BILL ANALYSIS |
C.S.S.B. 11 |
By: Schwertner |
Human Services |
Committee Report (Substituted) |
BACKGROUND AND PURPOSE
Concerns have been raised regarding the lack of capacity and local decision-making for children in the state's foster care system. Interested parties assert that expansion of community-based foster care will increase foster placements and the overall quality of care for foster children. C.S.S.B. 11 seeks to provide for such an expansion.
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CRIMINAL JUSTICE IMPACT
It is the committee's opinion that this bill does not expressly create a criminal offense, increase the punishment for an existing criminal offense or category of offenses, or change the eligibility of a person for community supervision, parole, or mandatory supervision.
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RULEMAKING AUTHORITY
It is the committee's opinion that rulemaking authority is expressly granted to the Department of Family and Protective Services in SECTIONS 13 and 20 of this bill and to the executive commissioner of the Health and Human Services Commission in SECTION 13 of this bill.
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ANALYSIS
C.S.S.B. 11 amends the Family Code require the Department of Family and Protective Services (DFPS) to ensure that each licensed child-placing agency, single source continuum contractor, or other person placing a child for adoption receives a copy of any portion of the report on the available health, social, educational, and genetic history of the child prepared by DFPS and requires the child's health history to include, to the extent known by DFPS, information about whether the child's birth mother consumed alcohol during pregnancy and whether the child has been diagnosed with fetal alcohol spectrum disorder. The bill entitles a prospective adoptive parent with whom a child is placed prior to adoption to examine any record or other information relating to the child's health history and sets out requirements for the entity or person placing the child for adoption regarding this entitlement.
C.S.S.B. 11 repeals a provision defining abuse, exploitation, and neglect with regard to agency investigations of abuse, neglect, or exploitation in certain facilities and provides for a definition of exploitation generally applicable to investigations of a report of child abuse or neglect. The bill includes forcing or coercing a child to enter into a marriage among the acts or omissions by a person that constitute abuse for purposes of investigations of a report of child abuse or neglect and among the acts by a member of a family or household toward a child of the family or household that constitute family violence. The bill, for purposes of investigations of a report of child abuse or neglect, includes a negligent act or omission by an employee, volunteer, or other individual working under the auspices of a facility or program that causes or may cause substantial emotional harm or physical injury to, or the death of, a child served by the facility or program as further described by rule or policy among the acts or omissions that constitute neglect and expands the list of persons considered responsible for a child's care, custody, or welfare to include an employee, volunteer, or other person working under the supervision of a licensed or unlicensed child-care facility.
C.S.S.B. 11 requires DFPS to collect and monitor data regarding repeated reports of abuse or neglect involving the same child or by the same alleged perpetrator and, in monitoring such reports, to group together separate reports involving differing children residing in the same household. The bill requires DFPS to consider any report so collected involving any child or adult who is a part of a child's household when making case priority determinations or when conducting service or safety planning for the child or the child's family.
C.S.S.B. 11 provides for the termination of a court's jurisdiction over a suit affecting the parent‑child relationship that requests termination of that relationship or requests that DFPS be named conservator of the child and the automatic dismissal without a court order of such a suit on the first Monday after the first anniversary of the date the court rendered a temporary order appointing DFPS as temporary managing conservator of the child unless the court has commenced the trial on the merits or granted an extension. The bill also provides for jurisdiction termination and automatic dismissal without a court order if the court grants an extension but does not commence the trial on the merits before the dismissal date.
C.S.S.B. 11 requires DFPS to ensure that each child who has been taken into the conservatorship of DFPS and remains in the conservatorship of DFPS for more than three business days is examined and receives a mental health screening conducted by a physician or other health care provider authorized under state law to conduct medical examinations not later than the end of the third business day after the date the child enters the conservatorship of DFPS or, for a child located in a rural area, not later than the end of the fifth business day after the date the child enters the conservatorship of DFPS. The bill requires DFPS, whenever possible, to schedule the medical examination and mental health screening for a child before the last business day of the appropriate time frame and provides for the development of guidelines for that examination and mental health screening. The bill requires DFPS, not later than December 31, 2019, to submit a report to the standing committees of the house of representatives and the senate with primary jurisdiction over child protective services and foster care evaluating the statewide implementation of the required medical examination and mental health screening of such children and sets out the required contents of the report. The bill requires DFPS to implement these bill provisions relating to medical examinations and mental health screenings not later than December 31, 2018.
C.S.S.B. 11 requires DFPS to provide monetary assistance to a foster parent for full-time or part‑time day-care services for a foster child on receipt of the verification that the foster parent has attempted to find appropriate day-care services for the foster child through community services or without such verification if DFPS determines the verification would prevent an emergency placement that is in the child's best interest. The bill prohibits DFPS from denying monetary assistance to the foster parent as long as the foster parent is employed on a full-time or part-time basis.
C.S.S.B. 11 requires DFPS to develop a formal review process to assess the ability of a single source continuum contractor to satisfy the responsibilities and administrative requirements of delivering foster care services, including the contractor's ability to provide placement and case management services for children and families; evidence-based, promising practice, or evidence‑informed supports for children and families; and sufficient available capacity for inpatient and outpatient services and supports for children at all service levels who have previously been placed in the catchment area. The bill defines, among other terms, "catchment area" as a geographic service area for providing child protective services that is identified as part of the community-based foster care redesign, replaces references to the foster care redesign with references to community-based foster care in statutory provisions requiring DFPS to develop and maintain an implementation plan for foster care redesign, and revises implementation plan requirements to reflect the bill's provisions. The bill requires the single source continuum contractor, as part of the readiness review process, to prepare a plan detailing the methods by which the contractor will avoid or eliminate conflicts of interest and prohibits DFPS from transferring services to the contractor until DFPS has determined the plan is adequate. The bill requires DFPS to develop the review process before DFPS may expand community-based foster care outside of the initial catchment areas where community-based foster care has been implemented. The bill requires DFPS to conduct a readiness review for a single source continuum contractor before the transfer of placement services and case management services to the contractor and prohibits DFPS from transferring those services to a contractor unless the readiness review demonstrates that the contractor is able to adequately deliver the services.
C.S.S.B. 11 requires DFPS, not later than December 31, 2019, to identify not more than eight catchment areas in Texas that are best suited to implement community-based foster care of which not more than two catchment areas may be identified as best suited to implement the transfer of case management services to a single source continuum contractor; to create an implementation plan for those catchment areas that includes a timeline for implementation; following the readiness review process and subject to the availability of funds, to implement community-based foster care in those catchment areas; and, following the implementation, to evaluate the implementation process and single source continuum contractor performance in each catchment area. The bill requires DFPS, following the selection of such catchment areas and based on the availability of funding, to annually provide a report to the legislature that details the readiness of any remaining catchment areas in which community-based foster care services have not been implemented and, subject to the availability of funds, the readiness of the catchment areas, and the feasibility of implementing community-based foster care in those areas, begin implementing community-based foster care in those areas in accordance with the timeline developed for those areas and the developed readiness review process. The bill authorizes DFPS, in expanding community-based foster care, to change the geographic boundaries of catchment areas as necessary to align with specific communities and requires DFPS to ensure the continuity of services for children and families during the transition period to community-based foster care in a catchment area. The bill prohibits DFPS from transferring case management services to a single source continuum contractor in a catchment area in which community-based foster care is implemented until DFPS has successfully completed the transfer of placement services to the contractor.
C.S.S.B. 11 requires DFPS to create a community engagement group in each catchment area to assist with the implementation of community-based foster care and authorizes DFPS to create more than one such group in a catchment area, as appropriate. The bill provides for the persons who may be included in a community engagement group, requires DFPS to adopt rules governing such groups and the maximum number of members in a group, authorizes established stakeholder organizations in a catchment area to request to be designated by DFPS as the community engagement group for that catchment area, and prescribes the required duties of such a group. The bill applies state open meetings law to a community engagement group.
C.S.S.B. 11 conditions an entity's eligibility to enter into a contract with DFPS to serve as a single source continuum contractor to provide foster care service delivery on the entity being a nonprofit or governmental entity that is licensed as a service provider by DFPS, has an organizational mission and has demonstrated experience in the delivery of services to children and families, and has the ability to provide all of the case management and placement services and perform all of the required duties of a single source continuum contractor or has the ability to provide a plan to gain that ability during the implementation of community-based foster care in a catchment area. The bill sets out provisions required to be included in a contract with a single source continuum contractor to provide foster care services in a catchment area.
C.S.S.B. 11 requires DFPS to create a data access and standards governance council to develop protocols for access by single source continuum contractors to DFPS data to allow the contractors to perform case management functions. The bill requires DFPS to develop rules and processes for the operation of the council, requires each single source continuum contractor that has entered into a contract with DFPS to provide community-based foster care services to participate in the council, and provides for the authorized inclusion of other specified persons in the council. The bill sets out the duties of the council and authorizes DFPS to assign council duties to any existing office or division of DFPS with functions similar to the council duties. The bill requires each single source continuum contractor and any additional council member to participate in the development of protocols and any other assigned duties.
C.S.S.B. 11 requires DFPS, in each initial catchment area where community-based foster care has been implemented or a contract with a single source continuum contractor has been executed before June 1, 2017, to transfer to the single source continuum contractor providing services in that area the case management of children and families receiving services from that contractor and family reunification support services to be provided after a child receiving services from the contractor is returned to the child's family for the period of time ordered by the court. The bill requires DFPS to collaborate with a single source continuum contractor to establish an initial case transfer planning team to address any necessary data transfer, establish file transfer procedures, and notify relevant persons regarding the transfer of services to the contractor.
C.S.S.B. 11 requires a single source continuum contractor and any subcontractor of that contractor providing community-based foster care services to maintain minimum insurance coverage, as required in the contract with DFPS, to minimize the risk of insolvency and protect against damages and authorizes the executive commissioner of the Health and Human Services Commission (HHSC) to adopt rules to implement this requirement. The bill requires DFPS to develop a formal review process to evaluate a single source continuum contractor's implementation of placement services and case management services in a catchment area and to conduct such a review after the contractor completes the implementation of placement services in a catchment area and after the contractor completes the implementation of case management services in the catchment area. The bill sets out the procedures by which a single source continuum contractor or DFPS may terminate a contract for the provision of community-based foster care, requires DFPS to create a contingency plan in each catchment area in which community-based foster care is implemented to ensure the continuity of services for children and families in the catchment area in the event of an early contract termination, and, if a single source continuum contractor gives notice to DFPS of an early contract termination, authorizes DFPS to enter into a contract with a different contractor for the sole purpose of assuming the contract that is being terminated.
C.S.S.B. 11 requires DFPS to review a single source continuum contractor's decision with respect to a child's permanency goal and to approve or disapprove a contractor's recommended permanency goal for a child not later than 72 hours after DFPS receives the recommendation from the contractor. The bill prohibits those requirements from being construed to limit or restrict the authority of DFPS to include necessary oversight measures and review processes to maintain compliance with federal and state requirements in a contract with a single source continuum contractor or to attend court proceedings related to a child in DFPS conservatorship. The bill requires DFPS to develop an internal dispute resolution process to decide disagreements between a single source continuum contractor and DFPS.
C.S.S.B. 11 establishes the statutory duties of DFPS assumed by single source continuum contactors in connection with the delivery of foster care services in a catchment area and the continuing duties of DFPS in that catchment area regarding certain legal representation. The bill subjects the records of a single source continuum contractor relating to the provision of community-based foster care services in a catchment area to state public information law in the same manner as DFPS records are subject to that law and applies statutory provisions relating to the confidentiality of certain child abuse or neglect case information to those records. The bill provides for the attorney-client privilege applicable to an employee, agent, or representative of a single source continuum contractor in child protection proceedings.
C.S.S.B. 11 creates the Child Protective Services Legislative Oversight Committee to facilitate the transfer of functions from DFPS to single source continuum contractors with minimal negative effect on the delivery of services to which those functions relate. The bill sets out the composition of the committee, establishes that the commissioner of DFPS serves as an ex officio, nonvoting member of the committee, specifies that a committee member serves at the pleasure of the appointing official, provides for the designation of presiding co-chairs, and specifies certain committee meeting requirements. The bill prohibits a committee member from receiving compensation for serving on the committee but entitles a member to reimbursement for travel expenses incurred by the member while conducting the business of the committee as provided by the General Appropriations Act. The bill requires the committee to facilitate the transfer of functions from DFPS to single source continuum contractors with minimal negative effect on the delivery of services to which those functions relate and, with assistance from DFPS, to advise the commissioner of DFPS concerning the functions to be transferred and the funds and obligations that are related to those functions; the transfer of the functions and related records, funds, and required obligations by DFPS that are required by the bill; and the reorganization of DFPS administrative structure as required by the implementation of community-based foster care and other provisions enacted by the 85th Legislature that become law. The bill applies state open meetings law to the committee, requires the committee to submit a report to the governor, lieutenant governor, speaker of the house of representatives, and legislature not later than December 1 of each even-numbered year, and sets out the required contents of that report.
C.S.S.B. 11 requires DFPS to develop and implement in two child protective services regions of Texas a pilot program under which HHSC contracts with a single nonprofit entity that has an organizational mission focused on child welfare or a governmental entity in each region to provide family-based safety services and case management for children and families receiving family-based safety services. The bill requires the contract to include a transition plan for the provision of services that ensures the continuity of services for children and families in the selected regions and to include performance-based provisions that require the entity to achieve certain outcomes for families receiving the entity's services. The bill restricts HHSC to contract for implementation of the pilot program only with entities that DFPS considers to have the capacity to provide, either directly or through subcontractors, an array of evidence-based, promising practice, or evidence-informed services and support programs to children and families in the selected child protective services regions. The bill requires the contracted entity to perform all statutory duties of DFPS in connection with the delivery of the applicable services and requires the contracted entity to give preference for employment to DFPS employees whose position at DFPS is impacted by the implementation of community-based foster care and who are considered by DFPS to be employees in good standing. The bill requires DFPS, not later than December 31, 2018, to report to the appropriate standing committees of the legislature having jurisdiction over child protective services and foster care matters on the progress of the pilot program and sets out the required content to be included in the report.
C.S.S.B. 11 requires DFPS or, in a catchment area in which community-based foster care has been implemented, the single source continuum contractor that has contracted with HHSC to provide foster care services in the catchment area to give notice of a change in placement of a child in the conservatorship of DFPS to the applicable managed care organization contracted to provide health care services to the child under the STAR health program. The bill requires the organization to give notice of the placement change to the primary care physician listed in the child's health passport and sets deadlines for such notifications by DFPS, the contractor, or the organization, as applicable.
C.S.S.B. 11 requires appropriate DFPS management personnel from a child protective services region in which community-based foster care has not been implemented, in collaboration with foster care providers, faith-based entities, and child advocates in that region, to use data collected by DFPS on foster care capacity needs and availability of each type of foster care and kinship placement in the region to create a plan to address the substitute care capacity needs in the region. The bill requires the plan to identify both short-term and long-term goals and strategies for addressing those capacity needs, to be submitted to and approved by the commissioner of DFPS, and to be updated annually. The bill requires DFPS to publish each initial foster care capacity needs plan and each annual update to a plan on the DFPS website. The bill requires DFPS, in regions of Texas where community-based foster care has not been implemented, to collaborate with child-placing agencies to implement the single child plan of service model developed under the single child plan of service initiative and to ensure that a single child plan of service is developed for each child in foster care in those regions. The bill requires DFPS, not later than September 1, 2017, to develop and implement a single child plan of service for each child in foster care in a region of Texas where community-based foster care has not been implemented.
C.S.S.B. 11 requires HHSC, on behalf of DFPS and subject to the availability of funds, to enter into agreements with institutions of higher education to conduct efficacy reviews of any prevention and early intervention programs that have not previously been evaluated for effectiveness through a scientific research evaluation process and requires DFPS, subject to the availability of funds, to collaborate with an institution of higher education to create and track indicators of child well-being to determine the effectiveness of prevention and early intervention services.
C.S.S.B. 11 requires a single source continuum contractor providing therapeutic foster care services to a child in the provision of community-based foster care to ensure that the child receives a developmentally appropriate comprehensive assessment at least once every 90 days.
C.S.S.B. 11 amends the Government Code to include investigations of alleged abuse, neglect, or exploitation occurring at a child-care facility among the functions of DFPS that are expressly exempt from statutory provisions relating to the transfer of specified duties to HHSC during the phased consolidation of the health and human services system. The bill prohibits transfer to HHSC of the responsibility for conducting investigations of reports of abuse, neglect, or exploitation occurring at such facilities and establishes that those investigations remain the responsibility of DFPS. The bill requires the commissioner of DFPS to transfer the responsibility for conducting investigations of reports of abuse, neglect, or exploitation occurring at such facilities to the child protective services division of DFPS and to transfer appropriate investigators and staff as necessary to implement this transfer of responsibility. The bill's provisions relating to the responsibility of DFPS to conduct these investigations take effect on passage, or, if the bill does not receive the necessary vote, on the 91st day after the last day of the legislative session.
C.S.S.B. 11 requires a managed care organization that contracts with HHSC to provide health care services to recipients under the STAR health program to ensure that enrollees receive a complete early and periodic screening, diagnosis, and treatment checkup in accordance with the requirements specified in the contract between the organization and HHSC. The bill requires HHSC to include a provision in a contract with a managed care organization to provide health care services to recipients under the STAR health program specifying progressive monetary penalties for the organization's failure to comply with those screening requirements. The bill prohibits HHSC from imposing a monetary penalty for noncompliance with the screening requirements until September 1, 2018. The bill requires a contract between a managed care organization and HHSC for the organization to provide health care services to recipients under the STAR health program to require the organization to ensure continuity of care for a child whose placement has changed by notifying each specialist treating the child of the placement change and coordinating the transition of care from the child's previous treating primary care physician and treating specialists to the child's new treating primary care physician and treating specialists, if any.
C.S.S.B. 11 amends the Human Resources Code to require DFPS to collaborate with single source continuum contractors to ensure that DFPS employees who perform case management functions are given preference for employment by service providers under the community-based foster care service system. The bill requires DFPS to periodically review DFPS's records retention policy with respect to case and intake records relating to DFPS functions and to make changes to the policy consistent with the records retention schedule submitted to the state records administrator that are necessary to improve case prioritization and the routing of cases to the appropriate DFPS division. The bill authorizes DFPS to adopt rules necessary to implement that record retention provision. The bill requires DFPS to create within DFPS the foster care services contract compliance, oversight, and quality assurance division to oversee contract compliance and achievement of performance-based outcomes by any vendor that provides foster care services for DFPS under community-based foster care, to conduct assessments on the fiscal and qualitative performance of any vendor that provides foster care services for DFPS under community-based foster care, and to create and administer a dispute resolution process to resolve conflicts between vendors that contract with DFPS to provide foster care services under community-based foster care and any subcontractor of a vendor.
C.S.S.B. 11 requires DFPS to create an office of data analytics, requires the office to report to the deputy commissioner of DFPS, and sets out the functions the office is authorized to perform, as determined by DFPS. The bill requires the commissioner of DFPS and the executive commissioner of HHSC to transfer appropriate staff as necessary to conduct the duties of the office. The bill requires DFPS to adopt specified Family Code definitions of abuse, neglect, and exploitation for all investigations of child abuse, neglect, or exploitation conducted by the child protective services division of DFPS; to establish standardized policies to be used during investigations; and to implement the standardized definitions and policies not later than December 1, 2017. The bill requires the commissioner of DFPS to establish units within the child protective services division of DFPS to specialize in investigating allegations of child abuse and neglect occurring at a child-care facility and authorizes DFPS to require that investigators who specialize in such allegations receive ongoing training on the minimum licensing standards for any facilities that are applicable to the investigator's specialization. The bill requires DFPS, after an investigation of abuse, neglect, or exploitation occurring at a child care facility, to provide the state agency responsible for regulating the facility with access to any information relating to the investigation by DFPS and specifies that such provision of access to confidential information does not constitute a waiver of confidentiality. The bill authorizes DFPS to adopt rules to implement these bill provisions relating to investigations of child abuse, neglect, and exploitation.
C.S.S.B. 11 includes the goals of ending the abuse and neglect of children in the conservatorship of DFPS and of increasing the capacity and availability of foster, relative, and kinship placements in Texas among the goals and priorities on which the DFPS strategic plan is based. The bill extends to HHSC the same authority and duties as DFPS with respect to a contract for residential child-care services provided by a general residential operation or by a child-placing agency and requires such contracts to include provisions that specify financial penalties for failing to meet any specified performance outcomes and financial incentives for exceeding any specified performance outcomes. The bill authorizes DFPS or HHSC to terminate a contract or impose sanctions for underperformance in meeting any specified performance outcomes and specifies that the sanctions imposed for a violation of a contract provision that specifies performance criteria or for underperformance in meeting performance outcomes are monetary sanctions. The bill requires HHSC to seek to amend a contract for residential child-care services entered into with a general residential operation or child-placing agency before the bill's effective date to comply with the bill's provisions. The bill prohibits DFPS and HHSC from imposing a financial penalty against a general residential operation or child-placing agency for failing to meet any specified performance outcomes, for a violation of a contract provision that specifies performance criteria, or for underperformance in meeting any specified performance outcomes until September 1, 2018.
C.S.S.B. 11 requires HHSC, in collaboration with DFPS, to contract with a vendor or enter into an agreement with an institution of higher education to develop, in coordination with DFPS, performance quality metrics for family-based safety services and post-adoption support services providers and requires the quality metrics to be included in each contract with those providers. The bill requires a provider whose contract with HHSC to provide DFPS services includes the quality metrics to prepare and submit to DFPS a quarterly report regarding the provider's performance based on the quality metrics. The bill requires the commissioner of DFPS to compile a summary of all reports prepared and submitted to DFPS by family-based safety services providers and to distribute the summary to appropriate family-based safety services caseworkers and child protective services region management once each calendar quarter. The bill requires the commissioner to compile a summary of all reports prepared and submitted to DFPS by post-adoption support services providers and to distribute the summary to appropriate conservatorship and adoption caseworkers and child protective services region management. The bill requires DFPS to make the summaries available to families that are receiving family-based safety services and to adoptive families. The bill requires the quality metrics to be developed not later than September 1, 2018, and included in any contract, including a renewal contract, entered into by HHSC with a family-based safety services provider or a post-adoption support services provider on or after January 1, 2019. The bill exempts a provider that has entered into a contract with HHSC to provide family-based safety services under the family-based safety services and case management pilot program established by the bill from these provisions relating to performance quality metrics.
C.S.S.B. 11 requires DFPS to create and implement processes to simplify and streamline the licensing and verification rules for agency foster homes and child‑placing agencies and authorizes DFPS to waive certain minimum standards or to permit a child-placing agency to waive certain verification requirements for a foster home under provisions providing certain rules and standards regarding the regulation of certain facilities, homes, and agencies that provide child-care services. The bill requires a child-placing agency or general residential operation that contracts with DFPS to provide services, not later than August 31, 2018, to ensure that the children who are in the managing conservatorship of DFPS and are placed with the child-placing agency or general residential operation receive a complete early and periodic screening, diagnosis, and treatment checkup in accordance with the requirements specified in the contract between the child-placing agency or general residential operation and DFPS. The bill requires HHSC to include a provision in a contract with a child-placing agency or general residential operation specifying progressive monetary penalties for the child-placing agency's or general residential operation's failure to comply with those screening requirements. The bill prohibits such a penalty from being imposed by DFPS and HHSC until September 1, 2018. The bill makes specified definitions of abuse and neglect applicable to statutory provisions relating to an investigation of a listed family home providing child-care services.
C.S.S.B. 11 repeals Section 261.401(a), Family Code.
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EFFECTIVE DATE
Except as otherwise provided, September 1, 2017.
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COMPARISON OF SENATE ENGROSSED AND SUBSTITUTE
While C.S.S.B. 11 may differ from the engrossed in minor or nonsubstantive ways, the following comparison is organized and formatted in a manner that indicates the substantial differences between the engrossed and committee substitute versions of the bill.
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