Tex. Health & Safety Code Section 533.0515
Regional Allocation of Mental Health Beds


(a)

In this section, “inpatient mental health facility” has the meaning assigned by Section 571.003 (Definitions).

(b)

The commission, with input from local mental health authorities, local behavioral health authorities, stakeholders, and the forensic director appointed under Section 532.013 (Forensic Director), and after considering any plan developed under Section 533.051 (Allocation of Outpatient Mental Health Services and Beds in State Hospitals), shall divide the state into regions for the purpose of allocating to each region state-funded beds in the state hospitals and other inpatient mental health facilities for patients who are:

(1)

voluntarily admitted to a state hospital or other inpatient mental health facility under Subchapter B (Voluntary Admission of Adult), Chapter 462 (Treatment of Persons with Chemical Dependencies), or Chapter 572 (Voluntary Mental Health Services);

(2)

admitted to a state hospital or other inpatient mental health facility for emergency detention under Subchapter C (Apprehension by Peace Officer Without Warrant), Chapter 462 (Treatment of Persons with Chemical Dependencies), or Chapter 573 (Emergency Detention);

(3)

ordered by a court to receive at a state hospital or other inpatient mental health facility inpatient chemical dependency treatment under Subchapter D (Court-ordered Treatment; Jurisdiction), Chapter 462 (Treatment of Persons with Chemical Dependencies), or inpatient mental health services under Chapter 574 (Court-ordered Mental Health Services);

(4)

committed to a state hospital or other inpatient mental health facility to attain competency to stand trial under Chapter 46B (Incompetency to Stand Trial), Code of Criminal Procedure; or

(5)

committed to a state hospital or other inpatient mental health facility to receive inpatient mental health services following an acquittal by reason of insanity under Chapter 46C (Insanity Defense), Code of Criminal Procedure.

(c)

The department, in conjunction with the commission, shall convene the advisory panel described by Section 533.051 (Allocation of Outpatient Mental Health Services and Beds in State Hospitals)(c) at least quarterly in order for the advisory panel to:

(1)

develop, make recommendations to the executive commissioner or department, as appropriate, and monitor the implementation of updates to:

(A)

a bed day allocation methodology for allocating to each region designated under Subsection (b) a certain number of state-funded beds in state hospitals and other inpatient mental health facilities for the patients described by Subsection (b) based on the identification and evaluation of factors that impact the use of state-funded beds by patients in a region, including clinical acuity, the prevalence of serious mental illness, and the availability of resources in the region; and

(B)

a bed day utilization review protocol that includes a peer review process to:
(i)
evaluate:
(a)
the use of state-funded beds in state hospitals and other inpatient mental health facilities by patients described by Subsection (b);
(b)
alternatives to hospitalization for those patients;
(c)
the readmission rate for those patients; and
(d)
the average length of admission for those patients; and
(ii)
conduct a review of the diagnostic and acuity profiles of patients described by Subsection (b) for the purpose of assisting the department, commission, and advisory panel in making informed decisions and using available resources efficiently and effectively; and

(2)

receive and review status updates from the department regarding the implementation of the bed day allocation methodology and the bed day utilization review protocol.

(d)

Not later than December 1 of each even-numbered year, the advisory panel shall submit to the executive commissioner for consideration a proposal for an updated bed day allocation methodology and bed day utilization review protocol, and the executive commissioner shall adopt an updated bed day allocation methodology and bed day utilization review protocol.

(e)

Not later than December 1 of each even-numbered year, the department, in conjunction with the commission and the advisory panel, shall prepare and submit to the governor, the lieutenant governor, the speaker of the house of representatives, the senate finance committee, the house appropriations committee, and the standing committees of the legislature having jurisdiction over mental health and human services a report that includes:

(1)

a summary of the activities of the commission, department, and advisory panel to develop or update the bed day allocation methodology and bed day utilization review protocol;

(2)

the outcomes of the implementation of the bed day allocation methodology by region, including an explanation of how the actual outcomes aligned with or differed from the expected outcomes;

(3)

for planning purposes, for each region, the actual value of a bed day for the two years preceding the date of the report and the projected value of a bed day for the five years following the date of the report, as calculated by the department;

(4)

for each region, an evaluation of the factors in Subsection (c)(1)(A), including the availability of resources in the region, that impact the use of state-funded beds in state hospitals and other inpatient mental health facilities by the patients described by Subsection (b);

(5)

the outcomes of the implementation of the bed day utilization review protocol and the impact of the use of the protocol on the use of state-funded beds in state hospitals and other inpatient mental health facilities by the patients described by Subsection (b); and

(6)

any recommendations of the department, commission, or advisory panel to enhance the effective and efficient allocation of state-funded beds in state hospitals and other inpatient mental health facilities for the patients described by Subsection (b).
Added by Acts 2015, 84th Leg., R.S., Ch. 207 (S.B. 1507), Sec. 2, eff. May 28, 2015.

Source: Section 533.0515 — Regional Allocation of Mental Health Beds, https://statutes.­capitol.­texas.­gov/Docs/HS/htm/HS.­533.­htm#533.­0515 (accessed Jun. 5, 2024).

533.001
Gifts and Grants
533.0001
Definitions
533.0002
Commissioner’s Powers and Duties
533.003
Use of Funds for Volunteer Programs in Local Authorities and Community Centers
533.004
Liens
533.005
Easements
533.007
Use of Criminal History Record Information
533.008
Employment Opportunities for Individuals with Mental Illness or an Intellectual Disability
533.009
Exchange of Patient Records
533.010
Information Relating to Condition
533.012
Cooperation of State Agencies
533.014
Responsibility of Local Mental Health Authorities in Making Treatment Recommendations
533.015
Unannounced Inspections
533.016
Certain Procurements of Goods and Services by Service Providers
533.017
Participation in Purchasing Contracts or Group Purchasing Program
533.031
Definitions
533.032
Long-range Planning
533.033
Determination of Required Range of Mental Health Services
533.034
Authority to Contract for Community-based Services
533.035
Local Mental Health Authorities
533.037
Service Programs and Sheltered Workshops
533.040
Services for Children and Youth
533.042
Evaluation of Elderly Residents
533.043
Proposals for Geriatric, Extended, and Transitional Care
533.051
Allocation of Outpatient Mental Health Services and Beds in State Hospitals
533.052
Contracting with Certain Mental Health Service Providers and Facilities to Provide Services and Beds for Certain Persons
533.053
Informing Courts of Commitment Options
533.0075
Exchange of Employment Records
533.081
Development of Facility Budgets
533.082
Determination of Savings in Facilities
533.083
Criteria for Expansion, Closure, or Consolidation of Facility
533.084
Management of Surplus Real Property
533.085
Facilities for Inmate and Parolee Care
533.087
Lease of Real Property
533.0095
Collection and Maintenance of Information Regarding Persons Found Not Guilty by Reason of Insanity
533.108
Prioritization of Funding for Diversion of Persons from Incarceration in Certain Counties
533.0325
Continuum of Services in Campus Facilities
533.0345
State Agency Services Standards
533.0351
Required Composition of Local Mental Health Authority Governing Body
533.0352
Local Authority Planning for Local Service Area
533.0354
Disease Management Practices and Jail Diversion Measures of Local Mental Health Authorities
533.0356
Local Behavioral Health Authorities
533.0357
Best Practices Clearinghouse for Local Mental Health Authorities
533.0358
Local Mental Health Authority’s Provision of Services as Provider of Last Resort
533.0359
Rulemaking for Local Mental Health Authorities
533.0415
Memorandum of Understanding on Interagency Training
533.0515
Regional Allocation of Mental Health Beds
533.0844
Mental Health Community Services Account
533.03521
Local Network Development Plan Creation and Approval

Accessed:
Jun. 5, 2024

§ 533.0515’s source at texas​.gov