Texas Association of Counties Legislative Conference September 5, - - PowerPoint PPT Presentation

Texas Association of Counties Legislative Conference September 5, 2019

Lee Johnson, MPA Deputy Director Texas Council of Community Centers

1

1 ACCESS 2 Andrews Center Behavioral Healthcare System 3 Austin Travis County Integral Care 4 Betty Hardwick Center 5 Bluebonnet Trails Community Services 6 Border Region Behavioral Health Center 7 MHMR Authority of Brazos Valley 8 Burke 9 Camino Real Community Services 10 The Center for Health Care Services 11 Center for Life Resources 12 Central Counties Services 13 Central Plains Center 14 Coastal Plains Community Center 15 MHMR Services for the Concho Valley 16 Metrocare Services 17 Denton County MHMR Center 18 Emergence Health Network 19 Gulf Bend Center 20 Gulf Coast Center 21 The Harris Center for Mental Health & IDD 22 Heart of Texas Region MHMR Center 23 Helen Farabee Centers 24 Hill Country Mental Health & Developmental Disabilities Centers 25 Lakes Regional Community Center 26 LifePath Systems 27 StarCare Specialty Health System 28 Behavioral Health Center of Nueces County 29 Pecan Valley Centers for Behavioral & Developmental Healthcare 30 PermiaCare 31 Community Healthcore 32 Spindletop Center 33 MHMR Tarrant 34 Texana Center 35 Texas Panhandle Centers 36 Texoma Community Center 37 Tri-County Behavioral Healthcare 38 Tropical Texas Behavioral Health 39 West Texas Centers

Community Centers of Texas

2

3

4

86th Legislative Session: Mental Health Services Priorities

• Outpatient Treatment

Capacity for Adults and Children

• Locally Purchased Inpatient

Bed Capacity

• Criminal Justice / Mental

Health Interface

• School Safety / Mental Health

Interface

• Substance Use Disorder

Services

• State Hospital System

Redesign

5

6

HB 601 (Price/Zaffirini)

Effective 9/1/19

• Legislative Recommendations from Texas

Judicial Council / Office of Court Administration, 2018:

• 1. Clarify meaning of “assessment”

under Code of Criminal Procedure Article 16.22

• 2. Clarify authority for TCOOMMI

form; confidentiality

• 3. Clarify OCA reporting requirements

7

CCP, 16.22, EARLY IDENTIFICATION OF DEFENDANT SUSPECTED OF HAVING MENTAL ILLNESS OR INTELLECTUAL DISABILITY

HB 601 (Price/Zaffirini)

Effective 9/1/19 Select Provisions:

• Magistrate required to order an interview of the defendant if

not previously interviewed on or after the date the defendant was arrested for the offense for which the defendant is in custody

• Changes the term “assessment” to “written report”
• Commissioners Court required to reimburse Local MH/IDD

Authority or other qualified expert for the cost of performing the interview and collecting other information

• Commissioners Court may adopt a fee schedule to pay for the

interview and collection of information in a public hearing and must periodically review the fee schedule

• Interview must be conducted in person in the jail, by

telephone, or through a telemedicine/telehealth service

8

SB 632 (Kolkhorst/ Price)

Effective 9/1/19

Select Provisions: Requires the governing body of a Local Mental Health Authority to include:

• for a local authority that serves only one

county, the sheriff of the county, or the sheriff’s representative, as an ex officio nonvoting member;

• for a local authority that serves two or more

counties, two sheriffs, or a representative of each sheriff, as ex officio nonvoting members.

9

SB 633 (Kolkhorst/ Lambert)

Effective immediately

“All Texas Access”

Select Provisions: Directs HHSC to work closely with rural LMHAs & local stakeholders to create regional plans to reduce costs to local and state government and improve service delivery. Each plan will address the goals of reducing:

• The cost to local governments of providing services to

people experiencing a mental health crisis

• Transportation of people to mental health facilities
• Incarceration of people with mental illness in county jails
• The number of hospital emergency room visits by people

with mental illness Final report is due by December 1, 2020

10

HB 4468

(Coleman/Whitmire) Sandra Bland Act Update

Effective 9/1/19

Select Provisions: Amend (S.B. 1849), Act of the 85th Legislature, Regular Session, 2017

• “give prisoners the ability to access a mental health

professional at the jail or through a telemental health service 24 hours a day or, if a mental health professional is not at the county jail at the time, then require the jail to use all reasonable efforts to arrange for the inmate to have access to a mental health professional within a reasonable time;”

• Jail Commission capital improvement grant funds

available to facilities with 288 or fewer beds (previously limited to 96 or fewer beds)

• Healthy Community Collaborative: Counties with pop
• f 250,000 or less incentivized by allowing “in‐kind”

contributions as match and lowering the threshold to .25 to 1

11

Interim Charges

12

Future of the 1115 Transformation Waiver

13

14

Integrated Care Capacity‐Building Initiative Access to STAR+PLUS Benefits for a Targeted SMI Population Tailor STAR+PLUS: CCBHC as a Class of Providers and Directed Payments

Criminal Justice Mental Health Interface

15

Inpatient Care

16

Lee Johnson Deputy Director Texas Council of Community Centers ljohnson@txcouncil.com

17

18

Overview: The Texas Mental Health and Intellectual and Development Disabilities Law Bench Book is a procedural guide for Texas judges hearing cases regarding persons with mental illness and/or IDD Source: http://texasjcmh.gov/publications/bench‐ book‐and‐cards/ Up‐coming Event: Judicial Commission on MH Summit: November 18‐19, 2019 in San Marcos, Texas.

19

= Population = Inpatient psychiatric state hospital beds

10.3M 28.7M 14,921 2,432

1964 2018

20

22

26

27

28

State Hospital System Total HHSC Request: $784M Total Funded: $445M ASH Requested: $282M Funded: $165M SASH Requested: $323M Funded: $190M Rusk Requested: $90M Funded: $90M

29

30

31

$0 32