S.B. No. 528 introduces Chapter 580 to the Health and Safety Code, establishing regulations for inpatient competency restoration services in Texas. The bill defines key terms such as "Commission," "Competency restoration," and "Residential care facility." It mandates that facilities providing these services must contract with the Health and Human Services Commission and enter into a memorandum of understanding with local authorities to clarify responsibilities regarding these services. Additionally, the bill requires facilities to submit annual reports to the commission detailing the number of individuals served, their restoration outcomes, and demographic data.

Furthermore, the commission is tasked with preparing an annual report for the legislature that evaluates facility performance, aggregates demographic data, and compares the costs of services provided at these facilities to those at state hospitals and other programs. Notably, the bill stipulates that the initial report to the legislature is not required until August 1, 2027, and the act will take effect on September 1, 2025.

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