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Human Services December 2010

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Human Services December 2010 InterIm report to the 82nd texas LegisLature House Committee on Human ServiceS December 2010 HOUSE COMMITTEE ON HUMAN SERVICES TEXAS HOUSE OF REPRESENTATIVES INTERIM REPORT 2010 A REPORT TO THE HOUSE OF REPRESENTATIVES 82ND TEXAS LEGISLATURE PATRICK ROSE CHAIRMAN COMMITTEE CLERK MICHAEL RUGGIERI Committee On Human Services December 21, 2010 Patrick Rose P.O. Box 2910 Chairman Austin, Texas 78768-2910 The Honorable Joe Straus Speaker, Texas House of Representatives Members of the Texas House of Representatives Texas State Capitol, Rm. 2W.13 Austin, Texas 78701 Dear Mr. Speaker and Fellow Members: The Committee on Human Services of the Eighty-first Legislature hereby submits its interim report including recommendations and drafted legislation for consideration by the Eighty-second Legislature. Respectfully submitted, _______________________ Patrick Rose _______________________ ______________________ Abel Herrero, Vice Chair Bryan Hughes _______________________ ______________________ Drew Darby Ken Legler _______________________ ______________________ Gary Elkins Elliott Naishtat _______________________ ______________________ Ana E. Hernandez Armando Walle [Abel Herrero] Vice-Chairman Members: [Drew Darby, Gary Elkins, Ana Hernandez, Bryan Hughes, Ken Legler, Elliot Naishtat, Armando Walle] TABLE OF CONTENTS INTRODUCTION ...........................................................................................................................1 INTERIM STUDY CHARGES.......................................................................................................2 CHARGE 1 ......................................................................................................................................3 1. Executive Summary ...............................................................................................................3 2. Texas' Services for Persons with Intellectual and Developmental Disabilities .....................4 3. Reporting Abuse, Neglect and Exploitation ..........................................................................7 4. Overarching State Supported Living Center Challenges .......................................................9 5. Status of DOJ Settlement Agreement Implementation........................................................13 6. Status of SB 643 Implementation ........................................................................................19 7. Status of Other Reforms: Article II, Section 48, SB 1........................................................33 8. Recommendations................................................................................................................35 9. Endnotes ..............................................................................................................................37 10. Appendices ........................................................................................................................40 CHARGE 2 ....................................................................................................................................45 1. Executive Summary .............................................................................................................45 2. Background ..........................................................................................................................45 3. Permanency..........................................................................................................................49 4. Permanency Challenges in Texas .......................................................................................52 5. The Permanency Care Assistance Program .........................................................................55 6. Overview of the PCA Program ............................................................................................59 7. Monitoring DFPS Program Implementation Efforts ...........................................................61 8. Emerging Issues ...................................................................................................................64 9. Hearing Testimony ..............................................................................................................68 10. References..........................................................................................................................72 CHARGE 3 ....................................................................................................................................74 1. Executive Summary .............................................................................................................74 2. Defining the Problem...........................................................................................................75 3. Long-Term Care in Texas....................................................................................................77 4. Single Point of Entry ...........................................................................................................90 5. Texas' Eligibility System .....................................................................................................95 6. Conclusion and Recommendations......................................................................................99 7. Endnotes ............................................................................................................................103 8. Appendices ........................................................................................................................105 CHARGE 4 ..................................................................................................................................115 1. Executive Summary ...........................................................................................................115 2. Background ........................................................................................................................116 3. Status of SNAP Eligibility Issues and Improvements .......................................................119 4. TIERS Rollout ...................................................................................................................124 5. Conclusion .........................................................................................................................125 6. Recommendations..............................................................................................................126 7. Testimony ..........................................................................................................................128 8. Endnotes ............................................................................................................................129 CHARGE 5 ..................................................................................................................................130 1. Executive Summary ...........................................................................................................130 2. The Child Abuse and Neglect Case ...................................................................................130 3. Focus on Investigation and Treatment...............................................................................130 4. Departmental Policy for PCSPs .........................................................................................136 5. Policy Issues ......................................................................................................................139 6. Recent Action Taken by DFPS ..........................................................................................141 7. Recommendations..............................................................................................................142 8. Testimony and Public Comment .......................................................................................143 9. References..........................................................................................................................149 CHARGE 6 ..................................................................................................................................150 The Nursing Facility Backlog......................................................................................................150 Recent Findings of Abuse and Neglect in Texas' Residential Treatment Centers ......................150 1. Executive Summary ...........................................................................................................150 2. Heightened Public Concern: Abuse and Neglect at RTCs ...............................................151 3. DFPS Response to Heightened Public Concern ................................................................152 4. Emerging Policy Issues Concerning Child RTCs..............................................................154 5. Recommendations for Improving Oversight of RTCs.......................................................157 6. Hearing Testimony ............................................................................................................158 7. References..........................................................................................................................160 8. Appendices ........................................................................................................................161 LETTERS OF DISSENT.............................................................................................................168
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