Bill Text: AZ SB1018 | 2023 | Fifty-sixth Legislature 1st Regular | Engrossed
Bill Title: Collaborative care; appropriation
Spectrum: Partisan Bill (Republican 2-0)
Status: (Engrossed - Dead) 2023-03-29 - House APPROP Committee action: Do Pass, voting: (15-0-0-0-0-0) [SB1018 Detail]
Download: Arizona-2023-SB1018-Engrossed.html
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Senate Engrossed
mental health coverage; collaborative care (now: collaborative care; appropriation) |
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State of Arizona Senate Fifty-sixth Legislature First Regular Session 2023
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SENATE BILL 1018 |
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An Act
amending title 36, chapter 34, Arizona Revised Statutes, by adding article 4; APPROPRIATING monies; relating to collaborative care.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 36, chapter 34, Arizona Revised Statutes, is amended by adding article 4, to read:
ARTICLE 4. COLLABORATIVE CARE
36-3451. Definitions
In this article, unless the context otherwise requires:
1. "Collaborative care model" means the evidence-based, integrated behavioral health service delivery method that is described as the psychiatric collaborative care model in 81 federal register 80230, that includes a formal collaborative arrangement among a primary care team consisting of a primary care physician, a care manager and a psychiatric consultant and that includes the following elements:
(a) Care directed by the primary care team.
(b) Structured care management.
(c) Regular assessments of clinical status using developmentally appropriate, validated tools.
(d) Modification of treatment as appropriate.
2. "Collaborative care technical assistance center":
(a) Means a health care organization that can provide educational support and technical assistance related to the collaborative care model.
(b) Includes an academic medical center.
3. "Department" means the department of health services.
4. "Primary care physician" has the same meaning prescribed in section 36-2901.
36-3452. Collaborative care uptake fund; administration; primary care physician grants
A. The collaborative care uptake fund is established in the department. The fund consists of monies appropriated by the legislature. Monies in the fund are subject to legislative appropriation and do not revert to the state general fund.
B. The department shall use the collaborative care uptake fund monies to make grants to primary care physicians who are in a medical practice with not more than fifty employees to meet the initial costs of establishing and delivering behavioral health integration services through the collaborative care model and for technical assistance grants pursuant to section 36-3453.
C. A primary care physician that receives a grant under this section may use the grant monies:
1. To hire staff.
2. To identify and formalize contractual relationships with other health care practitioners, including health care practitioners who will function as psychiatric consultants and behavioral health care managers in providing behavioral health integration services through the collaborative care model.
3. To purchase or upgrade software and other resources needed to appropriately provide behavioral health integration services through the collaborative care model, including resources needed to establish a patient registry and implement measurement-based care.
4. For any other purposes the department prescribes as necessary to support the collaborative care model.
36-3453. Collaborative care technical assistance center grants; purposes
A. The department shall solicit proposals from and enter into grant agreements with eligible collaborative care technical assistance center applicants to provide technical assistance to primary care physicians on providing behavioral health integration services through the collaborative care model. Each collaborative care technical assistance center applicant must provide in the grant application information on how the collaborative care technical assistance center will meet the assistance requirements prescribed in subsection B of this section in order to be eligible for a grant.
B. A collaborative care technical assistance center that receives a grant under this section shall provide technical assistance to primary care physicians and shall assist the primary care physicians with the following:
1. Developing financial models and budgets for program launch and sustainability based on practice size.
2. Developing staffing models for essential staff roles, including care managers and consulting psychiatrists.
3. Providing information technology expertise to assist with building the model requirements into electronic health records, including assistance with care manager tools, patient registry, ongoing patient monitoring and patient records.
4. Providing training support for all key staff and operational consultation to develop practice workflows.
5. Establishing methods to ensure the sharing of best practices and operational knowledge among primary care physicians who provide behavioral health integration services through the collaborative care model.
6. For any other purposes the department prescribes as necessary to support the collaborative care model.
Sec. 2. Appropriation; collaborative care uptake fund; exemption
A. The sum of $1,000,000 is appropriated from the state general fund in fiscal year 2023-2024 to the collaborative care uptake fund established by section 36-3452, Arizona Revised Statutes, as added by this act, and is appropriated from the collaborative care uptake fund to the department of health services.
B. The appropriation made in subsection A of this section is exempt from the provisions of section 35-190, Arizona Revised Statutes, relating to lapsing of appropriations.
