INTRODUCED
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HOUSE COMMITTEE
SUBSTITUTE
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SECTION 1. Section
58.0051(a)(2), Family Code, is amended.
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SECTION 1. Same as introduced
version.
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SECTION 2. Section
58.0072(c), Family Code, is amended.
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SECTION 2. Same as introduced
version.
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SECTION 3. Section
107.152(c), Family Code, is amended.
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SECTION 3. Same as introduced
version.
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SECTION 4. Section
107.159(a), Family Code, is amended.
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SECTION 4. Same as introduced
version.
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SECTION 5. Section
107.160(a), Family Code, is amended.
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SECTION 5. Same as introduced
version.
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SECTION 6. Sections
162.304(b-2) and (g), Family Code, are amended.
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SECTION 6. Same as introduced
version.
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SECTION 7. Section
162.3041(a-1), Family Code, is amended.
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SECTION 7. Same as introduced
version.
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SECTION 8. Subchapter A,
Chapter 261, Family Code, is amended.
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SECTION 8. Same as introduced
version.
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SECTION 9. Section
263.009(a), Family Code, is amended.
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SECTION 9. Same as introduced
version.
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SECTION 10. Subchapter A,
Chapter 264, Family Code, is amended.
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SECTION 10. Same as
introduced version.
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SECTION 11. Section 265.105,
Family Code, as added by Chapter 1257 (H.B. 2630), Acts of the 84th
Legislature, Regular Session, 2015, is amended.
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SECTION 11. Same as
introduced version.
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SECTION 12. Section 265.106,
Family Code, is amended.
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SECTION 12. Same as
introduced version.
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SECTION 13. Section
265.109(a), Family Code, is amended.
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SECTION 13. Same as
introduced version.
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SECTION 14. Section
266.001(1-a), Family Code, is amended to read as follows:
(1-a)
"Commissioner" ["Commission"] means the commissioner
of the Department of Family and Protective Services [Health and
Human Services Commission].
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SECTION 14. Section 266.001,
Family Code, is amended by adding Subdivision (1-b) to read as follows:
(1-b) "Commissioner" means the commissioner of the
Department of Family and Protective Services.
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SECTION 15. Section 266.003,
Family Code, is amended to read as follows:
Sec. 266.003. MEDICAL
SERVICES FOR CHILD ABUSE AND NEGLECT VICTIMS. (a) The department [commission]
shall collaborate with health care and child welfare professionals to
design a comprehensive, cost-effective medical services delivery model,
either directly or by contract, to meet the needs of children served by the
department. The medical services delivery model must include:
(1) the designation of
health care facilities with expertise in the forensic assessment,
diagnosis, and treatment of child abuse and neglect as pediatric centers of
excellence;
(2) a statewide telemedicine
system to link department investigators and caseworkers with pediatric
centers of excellence or other medical experts for consultation;
(3) identification of a medical
home for each foster child on entering foster care at which the child will
receive an initial comprehensive assessment as well as preventive
treatments, acute medical services, and therapeutic and rehabilitative care
to meet the child's ongoing physical and mental health needs throughout the
duration of the child's stay in foster care;
(4) the development and
implementation of health passports as described in Section 266.006;
(5) establishment and use of
a management information system that allows monitoring of medical care that
is provided to all children in foster care;
(6) the use of medical
advisory committees and medical review teams, as appropriate, to establish
treatment guidelines and criteria by which individual cases of medical care
provided to children in foster care will be identified for further,
in-depth review;
(7) development of the
training program described by Section 266.004(h);
(8) provision for the
summary of medical care described by Section 266.007; and
(9) provision for the
participation of the person authorized to consent to medical care for a
child in foster care in each appointment of the child with the provider of
medical care.
(b) The department [commission]
shall collaborate with health and human services agencies, community
partners, the health care community, and federal health and social services
programs to maximize services and benefits available under this section.
(c) The [executive]
commissioner shall adopt rules necessary to implement this chapter.
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SECTION 15. Section 266.003,
Family Code, is amended to read as follows:
Sec. 266.003. MEDICAL
SERVICES FOR CHILD ABUSE AND NEGLECT VICTIMS. (a) The department [commission]
shall collaborate with the commission
and health care and child welfare professionals to design a
comprehensive, cost-effective medical services delivery model, either
directly or by contract, to meet the needs of children served by the
department. The medical services delivery model must include:
(1) the designation of
health care facilities with expertise in the forensic assessment,
diagnosis, and treatment of child abuse and neglect as pediatric centers of
excellence;
(2) a statewide telemedicine
system to link department investigators and caseworkers with pediatric
centers of excellence or other medical experts for consultation;
(3) identification of a
medical home for each foster child on entering foster care at which the
child will receive an initial comprehensive assessment as well as preventive
treatments, acute medical services, and therapeutic and rehabilitative care
to meet the child's ongoing physical and mental health needs throughout the
duration of the child's stay in foster care;
(4) the development and
implementation of health passports as described in Section 266.006;
(5) establishment and use of
a management information system that allows monitoring of medical care that
is provided to all children in foster care;
(6) the use of medical
advisory committees and medical review teams, as appropriate, to establish
treatment guidelines and criteria by which individual cases of medical care
provided to children in foster care will be identified for further,
in-depth review;
(7) development of the
training program described by Section 266.004(h);
(8) provision for the
summary of medical care described by Section 266.007; and
(9) provision for the
participation of the person authorized to consent to medical care for a
child in foster care in each appointment of the child with the provider of
medical care.
(b) The department [commission]
shall collaborate with health and human services agencies, community
partners, the health care community, and federal health and social services
programs to maximize services and benefits available under this section.
(c) The [executive]
commissioner shall adopt rules necessary to implement this chapter.
(d) The commission is responsible for administering contracts
with managed care providers for the provision of medical care to children
in foster care.
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SECTION 16. Sections
266.006(a), (b), and (e), Family Code, are amended to read as follows:
(a) The [commission, in conjunction with the]
department, [and] with the assistance of physicians and other
health care providers experienced in the care of foster children and
children with disabilities and with the use of electronic health records,
shall develop and provide a health passport for each foster child. The
passport must be maintained in an electronic format and use [the
commission's and] the department's existing computer resources to the
greatest extent possible.
(b) The [executive] commissioner shall adopt rules specifying the
information required to be included in the passport. The required
information may include:
(1) the name and address of
each of the child's physicians and health care providers;
(2) a record of each visit
to a physician or other health care provider, including routine checkups
conducted in accordance with the Texas Health Steps program;
(3) an immunization record that
may be exchanged with ImmTrac;
(4) a list of the child's
known health problems and allergies;
(5) information on all
medications prescribed to the child in adequate detail to permit refill of
prescriptions, including the disease or condition that the medication
treats; and
(6) any other available
health history that physicians and other health care providers who provide
care for the child determine is important.
(e) The department [commission] shall provide training or
instructional materials to foster parents, physicians, and other health
care providers regarding use of the health passport.
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SECTION 16. Sections
266.006(a), (b), and (e), Family Code, are amended to read as follows:
(a) The commission, in conjunction with the department,
and with the assistance of physicians and other health care providers
experienced in the care of foster children and children with disabilities
and with the use of electronic health records, shall develop and provide a
health passport for each foster child. The passport must be maintained in
an electronic format and use [the commission's and] the department's
existing computer resources to the greatest extent possible.
(b) The executive commissioner, in collaboration
with the commissioner, shall adopt rules specifying the
information required to be included in the passport. The required
information may include:
(1) the name and address of
each of the child's physicians and health care providers;
(2) a record of each visit
to a physician or other health care provider, including routine checkups
conducted in accordance with the Texas Health Steps program;
(3) an immunization record
that may be exchanged with ImmTrac;
(4) a list of the child's
known health problems and allergies;
(5) information on all
medications prescribed to the child in adequate detail to permit refill of
prescriptions, including the disease or condition that the medication
treats; and
(6) any other available
health history that physicians and other health care providers who provide
care for the child determine is important.
(e) The commission in collaboration with the
department shall provide training or instructional materials to
foster parents, physicians, and other health care providers regarding use
of the health passport.
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SECTION 17. Sections
266.008(a) and (d), Family Code, are amended.
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SECTION 17. Same as
introduced version.
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SECTION 18. Section
531.001(4), Government Code, is amended.
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SECTION 18. Same as
introduced version.
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SECTION 19. (a) Section
531.02013, Government Code, is amended.
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SECTION 19. Same as
introduced version.
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SECTION 20. Section
531.0202(a), Government Code, is amended.
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SECTION 20. Same as
introduced version.
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SECTION 21. Section 531.0206(a),
Government Code, is amended.
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SECTION 21. Same as
introduced version.
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SECTION 22. Sections 40.0026
and 40.0027, Human Resources Code, as effective on September 1, 2017, are
amended.
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SECTION 22. Same as
introduced version.
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No
equivalent provision.
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SECTION 23. Subchapter B,
Chapter 40, Human Resources Code, is amended by adding Sections 40.021,
40.022, 40.023, 40.024, 40.025, and 40.026 to read as follows:
Sec. 40.021. FAMILY AND
PROTECTIVE SERVICES COUNCIL. (a) The Family and Protective Services
Council is created to assist the commissioner in developing rules and
policies for the department.
(b) The council is
composed of nine members of the public appointed by the governor with the
advice and consent of the senate. To be eligible for appointment to the
council, a person must have demonstrated an interest in and knowledge of
problems and available services related to the functions of the department.
(c) The council shall
study and make recommendations to the commissioner regarding the management
and operation of the department, including policies and rules governing the
delivery of services to persons who are served by the department and the
rights and duties of persons who are served or regulated by the department.
(d) Chapter 551, Government
Code, applies to the council.
(e) Chapter 2110,
Government Code, does not apply to the council.
(f) A majority of the
members of the council constitute a quorum for the transaction of business.
(g) One of the members of
the council under Subsection (b) must be a person who was a child in the
foster care system. If after conducting a search, the governor determines
that no person qualified under this subsection is available, the governor
may appoint another person qualified under Subsection (b).
Sec. 40.022.
APPOINTMENTS. (a) Appointments to the council shall be made without
regard to the race, color, disability, sex, religion, age, or national
origin of the appointees.
(b) Appointments to the
council shall be made so that each geographic area of the state is
represented on the council. Notwithstanding Subsection (a), appointments to
the council must reflect the ethnic diversity of this state.
Sec. 40.023. TRAINING
PROGRAM FOR COUNCIL MEMBERS. (a) A person who is appointed as a member of
the council may not vote, deliberate, or be counted as a member in
attendance at a meeting of the council until the person completes a
training program that complies with this section.
(b) The training program
must provide information to the member regarding:
(1) the legislation that
created the department and the council;
(2) the programs operated
by the department;
(3) the role and
functions of the department and the council, including detailed information
regarding the advisory responsibilities of the council;
(4) the rules of the
department, with an emphasis on rules that relate to disciplinary and
investigatory authority;
(5) the current budget
for the department;
(6) the results of the
most recent formal audit of the department;
(7) the requirements of
the:
(A) open meetings law,
Chapter 551, Government Code;
(B) public information
law, Chapter 552, Government Code; and
(C) administrative
procedure law, Chapter 2001, Government Code;
(8) the requirements of
the conflict-of-interest laws and other laws relating to public officials;
and
(9) any applicable ethics
policies adopted by the commissioner or the Texas Ethics Commission.
Sec. 40.024. TERMS;
VACANCY. (a) Members of the council serve for staggered six-year terms,
with the terms of three members expiring February 1 of each odd-numbered
year.
(b) A member of the
council may not serve more than two consecutive full terms as a council
member.
(c) The governor by
appointment shall fill the unexpired term of a vacancy on the council.
Sec. 40.025.
REIMBURSEMENT FOR EXPENSES. A council member 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.
Sec. 40.026. PRESIDING
OFFICER; OTHER OFFICERS; MEETINGS. (a) The governor shall designate a
member of the council as the presiding officer to serve in that capacity at
the pleasure of the governor.
(b) The members of the
council shall elect any other necessary officers.
(c) The council shall
meet quarterly and at other times at the call of the presiding officer. The
council may hold meetings in different areas of the state.
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SECTION 23. Section 40.027,
Human Resources Code, is amended to read as follows:
Sec. 40.027. COMMISSIONER.
(a) The governor [executive commissioner] shall appoint a
commissioner [in accordance with Section 531.0056, Government Code].
The commissioner is to be selected according to education, training,
experience, and demonstrated ability.
(b) The commissioner serves
at the pleasure of the governor [executive commissioner].
(c) The [Subject
to the control of the executive commissioner, the] commissioner shall:
(1) act as the department's
chief administrative officer;
(2) oversee [in
accordance with the procedures prescribed by Section 531.00551, Government
Code, assist the executive commissioner in] the development and
implementation of policies and guidelines needed for the administration of
the department's functions;
(3) oversee [in
accordance with the procedures adopted by the executive commissioner under
Section 531.00551, Government Code, assist the executive commissioner in]
the development of rules relating to the matters within the department's
jurisdiction, including the delivery of services to persons and the rights
and duties of persons who are served or regulated by the department; and
(4) serve as a liaison
between the department and commission.
(d) The commissioner shall
administer this chapter and other laws relating to the department [under
operational policies established by the executive commissioner and in
accordance with the memorandum of understanding under Section 531.0055(k),
Government Code, between the commissioner and the executive commissioner,
as adopted by rule].
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SECTION 24. Section 40.027,
Human Resources Code, is amended to read as follows:
Sec. 40.027. COMMISSIONER.
(a) The governor [executive commissioner] shall appoint a commissioner
[in accordance with Section 531.0056, Government Code]. The
commissioner is to be selected according to education, training,
experience, and demonstrated ability.
(b) The commissioner serves
at the pleasure of the governor [executive commissioner].
(c) The [Subject
to the control of the executive commissioner, the] commissioner shall:
(1) act as the department's
chief administrative officer;
(2) oversee [in
accordance with the procedures prescribed by Section 531.00551, Government
Code, assist the executive commissioner in] the development and
implementation of policies and guidelines needed for the administration of
the department's functions;
(3) oversee [in
accordance with the procedures adopted by the executive commissioner under
Section 531.00551, Government Code, assist the executive commissioner in]
the development of rules relating to the matters within the department's
jurisdiction, including the delivery of services to persons and the rights
and duties of persons who are served or regulated by the department; and
(4) serve as a liaison
between the department and commission.
(d) The commissioner shall
administer this chapter and other laws relating to the department [under
operational policies established by the executive commissioner and in
accordance with the memorandum of understanding under Section 531.0055(k),
Government Code, between the commissioner and the executive commissioner,
as adopted by rule].
(e) Notwithstanding any other law, the commissioner shall adopt
rules and policies for the operation of and the provision of services by
the department.
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SECTION 24. Section 40.030,
Human Resources Code, is amended.
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SECTION 25. Same as
introduced version.
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SECTION 25. Section 40.0505,
Human Resources Code, is amended to read as follows:
Sec. 40.0505. DIVISIONS
OF DEPARTMENT [POWERS AND DUTIES OF COMMISSIONER; EFFECT OF CONFLICT
WITH OTHER LAW]. (a) The commissioner shall establish the
following divisions and offices within the department:
(1) an investigations
division;
(2) a contracting
division that oversees the following:
(A) quality assurance;
(B) vendor oversight;
(C) contract adherence;
(D) contracting; and
(E) oversight of single
source continuum contractors providing foster care services;
(3) an office of consumer
affairs;
(4) a consolidated data
division; and
(5) a legal division that
oversees the following:
(A) human resources;
(B) open records;
(C) privacy and
confidentiality;
(D) litigation; and
(E) contract compliance.
(b) The commissioner may
establish additional divisions within the department as the commissioner
determines appropriate.
(c) The commissioner may
assign department functions among the department's divisions. [To
the extent a power or duty given to the commissioner by this chapter or
another law conflicts with Section 531.0055, Government Code, Section
531.0055 controls.]
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SECTION 26. Section 40.0505,
Human Resources Code, is amended to read as follows:
Sec. 40.0505. DIVISIONS
OF DEPARTMENT [POWERS AND DUTIES OF COMMISSIONER; EFFECT OF CONFLICT
WITH OTHER LAW]. (a) The commissioner shall establish the
following divisions and offices within the department:
(1) an investigations
division;
(2) a contracting
division that oversees the following:
(A) quality assurance;
(B) vendor oversight;
(C) contract adherence;
(D) contracting; and
(E) oversight of single
source continuum contractors providing foster care services;
(3) an office of consumer
affairs;
(4) a consolidated data
division; and
(5) a legal division that
oversees the following:
(A) human resources, as necessary to manage the department's
workforce and establish the department's hiring and termination policies;
(B) open records;
(C) privacy and
confidentiality;
(D) litigation; and
(E) contract compliance.
(b) The commissioner may
establish additional divisions within the department as the commissioner
determines appropriate.
(c) The commissioner may
assign department functions among the department's divisions. [To
the extent a power or duty given to the commissioner by this chapter or
another law conflicts with Section 531.0055, Government Code, Section
531.0055 controls.]
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SECTION 26. Section 40.058,
Human Resources Code, is amended by adding Subsection (i) to read as
follows:
(i) The department may enter into contracts with the commission or another state agency
for the provision of administrative support
services, including payroll, procurement, information resources, and rate
setting.
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SECTION 27. Section 40.058,
Human Resources Code, is amended by adding Subsection (i) to read as
follows:
(i) The department and the commission shall enter into
contracts for the provision of shared
administrative services, including payroll, procurement, information
resources, rate setting, and, subject to
the approval of the governor, regional administrative services.
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SECTION 27. Subchapter A,
Chapter 48, Human Resources Code, is amended.
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SECTION 28. Same as
introduced version.
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SECTION 28. The following
provisions are repealed:
(1) Sections 261.001(7),
264.001(2) and (3), and 266.001(3),
Family Code; and
(2) Sections 40.0506 and
40.0507, Human Resources Code.
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SECTION 29. The following
provisions are repealed:
(1) Sections 261.001(7) and
264.001(2) and (3), Family Code; and
(2) Sections 40.0506 and
40.0507, Human Resources Code.
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SECTION 29. As soon as
possible after the effective date of this Act, the executive commissioner
of the Health and Human Services Commission shall transfer the appropriate
divisions, resources, and personnel to the Department of Family and
Protective Services to allow the department to perform the general
functions of the department under Subchapter C, Chapter 40, Human Resources
Code, as amended by this Act.
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SECTION 30. Same as
introduced version.
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SECTION 30. Except as
otherwise provided by this Act, this Act takes effect September 1, 2017.
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SECTION 31. Same as
introduced version.
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