Bill Text: IA HF546 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to the delivery of, access to, and coordination and continuity of certain mental health, disability, and substance use disorder services. (Formerly HSB 156.)
Sponsorship: Committee Bill
Status: (Introduced - Dead) 2017-04-04 - Referred to Human Resources. H.J. 869. [HF546 Detail]
Download: Iowa-2017-HF546-Introduced.html
House File 546 - Introduced HOUSE FILE BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HSB 156) A BILL FOR 1 An Act relating to the delivery of, access to, and coordination 2 and continuity of certain mental health, disability, and 3 substance use disorder services. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 2630HV (3) 87 hb/rh/sc PAG LIN 1 1 DIVISION I 1 2 MENTAL HEALTH, DISABILITY, AND SUBSTANCE USE DISORDER SERVICES 1 3 ==== WORKGROUPS 1 4 Section 1. WORKGROUP ==== MENTAL HEALTH, DISABILITY, AND 1 5 SUBSTANCE USE DISORDER SERVICES. The department of human 1 6 services shall convene a stakeholder workgroup to make 1 7 recommendations relating to the delivery of, access to, and 1 8 coordination and continuity of mental health, disability, 1 9 and substance use disorder services for individuals with 1 10 complex mental health, disability, and substance use disorder 1 11 needs. The workgroup shall be comprised of representatives 1 12 from community mental health centers, crisis response service 1 13 providers, law enforcement agencies, the national alliance on 1 14 mental illness, the Iowa hospital association, the judicial 1 15 system, managed care organizations, mental health and 1 16 disability services regions, and other entities as appropriate. 1 17 The workgroup shall submit a report with recommendations to the 1 18 governor and general assembly by December 1, 2017. 1 19 Sec. 2. REGIONAL WORKGROUP ==== MENTAL HEALTH AND DISABILITY 1 20 REGIONAL SERVICES. 1 21 1. The regional administrators of each mental health and 1 22 disability services region shall collaborate to designate 1 23 an entity to convene a stakeholder workgroup to meet on a 1 24 regular basis, beginning July 1, 2017, to create collaborative 1 25 policies and processes relating to the delivery of, access 1 26 to, and continuity of services for individuals with complex 1 27 mental health, disability, and substance use disorder needs. 1 28 Each region shall provide an assessment of such individuals 1 29 with complex needs within each region in order to determine 1 30 which additional core services are necessary in each region to 1 31 meet the needs of such individuals, as resources allow. Each 1 32 region shall review resources currently available and options 1 33 for combining funds across the regions and shall consider 1 34 providing additional core services in their own region or 1 35 partnering with one or more other regions to provide additional 2 1 core services to serve such individuals. The workgroup shall 2 2 be comprised of representatives from hospitals, emergency 2 3 departments, psychiatric units, the judicial system, law 2 4 enforcement agencies, managed care organizations, mental health 2 5 providers, crisis service providers, substance abuse providers, 2 6 the national alliance on mental illness, and other entities as 2 7 appropriate. 2 8 2. Each mental health and disability services region 2 9 shall submit a community service plan to the department of 2 10 human services by October 2, 2017. The plan shall include 2 11 planning and implementation time frames and assessment tools 2 12 for determining the effectiveness of the plan in achieving the 2 13 department's identified outcomes for success in the delivery 2 14 of, access to, and coordination and continuity of services 2 15 for individuals with complex mental health, disability, and 2 16 substance use disorder needs. 2 17 3. The department shall submit a report to the governor 2 18 and general assembly by December 1, 2018, providing a summary 2 19 of services implemented by each mental health and disability 2 20 services region and an assessment of each region in achieving 2 21 the department's identified outcomes for success. 2 22 DIVISION II 2 23 BED TRACKING SYSTEM 2 24 Sec. 3. DEPARTMENT OF HUMAN SERVICES PSYCHIATRIC BED 2 25 TRACKING SYSTEM. The department of human services shall amend 2 26 its administrative rules pursuant to chapter 17A to require 2 27 the state mental health institutes and hospitals licensed 2 28 to provide inpatient psychiatric treatment and services to 2 29 participate in the psychiatric bed tracking system and to 2 30 ensure updates are made, at a minimum, two times per day to 2 31 the psychiatric bed tracking system. Updates shall include 2 32 information on the availability of inpatient child, adult, 2 33 and geriatric psychiatric beds staffed and available and 2 34 information on the gender that can be accepted for each 2 35 available bed. 3 1 EXPLANATION 3 2 The inclusion of this explanation does not constitute agreement with 3 3 the explanation's substance by the members of the general assembly. 3 4 Division I of the bill requires the department of 3 5 human services to convene a stakeholder workgroup to make 3 6 recommendations relating to the delivery of, access to, and 3 7 coordination and continuity of mental health and disability 3 8 services for individuals with complex mental health, 3 9 disability, and substance use disorder needs based upon 3 10 recommendations proposed by the department. The workgroup 3 11 shall be comprised of representatives from community mental 3 12 health centers, crisis response service providers, law 3 13 enforcement agencies, the national alliance on mental illness, 3 14 the Iowa hospital association, the judicial system, managed 3 15 care organizations, mental health and disability services 3 16 regions, and other entities as appropriate. The bill directs 3 17 the workgroup to submit a report with recommendations to the 3 18 governor and general assembly by December 1, 2017. 3 19 Division I also directs the regional administrators of each 3 20 mental health and disability services region to collaborate 3 21 to designate an entity to convene a stakeholder workgroup to 3 22 meet on a regular basis, beginning July 1, 2017, to create 3 23 collaborative policies and processes relating to the delivery 3 24 of, access to, and continuity of services for individuals 3 25 with complex mental health, disability, and substance use 3 26 disorder needs. Each region shall provide an assessment of 3 27 such individuals with complex needs within each region in order 3 28 to determine which additional core services are necessary in 3 29 each region to meet the needs of such individuals as resources 3 30 allow. Each region shall review resources currently available 3 31 and options for combining funds across the regions and shall 3 32 consider providing additional core services in their own region 3 33 or partnering with one or more regions to provide additional 3 34 core services to serve such individuals. The division sets 3 35 out the members of the workgroup. The division directs the 4 1 workgroup to submit a community service plan to the department 4 2 of human services by October 2, 2017. The report must include 4 3 planning and implementation time frames and assessment tools 4 4 for determining the effectiveness of the plan in achieving the 4 5 department's identified outcomes for success. The division 4 6 directs the department of human services to submit a report 4 7 to the governor and general assembly by December 1, 2018, 4 8 providing a summary of services implemented by each mental 4 9 health and disability services region and an assessment of each 4 10 region in achieving the department's identified outcomes for 4 11 success. 4 12 Division II of the bill relates to the psychiatric bed 4 13 tracking system. The division directs the department of human 4 14 services to amend its administrative rules to require the state 4 15 mental health institutes and hospitals licensed to provide 4 16 inpatient psychiatric treatment and services to participate 4 17 in the psychiatric bed tracking system and to ensure updates 4 18 are made, at a minimum, two times per day to the psychiatric 4 19 bed tracking system. The updates shall include information 4 20 on the availability of inpatient child, adult, and geriatric 4 21 psychiatric beds staffed and available and information on the 4 22 gender that can be accepted for each available bed. LSB 2630HV (3) 87 hb/rh/sc
