87R23010 TYPED
 
  By: Coleman H.B. No. 4140
 
  Substitute the following for H.B. No. 4140:
 
  By:  Anderson C.S.H.B. No. 4140
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to issues affecting counties and certain other
  governmental entities and residents.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 531.0991, Government Code, is amended by
  amending Subsections (h) and (k) and adding Subsection (n) to read
  as follows:
         (h)  A community that receives a grant under this section is
  required to leverage funds in an amount:
               (1)  equal to 25 [50] percent of the grant amount if the
  community mental health program is located in a county with a
  population of less than 100,000 [250,000];
               (2)  equal to 50 percent of the grant amount if the
  community mental health program is located in a county with a
  population of 100,000 or more but less than 250,000;
               (3)  equal to 100 percent of the grant amount if the
  community mental health program is located in a county with a
  population of at least 250,000; and
               (4) [(3)]  equal to the percentage of the grant amount
  otherwise required by this subsection for the largest county in
  which a community mental health program is located if the community
  mental health program is located in more than one county.
         (k)  Not later than December 1 of each even-numbered
  [calendar] year, the executive commissioner shall submit to the
  governor, the lieutenant governor, and each member of the
  legislature a report evaluating the success of the matching grant
  program created by this section.
         (n)  A reasonable amount not to exceed five percent of the
  money appropriated by the legislature for the purposes of this
  section may be used by the commission to pay administrative costs of
  implementing this section.
         SECTION 2.  Section 531.0992, Government Code, is amended by
  amending Subsections (d-1) and (d-2) and adding Subsection (g) to
  read as follows:
         (d-1)  For services and treatment provided in a single
  county, the commission shall condition each grant provided under
  this section on a potential grant recipient providing funds from
  non-state sources in a total amount at least equal to:
               (1)  25 [50] percent of the grant amount if the
  community mental health program to be supported by the grant
  provides services and treatment in a county with a population of
  less than 100,000 [250,000]; [or]
               (2)  50 percent of the grant amount if the community
  mental health program to be supported by the grant provides
  services and treatment in a county with a population of 100,000 or
  more but less than 250,000; or
               (3)  100 percent of the grant amount if the community
  mental health program to be supported by the grant provides
  services and treatment in a county with a population of 250,000 or
  more.
         (d-2)  For a community mental health program that provides
  services and treatment in more than one county, the commission
  shall condition each grant provided under this section on a
  potential grant recipient providing funds from non-state sources in
  a total amount at least equal to:
               (1)  25 [50] percent of the grant amount if the county
  with the largest population [county] in which the community mental
  health program to be supported by the grant provides services and
  treatment has a population of less than 100,000 [250,000]; [or]
               (2)  50 [100] percent of the grant amount if the county
  with the largest population [county] in which the community mental
  health program to be supported by the grant provides services and
  treatment has a population of 100,000 or more but less than 250,000;
  or
               (3)  100 percent of the grant amount if the county with
  the largest population in which the community mental health program
  to be supported by the grant provides services and treatment has a
  population of 250,000 or more.
         (g)  A reasonable amount not to exceed five percent of the
  money appropriated by the legislature for the purposes of this
  section may be used by the commission to pay administrative costs of
  implementing this section.
         SECTION 3.  Section 531.0993, Government Code, is amended by
  amending Subsection (c) and adding Subsection (j) to read as
  follows:
         (c)  The commission shall condition each grant provided to a
  community collaborative under this section on the collaborative
  providing funds from non-state sources in a total amount at least
  equal to:
               (1)  25 [50] percent of the grant amount if the
  collaborative includes a county with a population of less than
  100,000 [250,000];
               (2)  50 percent of the grant amount if the
  collaborative includes a county with a population of 100,000 or
  more but less than 250,000;
               (3)  100 percent of the grant amount if the
  collaborative includes a county with a population of 250,000 or
  more; and
               (4) [(3)]  the percentage of the grant amount otherwise
  required by this subsection for the largest county included in the
  collaborative, if the collaborative includes more than one county.
         (j)  A reasonable amount not to exceed five percent of the
  money appropriated by the legislature for the purposes of this
  section may be used by the commission to pay administrative costs of
  implementing this section.
         SECTION 4.  Sections 539.002(b) and (c), Government Code,
  are amended to read as follows:
         (b)  Except as provided by Subsection (c), the department
  shall require each entity awarded a grant under this section to:
               (1)  leverage additional funding or in-kind
  contributions from private contributors or local governments,
  excluding state or federal funds, [sources] in an amount that is at
  least equal to the amount of the grant awarded under this section;
               (2)  provide evidence of significant coordination and
  collaboration between the entity, local mental health authorities,
  municipalities, local law enforcement agencies, and other
  community stakeholders in establishing or expanding a community
  collaborative funded by a grant awarded under this section; and
               (3)  provide evidence of a local law enforcement policy
  to divert appropriate persons from jails or other detention
  facilities to an entity affiliated with a community collaborative
  for the purpose of providing services to those persons.
         (c)  The department may award a grant under this chapter to
  an entity for the purpose of establishing a community mental health
  program in a county with a population of less than 250,000, if the
  entity leverages additional funding or in-kind contributions from
  private contributors or local governments, excluding state or
  federal funds, [sources] in an amount equal to one-quarter of the
  amount of the grant to be awarded under this section, and the entity
  otherwise meets the requirements of Subsections (b)(2) and (3).
         SECTION 5.  Section 539.003, Government Code, is amended to
  read as follows:
         Sec. 539.003.  ACCEPTABLE USES OF GRANT MONEY. An entity
  shall use money received from a grant made by the department and
  private funding sources for the establishment or expansion of a
  community collaborative[, provided that the collaborative must be
  self-sustaining within seven years]. Acceptable uses for the money
  include:
               (1)  the development of the infrastructure of the
  collaborative and the start-up costs of the collaborative;
               (2)  the establishment, operation, or maintenance of
  other community service providers in the community served by the
  collaborative, including intake centers, detoxification units,
  sheltering centers for food, workforce training centers,
  microbusinesses, and educational centers;
               (3)  the provision of clothing, hygiene products, and
  medical services to and the arrangement of transitional and
  permanent residential housing for persons served by the
  collaborative;
               (4)  the provision of mental health services and
  substance abuse treatment not readily available in the community
  served by the collaborative;
               (5)  the provision of information, tools, and resource
  referrals to assist persons served by the collaborative in
  addressing the needs of their children; and
               (6)  the establishment and operation of coordinated
  intake processes, including triage procedures, to protect the
  public safety in the community served by the collaborative.
         SECTION 6.  Section 539.007, Government Code, is amended to
  read as follows:
         Sec. 539.007.  REDUCTION AND CESSATION OF FUNDING. The
  department shall establish processes by which the department may
  reduce or cease providing funding to an entity if the community
  collaborative operated by the entity does not meet the outcome
  measures selected by the entity for the collaborative under Section
  539.005 [or is not self-sustaining after seven years]. The
  department shall redistribute any funds withheld from an entity
  under this section to other entities operating high-performing
  collaboratives on a competitive basis.
         SECTION 7.  Chapter 539, Government Code, is amended by
  adding Section 539.009 to read as follows:
         Sec. 539.009.  ADMINISTRATIVE COSTS. A reasonable amount
  not to exceed five percent of the money appropriated by the
  legislature for the purposes of this subchapter may be used by the
  commission to pay administrative costs of implementing this
  subchapter.
         SECTION 8.  The heading to Section 152.1073, Human Resources
  Code, is amended to read as follows:
         Sec. 152.1073.  HARRIS COUNTY BOARD OF RESOURCES [PROTECTIVE
  SERVICES] FOR CHILDREN AND ADULTS.
         SECTION 9.  Section 152.1073(a)(1), Human Resources Code, is
  amended to read as follows:
               (1)  "Board" means the Harris County Board of Resources
  [Protective Services] for Children and Adults.
         SECTION 10.  Section 152.1073, Human Resources Code, is
  amended by amending Subsections (g) and (h) and adding Subsection
  (h-1) to read as follows:
         (g)  In addition to the authority granted to the board by the
  commissioners court, the Health and Human Services Commission, and
  the [Texas] Department of Family and Protective [Human] Services,
  the board may:
               (1)  disburse funds from sources other than the
  commissioners court, the commission, and the department [Texas
  Department of Human Services] to benefit children, eligible adults
  with disabilities, and eligible elderly persons under this section
  and to provide care, protection, evaluation, training, treatment,
  education, and recreation to those persons [children];
               (2)  refuse to accept any funds the board considers to
  be inappropriate, incompatible, or burdensome to board policies or
  the provision of services;
               (3)  accept a gift or grant of real or personal property
  or accept support under or an interest in a trust to benefit persons
  described by Subdivision (1) [children under this section] and hold
  the gift or grant directly or in trust;
               (4)  use a gift or grant to benefit persons described by
  Subdivision (1) [children under this section] and to provide care,
  protection, education, or training to those persons [children];
               (5)  accept and disburse as provided by Subdivision (1)
  fees and contributions from parents, guardians, and relatives of
  persons described by that subdivision [children] who are:
                     (A)  in county supported substitute care or
  custody, in the county guardianship program, in the county
  representative payee program, or receiving services from the county
  Senior Justice Assessment Center; or
                     (B)  being assisted by casework, day care, or
  homemaker services, by medical, psychological, dental, or other
  remedial help, or by teaching, training, or other services;
               (6)  account for and spend funds the board receives as
  fees, contributions, payments made by guardians, or payments made
  to benefit a person described by Subdivision (1) who is [child] in
  the board's or the county's legal custody;
               (7)  receive and disburse funds available to support or
  benefit a person described by Subdivision (1) who is [child] in the
  board's or the county's legal custody, including social security
  benefits, life insurance proceeds, survivors' pension or annuity
  benefits, or a beneficial interest in property; and
               (8)  receive and use funds, grants, and assistance
  available to the board or the county from a federal or state
  department or agency to carry out the functions and programs of the
  department or agency that is designed to aid or extend programs and
  operations approved by the board.
         (h)  The board shall designate the director or an assistant
  to apply for letters of guardianship if necessary to receive funds
  under Subsection (g)(7). The director or an assistant may:
               (1)  apply for and disburse the funds to provide
  special items of support for children, eligible adults with
  disabilities, and eligible elderly persons under this section or to
  pay general administrative expenses relating to services under this
  section;
               (2)  hold the funds in trust; or
               (3)  apply the funds for a particular or more
  restricted purpose as required by law or the source of the funds.
         (h-1)  The board may collaborate with state agencies to
  provide services for eligible adults with disabilities and eligible
  elderly persons who:
               (1)  are residents of the county;
               (2)  have been exploited, abused, or neglected; or
               (3)  may be in need of a guardianship or assistance from
  a representative payee.
         SECTION 11.  Section 299.001, Health and Safety Code, is
  amended by adding Subdivision (6) to read as follows:
               (6)  "Qualifying assessment basis" means the health
  care item, health care service, or other health care-related basis
  consistent with 42 U.S.C. Section 1396b(w) on which the board
  requires mandatory payments to be assessed under this chapter.
         SECTION 12.  Section 299.004, Health and Safety Code, is
  amended to read as follows:
         Sec. 299.004.  EXPIRATION. (a) Subject to Section
  299.153(d), the authority of the district to administer and operate
  a program under this chapter expires December 31, 2023 [2021].
         (b)  This chapter expires December 31, 2023 [2021].
         SECTION 13.  Section 299.053, Health and Safety Code, is
  amended to read as follows:
         Sec. 299.053.  INSTITUTIONAL HEALTH CARE PROVIDER
  REPORTING. If the board authorizes the district to participate in a
  program under this chapter, the board may [shall] require each
  institutional health care provider to submit to the district a copy
  of any financial and utilization data as reported in:
               (1)  the provider's Medicare cost report [submitted]
  for the most recent [previous fiscal year or for the closest
  subsequent] fiscal year for which the provider submitted the
  Medicare cost report; or
               (2)  a report other than the report described by
  Subdivision (1) that the board considers reliable and is submitted
  by or to the provider for the most recent fiscal year.
         SECTION 14.  Section 299.103(c), Health and Safety Code, is
  amended to read as follows:
         (c)  Money deposited to the local provider participation
  fund of the district may be used only to:
               (1)  fund intergovernmental transfers from the
  district to the state to provide the nonfederal share of Medicaid
  payments for:
                     (A)  uncompensated care payments to nonpublic
  hospitals, if those payments are authorized under the Texas
  Healthcare Transformation and Quality Improvement Program waiver
  issued under Section 1115 of the federal Social Security Act (42
  U.S.C. Section 1315);
                     (B)  uniform rate enhancements for nonpublic
  hospitals in the Medicaid managed care service area in which the
  district is located;
                     (C)  payments available under another waiver
  program authorizing payments that are substantially similar to
  Medicaid payments to nonpublic hospitals described by Paragraph (A)
  or (B); or
                     (D)  any reimbursement to nonpublic hospitals for
  which federal matching funds are available;
               (2)  subject to Section 299.151(d), pay the
  administrative expenses of the district in administering the
  program, including collateralization of deposits;
               (3)  refund a mandatory payment collected in error from
  a paying provider;
               (4)  refund to a paying provider, in an amount that is
  proportionate to the mandatory payments made under this chapter by
  the provider during the 12 months preceding the date of the refund,
  [providers a proportionate share of] the money attributable to
  mandatory payments collected under this chapter that the district:
                     (A)  receives from the Health and Human Services
  Commission that is not used to fund the nonfederal share of Medicaid
  supplemental payment program payments; or
                     (B)  determines cannot be used to fund the
  nonfederal share of Medicaid supplemental payment program
  payments; and
               (5)  transfer funds to the Health and Human Services
  Commission if the district is legally required to transfer the
  funds to address a disallowance of federal matching funds with
  respect to programs for which the district made intergovernmental
  transfers described by Subdivision (1).
         SECTION 15.  The heading to Section 299.151, Health and
  Safety Code, is amended to read as follows:
         Sec. 299.151.  MANDATORY PAYMENTS [BASED ON PAYING PROVIDER
  NET PATIENT REVENUE].
         SECTION 16.  Section 299.151, Health and Safety Code, is
  amended by amending Subsections (a), (b), and (c) and adding
  Subsections (a-1) and (a-2) to read as follows:
         (a)  If the board authorizes a health care provider
  participation program under this chapter, the board may require [a]
  mandatory payments [payment] to be assessed against each
  institutional health care provider located in the district, either
  annually or periodically throughout the year at the discretion of
  the board, on the basis of a health care item, health care service,
  or other health care-related basis that is consistent with the
  requirements of 42 U.S.C. Section 1396b(w) [the net patient revenue
  of each institutional health care provider located in the
  district]. The qualifying assessment basis must be the same for
  each institutional health care provider in the district. The board
  shall provide an institutional health care provider written notice
  of each assessment under this section [subsection], and the
  provider has 30 calendar days following the date of receipt of the
  notice to pay the assessment.
         (a-1)  Except as otherwise provided by this subsection, the
  qualifying assessment basis must be determined by the board using
  information contained in an institutional health care provider's
  Medicare cost report for the most recent fiscal year for which the
  provider submitted the report. If the provider is not required to
  submit a Medicare cost report, or if the Medicare cost report
  submitted by the provider does not contain information necessary to
  determine the qualifying assessment basis, the qualifying
  assessment basis may be determined by the board using information
  contained in another report the board considers reliable that is
  submitted by or to the provider for the most recent fiscal year. To
  the extent practicable, the board shall use the same type of report
  to determine the qualifying assessment basis for each paying
  provider in the district.
         (a-2)  [In the first year in which the mandatory payment is
  required, the mandatory payment is assessed on the net patient
  revenue of an institutional health care provider, as determined by
  the provider's Medicare cost report submitted for the previous
  fiscal year or for the closest subsequent fiscal year for which the
  provider submitted the Medicare cost report.] If [the] mandatory
  payments are [payment is] required, the district shall update the
  amount of the mandatory payments [payment] on an annual basis and
  may update the amount on a more frequent basis.
         (b)  The amount of a mandatory payment authorized under this
  chapter must be uniformly proportionate with the qualifying
  assessment basis for [amount of net patient revenue generated by]
  each paying provider in the district as permitted under federal
  law. A health care provider participation program authorized under
  this chapter may not hold harmless any institutional health care
  provider, as required under 42 U.S.C. Section 1396b(w).
         (c)  If the board requires a mandatory payment authorized
  under this chapter, the board shall set the amount of the mandatory
  payment, subject to the limitations of this chapter. The aggregate
  amount of the mandatory payments required of all paying providers
  in the district may not exceed six [four] percent of the aggregate
  net patient revenue from hospital services provided by all paying
  providers in the district.
         SECTION 17.  Subchapter D, Chapter 299, Health and Safety
  Code, is amended by adding Section 299.154 to read as follows:
         Sec. 299.154.  REQUEST FOR CERTAIN RELIEF. If 42 U.S.C.
  Section 1396b(w) or 42 C.F.R. Part 433 Subpart B is revised or
  interpreted in a manner that impedes the operations of a program
  under this chapter, and the operations may be improved by a request
  for relief under 42 C.F.R. Section 433.72, the board may request the
  Health and Human Services Commission to submit, and if requested
  the commission shall submit, a request to the Centers for Medicare
  and Medicaid Services for relief under 42 C.F.R. Section 433.72.
         SECTION 18.  The heading to Chapter 180, Local Government
  Code, is amended to read as follows:
  CHAPTER 180. MISCELLANEOUS PROVISIONS AFFECTING OFFICERS AND
  EMPLOYEES OF MORE THAN ONE TYPE OF [MUNICIPALITIES, COUNTIES, AND
  CERTAIN OTHER] LOCAL GOVERNMENT [GOVERNMENTS]
         SECTION 19.  Chapter 180, Local Government Code, is amended
  by adding Section 180.008 to read as follows:
         Sec. 180.008.  QUARANTINE LEAVE FOR FIRE FIGHTERS, PEACE
  OFFICERS, DETENTION OFFICERS, AND EMERGENCY MEDICAL TECHNICIANS.
  (a) In this section:
               (1)  "Detention officer" means an individual appointed
  or employed by a political subdivision as a county jailer or other
  individual responsible for the care and custody of individuals
  incarcerated in a county or municipal jail.
               (2)  "Emergency medical technician" means an
  individual who is:
                     (A)  certified as an emergency medical technician
  under Chapter 773, Health and Safety Code; and
                     (B)  employed by a political subdivision.
               (3)  "Fire fighter" means a paid employee of a
  municipal fire department or emergency services district who:
                     (A)  holds a position that requires substantial
  knowledge of fire fighting;
                     (B)  has met the requirements for certification by
  the Texas Commission on Fire Protection under Chapter 419,
  Government Code; and
                     (C)  performs a function listed in Section
  143.003(4)(A).
               (4)  "Peace officer" means an individual described by
  Article 2.12, Code of Criminal Procedure, who is elected for,
  employed by, or appointed by a political subdivision.
         (b)  A political subdivision shall place on paid quarantine
  leave a fire fighter, peace officer, detention officer, or
  emergency medical technician employed by the political subdivision
  and ordered by a supervisor or a health authority to quarantine or
  isolate due to a possible or known exposure to a communicable
  disease while on duty.
         (c)  A political subdivision shall provide to a fire fighter,
  peace officer, detention officer, or emergency medical technician
  on quarantine leave:
               (1)  all employment benefits and compensation,
  including leave accrual, pension benefits, and health benefit plan
  benefits; and
               (2)  costs related to the quarantine, including
  lodging, medical, and transportation costs.
         (d)  A political subdivision may not reduce a fire fighter's,
  peace officer's, detention officer's, or emergency medical
  technician's sick leave balance, vacation leave balance, holiday
  leave balance, or other paid leave balance in connection with
  quarantine leave required by Subsection (b).
         SECTION 20.  On the effective date of this Act, the Harris
  County Board of Protective Services for Children and Adults is
  redesignated as the Harris County Board of Resources for Children
  and Adults.
         SECTION 21.  The changes in law made by this Act apply to a
  grant awarded on or after the effective date of this Act. A grant
  awarded under a provision amended by this Act is governed by the law
  in effect on the date the grant was awarded, and the former law is
  continued in effect for that purpose.
         SECTION 22.  If before implementing any provision of this
  Act a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         SECTION 23.  This Act takes effect immediately if it
  receives a vote of two-thirds of all the members elected to each
  house, as provided by Section 39, Article III, Texas Constitution.
  If this Act does not receive the vote necessary for immediate
  effect, this Act takes effect September 1, 2021.