Amend CSHB 1 (house committee report) as follows:

(1)  On page III-2 of the bill pattern for the Texas Education Agency, reduce appropriations by $14,200,000 in general revenue in fiscal year 2024 and $14,200,000 in general revenue in fiscal year 2025 in B.1.1, Assessment and Accountability.

(2)  On page VI-59 of the bill pattern for the Health and Human Services Commission, increase appropriations by $14,200,000 in general revenue in fiscal year 2024 and $14,200,000 in general revenue in fiscal year 2025 in Strategy G.2.2, Mental Health Community Hospitals.

(3)  On page II-59 of the bill pattern for the Health and Human Services Commission, amend Rider 38 to say:

Informational Listing: Additional Mental Health Funding. Appropriations above for the Health and Human Services Commission (HHSC) include the following amounts in general revenue:

(a)  HHSC Frontline Staff.

(1) Salary Increases. $107,211,441 in each fiscal year in Strategy G.1.1, State Supported Living Centers, and $70,847,041 in fiscal year 2024 and $70,847,042 in fiscal year 2025 in Strategy G.2.1, Mental Health State Hospitals, to maintain salary increases for frontline staff at HHSC facilities. HEALTH AND HUMAN SERVICES COMMISSION (Continued) A529-Hse-2-B II-60 March 20, 2023.

(b)  Expansion of Community Inpatient Beds.

(1)  State Hospital Contracted Beds. [$10,200,000] $20,400,000 in each fiscal year in Strategy G.2.2, Mental Health Community Hospitals, to expand contracted bed capacity by [40] 80 beds.

(2)  Inpatient Contracted Beds. $161,250,000 in each fiscal year in Strategy G.2.2, Mental Health Community Hospitals, for up to 234 additional state-purchased inpatient psychiatric beds, including beds in rural and urban communities and for contract rate adjustments as needed, and to contract for an additional 150 competency restoration beds.

(c)  Step-down Housing and State Hospital Transitions.

(1)  State Hospital Transition Teams. $4,279,158 in fiscal year 2024 and $4,185,891 in fiscal year 2025 in Strategy G.2.1, Mental Health State Hospitals, to establish state hospital transition teams to support individuals statewide who are at risk of state hospital readmission by providing coordination and support to address mental health needs in the community.

(2)  Step-Down Housing Expansion. $8,500,000 in each fiscal year in Strategy D.2.1, Community Mental Health Services (MHS) for Adults, to expand step-down housing programs statewide to identify, assess, and transition patients with acute mental health and/or medical needs from hospitals to community settings with appropriate supports.

(d)  Crisis Services.

(1)  Crisis Stabilization Units. $18,000,000 in each fiscal year in Strategy D.2.3, Community Mental Health Crisis Services (CMHCS), to fund six additional crisis stabilization units to provide a short-term alternative to hospital admission to reduce acute symptoms of mental illness.

(2)  Crisis Respite Units for Youth. $5,750,000 in each fiscal year in Strategy D.2.3, Community Mental Health Crisis Services (CMHCS), to fund four additional crisis respite units that serve youth and to pilot three peer-run units.

(3)  Youth Mobile Crisis Outreach Teams. [$4,000,000] $8,000,000 in each fiscal year in Strategy D.2.3, Community Mental Health Crisis Services (CMHCS), to establish youth mobile crisis outreach teams to reduce the risk of hospitalization from acute mental health illness and transition youth into care.

(e)  Expansion of Programs for High-Risk Children.

(1)  Multisystemic Therapy. $15,225,000 in each fiscal year in Strategy D.2.2, Community Mental Health Services (MHS) for Children, to expand multisystemic therapy, which provides community-based treatment for at-risk youth with intensive needs and their families.

(2)  Coordinated Specialty Care. $2,100,000 in each fiscal year in Strategy D.2.1, Community Mental Health Services (MHS) for Adults, to expand coordinated specialty care, which provides outpatient behavioral health services to persons experiencing an early onset of psychosis.

(3)  Mental Health Services for the Uvalde Community. $5,000,000 in each fiscal year in Strategy D.2.1, Community Mental Health Services (MHS) for Adults, to partner with the Hill Country Local Mental Health Authority to provide ongoing mental health services support for the Uvalde community.

(4)  Adjust totals and methods of financing accordingly.