Bill Text: TX SB10 | 2019-2020 | 86th Legislature | Comm Sub
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to the creation of the Texas Mental Health Care Consortium.
Spectrum: Slight Partisan Bill (Republican 26-16)
Status: (Engrossed - Dead) 2019-05-21 - Returned to committee [SB10 Detail]
Download: Texas-2019-SB10-Comm_Sub.html
Bill Title: Relating to the creation of the Texas Mental Health Care Consortium.
Spectrum: Slight Partisan Bill (Republican 26-16)
Status: (Engrossed - Dead) 2019-05-21 - Returned to committee [SB10 Detail]
Download: Texas-2019-SB10-Comm_Sub.html
By: Nelson, et al. | S.B. No. 10 | |
(In the Senate - Filed February 5, 2019; February 7, 2019, | ||
read first time and referred to Committee on Health & Human | ||
Services; February 19, 2019, reported adversely, with favorable | ||
Committee Substitute by the following vote: Yeas 8, Nays 0; | ||
February 19, 2019, sent to printer.) | ||
COMMITTEE SUBSTITUTE FOR S.B. No. 10 | By: Campbell |
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relating to the creation of the Texas Mental Health Care | ||
Consortium. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subtitle E, Title 2, Health and Safety Code, is | ||
amended by adding Chapter 113 to read as follows: | ||
CHAPTER 113. TEXAS MENTAL HEALTH CARE CONSORTIUM | ||
SUBCHAPTER A. GENERAL PROVISIONS | ||
Sec. 113.0001. DEFINITIONS. In this chapter: | ||
(1) "Community mental health provider" means an entity | ||
that provides mental health care services at a local level. The | ||
term includes community centers established under Subchapter A, | ||
Chapter 534. | ||
(2) "Consortium" means the Texas Mental Health Care | ||
Consortium. | ||
(3) "Executive committee" means the executive | ||
committee of the consortium. | ||
SUBCHAPTER B. CONSORTIUM | ||
Sec. 113.0051. ESTABLISHMENT; PURPOSE. The Texas Mental | ||
Health Care Consortium is established to: | ||
(1) leverage the expertise and capacity in the | ||
health-related institutions of higher education listed in Section | ||
113.0052 to address urgent mental health challenges and improve the | ||
mental health care system in this state; | ||
(2) enhance the state's ability to address mental | ||
health care needs through stronger collaboration and institutional | ||
alignment of the health-related institutions of higher education | ||
listed in Section 113.0052; | ||
(3) improve the effectiveness and efficiency of mental | ||
health care services delivered in this state; | ||
(4) facilitate access to mental health care services | ||
through telemedicine, telehealth, and other cost-effective, | ||
evidence-based programs; | ||
(5) improve mental health and substance use disorder | ||
research efforts conducted by health-related institutions of | ||
higher education; and | ||
(6) improve and expand the psychiatric workforce | ||
through training and development opportunities between the | ||
health-related institutions of higher education listed in Section | ||
113.0052 and community mental health providers. | ||
Sec. 113.0052. COMPOSITION. The consortium is composed of: | ||
(1) the following health-related institutions of | ||
higher education: | ||
(A) Baylor College of Medicine; | ||
(B) The Texas A&M University System Health | ||
Science Center; | ||
(C) Texas Tech University Health Sciences | ||
Center; | ||
(D) Texas Tech University Health Sciences Center | ||
at El Paso; | ||
(E) University of North Texas Health Science | ||
Center at Fort Worth; | ||
(F) Dell Medical School at The University of | ||
Texas at Austin; | ||
(G) The University of Texas Medical Branch at | ||
Galveston; | ||
(H) The University of Texas Health Science Center | ||
at Houston; | ||
(I) The University of Texas Health Science Center | ||
at San Antonio; | ||
(J) The University of Texas Rio Grande Valley | ||
School of Medicine; | ||
(K) The University of Texas Health Science Center | ||
at Tyler; and | ||
(L) The University of Texas Southwestern Medical | ||
Center; | ||
(2) the commission; | ||
(3) three nonprofit organizations that focus on mental | ||
health care, designated by a majority of the members described by | ||
Subdivision (1); and | ||
(4) any other entity that the executive committee | ||
considers necessary. | ||
Sec. 113.0053. ADMINISTRATIVE ATTACHMENT. (a) The | ||
consortium is administratively attached to the Texas Higher | ||
Education Coordinating Board for the purpose of receiving and | ||
administering appropriations and other funds under this chapter. | ||
The board is not responsible for providing to the consortium staff | ||
human resources, contract monitoring, purchasing, or any other | ||
administrative support services. | ||
(b) The Texas Higher Education Coordinating Board may not | ||
use funds intended to carry out the purposes of this chapter for any | ||
costs incurred by the board under this chapter. | ||
SUBCHAPTER C. EXECUTIVE COMMITTEE | ||
Sec. 113.0101. EXECUTIVE COMMITTEE COMPOSITION. The | ||
consortium is governed by an executive committee composed of the | ||
following members: | ||
(1) the chair of the academic department of psychiatry | ||
of each of the health-related institutions of higher education | ||
listed in Section 113.0052; | ||
(2) a representative of the commission with expertise | ||
in the delivery of mental health care services, appointed by the | ||
executive commissioner; | ||
(3) a representative of the commission with expertise | ||
in mental health facilities, appointed by the executive | ||
commissioner; | ||
(4) a representative of an organization that | ||
represents the interests of community centers established under | ||
Subchapter A, Chapter 534, designated by a majority of the members | ||
described by Subdivision (1); | ||
(5) a representative of each nonprofit organization | ||
described by Section 113.0052 that is part of the consortium, | ||
designated by a majority of the members described by Subdivision | ||
(1); and | ||
(6) any other representative designated by a majority | ||
of the members described by Subdivision (1) at the request of the | ||
executive committee. | ||
Sec. 113.0102. PRESIDING OFFICER. The executive committee | ||
shall elect a presiding officer from among the membership of the | ||
executive committee. | ||
Sec. 113.0103. MEETINGS. The executive committee shall | ||
meet at the call of the presiding officer. | ||
Sec. 113.0104. VACANCY. A vacancy on the executive | ||
committee shall be filled in the same manner as the original | ||
appointment. | ||
Sec. 113.0105. GIFTS, GRANTS, AND DONATIONS. The executive | ||
committee may accept on behalf of the consortium gifts, grants, or | ||
donations from any public or private source for the purpose of | ||
carrying out this chapter. | ||
SUBCHAPTER D. POWERS AND DUTIES | ||
Sec. 113.0151. GENERAL DUTIES. (a) The executive | ||
committee shall: | ||
(1) coordinate the provision of funding to the | ||
health-related institutions of higher education listed in Section | ||
113.0052 to carry out the purposes of this chapter; | ||
(2) establish procedures and policies for the | ||
administration of funds under this chapter; | ||
(3) monitor funding and agreements entered into under | ||
this chapter to ensure recipients of funding comply with the terms | ||
and conditions of the funding and agreements; and | ||
(4) establish procedures to document compliance by | ||
executive committee members and staff with applicable laws | ||
governing conflicts of interest. | ||
(b) In carrying out the duties under Subsection (a), the | ||
consortium shall ensure that evidence-based tools, including | ||
telemedicine and telehealth, are used to help expand the delivery | ||
of mental health care services. | ||
(c) The consortium shall designate a member of the executive | ||
committee to represent the consortium on the statewide behavioral | ||
health coordinating council. | ||
Sec. 113.0152. ACCESS TO CARE; CHILD PSYCHIATRY ACCESS | ||
NETWORK AND TELEMEDICINE AND TELEHEALTH PROGRAMS. (a) The | ||
consortium shall establish a statewide network of comprehensive | ||
child psychiatry access centers at the health-related institutions | ||
of higher education listed in Section 113.0052. A center | ||
established under this section shall collaborate with community | ||
mental health providers to better care for children and youth with | ||
behavioral health needs by providing consultation services and | ||
training opportunities for pediatricians and primary care | ||
providers operating in the center's geographic region. | ||
(b) The consortium shall establish or expand telemedicine | ||
or telehealth programs at health-related institutions of higher | ||
education listed in Section 113.0052 for identifying and assessing | ||
behavioral health needs and providing access to mental health care | ||
services. The consortium shall develop a statewide plan to | ||
implement this subsection that makes the behavioral health needs of | ||
at-risk children and adolescents a priority. | ||
(c) A health-related institution of higher education listed | ||
in Section 113.0052 may enter into a memorandum of understanding | ||
with a community mental health provider to carry out Subsection (a) | ||
or (b). | ||
(d) The consortium shall leverage the resources of a | ||
hospital system to carry out Subsection (a) or (b) if the hospital | ||
system: | ||
(1) provides consultation services and training | ||
opportunities for pediatricians and primary care providers that are | ||
consistent with those described by Subsection (a); and | ||
(2) has an existing telemedicine or telehealth program | ||
for identifying and assessing the behavioral health needs of and | ||
providing access to mental health care services for children and | ||
adolescents. | ||
Sec. 113.0153. MENTAL HEALTH RESEARCH PLAN. (a) The | ||
consortium shall: | ||
(1) develop and implement a mental health research | ||
plan to advance the research component of the statewide behavioral | ||
health strategic plan; | ||
(2) create an aggregated inventory of mental health | ||
and substance use disorder research completed by institutions of | ||
higher education in this state; and | ||
(3) coordinate mental health and substance use | ||
disorder research efforts by the health-related institutions of | ||
higher education listed in Section 113.0052 to ensure those | ||
institutions engage in effective and targeted research to leverage | ||
additional funding. | ||
(b) The executive committee shall establish a process for | ||
the selection of research projects to fund under this section. The | ||
process must evaluate research projects based on their alignment | ||
with the statewide behavioral health strategic plan and | ||
multi-institutional collaboration among the health-related | ||
institutions of higher education listed in Section 113.0052. | ||
Sec. 113.0154. PSYCHIATRY WORKFORCE EXPANSION PROJECT. | ||
(a) The consortium shall enhance collaboration between the | ||
health-related institutions of higher education listed in Section | ||
113.0052 and community mental health providers to increase | ||
psychiatric residency training and improve the quality of care for | ||
persons receiving mental health care services in this state. | ||
(b) The executive committee may provide funding to the | ||
academic department of psychiatry at a health-related institution | ||
of higher education listed in Section 113.0052 for the purpose of | ||
funding: | ||
(1) one full-time psychiatrist who treats adults or | ||
one full-time psychiatrist who treats children and adolescents to | ||
serve as academic medical director for a community mental health | ||
provider; and | ||
(2) two resident rotation positions. | ||
(c) An academic medical director described by Subsection | ||
(b) shall collaborate and coordinate with community mental health | ||
providers to expand the amount and availability of mental health | ||
care resources by: | ||
(1) developing training opportunities for residents | ||
and medical students; and | ||
(2) promoting the use of telemedicine, telehealth, or | ||
other evidence-based tools to provide comprehensive mental health | ||
care services to a greater population. | ||
(d) An institution of higher education that receives | ||
funding under Subsection (b) shall require that psychiatric | ||
residents participate in rotations through a facility operated by a | ||
community mental health provider. | ||
Sec. 113.0155. REIMBURSEMENT FOR SERVICES. A child | ||
psychiatry access center established under Section 113.0152 may not | ||
submit an insurance claim or charge a pediatrician or primary care | ||
provider a fee for providing consultation services or training | ||
opportunities under that section. | ||
Sec. 113.0156. ANNUAL REPORT. Not later than November 1 of | ||
each year, the consortium shall submit to the governor, the | ||
lieutenant governor, the speaker of the house of representatives, | ||
and the standing committee of each house of the legislature with | ||
primary jurisdiction over behavioral health issues and post on its | ||
Internet website a written report that outlines: | ||
(1) the activities and objectives of the consortium; | ||
(2) the health-related institutions of higher | ||
education listed in Section 113.0052 that receive funding by the | ||
executive committee; | ||
(3) any prospective gifts, grants, or donations the | ||
consortium expects to receive; and | ||
(4) any research accomplishments associated with the | ||
consortium. | ||
SUBCHAPTER E. MISCELLANEOUS PROVISIONS | ||
Sec. 113.0201. JUDICIAL INSTRUCTION REGARDING MENTAL | ||
HEALTH CARE RESOURCES. The Supreme Court of Texas and the Texas | ||
Court of Criminal Appeals, in consultation with the consortium, | ||
shall develop a training program to educate and inform designated | ||
judges and their staff on mental health care resources available | ||
within the geographic region in which the designated judges | ||
preside. The Supreme Court of Texas and the Texas Court of Criminal | ||
Appeals may develop and operate the training program in conjunction | ||
with any other training programs. | ||
SECTION 2. As soon as practicable after the effective date | ||
of this Act, the executive commissioner of the Health and Human | ||
Services Commission and the members of the executive committee | ||
described by Section 113.0101(1), Health and Safety Code, as added | ||
by this Act, shall make the appointments and designations required | ||
by Section 113.0101, Health and Safety Code, as added by this Act. | ||
SECTION 3. 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, 2019. | ||
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