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Txpsychiatrist Aprmay18 APRIL /M AY 2018 Texas Psychiatrist T E R A I O N D O E F F # # T 2018 Legislative Update E Y X R A T Eric Woomer, Federation of Texas Psychiatry Public Policy Consultant S I A P S Y C H exas recently Larson (HD 122) and Wayne Faircloth (HD Garcia , D-Houston, won the Democratic Theld its primaries for a wide range of 23). Davis and Larson won their primaries, nomination for a congressional seat with elective offices, and there are varied activities but Faircloth did not. There is likely to be sig - Reps. Ana Hernandez and Carol Alvarado affecting mental health programs ongoing at nificant tension between the Governor and already vying to replace her. the state level. Here is a summary of issues some factions of the House, if Davis and Furthermore, Sen. Carlos Uresti , D-San your legislative team is working on: Larson go on to win in the general election. Antonio, was convicted on federal Election Report: All of the major The six incumbents defeated in the pri - charges and is facing millions in fines and statewide elected officials on the ballot won mary were Faircloth (HD 23), Dawnna Dukes years in prison. Rep. Roland Gutierrez is lin - Eric Woomer their Republican Primary races without a (HD 46), Roberto Alonzo (HD 104), Jason ing up to pursue the seat, whenever Uresti run-off – U.S. Senator Ted Cruz, Governor Villalba (HD 114), Diana Arevalo (HD 116) steps down. Last session, $300 million was appropri - Greg Abbott, Lt. Governor Dan Patrick, and Tomas Uresti (HD 118). Fourteen seats None of this is enough to flip the majority ated for expansion and renovation of state Agriculture Commissioner Sid Miller, Land have a runoff, which is scheduled for May 22. in either chamber – the House would need 21 psychiatric hospitals. The state has already Commissioner George P. Bush, and Railroad November Outlook: Texas has been a Democrats to take over, and it would take five approved expansion of capacity at Kerrville Commissioner Christi Craddick. Attorney Republican state for decades, and while in the Senate. However, strong Democratic and San Antonio, and 200 new beds will be General Ken Paxton and Comptroller Glenn much has been made of Democratic gains in gains in November could affect the selection added to Rusk State Hospital (partly for max - Hegar ran unopposed. this cycle to date, it remains to be seen that of the next House Speaker (Joe Straus is not imum security). There is also money for pre- On the Democratic side, Beto O’Rourke of this will translate into victories in November. seeking another term) and an erosion of GOP planning at Austin State Hospital and San El Paso won the Democratic Primary for U.S. The top of the ticket looked pretty strong – votes in the Senate (or a new presiding offi - Antonio State Hospital, looking not just at Senate and will challenge Cruz in the Sen. Cruz won 85% of the vote (although cer, should Patrick be defeated) would cer - rebuilding buildings, but at how the facilities November General Election. In the O’Rourke continues his strong fundraising), tainly alter the Senate’s legislative priorities will work within the system. HHSC is also Governor’s race, there will be a run-off and Gov. Abbott topped 90% in his primary and/or the votes to enact them. looking at hospitals that have closed down, between former Dallas County Sheriff Lupe against two underfunded opponents. Mental Health Activities: Meanwhile, including Texas Youth Commission facilities, Valdez and Andrew White, son of former Down ballot, however, the picture is mental health-related goings-on continued but in some cases, like Waco, the cost for Governor Mark White. Michael Collier, a CPA murkier. Roughly 25% of GOP voters picked at full steam. The Statewide Behavioral conversion has been prohibitive. from Humble will challenge Lt. Governor unknown Scott Milder in the Lt. Governor Health Coordinating Council is busy prepar - There has been a large increase in opioid Dan Patrick. Joi L. Chevalier, a product man - race against incumbent Dan Patrick, who ing a coordinated funding proposal, covering related deaths in Texas as well as nationally. ager for Dell Computer is the Democratic garnered 225,000 fewer votes than Abbott. the $9 billion in behavioral health funding The state received $27.4 million in federal nominee for Comptroller and will challenge Moreover, tally up the GOP voters who pulled across all agencies. There is also a behavioral funding to help address the crisis. Part of the Hegar in November. Austin attorney Miguel the lever for Milder and the Democratic votes health services inventory analysis underway, effort includes reviewing data to determine Suazo is the Democratic nominee for the for nominee Mike Collier and also-ran and a requirement to submit a progress the percentage of mental health patients General Land Office and will challenge Bush. Michael Cooper, and you’ve got 1.3 million report for the Statewide Behavioral Health using opioids. One of the initiatives is com - In the Texas Senate, fifteen of thirty-one Texans who voted for someone other than Strategic Plan, which was released in bined suicide prevention/opioid prevention. seats were up for election this cycle. Seven Patrick, who received only 1.1 million votes December of 2017. Finding enough providers remains a chal - incumbent senators faced challengers in the in total. Last session, Rep. Four Price’s H.B. 13 lenge. primaries, and all but one prevailed. In the Legislature, incumbent Senators established the Community Mental Health Previously, Texas has relied on narcotic Highlights include Sen. Bob Hall retaining his Konnie Burton and Don Huffines have swing Grant Program and provided $30 million in treatment clinics, which have additional reg - Senate District 2 seat against formidable districts – Hillary Clinton polled a statistical state funds over the 2018-19 biennium, to be ulations and restrictions. Presumably, with challenger Rep. Cindy Burkett. Angela tie with Donald Trump in Burton’s Tarrant matched by grantees with local and private office-based opioid treatment, there will be Paxton, wife of Ken Paxton, won the big- County district in 2016, and she defeated funds. Under the first phase, up to $15 mil - less difficulty with regulation and easier name showdown for SD 8 against Phillip Trump in the boundaries of Huffines’ Dallas lion in grant funds will go to 23 local mental means for establishing treatment facilities. Huffines, brother of incumbent Sen. Don seat. In this year’s primary, Burton received health authorities and two local behavioral Presently, of the admissions to services, only Huffines, and Sen. Kel Seliger defended SD 2,000 fewer votes than her Democratic chal - health authorities located across the state. 14% of patients received evidence-based 31 against two primary challengers, defeating lenger, and Huffines was bested by his The resources will fund community pro - treatment. Modifying interventions and former Midland Mayor Mike Canon and local Democratic opponent by more than 6,000 grams to expand treatment, promote recov - increasing the use of medications for treat - restauranteur Victor Leal. In SD 30, incum - votes. Meanwhile, six GOP-held House seats ery, and improve quality of life for individuals ment can cut mortality by half. bent Sen. Craig Estes lost his seat to chal - saw the Democrat get more votes than the with mental illness. Examples of expanded The 85th Legislature also passed S.B. 292, lenger Rep. Pat Fallon. Republican in their respective primaries, and treatment and services include adding which created a grant program for local col - All 150 Texas House seats are up for re- several others were separated by a few hun - licensed chemical dependency counselors laborations with the goals of reducing recidi - election. Forty-two incumbents had primary dred votes. and peers to mobile crisis outreach teams vism, incarceration, and the frequency of election challengers and all but six won their Other seats will see special elections that and establishing drop-in centers for individ - arrests among persons with mental illness. races. Gov. Greg Abbott invested significant won’t change the partisan balance but will uals experiencing crisis as an alternative to time and money campaigning against change the faces in the room. Sen. Sylvia the emergency room or hospitalization. See 2018 Legislative Update , page 2 Representatives Sarah Davis (HD 134), Lyle TSPP/TAP Spring Meeting I NSIDE and CME Program Calendar . .8 “The Interface Between Committe Preferences . .5 Psychiatry and Other Congratulations . .2 Medical Specialties” Reflections and Thank You . .2 TSCAP Annual Convention Hotel Reservations: & Scientific Program . .6-7 Westin Austin at the Domain Hotel TSPP/TAP Spring Meeting/ CME Program . .3-4 https://www.starwoodmeeting.com/Book/ TSPP/TAP Spring Meeting/CME TSPPTAPSpringmeeting2018 Registration Form . .2 Reflections and Thank You Terry McMahon, MD, President, Texas Society of Psychiatric Physicians s winter wanes along with my term our profession and those we serve. Differential Diagnosis of Neurocognitive Aas the Texas Society of Psychiatric Disorders; Integrated Care Model; Physicians President, at times I pause and APRIL 14 MEETING HIGHLIGHTS: Psychiatry and Cardiology; Traumatic Brain reflect up on the year in review. In doing Job Fair and Exhibits All Day Saturday – Job Injury and Pituatary Dysfunction; EMR and so, I certainly agree with others that we live opportunities available throughout the Pay for Performance; The Opioid Epidemic in” interesting times”, which seem to be State
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