Bill Text: HI SB3279 | 2024 | Regular Session | Amended
Bill Title: Relating To Mental Health.
Spectrum: Partisan Bill (Democrat 5-0)
Status: (Passed) 2024-06-28 - Act 106, 06/27/2024 (Gov. Msg. No. 1207). [SB3279 Detail]
Download: Hawaii-2024-SB3279-Amended.html
|
THE SENATE |
S.B. NO. |
3279 |
|
THIRTY-SECOND LEGISLATURE, 2024 |
S.D. 1 |
|
|
STATE OF HAWAII |
H.D. 2 |
|
|
|
|
|
|
|
||
|
|
||
A BILL FOR AN ACT
RELATING TO MENTAL HEALTH.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The legislature further finds that research conducted over the past fifty years in the fields of psychology, public health, neuroscience, and organizational development demonstrate the critical importance of a tiered approach to comprehensively address statewide mental health concerns and provide every individual with the skills and resources they need to take care of themselves, their families, and their broader ecosystems. Tier 1 mental health support services provide skills training, curricula, and programming to all stakeholders of an organization such as schools, community centers, police and fire departments, medical institutions, and other first responder facilities. Tier 1 mental health support services provide a common vocabulary and set of wellness practices that members of the organization collectively share to promote a safe and healthy organizational culture for everyone. Tier 2 mental health support services recognize that certain populations within an organization may be at higher risk for certain mental illnesses than others, and so these groups require specialized training, support, and skill‑building that is culturally contextualized to best support the specific needs of the high-risk group. Tier 2 mental health support services therefore exist to provide additional specialized group support interventions. Taken together, these tiers of mental health support cover the core mental health needs of individuals, groups, organizations, and communities.
The legislature further finds that a comprehensive system of mental health support services on a statewide level requires the seamless integration of tier 1 and 2 mental health support services. Tier 1 mental health support services benefit public institutions through whole-organization tier 1 mental health support training for students, school staff, firefighters, police officers, medical staff, and other first responder groups. Higher risk groups within each of these organizations benefit from tier 2 mental health support services that use culturally responsive approaches. Overall, mentally well individuals create safe and healthy communities, which further promote a safe and healthy state for all citizens.
Accordingly, the purpose of this Act is to:
(1) Establish the state of well-being project and a timeline for the project to:
(A) Assess current tiers of mental health support services; and
(B) Enhance existing well-being programming and, when non-existent, build out culturally grounded and community-informed well-being programming to establish mental health support services for key stakeholder communities across the State; and
(2) Appropriate funds for mental health specialist positions within the office of wellness and resilience.
SECTION 2. Chapter 27, Hawaii Revised Statutes, is amended by adding a new section to part IX to be appropriately designated and to read as follows:
"§27- State of well-being project; established. (a) There is established within the office the state of well-being project to assess and enhance tier 1 mental health support and tier 2 mental health support services for key stakeholder communities across the State. The project shall:
(1) Assess and enhance existing tier 1 mental
health support and tier 2 mental health support training and ongoing support
services to public schools, public community centers, first responder groups,
police departments, fire departments, hospitals, and medical staff and, when
non-existent, build out culturally grounded and community-informed well-being
programming;
(2) Track and measure aggregate mental
health trends across all populations served by the project; and
(3) Hire and train mental health
specialists and work with approved partner organizations identified by the
office to lead project execution across tier 1 mental health support and tier 2
mental health support services in each key stakeholder community.
(b) The office shall administer the state of
well-being project in accordance with the following timeline:
(1) Beginning in 2024, initiate a
landscape assessment of existing tier 1 mental health support and tier 2 mental
health support services by December 31, 2025; and
(2) Beginning in 2025, initiate the enhancement of existing tier 1 mental health support and tier 2 mental health support services and, when non‑existent, build out culturally grounded and community-informed well-being programming, with statewide implementation to be achieved by December 31, 2027.
(c) For the purposes of this section:
"Tier
1 mental health support" means well-being service provisions that are
aimed at the entire system and population within an organization. "Tier 1 mental health support"
includes but is not limited to services that:
(1) Focus implementation on
whole-organization tier 1 mental health support services that offer continuous
care and year-round learning for all stakeholders;
(2) Are culturally relevant and
responsive to the needs of the communities that the service is serving;
(3) Are evidence-based in the
psychological and medical sciences, with published, peer-reviewed scientific
evidence of service efficacy;
(4) Include age-differentiated
lesson plans designed to support children and adults across all developmental
phases of life;
(5) Include delivery methodology that offers
multiple channels of learning, including but not limited to asynchronous
digital learning capabilities; synchronous digital learning capabilities in
cohorts or groups; and live in-person training and onsite implementation;
(6) Include tracking, measuring,
and reporting of the service's impact and implementation fidelity across all
sites; and
(7) Scales implementation that centers
on community cohort learning rather than individual learning.
"Tier
2 mental health support" means well-being service provisions that are
aimed at populations within an organization that are at higher risk of mental
health challenges. "Tier 2 mental
health support" includes but is not limited to services that:
(1) Use tier 1 mental health support as
a baseline;
(2) Provide a deep understanding
of a particular population within a community and are designed to support
systems to uplift well-being and prevent illness for that group;
(3) Offer additional context and
support to tier 1 mental health support services; and
(4) Connect individuals to providers who
offer one-on-one clinical counseling for individuals with conditions that
require special attention when acute care is needed."
SECTION 3. Chapter 346, Hawaii Revised Statutes, is amended by adding a new section to part XXI to be appropriately designated and to read as follows:
"§346- State of well-being project; established. (a) There is established within the office the state of well-being project to assess and enhance tier 1 mental health support and tier 2 mental health support services for key stakeholder communities across the State. The project shall:
(1) Assess and enhance existing tier 1 mental
health support and tier 2 mental health support training and ongoing support
services to public schools, public community centers, first responder groups,
police departments, fire departments, hospitals, and medical staff and, when
non-existent, build out culturally grounded and community-informed well-being
programming;
(2) Track and measure aggregate mental
health trends across all populations served by the project; and
(3) Hire and train mental health
specialists and work with approved partner organizations identified by the
office to lead project execution across tier 1 mental health support and tier 2
mental health support services in each key stakeholder community.
(b) The office shall administer the state of
well-being project in accordance with the following timeline:
(1) Beginning in 2024, initiate a
landscape assessment of existing tier 1 mental health support and tier 2 mental
health support services by December 31, 2025; and
(2) Beginning in 2025, initiate the enhancement
of existing tier 1 mental health support and tier 2 mental health support services
and, when non‑existent, build out culturally grounded and
community-informed well-being programming, with statewide implementation to be
achieved by December 31, 2027.
(c) For the purposes of this section:
"Tier
1 mental health support" has the same meaning as in section
27- .
"Tier
2 mental health support" has the same meaning as in section
27- ."
SECTION 4. In accordance with section 9 of article VII of the Hawaii State Constitution and sections 37-91 and 37-93, Hawaii Revised Statutes, the legislature has determined that the appropriations contained in Act 164, Regular Session of 2023, and this Act will cause the state general fund expenditure ceiling for fiscal year 2024-2025 to be exceeded by $ or per cent. This current declaration takes into account general fund appropriations authorized for fiscal year 2024-2025 in Act 164, Regular Session of 2023, and this Act only. The reasons for exceeding the general fund expenditure ceiling are that:
(1) The appropriation made in this Act is necessary to serve the public interest; and
(2) The appropriation made in this Act meets the needs addressed by this Act.
SECTION 5. There is appropriated out of the general revenues of the State of Hawaii the sum of $ or so much thereof as may be necessary for fiscal year 2024-2025 to establish the state of well-being project and fund full‑time equivalent ( .0 FTE) mental health specialist positions within the office of wellness and resilience.
The sum appropriated shall be expended by the office of wellness and resilience for the purposes of this Act.
SECTION 6. New statutory material is underscored.
SECTION 7. This Act shall take effect on July 1, 3000; provided that:
(1) Section 2 of this Act shall be repealed on June 30, 2025; and
(2) Section 3 of this Act shall take effect on July 1, 2025.
Report Title:
OWR; State of Well-Being Project; Tier 1 and Tier 2 Mental Health Support Services; Appropriation; Expenditure Ceiling
Description:
Establishes within the Office of Wellness and Resilience the State of Well-Being Project to assess and enhance tier 1 and tier 2 mental health support services for all key stakeholder communities across the State. Appropriates funds to establish full-time equivalent mental health specialist positions within the Office of Wellness and Resilience. Effective 7/1/3000. (HD2)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
