03551(b), Health and Safety Code,
  is amended to read as follows:
         (b)  The Department of Aging and Disability Services, in
  cooperation with the Texas Department of Housing and Community
  Affairs, the Department of Agriculture, and the Texas State
  Affordable Housing Corporation [, and the Intellectual and
  Developmental Disability System Redesign Advisory Committee
  established under Section 534.053, Government Code], shall
  coordinate with federal, state, and local public housing entities
  as necessary to expand opportunities for accessible, affordable,
  and integrated housing to meet the complex needs of individuals
  with disabilities, including individuals with intellectual and
  developmental disabilities.
         SECTION 3.43.  Sections 1002.060(c) and (e), Health and
  Safety Code, are amended to read as follows:
         (c)  The commission, department, or institute or an officer
  or employee of the commission, department, or institute[, including
  a board member,] may not disclose any information that is
  confidential under this section.
         (e)  An officer or employee of the commission, department, or
  institute[, including a board member,] may not be examined in a
  civil, criminal, special, administrative, or other proceeding as to
  information that is confidential under this section.
         SECTION 3.44.  Section 1002.061, Health and Safety Code, is
  amended by amending Subsection (c) and adding Subsection (c-1) to
  read as follows:
         (c)  Except as otherwise provided by law, each of the
  following state agencies or systems [agency represented on the
  board as a nonvoting member] shall provide funds to support the
  institute and implement this chapter:
               (1)  the department;
               (2)  the commission;
               (3)  the Texas Department of Insurance;
               (4)  the Employees Retirement System of Texas;
               (5)  the Teacher Retirement System of Texas;
               (6)  the Texas Medical Board;
               (7)  the Department of Aging and Disability Services;
               (8)  the Texas Workforce Commission;
               (9)  the Texas Higher Education Coordinating Board; and
               (10)  each state agency or system of higher education
  that purchases or provides health care services, as determined by
  the governor.
         (c-1)  The commission shall establish a funding formula to
  determine the level of support each state agency listed in
  Subsection (c) is required to provide.
         SECTION 3.45.  Section 22.038(b), Human Resources Code, is
  amended to read as follows:
         (b)  The memorandum of understanding must:
               (1)  define the responsibilities of each agency in
  implementing the components of the pilot program; and
               (2)  provide for interagency coordination and
  integration with respect to appropriate components of the pilot
  program, including any components:
                     (A)  that serve persons for whom each of the
  agencies otherwise provides services; or
                     (B)  for which coordination and integration among
  the agencies will result in the more efficient accomplishment of
  the goals of the comprehensive, effectively working plan
  implemented under Section 531.0244, Government Code [; or
                     [(C)     that are recommended by the interagency task
  force under Section 531.02441, Government Code, for coordination
  and integration].
         SECTION 3.46.  (a)  Section 32.022(b), Human Resources Code,
  is amended to read as follows:
         (b)  The executive commissioner [board] shall appoint the
  committee in compliance with the requirements of the federal agency
  administering medical assistance. The appointments shall:
               (1)  provide for a balanced representation of the
  general public, providers, consumers, and other persons, state
  agencies, or groups with knowledge of and interest in the
  committee's field of work; and
               (2)  include one member who is the representative of a
  managed care organization.
         (b)  Not later than September 1, 2015, the executive
  commissioner of the Health and Human Services Commission shall
  appoint an additional member to the medical care advisory committee
  in accordance with Section 32.022(b)(2), Human Resources Code, as
  added by this article.
         SECTION 3.47.  Section 32.0641(a), Human Resources Code, is
  amended to read as follows:
         (a)  To the extent permitted under and in a manner that is
  consistent with Title XIX, Social Security Act (42 U.S.C. Section
  1396 et seq.) and any other applicable law or regulation or under a
  federal waiver or other authorization, the executive commissioner
  of the Health and Human Services Commission shall adopt [, after
  consulting with the Medicaid and CHIP Quality-Based Payment
  Advisory Committee established under Section 536.002, Government
  Code,] cost-sharing provisions that encourage personal
  accountability and appropriate utilization of health care
  services, including a cost-sharing provision applicable to a
  recipient who chooses to receive a nonemergency medical service
  through a hospital emergency room.
         SECTION 3.48.  Section 1352.004(b), Insurance Code, is
  amended to read as follows:
         (b)  The commissioner by rule shall require a health benefit
  plan issuer to provide adequate training to personnel responsible
  for preauthorization of coverage or utilization review under the
  plan.  The purpose of the training is to prevent denial of coverage
  in violation of Section 1352.003 and to avoid confusion of medical
  benefits with mental health benefits.  The commissioner [, in
  consultation with the Texas Traumatic Brain Injury Advisory
  Council,] shall prescribe by rule the basic requirements for the
  training described by this subsection.
         SECTION 3.49.  Section 1352.005(b), Insurance Code, is
  amended to read as follows:
         (b)  The commissioner [, in consultation with the Texas
  Traumatic Brain Injury Advisory Council,] shall prescribe by rule
  the specific contents and wording of the notice required under this
  section.
         SECTION 3.50.  (a) The following provisions of the
  Government Code are repealed:
               (1)  Section 531.0217(j);
               (2)  Section 531.02172;
               (3)  Section 531.02173(c);
               (4)  Section 531.02441;
               (5)  Sections 531.0273(d), (e), (f), and (g);
               (6)  Section 531.052;
               (7)  Section 531.0571;
               (8)  Section 531.068;
               (9)  Sections 531.121(1), (5), and (6);
               (10)  Section 531.122;
               (11)  Section 531.123;
               (12)  Section 531.1235;
               (13)  Section 531.251;
               (14)  Section 531.552;
               (15)  Subchapters R and T, Chapter 531;
               (16)  Section 531.904;
               (17)  Section 533.00251(a)(1);
               (18)  Section 533.00252;
               (19)  Sections 533.00253(a)(1) and (f);
               (20)  Section 533.00254;
               (21)  Sections 533.00255(e) and (f);
               (22)  Section 533.00285;
               (23)  Subchapters B and C, Chapter 533;
               (24)  Section 534.001(1);
               (25)  Section 534.053;
               (26)  Section 535.053;
               (27)  Section 535.054;
               (28)  Section 535.055;
               (29)  Section 535.108;
               (30)  Section 536.001(1);
               (31)  Section 536.002; and
               (32)  Section 536.007(b).
         (b)  The following provisions of the Health and Safety Code
  are repealed:
               (1)  Subchapter C, Chapter 32;
               (2)  Section 62.151(e);
               (3)  Section 62.157(c), as added by Chapter 1255 (S.B.
  789), Acts of the 77th Legislature, Regular Session, 2001;
               (4)  Section 81.010;
               (5)  Section 92.011;
               (6)  Subchapter B, Chapter 92;
               (7)  Chapter 115;
               (8)  Section 241.187;
               (9)  Section 533.0335(a)(1);
               (10)  Section 1002.001(1);
               (11)  Section 1002.052;
               (12)  Section 1002.053;
               (13)  Section 1002.055;
               (14)  Section 1002.056;
               (15)  Section 1002.057;
               (16)  Section 1002.058; and
               (17)  Section 1002.059.
         (c)  The following provisions of the Human Resources Code are
  repealed:
               (1)  Section 22.035; and
               (2)  Section 32.022(e).
         SECTION 3.51.  On the effective date of this article, the
  following advisory committees are abolished:
               (1)  the advisory committee on Medicaid and child
  health plan program rate and expenditure disparities;
               (2)  the Advisory Committee on Qualifications for
  Health Care Translators and Interpreters;
               (3)  the Behavioral Health Integration Advisory
  Committee;
               (4)  the Children's Policy Council;
               (5)  the Consumer Direction Work Group;
               (6)  the Council on Children and Families;
               (7)  the Electronic Health Information Exchange System
  Advisory Committee;
               (8)  the Guardianship Advisory Board;
               (9)  the hospital payment advisory committee;
               (10)  the advisory committee for information resources
  planning and management;
               (11)  the Intellectual and Developmental Disability
  System Redesign Advisory Committee;
               (12)  the Interagency Coordinating Council for HIV and
  Hepatitis;
               (13)  the interagency coordinating group for faith- and
  community-based initiatives;
               (14)  the interagency task force on ensuring
  appropriate care settings for persons with disabilities;
               (15)  the Medicaid and CHIP Quality-Based Payment
  Advisory Committee;
               (16)  each Medicaid managed care advisory committee
  appointed for a health care service region under Subchapter B,
  Chapter 533, Government Code;
               (17)  the Perinatal Advisory Council;
               (18)  the Public Assistance Health Benefit Review and
  Design Committee;
               (19)  the renewing our communities account advisory
  committee;
               (20)  the STAR + PLUS Nursing Facility Advisory
  Committee;
               (21)  the STAR + PLUS Quality Council;
               (22)  the STAR Kids Managed Care Advisory Committee;
               (23)  the state Medicaid managed care advisory
  committee;
               (24)  the task force on domestic violence;
               (25)  the Interagency Task Force for Children With
  Special Needs;
               (26)  the telemedicine and telehealth advisory
  committee;
               (27)  the board of directors of the Texas Institute of
  Health Care Quality and Efficiency;
               (28)  the Texas Nonprofit Council;
               (29)  the Texas System of Care Consortium;
               (30)  the Texas Traumatic Brain Injury Advisory
  Council;
               (31)  the volunteer advocate program advisory
  committee; and
               (32)  the work group on uncompensated hospital care.
  ARTICLE 4.  CONTINUATION OF HEALTH AND HUMAN SERVICES POWERS AND
  DUTIES
         SECTION 4.01.  Section 531.004, Government Code, is amended
  to read as follows:
         Sec. 531.004.  SUNSET PROVISION.  The Health and Human
  Services Commission is subject to Chapter 325 (Texas Sunset
  Act).  Unless continued in existence as provided by that chapter,
  the commission is abolished and this chapter expires September 1,
  2027 [2015].
         SECTION 4.02.  Section 11.003(a), Health and Safety Code, is
  amended to read as follows:
         (a)  The Texas Board of Health and the Texas Department of
  Health were abolished by Section 1.26, Chapter 198 (H.B. 2292),
  Acts of the 78th Legislature, Regular Session, 2003.  The [, and
  the] powers and duties [of those entities] under this chapter of
  those entities' successor in function are [were] transferred under
  Subchapter A-1, Chapter 531, Government Code, to the Health and
  Human Services Commission [other agencies], which is [are] subject
  to Chapter 325, Government Code (Texas Sunset Act).  Unless the
  commission is [agencies to which those powers and duties are
  transferred are] continued in existence as provided by that
  chapter, this chapter expires on the date the commission is
  abolished under Section 531.004, Government Code [September 1,
  2015].
         SECTION 4.03.  Section 108.016, Health and Safety Code, is
  amended to read as follows:
         Sec. 108.016.  SUNSET REVIEW.  Unless continued in
  existence in accordance with Chapter 325, Government Code (Texas
  Sunset Act), after the review required by Section 531.004,
  Government Code [11.003(b)], this chapter expires on the date the
  commission is abolished under that section [September 1, 2015].
         SECTION 4.04.  Section 532.002, Health and Safety Code, is
  amended to read as follows:
         Sec. 532.002.  SUNSET PROVISION.  The Texas Department of
  Mental Health and Mental Retardation was abolished by Section 1.26,
  Chapter 198 (H.B. 2292), Acts of the 78th Legislature, Regular
  Session, 2003.  The [, and the] powers and duties [of that agency]
  under this chapter of that agency's successors in function are
  [were] transferred under Subchapter A-1, Chapter 531, Government
  Code, to the Health and Human Services Commission [other agencies],
  which is [are] subject to Chapter 325, Government Code (Texas
  Sunset Act).  Unless the commission is [agencies to which those
  powers and duties are transferred are] continued in existence as
  provided by that Act, this chapter expires on the date the
  commission is abolished under Section 531.004, Government Code 
  [September 1, 2015].
         SECTION 4.05.  Section 1001.003, Health and Safety Code, is
  amended to read as follows:
         Sec. 1001.003.  SUNSET PROVISION. Unless the commission
  is [The Department of State Health Services is subject to Chapter
  325, Government Code (Texas Sunset Act). Unless] continued in
  existence as provided by Chapter 325, Government Code [that
  chapter], after the review required by Section 531.004, Government
  Code, [the department is abolished and] this chapter expires on the
  date the commission is abolished under that section [September 1,
  2015].
         SECTION 4.06.  Section 21.002, Human Resources Code, is
  amended to read as follows:
         Sec. 21.002.  SUNSET PROVISION.  The Texas Department of
  Human Services was abolished by Section 1.26, Chapter 198 (H.B.
  2292), Acts of the 78th Legislature, Regular Session, 2003.  The [,
  and the] powers and duties [of that agency] under this chapter of
  that agency's successors in function are [were] transferred under
  Subchapter A-1, Chapter 531, Government Code, to the Health and
  Human Services Commission [other agencies], which is [are] subject
  to Chapter 325, Government Code (Texas Sunset Act).  Unless the
  commission is [agencies to which those powers and duties are
  transferred are] continued in existence as provided by that
  chapter, this title expires on the date the commission is abolished
  under Section 531.004, Government Code [September 1, 2015, except
  that Chapter 40 expires as provided by Section 40.003].
         SECTION 4.07.  Section 40.003, Human Resources Code, is
  amended to read as follows:
         Sec. 40.003.  SUNSET PROVISION. Unless the commission
  is [The Department of Family and Protective Services is subject to
  Chapter 325, Government Code (Texas Sunset Act).     Unless]
  continued in existence as provided by Chapter 325, Government Code
  [that chapter], after the review required by Section 531.004,
  Government Code, [the department is abolished and] this chapter
  expires on the date the commission is abolished under that section
  [September 1, 2015].
         SECTION 4.08.  Section 81.004, Human Resources Code, is
  amended to read as follows:
         Sec. 81.004.  SUNSET PROVISION.  The Texas Commission for
  the Deaf and Hard of Hearing was abolished by Section 1.26, Chapter
  198 (H.B. 2292), Acts of the 78th Legislature, Regular Session,
  2003.  The [, and the] powers and duties [of that agency] under this
  chapter of that agency's successor in function are [were]
  transferred under Subchapter A-1, Chapter 531, Government Code, to
  the Health and Human Services Commission [other agencies], which is
  [are] subject to Chapter 325, Government Code (Texas Sunset Act).  
  Unless the commission is [agencies to which those powers and duties
  are transferred are] continued in existence as provided by that
  chapter, this chapter expires on the date the commission is
  abolished under Section 531.004, Government Code [September 1,
  2015].
         SECTION 4.09.  Section 91.001, Human Resources Code, is
  amended to read as follows:
         Sec. 91.001.  SUNSET PROVISION.  The Texas Commission for
  the Blind was abolished by Section 1.26, Chapter 198 (H.B. 2292),
  Acts of the 78th Legislature, Regular Session, 2003.  The [, and
  the] powers and duties [of that agency] under this chapter of that
  agency's successor in function are [were] transferred under
  Subchapter A-1, Chapter 531, Government Code, to the Health and
  Human Services Commission [other agencies], which is [are] subject
  to Chapter 325, Government Code (Texas Sunset Act).  Unless the
  commission is [agencies to which those powers and duties are
  transferred are] continued in existence as provided by that
  chapter, this chapter expires on the date the commission is
  abolished under Section 531.004, Government Code [effective
  September 1, 2015].
         SECTION 4.10.  Section 111.012, Human Resources Code, is
  amended to read as follows:
         Sec. 111.012.  SUNSET PROVISION.  The Texas Rehabilitation
  Commission was abolished by Section 1.26, Chapter 198 (H.B. 2292),
  Acts of the 78th Legislature, Regular Session, 2003.  The [, and
  the] powers and duties [of that agency] under this chapter of that
  agency's successor in function are [were] transferred under
  Subchapter A-1, Chapter 531, Government Code, to the Health and
  Human Services Commission [other agencies], which is [are] subject
  to Chapter 325, Government Code (Texas Sunset Act).  Unless the
  commission is [agencies to which those powers and duties are
  transferred are] continued in existence as provided by that
  chapter, this chapter expires on the date the commission is
  abolished under Section 531.004, Government Code [September 1,
  2015].
         SECTION 4.11.  Section 117.003, Human Resources Code, is
  amended to read as follows:
         Sec. 117.003.  SUNSET PROVISION.  Unless the commission
  is [The Department of Assistive and Rehabilitative Services is
  subject to Chapter 325, Government Code (Texas Sunset Act).   Unless]
  continued in existence as provided by Chapter 325, Government Code
  [that chapter], after the review required by Section 531.004,
  Government Code, [the department is abolished and] this chapter
  expires on the date the commission is abolished under that section
  [September 1, 2015].
         SECTION 4.12.  Section 161.003, Human Resources Code, is
  amended to read as follows:
         Sec. 161.003.  SUNSET PROVISION.  Unless the commission
  is [The Department of Aging and Disability Services is subject to
  Chapter 325, Government Code (Texas Sunset Act).     Unless]
  continued in existence as provided by Chapter 325, Government Code
  [that chapter], after the review required by Section 531.004,
  Government Code, [the department is abolished and] this chapter
  expires on the date the commission is abolished under that section
  [September 1, 2015].
  ARTICLE 5. FEDERAL AUTHORIZATION AND EFFECTIVE DATE
         SECTION 5.01.  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 5.02.  Except as otherwise provided by this Act,
  this Act takes effect September 1, 2015.