H.B. No. 1747 establishes a new framework for the coordination of mental health, substance use, and public health care services in Texas by creating a dedicated council and trust fund. The bill introduces Subchapter K to Chapter 547 of the Government Code, which includes definitions and the establishment of the "mental health, substance use, and public health initiative council." This council will consist of 14 members appointed by various state leaders, including the governor, lieutenant governor, and speaker of the house, with a focus on ensuring diverse representation. The council is tasked with overseeing the allocation of funds from the newly created "mental health, substance use, and public health initiative trust fund," which will be managed by the Texas Treasury Safekeeping Trust Company.

The trust fund will be used to provide grants aimed at improving the coordination of services for individuals with co-occurring mental health and substance use disorders. The council is required to establish grant programs and evaluate applications biennially, ensuring that funded programs utilize evidence-based practices and promote long-term sustainability. Additionally, the council must submit an annual report detailing expenditures and fund balances to the legislature. The bill emphasizes the importance of collaboration among various stakeholders in the health sector to enhance service delivery and outcomes for affected individuals.

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