By: Nelson S.B. No. 1021     (Price)           A BILL TO BE ENTITLED   AN ACT   relating to reports on the consolidation and certain functions of   the health and human services system, including advisory committees   within the system, and the re-creation of the Texas system of care   framework.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 531.0051(c), Government Code, is amended   to read as follows:          (c)  The council is composed of:                (1)  the executive commissioner;                (2)  the director of each division established by the   executive commissioner under Section 531.008(c);                (3)  the commissioner of a health and human services   agency; [and]                (4)  the commissioner of the Department of Family and   Protective Services, regardless of whether that agency continues as   a state agency separate from the commission; and                (5)  other individuals appointed by the executive   commissioner as the executive commissioner determines necessary.          SECTION 2.  Sections 531.02031(a) and (b), Government Code,   are amended to read as follows:          (a)  Not later than July 31 [September 1], 2018, the   executive commissioner shall conduct a study and submit a report   and recommendations [recommendation] to the Health and Human   Services Transition Legislative Oversight Committee that include:                (1)  a recommendation regarding the need to continue   the Department of Family and Protective Services as a state agency   separate from the commission, unless a determination on the   continuation is made before that date;                (2)  a recommendation regarding the need to continue   [and] the Department of State Health Services as a state agency   [agencies] separate from the commission;                (3)  an assessment of the quality and consistency of   data sharing, communication, and coordination between the   Department of Family and Protective Services and the commission;   and                (4)  an assessment of any known or potential conflicts   of interest concerning licensing and regulation activities by the   Department of Family and Protective Services or the commission,   including the process by which known conflicts of interest are   mitigated or managed by those agencies.          (b)  Not later than December 1, 2018, the Health and Human   Services Transition Legislative Oversight Committee shall review   the report and recommendations [recommendation] submitted under   Subsection (a) and submit a report and recommendations    [recommendation] to the legislature that include:                (1)  a recommendation regarding the need to continue   the Department of Family and Protective Services as a state agency   separate from the commission, unless a determination on the   continuation is made before that date;                (2)  a recommendation regarding the need to continue   [and] the Department of State Health Services as a state agency   [agencies] separate from the commission; and                (3)  an assessment of and any necessary recommendations   concerning data sharing, communication, and coordination between   the Department of Family and Protective Services and the   commission.          SECTION 3.  Section 531.251, Government Code, is reenacted   to read as follows:          Sec. 531.251.  TEXAS SYSTEM OF CARE FRAMEWORK. (a)  In this   section:                (1)  "Minor" means an individual younger than 18 years   of age.                (2)  "Serious emotional disturbance" means a mental,   behavioral, or emotional disorder of sufficient duration to result   in functional impairment that substantially interferes with or   limits a person's role or ability to function in family, school, or   community activities.                (3)  "System of care framework" means a framework for   collaboration among state agencies, minors who have a serious   emotional disturbance or are at risk of developing a serious   emotional disturbance, and the families of those minors that   improves access to services and delivers effective community-based   services that are family-driven, youth- or young adult-guided, and   culturally and linguistically competent.          (b)  The commission shall implement a system of care   framework to develop local mental health systems of care in   communities for minors who are receiving residential mental health   services and supports or inpatient mental health hospitalization,   have or are at risk of developing a serious emotional disturbance,   or are at risk of being removed from the minor's home and placed in a   more restrictive environment to receive mental health services and   supports, including an inpatient mental health hospital, a   residential treatment facility, or a facility or program operated   by the Department of Family and Protective Services or an agency   that is part of the juvenile justice system.          (c)  The commission shall:                (1)  maintain a comprehensive plan for the delivery of   mental health services and supports to a minor and a minor's family   using a system of care framework, including best practices in the   financing, administration, governance, and delivery of those   services;                (2)  enter memoranda of understanding with the   Department of State Health Services, the Department of Family and   Protective Services, the Texas Education Agency, the Texas Juvenile   Justice Department, and the Texas Correctional Office on Offenders   with Medical or Mental Impairments that specify the roles and   responsibilities of each agency in implementing the comprehensive   plan described by Subdivision (1);                (3)  identify appropriate local, state, and federal   funding sources to finance infrastructure and mental health   services and supports needed to support state and local system of   care framework efforts;                (4)  develop an evaluation system to measure   cross-system performance and outcomes of state and local system of   care framework efforts; and                (5)  in implementing the provisions of this section,   consult with stakeholders, including:                      (A)  minors who have or are at risk of developing a   serious emotional disturbance or young adults who received mental   health services and supports as a minor with or at risk of   developing a serious emotional disturbance; and                      (B)  family members of those minors or young   adults.          SECTION 4.  Not later than July 31, 2018, the executive   commissioner of the Health and Human Services Commission shall   submit to the Health and Human Services Transition Legislative   Oversight Committee the report required by Section 531.02031(a),   Government Code, as amended by this Act. The report must also   include:                (1)  the latest information available on the   commission's progress in transferring and consolidating the   administrative support services functions of the health and human   services system as mandated by Subchapter A-1, Chapter 531,   Government Code; and                (2)  recommendations on:                      (A)  whether to abolish each statutory advisory   committee that considers issues related to the health and human   services system; and                      (B)  for an advisory committee for which   abolishment is recommended, whether to reestablish the advisory   committee by rule, consolidate the advisory committee with another   advisory committee, or permanently discontinue the advisory   committee in any form.          SECTION 5.  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, 2017.