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Mental Health Bill Tracking

The bills below could impact mental health services in Texas.

Mental Health

Mental Health Bills (Telicon Report 5/17/2017)
BILLAUTHORDESCRIPTION, REMARKS, LAST ACTION
HB 10Four PriceRelating to access to and benefits for mental health conditions and substance use disorders.
no datano dataRemarks: Would require designation of an ombudsman for behavioral health to assist consumers and providers with access to care. The ombudsman would report on potential state and federal violations and complaints, make referrals for services, and help consumers and providers file appeals and complaints. Would establish a Mental Health Condition and Substance Use Disorder Parity Work Group.
no datano dataLast Action: 05-16-17 S Voted favorably from committee on Senate Business and Commerce
HB 309Jarvis JohnsonRelating to the establishment of a home and community-based services program under Medicaid for certain persons with severe and persistent mental illness.
no datano dataRemarks: Would codify the 1915i Home and Community Based Services waiver program currently under development for people with persistent mental illness at greatest risk of institutionalization, and would add children and adults experiencing a first episode of psychosis.
no datano dataLast Action: 02-15-17 H Introduced and referred to committee on House Public Health
HB 909Ramon RomeroRelating to preliminary examination periods for mental health protective custody.
no datano dataRemarks: Would extend, from 48 hours to 72 hours, the amount of time a facility may detain a person for preliminary examination after a peace officer files a notification of detention.
no datano dataLast Action: 02-21-17 H Introduced and referred to committee on House Public Health
HB 1600Senfronia ThompsonRelating to certain mental health screenings under the Texas Health Steps program.
no datano dataRemarks: Would require at least one mental health screening during the annual physical be provided under Texas Health Steps to children ages 12 to 19 years.
no datano dataLast Action: 05-15-17 S Voted favorably from committee as substituted Senate Health and Human Services
HB 1616Senfronia ThompsonRelating to an exemption from civil liability for certain professionals for the disclosure of certain mental health information.
no datano dataRemarks: Would provide a liability exemption to mental health professionals who disclose confidential information in good faith because they believe the person may cause imminent injury to self or others.
no datano dataLast Action: 05-15-17 S Referred to Senate Committee on Senate Health and Human Services
HB 2094Four PriceRelating to coverage for serious mental illness, other disorders, and chemical dependency under certain health benefit plans.
no datano dataRemarks: Would expand scope of entities required to provide equity in coverage on par with physical illness coverage for mental health (including serious emotional disturbance of a child), chemical dependency, and other disorders (PTSD and eating disorders) under all health benefit plans.
no datano dataLast Action: 03-16-17 H Introduced and referred to committee on House Public Health
HB 2096Four PriceRelating to access to and benefits for mental health conditions and substance use disorders.
no datano dataRemarks: Would create an HHSC ombudsman for behavioral health access and a mental health and substance abuse parity work group. Would add health benefit plan coverage requirements for eating disorders and serious emotional disturbance of a child and would add post-traumatic stress disorder (PTSD) to covered mental health conditions subject to parity.
no datano dataLast Action: 03-16-17 H Introduced and referred to committee on House Public Health
HB 2402Shawn ThierryRelating to an acute psychiatric bed registry to list available beds for emergency detention and treatment of certain individuals.
no datano dataRemarks: Would require HHSC to develop and administer a web-based, searchable psychiatric bed registry to collect and display information about bed availability at inpatient mental health facilities.
no datano dataLast Action: 03-22-17 H Introduced and referred to committee on House Public Health
HB 2415Four PriceRelating to standards for mental health services provided to certain individuals with intellectual and developmental disabilities.
no datano dataRemarks: Would require HHSC to develop standards for delivering quality mental health services to people in institutions and people using community services who have IDD and co-occurring mental health conditions, including substance use conditions. Services would include: 1) assessment; 2) evaluation; 3) diagnosis; 4) treatment; and 5) recovery.
no datano dataLast Action: 03-22-17 H Introduced and referred to committee on House Public Health
HB 2446Four PriceRelating to a report on the consolidation of the health and human services system, including advisory committees within the system, and the re-creation of the Texas system of care framework.
no datano dataRemarks: Would require HHSC to re-establish a system of care framework for the delivery of mental health services. Would require HHSC to 1) maintain a comprehensive plan; 2) enter MOU between agencies specifying the roles and responsibilities relating to the plan; 3) identify funding sources; 4) develop a performance and outcome evaluation system to measure cross-system performance; and 5) consult with stakeholders, including minors and their families. Would require HHSC report to the HHS Transition Legislative Oversight Committee by July 31, 2018.
no datano dataLast Action: 03-22-17 H Introduced and referred to committee on House Human Services
HB 3080Toni RoseRelating to the applicability of the death penalty to a capital offense committed by a person with severe mental illness.
no datano dataRemarks: Prohibits the death penalty for a person who at the time of the commission of a capital offense was a person with severe mental illness.
no datano dataLast Action: 05-11-17 H Set on the House Calendar
HB 3449Joe MoodyRelating to staff development requirements for public school educators regarding mental health and suicide prevention.
no datano dataRemarks: Would replace “scientifically based research” suicide prevention training for staff with “evidence-based” training. Would require three hours of training about mental health issues and mental health care and suicide.
no datano dataLast Action: 03-31-17 H Introduced and referred to committee on House Public Health
HB 3638Evelina OrtegaRelating to the identification and assessment of defendants suspected of having mental illness or intellectual disability.
no datano dataRemarks: Would replace the term “mental retardation” with “intellectual disability.” Would require a sheriff, if they establish reasonable cause to believe that a defendant in custody has a mental illness or intellectual disability, to provide notice of this information to the magistrate. Would further require the magistrate to provide a copy of this information to 1) whoever is responsible for the defendant’s medical records while the defendant is confined in county jail; 2) personal bond office; or 3) director of entity responsible for supervising defendant while they are on bail and receiving mental health or intellectual services as a condition of bail.
no datano dataLast Action: 03-30-17 H Introduced and referred to committee on House Criminal Jurisprudence
HB 4083Rick MillerRelating to trauma screening for certain children and trauma-informed care training for certain providers participating in the Medicaid managed care program.
no datano dataRemarks: Would require Medicaid managed care providers to include in the psychotropic medication consent process for a foster child the disclosure of whether medication is for mental illness or for temporary relief of symptoms related to trauma. For STAR Health physicians or providers serving foster children, would require HHSC to provide 8 hours of free trauma-informed care training. Would require HHSC to require each provider of non-pharmaceutical interventions to be certified to use at least one evidence-based, trauma-informed intervention or therapy. Would require STAR Health MCOs to require all physicians and providers serving foster children to be trained to distinguish PTSD from other mental disorders by September 1, 2019.
no datano dataLast Action: 04-03-17 H Introduced and referred to committee on House Human Services
SB 74Jane NelsonRelating to the provision of certain behavioral health services to children, adolescents, and their families under a contract with a managed care organization.
no datano dataRemarks: Would clarify that targeted case management and psychiatric rehabilitative services must be considered distinct for purposes of contracting with the MCO and that only HHSC training and regulations specific to those services can be included in the MCO-provider contract. Would clarify that crisis hotline or mobile crisis team services, less intensive services for which a referral exists, and services not covered by Medicaid cannot be part of the contract.
no datano dataLast Action: 05-16-17 H Passed to third reading
SB 773Carlos UrestiRelating to the authority of a judge to compel a criminal defendant who lacks capacity to take psychoactive medication.
no datano dataRemarks: Would expand a court's authority to order an alleged offender who lacks capacity to take psychoactive medication even if they are not a danger to themselves or others.
no datano dataLast Action: 05-15-17 H Committee action pending House Criminal Jurisprudence
SB 1154Jose MenendezRelating to coverage for serious mental illness under certain group health benefit plans.
no datano dataRemarks: Would add “posttraumatic stress disorder” to the list of serious mental illnesses that are covered under certain group health benefit plans.
no datano dataLast Action: 03-09-17 S Introduced and referred to committee on Senate Business and Commerce
SB 1183Charles PerryRelating to procedures regarding criminal defendants who are or may be persons with a mental illness or an intellectual disability and to the period for which a person may be committed to receive certain temporary mental health services.
no datano dataRemarks: With the exception of a defendant under age 14, would require court preference for a defendant with restored competency. Jail-based competency restoration would count toward time spent in court-ordered inpatient or outpatient treatment; further confinement would require civil commitment. Would add jail-based competency restoration option for defendants incompetent to stand trial. Would authorize an HHSC contract-based jail competency restoration program. Would allow psychologists to perform clinical functions previously reserved to psychiatrists, including determination of competency. Would transfer defendants who do not regain competency to a facility. Would shorten temporary commitments to 45 days unless a judge finds the longer period is necessary.
no datano dataLast Action: 05-16-17 H Committee action pending House Public Health
SB 1923Charles SchwertnerRelating to infrastructure funding for state hospital facilities and other state facilities, including the creation of the state hospital fund.
no datano dataRemarks: Would establish a state hospital fund for the purposes of ensuring: 1) the safety and security of patients, employees, and visitors; 2) that care is provided in a setting that meets the standard of mental health care; 3) collaboration with health-related higher education institutions to educate and expand the mental health workforce; and 4) the reduction of recidivism and waiting lists.
no datano dataLast Action: 05-11-17 H Referred to House Committee on House Appropriations

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