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Texas Association of Counties Legislative Conference September 5, 2019 Lee Johnson, MPA Deputy Director Texas Council of Community Centers 1

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Page 1: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

Texas Association of Counties Legislative Conference

September 5, 2019Lee Johnson, MPA

Deputy Director 

Texas Council of Community Centers 

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Page 2: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

1 ACCESS2 Andrews Center Behavioral

Healthcare System3 Austin Travis County Integral Care4 Betty Hardwick Center5 Bluebonnet Trails Community Services6 Border Region Behavioral Health Center7 MHMR Authority of Brazos Valley8 Burke9 Camino Real Community Services10 The Center for Health Care Services11 Center for Life Resources12 Central Counties Services13 Central Plains Center14 Coastal Plains Community Center15 MHMR Services for the Concho Valley16 Metrocare Services17 Denton County MHMR Center18 Emergence Health Network19 Gulf Bend Center20 Gulf Coast Center21 The Harris Center for Mental Health & IDD22 Heart of Texas Region MHMR Center23 Helen Farabee Centers24 Hill Country Mental Health &

Developmental Disabilities Centers

25 Lakes Regional Community Center26 LifePath Systems27 StarCare Specialty Health System28 Behavioral Health Center of Nueces County29 Pecan Valley Centers for Behavioral

& Developmental Healthcare30 PermiaCare31 Community Healthcore32 Spindletop Center33 MHMR Tarrant34 Texana Center35 Texas Panhandle Centers36 Texoma Community Center37 Tri-County Behavioral Healthcare38 Tropical Texas Behavioral Health39 West Texas Centers

Community Centers of Texas

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Page 3: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

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Page 4: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

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Page 5: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

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

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Page 6: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

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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

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

Page 8: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

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

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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.

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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, 202010

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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 of 250,000 or less incentivized by allowing “in‐kind” contributions as match and lowering the threshold to .25 to 1  11

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Interim Charges 

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Future of the 1115 Transformation Waiver 

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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 

Page 15: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

Criminal Justice Mental Health Interface

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Inpatient Care

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Page 17: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

Lee JohnsonDeputy Director

Texas Council of Community [email protected]

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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. 

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Page 20: Texas Association of Counties Legislative Conference September … Prese… · 21The Harris Center for Mental Health & IDD 22Heart of Texas Region MHMR Center 23Helen Farabee Centers

= Population= Inpatient psychiatric state hospital beds

10.3M

28.7M14,921

2,432

19642018

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State Hospital SystemTotal HHSC Request: $784MTotal Funded: $445M

ASHRequested: $282MFunded: $165M

SASHRequested: $323MFunded: $190M

RuskRequested: $90MFunded: $90M

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