87R4979 JG-F
 
  By: Rose H.B. No. 4265
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the provision of peer services, including family
  partner peer support services by family partners, and the provision
  of those services under Medicaid.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 531.0999(a), Government Code, as added
  by Chapter 1015 (H.B. 1486), Acts of the 85th Legislature, Regular
  Session, 2017, is amended to read as follows:
         (a)  With input from mental health and substance use peer
  specialists and the work group described by Subsection (b), the
  commission shall develop and the executive commissioner shall
  adopt:
               (1)  rules that establish training requirements for
  peer specialists so that they are able to provide services to
  persons with mental illness or services to persons with substance
  use conditions;
               (2)  rules that establish certification and
  supervision requirements for peer specialists;
               (3)  rules that define the scope of services that peer
  specialists may provide;
               (4)  rules that distinguish peer services from other
  services that a person must hold a license to provide; [and]
               (5)  rules that require the provision of peer services
  by a peer specialist to persons who:
                     (A)  are 18 years of age or older but younger than
  22 years of age; and
                     (B)  request to receive those services; and
               (6)  any other rules necessary to protect the health
  and safety of persons receiving peer services.
         SECTION 2.  Subchapter B, Chapter 531, Government Code, is
  amended by adding Section 531.09991 to read as follows:
         Sec. 531.09991.  PROVISION OF FAMILY PARTNER PEER SUPPORT
  SERVICES BY FAMILY PARTNERS. (a) With input from family partners
  and the work group established under Subsection (b), the commission
  shall develop and the executive commissioner shall adopt:
               (1)  rules that establish training requirements for
  family partners so that they are able to provide family partner peer
  support services to families of children and youth with mental
  illness or substance use conditions;
               (2)  rules that establish certification and
  supervision requirements for family partners;
               (3)  rules that define the scope of services that
  family partners may provide;
               (4)  rules that distinguish family partner peer support
  services from other services a person must hold a license or
  certificate to provide;
               (5)  rules that require the provision of family partner
  peer support services by a family partner to persons who:
                     (A)  are 18 years of age or older but younger than
  22 years of age; and
                     (B)  request to receive those services; and
               (6)  any other rules necessary to protect the health
  and safety of persons receiving family partner peer support
  services.
         (b)  The commission shall establish a stakeholder work group
  to provide input for the adoption of rules under Subsection (a).
  The work group is composed of the following stakeholders appointed
  by the executive commissioner:
               (1)  one representative of each organization
  identified by the commission that certifies mental health and
  substance use peer specialists and family partners in this state;
               (2)  one representative of a local mental health
  authority located in a rural area that employs a family partner;
               (3)  one representative of a local mental health
  authority located in an urban area that employs a family partner;
               (4)  one family partner certified at an advanced or
  master level who works in a rural area;
               (5)  one family partner certified at an advanced or
  master level who works in an urban area;
               (6)  one family partner certified at an advanced or
  master level who works with families of children or youth with a
  dual diagnosis of a mental illness and substance use condition;
               (7)  one family partner certified at an advanced or
  master level who provides services to a child with a dual diagnosis
  of a mental illness and developmental disability;
               (8)  the designated family engagement specialist under
  the Texas System of Care Framework implemented under Section
  531.251;
               (9)  representatives of the peer and family partner
  subcommittee of the behavioral health advisory committee,
  including at least one member of the subcommittee who is a youth
  representative;
               (10)  two individuals who conduct family partner
  certification training;
               (11)  one family partner certified at the master level
  who serves as a supervisor to family partners;
               (12)  one transition aged youth specialist who serves
  on the behavioral health advisory committee or the child and youth
  behavioral health subcommittee of the behavioral health advisory
  committee; and
               (13)  any other person considered appropriated by the
  executive commissioner.
         (c)  The executive commissioner shall appoint one member of
  the work group to serve as presiding officer.
         (d)  The work group shall meet once every month.
         (e)  The work group is automatically abolished on the
  adoption of rules under Subsection (a).
         (f)  If the executive commissioner has not adopted rules
  under Subsection (a) by September 1, 2022, the executive
  commissioner shall submit on that date a written report to the
  governor, the lieutenant governor, the speaker of the house of
  representatives, the chair of the Senate Health and Human Services
  Committee or its successor, and the chair of the House Public Health
  Committee or its successor explaining why the rules have not yet
  been adopted. This subsection expires September 1, 2023.
         SECTION 3.  Section 32.024, Human Resources Code, is amended
  by adding Subsection (ll) to read as follows:
         (ll) The commission in its rules and standards governing the
  scope of services provided under the medical assistance program
  shall include family partner peer support services provided by
  certified family partners to the extent permitted by federal law.
         SECTION 4.  As soon as practicable after the effective date
  of this Act, the executive commissioner of the Health and Human
  Services Commission shall:
               (1)  appoint the members of the stakeholder work group
  established by Section 531.09991(b), Government Code, as added by
  this Act; and
               (2)  adopt the rules required by Section 531.0999(a),
  Government Code, as amended by this Act, and Section 531.09991(a),
  Government Code, as added by this Act.
         SECTION 5.  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 6.  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.