Texas Association of Counties Legislative Conference September 5, 2019 Lee Johnson, MPA Deputy Director Texas Council of Community Centers 1
Community Centers of Texas 1 ACCESS 25 Lakes Regional Community Center 2 Andrews Center Behavioral 26 LifePath Systems Healthcare System 27 StarCare Specialty Health System 3 Austin Travis County Integral Care 28 Behavioral Health Center of Nueces County 29 Pecan Valley Centers for Behavioral 4 Betty Hardwick Center & Developmental Healthcare 5 Bluebonnet Trails Community Services 30 PermiaCare 6 Border Region Behavioral Health Center 31 Community Healthcore 7 MHMR Authority of Brazos Valley 32 Spindletop Center 8 Burke 33 MHMR Tarrant 9 Camino Real Community Services 34 Texana Center 10 The Center for Health Care Services 35 Texas Panhandle Centers 11 Center for Life Resources 36 Texoma Community Center 12 Central Counties Services 37 Tri-County Behavioral Healthcare 13 Central Plains Center 38 Tropical Texas Behavioral Health 14 Coastal Plains Community Center 39 West Texas Centers 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 2
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86 th Legislative Session: Mental Health Services Priorities • Outpatient Treatment • School Safety / Mental Health Capacity for Adults and Interface Children • Substance Use Disorder • Locally Purchased Inpatient Services Bed Capacity • State Hospital System • Criminal Justice / Mental Redesign Health Interface 5
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CCP, 16.22, EARLY IDENTIFICATION OF DEFENDANT SUSPECTED OF HAVING MENTAL ILLNESS OR INTELLECTUAL DISABILITY • Legislative Recommendations from Texas Judicial Council / Office of Court HB 601 Administration, 2018: (Price/Zaffirini) 1. Clarify meaning of “assessment” under Code of Criminal Procedure Article 16.22 Effective 9/1/19 2. Clarify authority for TCOOMMI form; confidentiality 3. Clarify OCA reporting requirements 7
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 HB 601 • Changes the term “assessment” to “written report” (Price/Zaffirini) • Commissioners Court required to reimburse Local MH/IDD Authority or other qualified expert for the cost of performing the interview and collecting other information Effective 9/1/19 • 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
Select Provisions: Requires the governing body of a Local SB 632 Mental Health Authority to include: (Kolkhorst/ • for a local authority that serves only one Price) county, the sheriff of the county, or the sheriff’s representative, as an ex officio nonvoting member; Effective 9/1/19 • for a local authority that serves two or more counties, two sheriffs, or a representative of each sheriff, as ex officio nonvoting members. 9
“All Texas Access” Select Provisions: Directs HHSC to work closely with rural LMHAs & local SB 633 stakeholders to create regional plans to reduce costs to local and state government and improve service delivery. (Kolkhorst/ Each plan will address the goals of reducing: Lambert) • The cost to local governments of providing services to people experiencing a mental health crisis Effective immediately • 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
Select Provisions: Amend (S.B. 1849), Act of the 85th Legislature, Regular Session, 2017 • “give prisoners the ability to access a mental health HB 4468 professional at the jail or through a telemental health service 24 hours a day or, if a mental health (Coleman/Whitmire) professional is not at the county jail at the time, then require the jail to use all reasonable efforts to arrange Sandra Bland Act for the inmate to have access to a mental health Update professional within a reasonable time;” • Jail Commission capital improvement grant funds available to facilities with 288 or fewer beds Effective 9/1/19 (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
Interim Charges 12
Future of the 1115 Transformation Waiver 13
Tailor STAR+PLUS: Access to STAR+PLUS Integrated Care CCBHC as a Class of Benefits for a Targeted Capacity‐Building Providers and Directed SMI Population Initiative Payments 14
Criminal Justice Mental Health Interface 15
Inpatient Care 16
Lee Johnson Deputy Director Texas Council of Community Centers ljohnson@txcouncil.com 17
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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. 19
= Population = Inpatient psychiatric state hospital beds 28.7M 14,921 2018 1964 10.3M 2,432 20
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State Hospital System SASH Total HHSC Request: $784M Requested: $323M Total Funded: $445M Funded: $190M ASH Rusk Requested: $282M Requested: $90M Funded: $165M Funded: $90M 29
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