89R3916 EAS-D
 
  By: Schwertner S.B. No. 528
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to inpatient competency restoration services.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle C, Title 7, Health and Safety Code, is
  amended by adding Chapter 580 to read as follows:
  CHAPTER 580. INPATIENT COMPETENCY RESTORATION SERVICES
         Sec. 580.001.  DEFINITIONS. In this chapter:
               (1)  "Commission" means the Health and Human Services
  Commission.
               (2)  "Competency restoration" has the meaning assigned
  by Article 46B.001, Code of Criminal Procedure.
               (3)  "Residential care facility" has the meaning
  assigned by Section 591.003.
         Sec. 580.002.  APPLICABILITY. This chapter applies only to
  a facility that contracts with the commission to provide inpatient
  competency restoration services for an individual to stand trial in
  accordance with Chapter 46B, Code of Criminal Procedure.
         Sec. 580.003.  MEMORANDUM OF UNDERSTANDING. The executive
  commissioner by rule shall require each facility to which this
  chapter applies to enter into a memorandum of understanding with
  the county and municipality in which the facility is located and
  each local mental health authority and local behavioral health
  authority that operates in the county or municipality, as
  applicable, to outline the respective powers and duties of the
  parties with respect to inpatient competency restoration services.
         Sec. 580.004.  ANNUAL REPORT TO COMMISSION. (a)  The
  commission shall require each facility to which this chapter
  applies to annually provide to the commission, in the form and
  manner the commission requires, the following information for the
  preceding year regarding individuals who received inpatient
  competency restoration services at the facility:
               (1)  the total number of individuals who received
  inpatient competency restoration services at the facility and the
  number of those individuals who were restored to competency;
               (2)  for those individuals who were restored to
  competency, the average number of days the individuals received
  services at the facility;
               (3)  the number of individuals who were restored to
  competency after receiving services at the facility for not more
  than 60 days;
               (4)  the number of individuals who were not restored to
  competency within the initial restoration period and for whom a
  treatment extension was sought;
               (5)  the number of individuals who were not restored to
  competency and who were transferred to an inpatient mental health
  facility or residential care facility; and
               (6)  for individuals who were not restored to
  competency, the average length of time between the date a
  determination was made that an individual was not restored to
  competency and the date the individual was transferred to an
  inpatient mental health facility or residential care facility.
         (b)  The data in the report must be disaggregated by whether
  the individual was charged with a misdemeanor or felony offense and
  by any other appropriate demographic factors determined by the
  commission.
         Sec. 580.005.  ANNUAL REPORT TO LEGISLATURE. Not later than
  September 1 of each year, the commission shall prepare and submit to
  the legislature a written report on inpatient competency
  restoration services in this state for the preceding year. The
  report must include:
               (1)  a performance evaluation of each facility to which
  this chapter applies;
               (2)  aggregated demographic data on individuals who
  received inpatient competency restoration services at a facility to
  which this chapter applies, including the criminal offenses the
  individuals were charged with, the individuals' countries of
  origin, and the individuals' diagnoses, if applicable; and
               (3)  the overall cost of providing inpatient competency
  restoration services at a facility to which this chapter applies
  compared to the cost of:
                     (A)  providing forensic inpatient competency
  restoration services at a state hospital; and
                     (B)  other competency restoration programs
  managed by the commission.
         SECTION 2.  Notwithstanding Section 580.005, Health and
  Safety Code, as added by this Act, the Health and Human Services
  Commission is not required to submit the initial report required by
  that section until September 1, 2027.
         SECTION 3.  This Act takes effect September 1, 2025.