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A BILL TO BE ENTITLED
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AN ACT
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relating to the administration of services provided by the |
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Department of Family and Protective Services, including foster |
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care, child protective services, and prevention and early |
|
intervention services. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 71.004, Family Code, is amended to read |
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as follows: |
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Sec. 71.004. FAMILY VIOLENCE. "Family violence" means: |
|
(1) an act by a member of a family or household against |
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another member of the family or household that is intended to result |
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in physical harm, bodily injury, assault, or sexual assault or that |
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is a threat that reasonably places the member in fear of imminent |
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physical harm, bodily injury, assault, or sexual assault, but does |
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not include defensive measures to protect oneself; |
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(2) abuse, as that term is defined by Sections |
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261.001(1)(C), (E), (G), (H), (I), (J), [and] (K), and (M), by a |
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member of a family or household toward a child of the family or |
|
household; or |
|
(3) dating violence, as that term is defined by |
|
Section 71.0021. |
|
SECTION 2. Section 162.005, Family Code, is amended by |
|
adding Subsection (c) to read as follows: |
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(c) The department shall 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 |
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of the report prepared by the department. |
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SECTION 3. Section 162.0062, Family Code, is amended by |
|
adding Subsection (a-1) to read as follows: |
|
(a-1) If a child is placed with a prospective adoptive |
|
parent prior to adoption, the prospective adoptive parent is |
|
entitled to examine any record or other information relating to the |
|
child's health history, including the portion of the report |
|
prepared under Section 162.005 for the child that relates to the |
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child's health. The department, licensed child-placing agency, |
|
single source continuum contractor, or other person placing a child |
|
for adoption shall inform the prospective adoptive parent of the |
|
prospective adoptive parent's right to examine the records and |
|
other information relating to the child's health history. The |
|
department, licensed child-placing agency, single source continuum |
|
contractor, or other person placing the child for adoption shall |
|
edit the records and information to protect the identity of the |
|
biological parents and any other person whose identity is |
|
confidential. |
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SECTION 4. Section 162.007, Family Code, is amended by |
|
amending Subsection (a) and adding Subsection (g) to read as |
|
follows: |
|
(a) The health history of the child must include information |
|
about: |
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(1) the child's health status at the time of placement; |
|
(2) the child's birth, neonatal, and other medical, |
|
psychological, psychiatric, and dental history information, |
|
including to the extent known by the department: |
|
(A) whether the child's birth mother consumed |
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alcohol during pregnancy; and |
|
(B) whether the child has been diagnosed with |
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fetal alcohol spectrum disorder; |
|
(3) a record of immunizations for the child; and |
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(4) the available results of medical, psychological, |
|
psychiatric, and dental examinations of the child. |
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(g) In this section, "fetal alcohol spectrum disorder" |
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means any of a group of conditions that can occur in a person whose |
|
mother consumed alcohol during pregnancy. |
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SECTION 5. Section 261.001, Family Code, is amended by |
|
amending Subdivisions (1), (4), and (5) and adding Subdivision (3) |
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to read as follows: |
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(1) "Abuse" includes the following acts or omissions |
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by a person: |
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(A) mental or emotional injury to a child that |
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results in an observable and material impairment in the child's |
|
growth, development, or psychological functioning; |
|
(B) causing or permitting the child to be in a |
|
situation in which the child sustains a mental or emotional injury |
|
that results in an observable and material impairment in the |
|
child's growth, development, or psychological functioning; |
|
(C) physical injury that results in substantial |
|
harm to the child, or the genuine threat of substantial harm from |
|
physical injury to the child, including an injury that is at |
|
variance with the history or explanation given and excluding an |
|
accident or reasonable discipline by a parent, guardian, or |
|
managing or possessory conservator that does not expose the child |
|
to a substantial risk of harm; |
|
(D) failure to make a reasonable effort to |
|
prevent an action by another person that results in physical injury |
|
that results in substantial harm to the child; |
|
(E) sexual conduct harmful to a child's mental, |
|
emotional, or physical welfare, including conduct that constitutes |
|
the offense of continuous sexual abuse of young child or children |
|
under Section 21.02, Penal Code, indecency with a child under |
|
Section 21.11, Penal Code, sexual assault under Section 22.011, |
|
Penal Code, or aggravated sexual assault under Section 22.021, |
|
Penal Code; |
|
(F) failure to make a reasonable effort to |
|
prevent sexual conduct harmful to a child; |
|
(G) compelling or encouraging the child to engage |
|
in sexual conduct as defined by Section 43.01, Penal Code, |
|
including compelling or encouraging the child in a manner that |
|
constitutes an offense of trafficking of persons under Section |
|
20A.02(a)(7) or (8), Penal Code, prostitution under Section |
|
43.02(b), Penal Code, or compelling prostitution under Section |
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43.05(a)(2), Penal Code; |
|
(H) causing, permitting, encouraging, engaging |
|
in, or allowing the photographing, filming, or depicting of the |
|
child if the person knew or should have known that the resulting |
|
photograph, film, or depiction of the child is obscene as defined by |
|
Section 43.21, Penal Code, or pornographic; |
|
(I) the current use by a person of a controlled |
|
substance as defined by Chapter 481, Health and Safety Code, in a |
|
manner or to the extent that the use results in physical, mental, or |
|
emotional injury to a child; |
|
(J) causing, expressly permitting, or |
|
encouraging a child to use a controlled substance as defined by |
|
Chapter 481, Health and Safety Code; |
|
(K) causing, permitting, encouraging, engaging |
|
in, or allowing a sexual performance by a child as defined by |
|
Section 43.25, Penal Code; [or] |
|
(L) knowingly causing, permitting, encouraging, |
|
engaging in, or allowing a child to be trafficked in a manner |
|
punishable as an offense under Section 20A.02(a)(5), (6), (7), or |
|
(8), Penal Code, or the failure to make a reasonable effort to |
|
prevent a child from being trafficked in a manner punishable as an |
|
offense under any of those sections; or |
|
(M) forcing or coercing a child to enter into a |
|
marriage. |
|
(3) "Exploitation" means the illegal or improper use |
|
of a child or of the resources of a child for monetary or personal |
|
benefit, profit, or gain by an employee, volunteer, or other |
|
individual working under the auspices of a facility or program as |
|
further described by rule or policy. |
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(4) "Neglect": |
|
(A) includes: |
|
(i) the leaving of a child in a situation |
|
where the child would be exposed to a substantial risk of physical |
|
or mental harm, without arranging for necessary care for the child, |
|
and the demonstration of an intent not to return by a parent, |
|
guardian, or managing or possessory conservator of the child; |
|
(ii) the following acts or omissions by a |
|
person: |
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(a) placing a child in or failing to |
|
remove a child from a situation that a reasonable person would |
|
realize requires judgment or actions beyond the child's level of |
|
maturity, physical condition, or mental abilities and that results |
|
in bodily injury or a substantial risk of immediate harm to the |
|
child; |
|
(b) failing to seek, obtain, or follow |
|
through with medical care for a child, with the failure resulting in |
|
or presenting a substantial risk of death, disfigurement, or bodily |
|
injury or with the failure resulting in an observable and material |
|
impairment to the growth, development, or functioning of the child; |
|
(c) the failure to provide a child |
|
with food, clothing, or shelter necessary to sustain the life or |
|
health of the child, excluding failure caused primarily by |
|
financial inability unless relief services had been offered and |
|
refused; |
|
(d) placing a child in or failing to |
|
remove the child from a situation in which the child would be |
|
exposed to a substantial risk of sexual conduct harmful to the |
|
child; or |
|
(e) placing a child in or failing to |
|
remove the child from a situation in which the child would be |
|
exposed to acts or omissions that constitute abuse under |
|
Subdivision (1)(E), (F), (G), (H), or (K) committed against another |
|
child; [or] |
|
(iii) the failure by the person responsible |
|
for a child's care, custody, or welfare to permit the child to |
|
return to the child's home without arranging for the necessary care |
|
for the child after the child has been absent from the home for any |
|
reason, including having been in residential placement or having |
|
run away; or |
|
(iv) a negligent act or omission by an |
|
employee, volunteer, or other individual working under the auspices |
|
of a facility or program, including failure to comply with an |
|
individual treatment plan, plan of care, or individualized service |
|
plan, 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; and |
|
(B) does not include the refusal by a person |
|
responsible for a child's care, custody, or welfare to permit the |
|
child to remain in or return to the child's home resulting in the |
|
placement of the child in the conservatorship of the department if: |
|
(i) the child has a severe emotional |
|
disturbance; |
|
(ii) the person's refusal is based solely on |
|
the person's inability to obtain mental health services necessary |
|
to protect the safety and well-being of the child; and |
|
(iii) the person has exhausted all |
|
reasonable means available to the person to obtain the mental |
|
health services described by Subparagraph (ii). |
|
(5) "Person responsible for a child's care, custody, |
|
or welfare" means a person who traditionally is responsible for a |
|
child's care, custody, or welfare, including: |
|
(A) a parent, guardian, managing or possessory |
|
conservator, or foster parent of the child; |
|
(B) a member of the child's family or household |
|
as defined by Chapter 71; |
|
(C) a person with whom the child's parent |
|
cohabits; |
|
(D) school personnel or a volunteer at the |
|
child's school; [or] |
|
(E) personnel or a volunteer at a public or |
|
private child-care facility that provides services for the child or |
|
at a public or private residential institution or facility where |
|
the child resides; or |
|
(F) an employee, volunteer, or other person |
|
working under the supervision of a licensed or unlicensed |
|
child-care facility, including a family home, residential |
|
child-care facility, employer-based day-care facility, or shelter |
|
day-care facility, as those terms are defined in Chapter 42, Human |
|
Resources Code. |
|
SECTION 6. Subchapter A, Chapter 261, Family Code, is |
|
amended by adding Section 261.004 to read as follows: |
|
Sec. 261.004. TRACKING OF RECURRENCE OF CHILD ABUSE OR |
|
NEGLECT REPORTS. (a) The department shall collect and monitor |
|
data regarding repeated reports of abuse or neglect: |
|
(1) involving the same child, including reports of |
|
abuse or neglect of the child made while the child resided in other |
|
households and reports of abuse or neglect of the child by different |
|
alleged perpetrators made while the child resided in the same |
|
household; or |
|
(2) by the same alleged perpetrator. |
|
(a-1) In monitoring reports of abuse or neglect under |
|
Subsection (a), the department shall group together separate |
|
reports involving differing children residing in the same |
|
household. |
|
(b) The department shall consider any report collected |
|
under Subsection (a) 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. |
|
SECTION 7. Section 261.101(b), Family Code, is amended to |
|
read as follows: |
|
(b) If a professional has cause to believe that a child has |
|
been abused or neglected or may be abused or neglected, or that a |
|
child is a victim of an offense under Section 21.11, Penal Code, and |
|
the professional has cause to believe that the child has been abused |
|
as defined by Section 261.001 [or 261.401], the professional shall |
|
make a report not later than the 48th hour after the hour the |
|
professional first suspects that the child has been or may be abused |
|
or neglected or is a victim of an offense under Section 21.11, Penal |
|
Code. A professional may not delegate to or rely on another person |
|
to make the report. In this subsection, "professional" means an |
|
individual who is licensed or certified by the state or who is an |
|
employee of a facility licensed, certified, or operated by the |
|
state and who, in the normal course of official duties or duties for |
|
which a license or certification is required, has direct contact |
|
with children. The term includes teachers, nurses, doctors, |
|
day-care employees, employees of a clinic or health care facility |
|
that provides reproductive services, juvenile probation officers, |
|
and juvenile detention or correctional officers. |
|
SECTION 8. Section 263.401, Family Code, is amended to read |
|
as follows: |
|
Sec. 263.401. DISMISSAL AFTER ONE YEAR; NEW TRIALS; |
|
EXTENSION. (a) Unless the court has commenced the trial on the |
|
merits or granted an extension under Subsection (b) or (b-1), on the |
|
first Monday after the first anniversary of the date the court |
|
rendered a temporary order appointing the department as temporary |
|
managing conservator, the court's jurisdiction over [court shall
|
|
dismiss] the suit affecting the parent-child relationship filed by |
|
the department that requests termination of the parent-child |
|
relationship or requests that the department be named conservator |
|
of the child is terminated and the suit is automatically dismissed |
|
without a court order. |
|
(b) Unless the court has commenced the trial on the merits, |
|
the court may not retain the suit on the court's docket after the |
|
time described by Subsection (a) unless the court finds that |
|
extraordinary circumstances necessitate the child remaining in the |
|
temporary managing conservatorship of the department and that |
|
continuing the appointment of the department as temporary managing |
|
conservator is in the best interest of the child. If the court |
|
makes those findings, the court may retain the suit on the court's |
|
docket for a period not to exceed 180 days after the time described |
|
by Subsection (a). If the court retains the suit on the court's |
|
docket, the court shall render an order in which the court: |
|
(1) schedules the new date on which the suit will be |
|
automatically dismissed if the trial on the merits has not |
|
commenced, which date must be not later than the 180th day after the |
|
time described by Subsection (a); |
|
(2) makes further temporary orders for the safety and |
|
welfare of the child as necessary to avoid further delay in |
|
resolving the suit; and |
|
(3) sets the trial on the merits on a date not later |
|
than the date specified under Subdivision (1). |
|
(b-1) If, after commencement of the initial trial on the |
|
merits within the time required by Subsection (a) or (b), the court |
|
grants a motion for a new trial or mistrial, or the case is remanded |
|
to the court by an appellate court following an appeal of the |
|
court's final order, the court shall retain the suit on the court's |
|
docket and render an order in which the court: |
|
(1) schedules a new date on which the suit will be |
|
automatically dismissed if the new trial has not commenced, which |
|
must be a date not later than the 180th day after the date on which: |
|
(A) the motion for a new trial or mistrial is |
|
granted; or |
|
(B) the appellate court remanded the case; |
|
(2) makes further temporary orders for the safety and |
|
welfare of the child as necessary to avoid further delay in |
|
resolving the suit; and |
|
(3) sets the new trial on the merits for a date not |
|
later than the date specified under Subdivision (1). |
|
(c) If the court grants an extension under Subsection (b) or |
|
(b-1) but does not commence the trial on the merits before the |
|
dismissal date, the court's jurisdiction over [court shall dismiss] |
|
the suit is terminated and the suit is automatically dismissed |
|
without a court order. The court may not grant an additional |
|
extension that extends the suit beyond the required date for |
|
dismissal under Subsection (b) or (b-1), as applicable. |
|
SECTION 9. Section 264.018, Family Code, is amended by |
|
adding Subsections (d-1) and (d-2) to read as follows: |
|
(d-1) Except as provided by Subsection (d-2), as soon as |
|
possible but not later than 24 hours after a change in placement of |
|
a child in the conservatorship of the department, the department |
|
shall give notice of the placement change to the managed care |
|
organization that contracts with the commission to provide health |
|
care services to the child under the STAR Health program. The |
|
managed care organization shall give notice of the placement change |
|
to the primary care physician listed in the child's health passport |
|
before the end of the second business day after the day the |
|
organization receives the notification from the department. |
|
(d-2) In this subsection, "catchment area" has the meaning |
|
assigned by Section 264.152. In a catchment area in which |
|
community-based foster care has been implemented, the single source |
|
continuum contractor that has contracted with the commission to |
|
provide foster care services in that catchment area shall, as soon |
|
as possible but not later than 24 hours after a change in placement |
|
of a child in the conservatorship of the department, give notice of |
|
the placement change to the managed care organization that |
|
contracts with the commission to provide health care services to |
|
the child under the STAR Health program. The managed care |
|
organization shall give notice of the placement change to the |
|
child's primary care physician in accordance with Subsection (d-1). |
|
SECTION 10. (a) Subchapter B, Chapter 264, Family Code, is |
|
amended by adding Section 264.1076 to read as follows: |
|
Sec. 264.1076. MEDICAL EXAMINATION REQUIRED. (a) This |
|
section applies only to a child who has been taken into the |
|
conservatorship of the department and remains in the |
|
conservatorship of the department for more than three business |
|
days. |
|
(b) The department shall ensure that each child described by |
|
Subsection (a) 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: |
|
(1) the third business day after the date the child |
|
enters the conservatorship of the department; or |
|
(2) the fifth business day after the date the child |
|
enters the conservatorship of the department, if the child is |
|
located in a rural area, as that term is defined by Section 845.002, |
|
Insurance Code. |
|
(c) Whenever possible, the department shall schedule the |
|
medical examination and mental health screening for a child before |
|
the last business day of the appropriate time frame provided under |
|
Subsection (b). |
|
(d) The department shall collaborate with the commission |
|
and relevant medical practitioners to develop guidelines for the |
|
medical examination and mental health screening conducted under |
|
this section, including guidelines on the components to be included |
|
in the examination and the screening. |
|
(e) Not later than December 31, 2019, the department shall |
|
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 medical examination and mental health |
|
screening required by this section. The report must include the |
|
level of compliance with the requirements of this section in each |
|
region of the state. |
|
(b) Section 264.1076, Family Code, as added by this section, |
|
applies only to a child who enters the conservatorship of the |
|
Department of Family and Protective Services on or after the |
|
effective date of this Act. A child who enters the conservatorship |
|
of the Department of Family and Protective Services before the |
|
effective date of this Act is governed by the law in effect on the |
|
date the child entered the conservatorship of the department, and |
|
the former law is continued in effect for that purpose. |
|
(c) The Department of Family and Protective Services shall |
|
implement Section 264.1076, Family Code, as added by this section, |
|
not later than December 31, 2018. |
|
SECTION 11. Section 264.124, Family Code, is amended by |
|
adding Subsection (e) to read as follows: |
|
(e) On receipt of the verification required under |
|
Subsection (b), or as provided by Subsection (d), the department |
|
shall provide monetary assistance to a foster parent for full-time |
|
or part-time day-care services for a foster child. The department |
|
may not deny monetary assistance to the foster parent as long as the |
|
foster parent is employed on a full-time or part-time basis. |
|
SECTION 12. (a) Subchapter B, Chapter 264, Family Code, is |
|
amended by adding Sections 264.1261 and 264.128 to read as follows: |
|
Sec. 264.1261. FOSTER CARE CAPACITY NEEDS PLAN. (a) In |
|
this section, "community-based foster care" has the meaning |
|
assigned by Section 264.152. |
|
(b) Appropriate department 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, shall use data collected by the department 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 plan must |
|
identify both short-term and long-term goals and strategies for |
|
addressing those capacity needs. |
|
(c) A foster care capacity needs plan developed under |
|
Subsection (b) must be: |
|
(1) submitted to and approved by the commissioner; and |
|
(2) updated annually. |
|
(d) The department shall publish each initial foster care |
|
capacity needs plan and each annual update to a plan on the |
|
department's Internet website. |
|
Sec. 264.128. SINGLE CHILD PLAN OF SERVICE INITIATIVE. |
|
(a) In this section, "community-based foster care" has the meaning |
|
assigned by Section 264.152. |
|
(b) In regions of the state where community-based foster |
|
care has not been implemented, the department shall: |
|
(1) collaborate with child-placing agencies to |
|
implement the single child plan of service model developed under |
|
the single child plan of service initiative; and |
|
(2) ensure that a single child plan of service is |
|
developed for each child in foster care in those regions. |
|
(b) Notwithstanding Section 264.128(b), Family Code, as |
|
added by this section, the Department of Family and Protective |
|
Services shall develop and implement a single child plan of service |
|
for each child in foster care in a region of the state described by |
|
that section not later than September 1, 2017. |
|
SECTION 13. (a) Chapter 264, Family Code, is amended by |
|
adding Subchapter B-1 to read as follows: |
|
SUBCHAPTER B-1. COMMUNITY-BASED FOSTER CARE |
|
Sec. 264.151. LEGISLATIVE FINDINGS AND INTENT. (a) The |
|
legislature finds that: |
|
(1) for more than 30 years, the child welfare system in |
|
Texas has been centralized and managed by statutes and rules that |
|
impose a uniform system on communities statewide and ignore the |
|
fundamental differences between regions; |
|
(2) in order for the department to effectively provide |
|
child welfare services, as required by state and federal law, the |
|
department shall consider and implement fundamental structural |
|
changes to the provision of child protective and welfare services; |
|
(3) child welfare services that are community-based |
|
and family-centered, are monitored by community stakeholders, and |
|
have effective accountability standards regarding performance |
|
outcomes and practices have been found to lead to better outcomes |
|
for children who are victims of abuse and neglect; and |
|
(4) community-based foster care would align outcomes |
|
to assist the state in achieving the state's goal of substantial |
|
gains regarding performance outcomes in child safety, permanency, |
|
and well-being. |
|
(b) It is the intent of the legislature that the department |
|
contract with community-based, nonprofit entities that have the |
|
ability to provide child welfare services. The services provided |
|
by the entities must include direct case management to ensure child |
|
safety, permanency, and well-being, in accordance with state and |
|
federal child welfare goals. |
|
(c) It is the intent of the legislature that the provision |
|
of community-based foster care for children be implemented with |
|
measurable goals relating to: |
|
(1) the safety of children in placements; |
|
(2) the placement of children in each child's home |
|
community; |
|
(3) the provision of services to children in the least |
|
restrictive environment possible and, if possible, in a family home |
|
environment; |
|
(4) minimal placement changes for children; |
|
(5) the maintenance of contact between children and |
|
their families and other important persons; |
|
(6) the placement of children with siblings; |
|
(7) the provision of services that respect each |
|
child's culture; |
|
(8) the preparation of children and youth in foster |
|
care for adulthood; |
|
(9) the provision of opportunities, experiences, and |
|
activities for children and youth in foster care that are available |
|
to children and youth who are not in foster care; |
|
(10) the participation by children and youth in making |
|
decisions relating to their own lives; |
|
(11) the reunification of children with the biological |
|
parents of the children when possible; and |
|
(12) the promotion of the placement of children with |
|
relative or kinship caregivers if reunification is not possible. |
|
Sec. 264.152. DEFINITIONS. In this subchapter: |
|
(1) "Alternative caregiver" means a person who is not |
|
the foster parent of the child and who provides temporary care for |
|
the child for more than 12 hours but less than 60 days. |
|
(2) "Case management" means the provision of case |
|
management services to a child for whom the department has been |
|
appointed temporary or permanent managing conservator or the |
|
child's family, relative or kinship caregivers, a young adult in |
|
extended foster care, or a child who has been placed in the |
|
catchment area through the Interstate Compact on the Placement of |
|
Children, and includes: |
|
(A) caseworker visits with the child; |
|
(B) family and caregiver visits; |
|
(C) convening and conducting permanency planning |
|
meetings; |
|
(D) the development and revision of the child and |
|
family plans of service, including a permanency plan and goals for a |
|
child or young adult in care; |
|
(E) the coordination and monitoring of services |
|
required by the child and the child's family; |
|
(F) the assumption of court-related duties |
|
regarding the child, including: |
|
(i) providing any required notifications or |
|
consultations; |
|
(ii) preparing court reports; |
|
(iii) attending judicial and permanency |
|
hearings, trials, and mediations; |
|
(iv) complying with applicable court |
|
orders; and |
|
(v) ensuring the child is progressing |
|
toward the goal of permanency within state and federally mandated |
|
guidelines; and |
|
(G) any other function or service that the |
|
department determines necessary to allow a single source continuum |
|
contractor to assume responsibility for case management. |
|
(3) "Catchment area" means a geographic service area |
|
for providing child protective services that is identified as part |
|
of the community-based foster care redesign. |
|
(4) "Community-based foster care" means the |
|
redesigned foster care services system required by Chapter 598 |
|
(S.B. 218), Acts of the 82nd Legislature, Regular Session, 2011. |
|
Sec. 264.154. READINESS REVIEW PROCESS FOR COMMUNITY-BASED |
|
FOSTER CARE CONTRACTOR. (a) The department shall 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: |
|
(1) placement services for children and families; |
|
(2) case management services for children and |
|
families; |
|
(3) evidence-based, promising practice, or |
|
evidence-informed supports for children and families; and |
|
(4) 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. |
|
(b) As part of the readiness review process, the single |
|
source continuum contractor must prepare a plan detailing the |
|
methods by which the contractor will avoid or eliminate conflicts |
|
of interest. The department may not transfer services to the |
|
contractor until the department has determined the plan is |
|
adequate. |
|
(c) The department must develop the review process under |
|
Subsection (a) before the department may expand community-based |
|
foster care outside of the initial catchment areas where |
|
community-based foster care has been implemented. |
|
(d) The department must conduct a readiness review for a |
|
single source continuum contractor before the transfer of placement |
|
services to the contractor and before the transfer of case |
|
management services to the contractor. The department may not |
|
transfer those services to a contractor unless the readiness review |
|
demonstrates that the contractor is able to adequately deliver the |
|
services. |
|
Sec. 264.155. EXPANSION OF COMMUNITY-BASED FOSTER CARE. |
|
(a) Not later than December 31, 2019, the department shall: |
|
(1) identify not more than eight catchment areas in |
|
the state 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; |
|
(2) create an implementation plan for those catchment |
|
areas that includes a timeline for implementation; |
|
(3) following the readiness review process under |
|
Section 264.154 and subject to the availability of funds, implement |
|
community-based foster care in those catchment areas; and |
|
(4) following the implementation of community-based |
|
foster care services in those catchment areas, evaluate the |
|
implementation process and single source continuum contractor |
|
performance in each catchment area. |
|
(b) Following the selection of the catchment areas under |
|
Subsection (a), the department shall annually, based on the |
|
availability of funding: |
|
(1) 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 |
|
(2) 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 under |
|
Subsection (a)(2) and the readiness review process developed under |
|
Section 264.154. |
|
(c) In expanding community-based foster care, the |
|
department may change the geographic boundaries of catchment areas |
|
as necessary to align with specific communities. |
|
(d) The department shall ensure the continuity of services |
|
for children and families during the transition period to |
|
community-based foster care in a catchment area. |
|
(e) In implementing community-based foster care in a |
|
catchment area, the department may not transfer case management |
|
services to a single source continuum contractor in that catchment |
|
area until the department has successfully completed the transfer |
|
of placement services to the contractor. |
|
Sec. 264.156. COMMUNITY ENGAGEMENT GROUP. (a) The |
|
department shall create a community engagement group in each |
|
catchment area to assist with the implementation of community-based |
|
foster care. The department may create more than one community |
|
engagement group in a catchment area, as appropriate. Membership |
|
in a community engagement group may include: |
|
(1) representatives from: |
|
(A) the department; |
|
(B) the judiciary; |
|
(C) school districts in the catchment area; |
|
(D) law enforcement; |
|
(E) the local mental health authority; |
|
(F) the children's advocacy center, if |
|
applicable; |
|
(G) a child-placing agency; and |
|
(H) child and family service providers, |
|
including prevention service providers; |
|
(2) a court-appointed volunteer advocate, if |
|
available; |
|
(3) a parent or a person who specializes in parental |
|
rights, including a family law attorney; and |
|
(4) community leaders from the catchment area, |
|
including leaders from local political subdivisions. |
|
(b) The department shall adopt rules governing community |
|
engagement groups and the maximum number of members in a group. |
|
(c) Established stakeholder organizations in a catchment |
|
area, including child welfare boards, may request to be designated |
|
by the department as the community engagement group for that |
|
catchment area. |
|
(d) The community engagement group shall: |
|
(1) provide feedback to the department on the |
|
implementation of community-based foster care in the catchment area |
|
and the ongoing operation of community-based foster care in the |
|
catchment area; |
|
(2) identify and report problems arising from the |
|
implementation process to the department; |
|
(3) identify, develop, promote, or facilitate the use |
|
of local resources, including prevention and early intervention |
|
resources, to supplement community-based foster care services; and |
|
(4) serve as a facilitator for integrating the |
|
voluntary participation of local organizations that provide family |
|
and child welfare services into community-based foster care. |
|
(e) Chapter 551, Government Code, applies to a community |
|
engagement group. |
|
Sec. 264.157. QUALIFICATIONS OF SINGLE SOURCE CONTINUUM |
|
CONTRACTOR. To be eligible to enter into a contract with the |
|
department to serve as a single source continuum contractor to |
|
provide foster care service delivery, an entity must be a nonprofit |
|
or governmental entity that: |
|
(1) is licensed as a service provider by the |
|
department; |
|
(2) has an organizational mission and has demonstrated |
|
experience in the delivery of services to children and families; |
|
and |
|
(3) has the ability to provide all of the case |
|
management and placement services and perform all of the duties of a |
|
single source continuum contractor required under this subchapter |
|
or that can provide a plan to gain that ability during the |
|
implementation of community-based foster care in a catchment area. |
|
Sec. 264.158. REQUIRED CONTRACT PROVISIONS. A contract |
|
with a single source continuum contractor to provide foster care |
|
services in a catchment area must include provisions that: |
|
(1) specify performance outcomes and financial |
|
incentives for exceeding any specified performance outcomes; |
|
(2) establish conditions for the single source |
|
continuum contractor's access to relevant department data and |
|
require the participation of the contractor in the data access and |
|
standards governance council created under Section 264.159; |
|
(3) require the single source continuum contractor to |
|
create a single process for the training and use of alternative |
|
caregivers for all child-placing agencies in the catchment area to |
|
facilitate reciprocity of licenses for alternative caregivers |
|
between agencies, including respite and overnight care providers, |
|
as those terms are defined by department rule; and |
|
(4) require the single source continuum contractor to |
|
maintain a diverse network of service providers that offer a range |
|
of foster capacity options and that can accommodate children from |
|
diverse cultural backgrounds. |
|
Sec. 264.159. DATA ACCESS AND STANDARDS GOVERNANCE COUNCIL. |
|
(a) The department shall create a data access and standards |
|
governance council to develop protocols for access by single source |
|
continuum contractors to the department's data to allow the |
|
contractors to perform case management functions. |
|
(b) The department shall develop rules and processes for the |
|
operation of the council. Each single source continuum contractor |
|
that has entered into a contract with the department to provide |
|
services under this subchapter shall participate in the council. |
|
The council may also include: |
|
(1) representatives of entities that manage court |
|
proceedings; |
|
(2) the courts; |
|
(3) the department; |
|
(4) health care providers; and |
|
(5) any other entities the department considers |
|
necessary. |
|
(c) The council shall: |
|
(1) develop protocols for the access, management, |
|
security, and retention of case data that is shared between the |
|
department and a single source continuum contractor; |
|
(2) approve any changes to protocols at the request of |
|
a service provider or the department; and |
|
(3) conduct any other additional duties related to |
|
data sharing protocols as considered necessary by the department. |
|
(d) The department may assign the duties of the council to |
|
any existing office or division of the department with functions |
|
similar to the duties of the council. Each single source continuum |
|
contractor and any additional entities as described by Subsection |
|
(b) shall participate in the development of protocols and any other |
|
duties assigned under this subsection. |
|
Sec. 264.160. TRANSFER OF CASE MANAGEMENT SERVICES TO |
|
SINGLE SOURCE CONTINUUM CONTRACTOR. (a) 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, the department shall transfer to the |
|
single source continuum contractor providing services in that area: |
|
(1) the case management of children and families |
|
receiving services from that contractor; and |
|
(2) 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. |
|
(b) The department shall collaborate with a single source |
|
continuum contractor to establish an initial case transfer planning |
|
team to: |
|
(1) address any necessary data transfer; |
|
(2) establish file transfer procedures; and |
|
(3) notify relevant persons regarding the transfer of |
|
services to the contractor. |
|
Sec. 264.161. LIABILITY INSURANCE REQUIREMENTS. A single |
|
source continuum contractor and any subcontractor of the single |
|
source continuum contractor providing community-based foster care |
|
services shall maintain minimum insurance coverage, as required in |
|
the contract with the department, to minimize the risk of |
|
insolvency and protect against damages. The executive commissioner |
|
may adopt rules to implement this section. |
|
Sec. 264.162. REVIEW OF CONTRACTOR PERFORMANCE. (a) The |
|
department shall 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. |
|
(b) The department shall conduct the review for a single |
|
source continuum contractor 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. |
|
Sec. 264.163. NOTICE REQUIRED FOR EARLY TERMINATION OF |
|
CONTRACT. (a) A single source continuum contractor may terminate a |
|
contract entered into under this subchapter by providing notice to |
|
the department of the contractor's intent to terminate the contract |
|
not later than the 90th day before the date of the termination. |
|
(b) The department may terminate a contract entered into |
|
with a single source continuum contractor under this subchapter by |
|
providing notice to the contractor of the department's intent to |
|
terminate the contract not later than the 30th day before the date |
|
of termination. |
|
Sec. 264.164. CONTINGENCY PLAN IN EVENT OF EARLY CONTRACT |
|
TERMINATION. (a) In each catchment area in which community-based |
|
foster care is implemented, the department shall create a |
|
contingency plan to ensure the continuity of services for children |
|
and families in the catchment area in the event of an early |
|
termination of the contract with the single source continuum |
|
contractor providing foster care services in that catchment area. |
|
(b) If a single source continuum contractor gives notice to |
|
the department of an early contract termination, the department may |
|
enter into a contract with a different contractor for the sole |
|
purpose of assuming the contract that is being terminated. |
|
Sec. 264.165. REVIEW OF CONTRACTOR DECISIONS BY DEPARTMENT. |
|
(a) Notwithstanding any other provision of this subchapter |
|
governing the transfer of case management authority to a single |
|
source continuum contractor, the department shall review a |
|
contractor's decision with respect to a child's permanency goal. |
|
The department must approve or disapprove a contractor's |
|
recommended permanency goal for a child not later than 72 hours |
|
after the department receives the recommendation from the |
|
contractor. |
|
(b) Subsection (a) may not be construed to limit or restrict |
|
the authority of the department to: |
|
(1) 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 |
|
(2) attend court proceedings related to a child in the |
|
conservatorship of the department, including any hearings, trials, |
|
or mediations. |
|
(c) The department shall develop an internal dispute |
|
resolution process to decide disagreements between a single source |
|
continuum contractor and the department. |
|
Sec. 264.166. STATUTORY DUTIES ASSUMED BY CONTRACTOR. |
|
Except as provided by Section 264.167, a single source continuum |
|
contractor providing foster care services in a catchment area must, |
|
either directly or through subcontractors, assume the statutory |
|
duties of the department in connection with the delivery of foster |
|
care services in that catchment area. |
|
Sec. 264.167. CONTINUING DUTIES OF DEPARTMENT. In a |
|
catchment area in which a single source continuum contractor is |
|
providing family-based safety services, community-based foster |
|
care services, or integrated care coordination, legal |
|
representation of the department in an action under this code shall |
|
be provided in accordance with Section 264.009. |
|
Sec. 264.168. CONFIDENTIALITY. (a) The records of a single |
|
source continuum contractor relating to the provision of |
|
community-based foster care services in a catchment area are |
|
subject to Chapter 552, Government Code, in the same manner as the |
|
records of the department are subject to that chapter. |
|
(b) Subchapter C, Chapter 261, regarding the |
|
confidentiality of certain case information, applies to the records |
|
of a single source continuum contractor in relation to the |
|
provision of services by the contractor. |
|
Sec. 264.169. ATTORNEY-CLIENT PRIVILEGE. An employee, |
|
agent, or representative of a single source continuum contractor is |
|
considered to be a client's representative of the department for |
|
purposes of the privilege under Rule 503, Texas Rules of Evidence, |
|
as that privilege applies to communications with a prosecuting |
|
attorney or other attorney representing the department, or the |
|
attorney's representatives, in a proceeding under this subtitle. |
|
Sec. 264.170. CHILD PROTECTIVE SERVICES LEGISLATIVE |
|
OVERSIGHT COMMITTEE. (a) In this section, "committee" means the |
|
Child Protective Services Legislative Oversight Committee |
|
established under this section. |
|
(b) The Child Protective Services Legislative Oversight |
|
Committee is created to facilitate the transfer of functions from |
|
the department to single source continuum contractors under this |
|
subchapter with minimal negative effect on the delivery of services |
|
to which those functions relate. |
|
(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 commissioner of the department 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 functions from the |
|
department to single source continuum contractors with minimal |
|
negative effect on the delivery of services to which those |
|
functions relate; |
|
(2) with assistance from the department, advise the |
|
commissioner of the department concerning: |
|
(A) the functions to be transferred under this |
|
subchapter and the funds and obligations that are related to the |
|
functions; |
|
(B) the transfer of the functions and related |
|
records, funds, and obligations by the department that are required |
|
by this subchapter; and |
|
(C) the reorganization of the department's |
|
administrative structure as required by the implementation of |
|
community-based foster care under this subchapter and other |
|
provisions enacted by the 85th Legislature that become law; and |
|
(3) meet at least semiannually at the call of either |
|
chair, in addition to meeting at other times as determined |
|
appropriate by either chair. |
|
(i) Chapter 551, Government Code, applies to the committee. |
|
(j) The committee shall 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. |
|
The report must include an update on the progress of and issues |
|
related to: |
|
(1) the implementation of community-based foster |
|
care, including the need for any additional statutory changes |
|
required to ensure the achievement of the stated purposes of this |
|
subchapter; and |
|
(2) the reorganization of the department's |
|
administrative structure as necessary during the implementation of |
|
community-based foster care under this subchapter and other |
|
provisions enacted by the 85th Legislature that become law. |
|
Sec. 264.171. PILOT PROGRAM FOR FAMILY-BASED SAFETY |
|
SERVICES. (a) In this section, "case management services" means |
|
the direct delivery and coordination of a network of formal and |
|
informal activities and services in a catchment area where the |
|
department has entered into, or is in the process of entering into, |
|
a contract with a single source continuum contractor to provide |
|
family-based safety services and case management and includes: |
|
(1) caseworker visits with the child and all |
|
caregivers; |
|
(2) family visits; |
|
(3) family group conferencing or family group |
|
decision-making; |
|
(4) development of the family plan of service; |
|
(5) monitoring, developing, securing, and |
|
coordinating services; |
|
(6) evaluating the progress of children, caregivers, |
|
and families receiving services; |
|
(7) assuring that the rights of children, caregivers, |
|
and families receiving services are protected; |
|
(8) duties relating to family-based safety services |
|
ordered by a court, including: |
|
(A) providing any required notifications or |
|
consultations; |
|
(B) preparing court reports; |
|
(C) attending judicial hearings, trials, and |
|
mediations; |
|
(D) complying with applicable court orders; and |
|
(E) ensuring the child is progressing toward the |
|
goal of permanency within state and federally mandated guidelines; |
|
and |
|
(9) any other function or service that the department |
|
determines is necessary to allow a single source continuum |
|
contractor to assume responsibility for case management. |
|
(b) The department shall develop and implement in two child |
|
protective services regions of the state a pilot program under |
|
which the commission 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 contract must include a |
|
transition plan for the provision of services that ensures the |
|
continuity of services for children and families in the selected |
|
regions. |
|
(c) The contract with an entity must include |
|
performance-based provisions that require the entity to achieve the |
|
following outcomes for families receiving services from the entity: |
|
(1) a decrease in recidivism; |
|
(2) an increase in protective factors; and |
|
(3) any other performance-based outcome specified by |
|
the department. |
|
(d) The commission may only contract for implementation of |
|
the pilot program with entities that the department 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. |
|
(e) The contracted entity must perform all statutory duties |
|
of the department in connection with the delivery of the services |
|
specified in Subsection (b). |
|
(f) The contracted entity must give preference for |
|
employment to employees of the department: |
|
(1) whose position at the department is impacted by |
|
the implementation of community-based foster care; and |
|
(2) who are considered by the department to be |
|
employees in good standing. |
|
(g) Not later than December 31, 2018, the department shall |
|
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. The report must |
|
include: |
|
(1) an evaluation of each contracted entity's success |
|
in achieving the outcomes described by Subsection (c); and |
|
(2) a recommendation as to whether the pilot program |
|
should be continued, expanded, or terminated. |
|
(b) Section 264.126, Family Code, is transferred to |
|
Subchapter B-1, Chapter 264, Family Code, as added by this section, |
|
redesignated as Section 264.153, Family Code, and amended to read |
|
as follows: |
|
Sec. 264.153 [264.126]. COMMUNITY-BASED FOSTER CARE |
|
[REDESIGN] IMPLEMENTATION PLAN. (a) The department shall develop |
|
and maintain a plan for implementing community-based [the] foster |
|
care [redesign required by Chapter 598 (S.B. 218), Acts of the 82nd
|
|
Legislature, Regular Session, 2011]. The plan must: |
|
(1) describe the department's expectations, goals, and |
|
approach to implementing community-based foster care [redesign]; |
|
(2) include a timeline for implementing |
|
community-based [the] foster care [redesign] throughout this |
|
state, a timeline for the transfer of case management services, and |
|
any limitations related to the implementation; |
|
(3) include [, and] a progressive intervention plan |
|
and a contingency plan to provide continuity of foster care service |
|
delivery if a contract with a single source continuum contractor |
|
ends prematurely; |
|
(4) include a provision establishing the required time |
|
for a contractor to provide notice of contract termination; |
|
(5) [(3)] delineate and define the case management |
|
roles and responsibilities of the department and the department's |
|
contractors and the duties, employees, and related funding that |
|
will be transferred to the contractor by the department; |
|
(6) [(4)] identify any training needs and include |
|
long-range and continuous plans for training and cross-training |
|
staff; |
|
(7) [(5)] include a plan for evaluating the costs and |
|
tasks associated with each contract procurement, including the |
|
initial and ongoing contract costs for the department and |
|
contractor; |
|
(8) [(6)] include the department's contract |
|
monitoring approach and a plan for evaluating the performance of |
|
each contractor and the community-based foster care [redesign] |
|
system as a whole that includes an independent evaluation of each |
|
contractor's processes and fiscal and qualitative outcomes; and |
|
(9) [(7)] include a report on transition issues |
|
resulting from implementation of community-based [the] foster care |
|
[redesign]. |
|
(b) The department shall annually: |
|
(1) update the implementation plan developed under |
|
this section and post the updated plan on the department's Internet |
|
website; and |
|
(2) post on the department's Internet website the |
|
progress the department has made toward its goals for implementing |
|
community-based [the] foster care [redesign]. |
|
SECTION 14. Subchapter A, Chapter 265, Family Code, is |
|
amended by adding Section 265.0042 to read as follows: |
|
Sec. 265.0042. COLLABORATION WITH INSTITUTIONS OF HIGHER |
|
EDUCATION. (a) Subject to the availability of funds, the Health |
|
and Human Services Commission, on behalf of the department, shall |
|
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. |
|
(b) Subject to the availability of funds, the department |
|
shall 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. |
|
SECTION 15. Section 266.012, Family Code, is amended by |
|
adding Subsection (c) to read as follows: |
|
(c) A single source continuum contractor under Subchapter |
|
B-1, Chapter 264, providing therapeutic foster care services to a |
|
child shall ensure that the child receives a comprehensive |
|
assessment under this section at least once every 90 days. |
|
SECTION 16. (a) Section 531.02013, Government Code, is |
|
amended to read as follows: |
|
Sec. 531.02013. FUNCTIONS REMAINING WITH CERTAIN AGENCIES. |
|
The following functions are not subject to transfer under Sections |
|
531.0201 and 531.02011: |
|
(1) the functions of the Department of Family and |
|
Protective Services, including the statewide intake of reports and |
|
other information, related to the following: |
|
(A) child protective services, including |
|
services that are required by federal law to be provided by this |
|
state's child welfare agency; |
|
(B) adult protective services, other than |
|
investigations of the alleged abuse, neglect, or exploitation of an |
|
elderly person or person with a disability: |
|
(i) in a facility operated, or in a facility |
|
or by a person licensed, certified, or registered, by a state |
|
agency; or |
|
(ii) by a provider that has contracted to |
|
provide home and community-based services; [and] |
|
(C) prevention and early intervention services; |
|
and |
|
(D) investigations of alleged abuse, neglect, or |
|
exploitation occurring at a child-care facility, as that term is |
|
defined in Section 40.042, Human Resources Code; and |
|
(2) the public health functions of the Department of |
|
State Health Services, including health care data collection and |
|
maintenance of the Texas Health Care Information Collection |
|
program. |
|
(b) Notwithstanding any provision of Subchapter A-1, |
|
Chapter 531, Government Code, or any other law, the responsibility |
|
for conducting investigations of reports of abuse, neglect, or |
|
exploitation occurring at a child-care facility, as that term is |
|
defined in Section 40.042, Human Resources Code, as added by this |
|
Act, may not be transferred to the Health and Human Services |
|
Commission and remains the responsibility of the Department of |
|
Family and Protective Services. |
|
(c) As soon as possible after the effective date of this |
|
section, the commissioner of the Department of Family and |
|
Protective Services shall transfer the responsibility for |
|
conducting investigations of reports of abuse, neglect, or |
|
exploitation occurring at a child-care facility, as that term is |
|
defined in Section 40.042, Human Resources Code, as added by this |
|
Act, to the child protective services division of the department. |
|
The commissioner shall transfer appropriate investigators and |
|
staff as necessary to implement this section. |
|
(d) This section takes effect immediately if this Act |
|
receives a vote of two-thirds of all the members of each house, as |
|
provided by Section 39, Article III, Texas Constitution. If this |
|
Act does not receive the vote necessary for this section to take |
|
immediate effect, this section takes effect on the 91st day after |
|
the last day of the legislative session. |
|
SECTION 17. (a) Subchapter A, Chapter 533, Government |
|
Code, is amended by adding Section 533.0054 to read as follows: |
|
Sec. 533.0054. HEALTH SCREENING REQUIREMENTS FOR ENROLLEE |
|
UNDER STAR HEALTH PROGRAM. (a) A managed care organization that |
|
contracts with the commission to provide health care services to |
|
recipients under the STAR Health program must 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 managed care organization and the |
|
commission. |
|
(b) The commission shall 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 |
|
Subsection (a). |
|
(b) The Health and Human Services Commission shall, in a |
|
contract for the provision of health care services under the STAR |
|
Health program between the commission and a managed care |
|
organization under Chapter 533, Government Code, that is entered |
|
into, renewed, or extended on or after the effective date of this |
|
section, require that the managed care organization comply with |
|
Section 533.0054, Government Code, as added by this section. |
|
(c) The Health and Human Services Commission may not impose |
|
a monetary penalty for noncompliance with a contract provision |
|
described by Section 533.0054(b), Government Code, as added by this |
|
section, until September 1, 2018. |
|
(d) If before implementing Section 533.0054, Government |
|
Code, as added by this section, the Health and Human Services |
|
Commission 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 18. (a) Subchapter A, Chapter 533, Government |
|
Code, is amended by adding Section 533.0056 to read as follows: |
|
Sec. 533.0056. STAR HEALTH PROGRAM: NOTIFICATION OF |
|
PLACEMENT CHANGE. A contract between a managed care organization |
|
and the commission for the organization to provide health care |
|
services to recipients under the STAR Health program must require |
|
the organization to ensure continuity of care for a child whose |
|
placement has changed by: |
|
(1) notifying each specialist treating the child of |
|
the placement change; and |
|
(2) 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. |
|
(b) The changes in law made by this section apply only to a |
|
contract for the provision of health care services under the STAR |
|
Health program between the Health and Human Services Commission and |
|
a managed care organization under Chapter 533, Government Code, |
|
that is entered into, renewed, or extended on or after the effective |
|
date of this section. |
|
(c) If before implementing Section 533.0056, Government |
|
Code, as added by this section, the Health and Human Services |
|
Commission determines that a waiver or authorization from a federal |
|
agency is necessary for implementation of that provision, the |
|
health and human services 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 19. Section 40.032, Human Resources Code, is |
|
amended by adding Subsection (h) to read as follows: |
|
(h) In this subsection, "community-based foster care" has |
|
the meaning assigned by Section 264.152, Family Code. The |
|
department shall collaborate with single source continuum |
|
contractors to ensure that employees of the department who perform |
|
case management functions are given preference for employment by |
|
service providers under the community-based foster care service |
|
system. |
|
SECTION 20. (a) Subchapter B, Chapter 40, Human Resources |
|
Code, is amended by adding Sections 40.039, 40.040, 40.041, and |
|
40.042 to read as follows: |
|
Sec. 40.039. REVIEW OF RECORDS RETENTION POLICY. The |
|
department shall periodically review the department's records |
|
retention policy with respect to case and intake records relating |
|
to department functions. The department shall make changes to the |
|
policy consistent with the records retention schedule submitted |
|
under Section 441.185, Government Code, that are necessary to |
|
improve case prioritization and the routing of cases to the |
|
appropriate division of the department. The department may adopt |
|
rules necessary to implement this section. |
|
Sec. 40.040. FOSTER CARE SERVICES CONTRACT COMPLIANCE, |
|
OVERSIGHT, AND QUALITY ASSURANCE DIVISION. (a) In this section, |
|
"community-based foster care" has the meaning assigned by Section |
|
264.152, Family Code. |
|
(b) The department shall create within the department the |
|
foster care services contract compliance, oversight, and quality |
|
assurance division. The division shall: |
|
(1) oversee contract compliance and achievement of |
|
performance-based outcomes by any vendor that provides foster care |
|
services for the department under community-based foster care; |
|
(2) conduct assessments on the fiscal and qualitative |
|
performance of any vendor that provides foster care services for |
|
the department under community-based foster care; and |
|
(3) create and administer a dispute resolution process |
|
to resolve conflicts between vendors that contract with the |
|
department to provide foster care services under community-based |
|
foster care and any subcontractor of a vendor. |
|
Sec. 40.041. OFFICE OF DATA ANALYTICS. The department |
|
shall create an office of data analytics. The office shall report |
|
to the deputy commissioner and may perform any of the following |
|
functions, as determined by the department: |
|
(1) monitor management trends; |
|
(2) analyze employee exit surveys and interviews; |
|
(3) evaluate the effectiveness of employee retention |
|
efforts, including merit pay; |
|
(4) create and manage a system for handling employee |
|
complaints submitted by the employee outside of an employee's |
|
direct chain of command, including anonymous complaints; |
|
(5) monitor and provide reports to department |
|
management personnel on: |
|
(A) employee complaint data and trends in |
|
employee complaints; |
|
(B) compliance with annual department |
|
performance evaluation requirements; and |
|
(C) the department's use of positive performance |
|
levels for employees; |
|
(6) track employee tenure and internal employee |
|
transfers within both the child protective services division and |
|
the department; |
|
(7) use data analytics to predict workforce shortages |
|
and identify areas of the department with high rates of employee |
|
turnover, and develop a process to inform the deputy commissioner |
|
and other appropriate staff regarding the office's findings; |
|
(8) create and monitor reports on key metrics of |
|
agency performance; |
|
(9) analyze available data, including data on employee |
|
training, for historical and predictive department trends; and |
|
(10) conduct any other data analysis the department |
|
determines to be appropriate for improving performance, meeting the |
|
department's current business needs, or fulfilling the powers and |
|
duties of the department. |
|
Sec. 40.042. INVESTIGATIONS OF CHILD ABUSE, NEGLECT, AND |
|
EXPLOITATION. (a) In this section, "child-care facility" |
|
includes a facility, licensed or unlicensed child-care facility, |
|
family home, residential child-care facility, employer-based |
|
day-care facility, or shelter day-care facility, as those terms are |
|
defined in Chapter 42. |
|
(b) For all investigations of child abuse, neglect, or |
|
exploitation conducted by the child protective services division of |
|
the department, the department shall adopt the definitions of |
|
abuse, neglect, and exploitation provided in Section 261.001, |
|
Family Code. |
|
(c) The department shall establish standardized policies to |
|
be used during investigations. |
|
(d) The commissioner shall establish units within the child |
|
protective services division of the department to specialize in |
|
investigating allegations of child abuse and neglect occurring at a |
|
child-care facility. |
|
(e) The department may require that investigators who |
|
specialize in allegations of child abuse and neglect occurring at |
|
child-care facilities receive ongoing training on the minimum |
|
licensing standards for any facilities that are applicable to the |
|
investigator's specialization. |
|
(f) After an investigation of abuse, neglect, or |
|
exploitation occurring at a child-care facility, the department |
|
shall provide the state agency responsible for regulating the |
|
facility with access to any information relating to the |
|
department's investigation. Providing access to confidential |
|
information under this subsection does not constitute a waiver of |
|
confidentiality. |
|
(g) The department may adopt rules to implement this |
|
section. |
|
(b) As soon as possible after the effective date of this |
|
Act, the commissioner of the Department of Family and Protective |
|
Services shall establish the office of data analytics required by |
|
Section 40.041, Human Resources Code, as added by this section. The |
|
commissioner and the executive commissioner of the Health and Human |
|
Services Commission shall transfer appropriate staff as necessary |
|
to conduct the duties of the office. |
|
(c) The Department of Family and Protective Services must |
|
implement the standardized definitions and policies required under |
|
Sections 40.042(b) and (c), Human Resources Code, as added by this |
|
Act, not later than December 1, 2017. |
|
SECTION 21. Section 40.051, Human Resources Code, is |
|
amended to read as follows: |
|
Sec. 40.051. STRATEGIC PLAN FOR DEPARTMENT. The department |
|
shall develop a departmental strategic plan based on the goals and |
|
priorities stated in the commission's coordinated strategic plan |
|
for health and human services. The department shall also develop |
|
its plan based on: |
|
(1) furthering the policy of family preservation; |
|
(2) the goal of ending the abuse and neglect of |
|
children in the conservatorship of the department; and |
|
(3) the goal of increasing the capacity and |
|
availability of foster, relative, and kinship placements in this |
|
state. |
|
SECTION 22. (a) Section 40.058(f), Human Resources Code, |
|
is amended to read as follows: |
|
(f) A contract for residential child-care services provided |
|
by a general residential operation or by a child-placing agency |
|
must include provisions that: |
|
(1) enable the department and commission to monitor |
|
the effectiveness of the services; |
|
(2) specify performance outcomes, financial penalties |
|
for failing to meet any specified performance outcomes, and |
|
financial incentives for exceeding any specified performance |
|
outcomes; |
|
(3) authorize the department or commission to |
|
terminate the contract or impose monetary sanctions for a violation |
|
of a provision of the contract that specifies performance criteria |
|
or for underperformance in meeting any specified performance |
|
outcomes; |
|
(4) authorize the department or commission, an agent |
|
of the department or commission, and the state auditor to inspect |
|
all books, records, and files maintained by a contractor relating |
|
to the contract; and |
|
(5) are necessary, as determined by the department or |
|
commission, to ensure accountability for the delivery of services |
|
and for the expenditure of public funds. |
|
(b) The Health and Human Services Commission shall, in a |
|
contract for residential child-care services between the |
|
commission and a general residential operation or child-placing |
|
agency that is entered into on or after the effective date of this |
|
section, including a renewal contract, include the provisions |
|
required by Section 40.058(f), Human Resources Code, as amended by |
|
this section. |
|
(c) The Health and Human Services Commission shall seek to |
|
amend contracts for residential child-care services entered into |
|
with general residential operations or child-placing agencies |
|
before the effective date of this section to include the provisions |
|
required by Section 40.058(f), Human Resources Code, as amended by |
|
this section. |
|
(d) The Department of Family and Protective Services and the |
|
Health and Human Services Commission may not impose a financial |
|
penalty against a general residential operation or child-placing |
|
agency under a contract provision described by Section 40.058(f)(2) |
|
or (3), Human Resources Code, as amended by this section, until |
|
September 1, 2018. |
|
SECTION 23. (a) Subchapter C, Chapter 40, Human Resources |
|
Code, is amended by adding Section 40.0581 to read as follows: |
|
Sec. 40.0581. PERFORMANCE MEASURES FOR CERTAIN SERVICE |
|
PROVIDER CONTRACTS. (a) The commission, in collaboration with the |
|
department, shall contract with a vendor or enter into an agreement |
|
with an institution of higher education to develop, in coordination |
|
with the department, performance quality metrics for family-based |
|
safety services and post-adoption support services providers. The |
|
quality metrics must be included in each contract with those |
|
providers. |
|
(b) Each provider whose contract with the commission to |
|
provide department services includes the quality metrics developed |
|
under Subsection (a) must prepare and submit to the department a |
|
report each calendar quarter regarding the provider's performance |
|
based on the quality metrics. |
|
(c) The commissioner shall compile a summary of all reports |
|
prepared and submitted to the department by family-based safety |
|
services providers as required by Subsection (b) and distribute the |
|
summary to appropriate family-based safety services caseworkers |
|
and child protective services region management once each calendar |
|
quarter. |
|
(d) The commissioner shall compile a summary of all reports |
|
prepared and submitted to the department by post-adoption support |
|
services providers as required by Subsection (b) and distribute the |
|
summary to appropriate conservatorship and adoption caseworkers |
|
and child protective services region management. |
|
(e) The department shall make the summaries prepared under |
|
Subsections (c) and (d) available to families that are receiving |
|
family-based safety services and to adoptive families. |
|
(f) This section does not apply to a provider that has |
|
entered into a contract with the commission to provide family-based |
|
safety services under Section 264.171, Family Code. |
|
(b) The quality metrics required by Section 40.0581, Human |
|
Resources Code, as added by this section, must be developed not |
|
later than September 1, 2018, and included in any contract, |
|
including a renewal contract, entered into by the Health and Human |
|
Services Commission with a family-based safety services provider or |
|
a post-adoption support services provider on or after January 1, |
|
2019, except as provided by Section 40.0581(f), Human Resources |
|
Code, as added by this section. |
|
SECTION 24. Section 42.002(23), Human Resources Code, is |
|
amended to read as follows: |
|
(23) "Other maltreatment" means: |
|
(A) abuse, as defined by Section 261.001 [or
|
|
261.401], Family Code; or |
|
(B) neglect, as defined by Section 261.001 [or
|
|
261.401], Family Code. |
|
SECTION 25. Section 42.042, Human Resources Code, is |
|
amended by adding Subsections (s) and (t) to read as follows: |
|
(s) The department shall create and implement processes to |
|
simplify and streamline the licensing and verification rules for |
|
agency foster homes and child-placing agencies, including: |
|
(1) a process to allow provisional verification of a |
|
foster home, based on the foster parent's partial completion of the |
|
licensing requirements, as determined by the department; and |
|
(2) a process to streamline background checks for |
|
potential foster care providers. |
|
(t) The department may waive certain minimum standards or |
|
may permit a child-placing agency to waive certain verification |
|
requirements for a foster home under this section. |
|
SECTION 26. (a) Subchapter C, Chapter 42, Human Resources |
|
Code, is amended by adding Section 42.0432 to read as follows: |
|
Sec. 42.0432. HEALTH SCREENING REQUIREMENTS FOR CHILD |
|
PLACED WITH CHILD-PLACING AGENCY. (a) A child-placing agency or |
|
general residential operation that contracts with the department to |
|
provide services must ensure that the children who are in the |
|
managing conservatorship of the department 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 the department. |
|
(b) The commission shall 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 |
|
Subsection (a). |
|
(b) A child-placing agency or general residential operation |
|
that contracts to provide services for the Department of Family and |
|
Protective Services must comply with the requirements of Section |
|
42.0432, Human Resources Code, as added by this section, not later |
|
than August 31, 2018. The department and the Health and Human |
|
Services Commission may not impose a monetary penalty for |
|
noncompliance with a contract provision described by that section |
|
until September 1, 2018. |
|
SECTION 27. Section 42.044(c-1), Human Resources Code, is |
|
amended to read as follows: |
|
(c-1) The department: |
|
(1) shall investigate a listed family home if the |
|
department receives a complaint that: |
|
(A) a child in the home has been abused or |
|
neglected, as defined by Section 261.001 [261.401], Family Code; or |
|
(B) otherwise alleges an immediate risk of danger |
|
to the health or safety of a child being cared for in the home; and |
|
(2) may investigate a listed family home to ensure |
|
that the home is providing care for compensation to not more than |
|
three children, excluding children who are related to the |
|
caretaker. |
|
SECTION 28. Section 261.401(a), Family Code, is repealed. |
|
SECTION 29. The changes in law made by this Act to Section |
|
263.401, Family Code, apply only to a suit affecting the |
|
parent-child relationship filed on or after the effective date of |
|
this Act. A suit affecting the parent-child relationship filed |
|
before the effective date of this Act is governed by the law in |
|
effect on the date the suit was filed, and the former law is |
|
continued in effect for that purpose. |
|
SECTION 30. Except as otherwise provided by this Act, the |
|
changes in law made by this Act apply only to a contract for foster |
|
care services entered into or renewed on or after the effective date |
|
of this Act. |
|
SECTION 31. Except as otherwise provided by this Act, this |
|
Act takes effect September 1, 2017. |