The bill, H.B. No. 5121, introduces Chapter 580 to the Health and Safety Code, focusing on inpatient competency restoration services. It defines key terms such as "Commission," "Competency restoration," and "Residential care facility." The chapter applies specifically to facilities that contract with the Health and Human Services Commission to provide these services, ensuring that they enter into a memorandum of understanding with local authorities to clarify responsibilities. Additionally, the bill mandates that these facilities submit annual reports to the commission detailing various metrics related to the competency restoration services provided, including the number of individuals served, their outcomes, and demographic data.

Furthermore, the commission is required to prepare and submit an annual report to the legislature, evaluating the performance of each facility and comparing 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 September 1, 2027, and the act will take effect on September 1, 2025.

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