The bill 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. It 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's primary responsibility will be to oversee 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.

Additionally, the bill outlines the council's authority to establish a grant program aimed at improving the coordination of services for individuals with co-occurring mental health and substance use disorders. The council is required to submit annual reports detailing expenditures and fund balances to the legislature, and it must adopt rules to implement the provisions of this subchapter. The act will take effect immediately upon receiving a two-thirds vote from both houses or on September 1, 2025, if that threshold is not met.

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