(a) The commission and each appropriate health and human services agency shall require a person who develops a permanency plan for a child residing in an institution to identify and document in the child’s permanency plan all ongoing permanency planning efforts at least semiannually to ensure that, as soon as possible, the child will benefit from a permanent living arrangement with an enduring and nurturing parental relationship.
(b) The chief executive officer of each appropriate health and human services agency or the officer’s designee must approve the placement of a child in an institution. The initial placement of the child in the institution is temporary and may not exceed six months unless the appropriate chief executive officer or the officer’s designee approves an extension of an additional six months after conducting a review of documented permanency planning efforts to unite the child with a family in a permanent living arrangement. After the initial six-month extension of a child’s placement in an institution approved under this subsection, the chief executive officer or the officer’s designee shall conduct a review of the child’s placement in the institution at least semiannually to determine whether a continuation of that placement is warranted. If, based on the review, the chief executive officer or the officer’s designee determines that an additional extension is warranted, the officer or the officer’s designee shall recommend to the executive commissioner that the child continue residing in the institution.

(c) On receipt of a recommendation made under Subsection (b) for an extension of a child’s placement, the executive commissioner, the executive commissioner’s designee, or another person with whom the commission contracts shall conduct a review of the child’s placement. Based on the results of the review, the executive commissioner or the executive commissioner’s designee may approve a six-month extension of the child’s placement if the extension is appropriate.
(d) The child may continue residing in the institution after the six-month extension approved under Subsection (c) only if the chief executive officer of the appropriate health and human services agency or the officer’s designee makes subsequent recommendations as provided by Subsection (b) for each additional six-month extension and the executive commissioner or the executive commissioner’s designee approves each extension as provided by Subsection (c).
(e) The executive commissioner or the executive commissioner’s designee shall conduct a semiannual review of data received from health and human services agencies regarding all children who reside in institutions in this state. The executive commissioner, the executive commissioner’s designee, or a person with whom the commission contracts shall also review the recommendations of the chief executive officers of each appropriate health and human services agency or the officer’s designee if the officer or the officer’s designee repeatedly recommends that children continue residing in an institution.
(f) The executive commissioner by rule shall develop procedures by which to conduct the reviews required by Subsections (c), (d), and (e). In developing the procedures, the commission may seek input from the work group on children’s long-term services, health services, and mental health services established under Section 22.035, Human Resources Code.

Text of section effective until April 01, 2025