Bill Text: IL HB3198 | 2021-2022 | 102nd General Assembly | Introduced

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Bill Title: Creates the Suicide Treatment Improvements Act. Provides that specified persons and entities shall require suicide prevention counselors on the person or entity's staff to perform specified suicide prevention services. Provides that the Department of Public Health shall require each suicide hotline and crisis hotline in the State to identify callers who are or may be suicidal. Provides for penalties for noncompliance with an order of the Department. Provides that services provided under the Act shall be covered by each group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed after the Act's effective date. Provides that each county and municipal law enforcement officer shall annually complete at least 2 hours of in-service training on the appropriate response to emergencies that involve a person who is or may be suicidal. Requires the governing body of each county to appoint a suicide prevention response coordinator to perform specified actions. Provides that suicide prevention counselors dispatched to an emergency scene shall have specified duties. Provides that PSAP call-takers shall evaluate and determine whether a request for emergency services involves a person who is or may be suicidal. Requires specified agencies to adopt rules to implement specified provisions of the Act. Contains other provisions. Amends the Department of State Police Law. Requires the Office of the Statewide 9-1-1 Administrator to develop comprehensive guidelines and adopt rules and standards for the handling of suicide or suicide calls by Public Safety Answering Point telecommunicators. Contains suicide training requirements for PSAP telecommunicators. Effective July 1, 2021.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2021-04-23 - Rule 19(a) / Re-referred to Rules Committee [HB3198 Detail]

Download: Illinois-2021-HB3198-Introduced.html

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102ND GENERAL ASSEMBLY State of Illinois 2021 and 2022 HB3198 Introduced , by Rep. Deb Conroy SYNOPSIS AS INTRODUCED:
See Index
Creates the Suicide Treatment Improvements Act. Provides that specified persons and entities shall require suicide prevention counselors on the person or entity's staff to perform specified suicide prevention services. Provides that the Department of Public Health shall require each suicide hotline and crisis hotline in the State to identify callers who are or may be suicidal. Provides for penalties for noncompliance with an order of the Department. Provides that services provided under the Act shall be covered by each group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed after the Act's effective date. Provides that each county and municipal law enforcement officer shall annually complete at least 2 hours of in-service training on the appropriate response to emergencies that involve a person who is or may be suicidal. Requires the governing body of each county to appoint a suicide prevention response coordinator to perform specified actions. Provides that suicide prevention counselors dispatched to an emergency scene shall have specified duties. Provides that PSAP call-takers shall evaluate and determine whether a request for emergency services involves a person who is or may be suicidal. Requires specified agencies to adopt rules to implement specified provisions of the Act. Contains other provisions. Amends the Department of State Police Law. Requires the Office of the Statewide 9-1-1 Administrator to develop comprehensive guidelines and adopt rules and standards for the handling of suicide or suicide calls by Public Safety Answering Point telecommunicators. Contains suicide training requirements for PSAP telecommunicators. Effective July 1, 2021.
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FISCAL NOTE ACT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT
A BILL FOR
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AN ACT concerning health.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 1. Short title. This Act may be cited as the
Suicide Treatment Improvements Act.
Section 5. Definitions. In this Act:
"At-risk patient" means a patient who has attempted
suicide or who has suicidal ideations, behaviors, or
tendencies, as indicated by a formal suicide risk assessment
under this Act.
"Care transition" means the transfer or transition of a
patient from one health care or behavioral health care
provider to another.
"Department" means the Department of Public Health.
"Mental health screener" means a psychiatrist,
psychologist, social worker, registered professional nurse, or
other individual trained to do outreach only for the purposes
of psychological assessment who is employed by a screening
service and possesses the license, academic training, or
experience required by rules adopted by the Department; except
that a psychiatrist and a licensed clinical psychologist who
meet the requirements for mental health screeners are not
required to comply with any additional requirements adopted by

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the Department.
"Outpatient treatment provider" means a community-based
mental health facility or center, including, but not limited
to, a suicide treatment center, that is licensed or funded by
the Department of Public Health to provide outpatient mental
health treatment services.
"Person who is or may be suicidal" or "person in crisis who
is or may be suicidal" means a person who is experiencing a
mental health crisis, is experiencing or expressing suicidal
ideations or tendencies, or is undertaking or contemplating
suicidal actions, but who has not yet been subject to a formal
suicide risk assessment conducted pursuant to this Act.
"Psychiatric facility" means a State psychiatric hospital,
a county psychiatric hospital, or the psychiatric unit of a
county hospital, a short-term care facility, a special
psychiatric hospital, or the psychiatric unit of a general
hospital or other health care facility licensed by the
Department of Public Health.
"Rapid referral" means the taking of appropriate steps by:
(1) a psychiatric facility, prior to an at-risk
patient's discharge from inpatient care, to facilitate the
at-risk patient's immediate access to an appropriate
outpatient treatment appointment as soon as is
practicable, and preferably within 48 hours, after
discharge; or
(2) an outpatient treatment provider to facilitate an

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at-risk patient's immediate access to an appointment with
another outpatient treatment provider or an inpatient
psychiatric facility as soon as is practicable, and
preferably within 48 hours, after referral thereto.
"Screening service" means a public or private ambulatory
care service designated by the Department that provides mental
health services, including assessment, emergency, and referral
services to persons with mental illness in a specified
geographic area.
"Suicide prevention counselor" means a licensed
psychiatrist, clinical psychologist, or other mental health
professional, or a properly qualified paraprofessional crisis
counselor, who has specialized certification or has completed
specialized training in the standardized assessment of suicide
risk and the provision of suicide prevention counseling to
at-risk patients.
"Supportive contacts" means brief communications with a
patient that occur during care transitions, or when a patient
misses an outpatient appointment or unexpectedly drops out of
outpatient treatment, and that show support for the patient
and are designed to promote a patient's feeling of connection
to treatment and willingness to collaboratively participate in
treatment. "Supportive contacts" include the sending of
postcards, letters, email messages, and text messages; the
making of phone calls; or the undertaking of home visits
either by the mental health care professional or suicide

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prevention counselor who is providing care to the patient or
by an outside organization, such as a local crisis center,
with which the psychiatric facility or outpatient treatment
provider has a contract or other agreement.
"Warm hand-off" means a safe care transition that connects
a patient directly with a new health care provider or interim
contact, such as a crisis center worker or peer specialist,
before the patient's first appointment with the new health
care provider, or that connects a patient directly with a
screening service or mental health screener for the purposes
of determining whether involuntary commitment to treatment is
warranted pursuant to relevant law.
Section 10. Suicide prevention counselors; policies and
protocols; suicide risk assessments; discharge.
(a) Each psychiatric facility in the State shall require
suicide prevention counselors on the facility's staff to:
(1) assess each patient's level of suicide risk, as
provided by subsections (h) and (i);
(2) immediately provide individualized, one-on-one
suicide prevention counseling to each patient deemed at
risk of suicide; and
(3) provide ongoing suicide prevention counseling to
each at-risk patient at the psychiatric facility on a
daily basis or more frequently as may be commensurate with
the results of the patient's suicide risk assessment,

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until the patient is discharged from inpatient care or is
deemed to be no longer at risk of suicide, whichever is
sooner.
(b) Each outpatient treatment provider in the State shall
require suicide prevention counselors on the provider's staff
to:
(1) assess each patient's level of suicide risk, as
provided by subsections (h) and (i);
(2) immediately provide individualized, one-on-one
suicide prevention counseling to each patient deemed to be
an at-risk patient;
(3) in cases where inpatient treatment may be
necessary to address an at-risk patient's suicidal
ideations, behaviors, or tendencies, either effectuate the
voluntary admission and warm hand-off of the at-risk
patient to an inpatient psychiatric facility or, if the
patient refuses voluntary inpatient admission, effectuate
a warm hand-off of the patient to a screening service or
mental health screener to determine whether involuntary
commitment to treatment is warranted under applicable law;
and
(4) reengage and provide individualized, one-on-one
counseling to each at-risk patient remaining in outpatient
care, commensurate with the results of the patient's
suicide risk assessment, whenever the patient has a
subsequent clinical encounter with the outpatient

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provider.
(c) A psychiatric facility shall ensure that a sufficient
number of suicide prevention counselors are available on-site,
24 hours a day, 7 days a week, and an outpatient treatment
provider shall ensure that a sufficient number of suicide
prevention counselors are available on-site, during all hours
of operation, to perform the suicide risk assessments and
provide the individualized counseling required by this
Section.
(d) Each psychiatric facility and outpatient treatment
provider shall establish policies and protocols to provide for
the effective, compassionate, and responsible discharge of
at-risk patients from care and the smooth transition of
at-risk patients through the continuum of care using warm
hand-offs, rapid referrals, and supportive contacts.
(e) Each outpatient treatment provider shall additionally
adopt policies and protocols providing for the warm hand-off
of an at-risk patient to an inpatient psychiatric facility or
to a screening service or mental health screener, as
appropriate and in accordance with paragraph (3) of subsection
(b), in any case where the patient's suicide prevention
counselor or attending clinician has reason to believe that
the patient may require commitment to inpatient treatment to
address the patient's suicidal ideations, behaviors, or
tendencies or associated mental health issues.
(f) A psychiatric facility or outpatient treatment

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provider may enter into contracts or memoranda of
understanding with outside organizations, including local
crisis centers and other psychiatric facilities and providers,
to facilitate the smooth and effective care transition of
at-risk patients as provided by subsections (d) and (e).
(g) In no case shall a staff member of a psychiatric
facility or a staff member of an outpatient treatment
provider:
(1) discharge an at-risk patient into a homeless
situation; or
(2) have an at-risk patient arrested or incarcerated
in a jail or prison, unless the at-risk patient poses an
otherwise uncontrollable risk to others.
(h) A suicide risk assessment shall be conducted at the
following times:
(1) immediately upon a patient's initial admission to
a psychiatric facility or upon a patient's first clinical
encounter with an outpatient treatment provider;
(2) whenever there is reason for attending staff at a
psychiatric facility or outpatient treatment provider to
believe that a patient is developing new suicidal
ideations, behaviors, or tendencies while under the care
of the facility or provider;
(3) within 3 days prior to the discharge of an
apparently non-suicidal patient from inpatient care;
(4) whenever a suicide prevention counselor is called

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to assess a patient in a hospital emergency department
under Section 15; and
(5) whenever a suicide prevention counselor is
dispatched pursuant to Section 45 to assess a person at an
emergency scene.
(i) A suicide risk assessment shall be performed using a
standardized tool, methodology, or framework and shall be
based on data obtained from the patient, as well as pertinent
observations made by the attending clinician, assigned suicide
prevention counselors, and other staff members having direct
contact with the patient, and, to the extent practicable, any
other information about the patient's history, the patient's
past, recent, and present suicidal ideation and behavior, and
the factors contributing thereto that is available from all
other relevant sources, including outside treatment
professionals, caseworkers, caregivers, family members,
guardians, and any other persons who are significant in the
patient's life. The suicide risk assessment shall include an
evaluation of the patient's current living situation, housing
status, existing support systems, and close relationships and
shall indicate whether there is any evidence that the patient
is being subjected to abuse, neglect, exploitation, or undue
influence by family members, caregivers, or other persons.
(j) Counseling and treatment provided to address an
at-risk patient's suicidal ideations, behaviors, or tendencies
shall be supplemental to any other treatment that is received

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by the patient for the patient's other mental health issues.
(k) The results of a patient's suicide risk assessment and
notes regarding the progress of suicide prevention counseling
provided to an at-risk patient shall be documented in the
patient's health record.
Section 15. Emergency departments; suicide prevention
counselors.
(a) Each physician in a hospital's emergency department
who has reason to believe that a patient under the physician's
care is or may be suicidal shall, as soon as is practicable
after the patient is stabilized and conscious, ensure that the
patient is met in the emergency room by a suicide prevention
counselor from the hospital's psychiatric ward, who shall:
(1) perform an on-site suicide risk assessment, in
accordance with subsections (h) and (i) of Section 10;
(2) immediately provide the patient with
individualized, one-on-one suicide prevention counseling,
commensurate with the results of the suicide risk
assessment, prior to the patient's discharge from the
emergency room; and
(3) immediately link the person who is or may be
suicidal to appropriate treatment facilities, programs,
and services, through the use of warm hand-offs and
supportive contacts, as deemed by the suicide prevention
counselor to be appropriate based on the results of the

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on-site suicide risk assessment.
(b) If the suicide prevention counselor under subsection
(a) concludes that inpatient psychiatric treatment may be
necessary to address and mitigate the at-risk patient's
suicide risk and tendencies, the suicide prevention counselor
shall recommend, and the attending emergency room physician
shall effectuate, the patient's voluntary admission and warm
hand-off to the hospital's psychiatric ward immediately
following the completion of the patient's emergency care. If
the patient refuses to be admitted to the hospital's
psychiatric ward, the attending emergency room physician shall
effectuate the warm hand-off of the patient to a screening
service or mental health screener to determine whether
involuntary commitment to treatment is necessary to address
the patient's suicidal ideations, behaviors, and tendencies or
associated mental health issues.
Section 20. Suicide hotlines. The Department shall require
each suicide hotline and crisis hotline in the State,
including, but not limited to, each community-based suicide
hotline, to identify callers to the hotline who are or may be
suicidal, provide immediate suicide prevention counseling to
each such caller, and ensure that a sufficient number of
suicide prevention counselors are available on staff at all
times during the hotline's operation to provide the
counseling.

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Section 25. Suicide prevention counselors; interacting
with at-risk patients.
(a) Any suicide prevention counselor or other staff member
employed by a psychiatric facility, outpatient treatment
provider, or suicide or crisis hotline, and any other health
care professional, when interacting with an at-risk patient,
shall:
(1) treat the at-risk patient with the same dignity
and respect that is shown to other patients;
(2) adopt a stance that reflects empathy, compassion,
and an understanding of the ambivalence the at-risk
patient may feel in relation to the patient's desire to
die;
(3) treat the at-risk patient in an age-appropriate
manner and use methods of communication that the patient
can understand;
(4) attempt to engender confidence in the at-risk
patient that there is an alternative to suicide, and
encourage the patient to use all available services and
resources to empower the patient to choose such an
alternative;
(5) not engage in activities or communication methods
that may result in the increased traumatization or
retraumatization of the at-risk patient;
(6) with the exception of suicide assessments

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performed pursuant to Section 10, not engage in the
psychological testing of a patient who is in crisis or who
has recently been lifted out of a crisis situation; and
(7) not engage in behavior that discriminates against
or stigmatizes the patient.
(b) A psychiatric facility or outpatient treatment
provider shall require and facilitate the biennial training of
all staff on the following issues:
(1) the fundamentals of the facility's or provider's
suicide prevention policies and protocols;
(2) the particular suicide care policies and protocols
that are relevant to each staff member's role and
responsibilities;
(3) the signs and symptoms that can be used by both
clinical and nonclinical staff to identify existing
patients who may be developing new suicidal ideations,
behaviors, or tendencies;
(4) the importance of, and methods and principles to
be used in, ensuring the safe and responsible discharge
and care transition of at-risk patients; and
(5) the respectful treatment of, effective
communication with, and destigmatization of at-risk
patients.
Section 30. Noncompliance; Department of Public Health;
disciplinary action.

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(a) If the Department has reason to believe that a
facility or provider under its jurisdiction, or any staff
member employed thereby, is failing to comply with the
provisions of this Act or any of the internal suicide care
policies or protocols adopted pursuant to this Act, the
Department shall order the facility or provider, as
appropriate, to undertake corrective action within a
reasonable time frame, as may be deemed by the Department to be
necessary to ensure future compliance with this Act or the
suicide prevention policies and protocols adopted pursuant to
this Act, as the case may be. If the facility or provider
denies that a violation exists or has occurred, it shall have
the right to apply to the Department for a hearing and the
hearing shall be held, and a decision rendered, within 48
hours after receipt of the request.
(b) Any psychiatric facility or outpatient treatment
provider that fails to comply with an order of the Department
that is issued pursuant to subsection (a) shall be liable to a
civil penalty of not more than $2,500 for a first offense and
not more than $5,000 for a second or subsequent offense.
(c) Any staff member of a psychiatric facility or
outpatient treatment provider who violates the provisions of
subsection (g) of Section 10, and any staff member of a
psychiatric facility, an outpatient treatment provider, a
suicide or crisis hotline, or other health care professional
who violates the provisions of subsection (a) of Section 25,

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shall be subject to a civil penalty of not more than $500 for a
first offense, not more than $1,000 for a second offense, and
not more than $2,500 for a third or subsequent offense. The
person shall also be subject to:
(1) potential criminal liability and civil lawsuits,
including lawsuits for punitive damages, for any injury
that is proximately caused by the person;
(2) the suspension or revocation of the person's
professional license or certification;
(3) the revocation of the person's mental health
accreditation; and
(4) the termination of the person's employment.
Section 35. Coverage; insurance or managed care plans.
Services provided under this Act shall be covered by each
group or individual policy of accident and health insurance or
managed care plan amended, delivered, issued, or renewed after
the effective date of this Act.
Section 40. Law enforcement officers.
(a) Each county and municipal law enforcement officer in
the State shall annually complete at least 2 hours of
in-service training on the appropriate response to emergencies
that involve a person who is or may be suicidal.
(b) The in-service training course required pursuant to
this Section shall, at a minimum:

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(1) include instruction on:
(A) the importance of, and need for, law
enforcement officers to engage in calm, gentle, and
respectful interactions with a person who is or may be
suicidal;
(B) the importance of, and need for, law
enforcement officers, to the greatest extent
practicable, to avoid the use of unnecessary force and
to instead use verbal methods of communication and
other nonviolent means to de-escalate an emergency
situation involving a person who is or may be
suicidal; and
(C) specific techniques, means, and methods,
consistent with the principles identified under this
subsection, that are to be employed by law enforcement
officers when approaching, communicating with,
engaging in physical contact or the use of force with,
and de-escalating a situation involving, a person who
is or may be suicidal; and
(2) require training program participants to engage in
various simulated role-playing scenarios to demonstrate
their ability to effectively interact with and de-escalate
emergency situations involving a person who is or may be
suicidal.
(c) Each instructor who is assigned to teach the
in-service courses required by this Section shall have

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received at least 40 hours of training in mental health crisis
intervention from a nationally recognized organization that
educates law enforcement officers in the use of appropriate
emergency response methods.
Section 45. Suicide prevention response coordinators;
emergency scenes.
(a) The governing body of each county shall appoint a
suicide prevention response coordinator to facilitate and
coordinate the deployment of qualified suicide prevention
counselors to emergency scenes involving persons who are or
may be suicidal.
(b) A local suicide prevention response coordinator
appointed pursuant to subsection (a) shall compile and
maintain an up-to-date list of qualified suicide prevention
counselors in the county. To the extent practicable, whenever
a law enforcement officer is dispatched to an emergency scene
involving a person who is or may be suicidal, as determined by
the emergency call-taker pursuant to Section 50, the suicide
prevention response coordinator shall coordinate the
contemporaneous dispatch of a suicide prevention counselor to
the emergency scene.
(c) A suicide prevention counselor dispatched to an
emergency scene pursuant to this Section shall:
(1) provide assistance to the law enforcement officer
at the emergency scene, as may be necessary to facilitate

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the nonviolent de-escalation of the emergency situation;
(2) perform an on-site suicide risk assessment of the
person who is or may be suicidal, in accordance with the
provisions of subsections (h) and (i) of Section 15; and
(3) immediately link the person who is or may be
suicidal to appropriate treatment facilities, programs,
and services, through the use of warm hand-offs and
supportive contacts, as deemed by the suicide prevention
counselor to be appropriate based on the results of the
on-site suicide risk assessment. If the suicide prevention
counselor concludes that inpatient psychiatric treatment
may be necessary to address and mitigate the person's
suicidal risk and tendencies, the suicide prevention
counselor, in cooperation with the on-site law enforcement
officer, as appropriate, shall effectuate the person's
voluntary admission and warm hand-off to a psychiatric
facility as soon as is practicable after the immediate
crisis is resolved. If the person refuses to be admitted
to a psychiatric facility, the suicide prevention
counselor, in cooperation with the on-site law enforcement
officer, as appropriate, shall effectuate the warm
hand-off of the person to a screening service or mental
health screener to determine whether involuntary
commitment to treatment is necessary to address the
person's suicidal ideations, behaviors, and tendencies or
associated mental health issues.

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(d) The Attorney General, in consultation with the
Department, shall:
(1) establish the necessary qualifications for a
person to be appointed as a county suicide prevention
response coordinator pursuant to this Section; and
(2) establish guidelines and protocols to be used by
each county suicide prevention response coordinator in:
(A) establishing a list of qualified and locally
available suicide prevention counselors pursuant to
this Section; and
(B) facilitating the coordinated and
contemporaneous dispatch of at least one suicide
prevention counselor to each emergency scene involving
a person in crisis who is or may be suicidal, as
provided by this Section, whenever a law enforcement
officer is dispatched to the emergency scene.
Section 50. PSAP call-takers; evaluation and
determination.
(a) In this Section, "public safety answering point" or
"PSAP" is a set of call-takers authorized by a governing body
and operating under common management that receive 9-1-1 calls
and asynchronous event notifications for a defined geographic
area and processes those calls and events according to a
specified operational policy.
(b) In addition to any other requirements that have been

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established by law, rule, or regulation for PSAP call-takers,
the PSAP call-taker of each 9-1-1 call shall evaluate whether
a request for emergency services involves a person who is or
may be suicidal.
(c) Whenever a PSAP call-taker determines that a request
for emergency services involves a person who is or may be
suicidal, the call-taker shall:
(1) if the PSAP serves as the dispatch point for the
emergency call, directly notify the local suicide
prevention response coordinator, appointed pursuant to
subsection (a) of Section 45, that the call involves a
person who is or may be suicidal; or
(2) if the PSAP does not serve as the dispatch point
for the emergency call, directly notify the dispatching
entity, upon transfer of the call thereto, that the
request for emergency services involves a person who is or
may be suicidal.
Any dispatching entity notified pursuant to this
subsection shall directly notify the county suicide prevention
response coordinator appointed pursuant to subsection (a) of
Section 45 that the call involves a person who is or may be
suicidal.
(d) Any notice that is provided to a local suicide
prevention response coordinator, pursuant to subsection (c),
shall be provided either contemporaneously upon or immediately
prior to the dispatch of law enforcement to the emergency

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scene.
Section 55. Rules.
(a) The Department shall adopt rules applicable to the
facilities or providers under the Department's jurisdiction,
pursuant to the Illinois Administrative Procedure Act, as may
be necessary to implement the provisions of Sections 10, 15,
20, 25, and 30.
(b) The Department of Insurance shall adopt rules and
regulations, pursuant to the Illinois Administrative Procedure
Act, as may be necessary to implement the provisions of
Section 35.
(c) The Attorney General, in consultation with the
Department, shall adopt rules and regulations, pursuant to the
Illinois Administrative Procedure Act, as may be necessary to
implement the provisions of Sections 40 and 45.
(d) The Illinois State Police, in consultation with the
Department, shall adopt rules and regulations, pursuant to the
Illinois Administrative Procedure Act, as may be necessary to
implement the provisions of Section 50.
Section 90. The Department of State Police Law of the
Civil Administrative Code of Illinois is amended by adding
Section 2605-53.5 as follows:
(20 ILCS 2605/2605-53.5 new)

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Sec. 2605-53.5. 9-1-1 system; suicide.
(a) The Office of the Statewide 9-1-1 Administrator, in
consultation with the Office of the Attorney General and the
Illinois Law Enforcement Training Standards Board, shall:
(1) develop comprehensive guidelines for
evidence-based, trauma-informed, victim-centered suicide
or handling of suicide calls by Public Safety Answering
Point ("PSAP") telecommunicators; and
(2) adopt rules and minimum standards for an
evidence-based, trauma-informed, victim-centered training
curriculum for suicide or handling of suicide calls for
Public Safety Answering Point telecommunicators.
(b) Training requirements:
(1) Newly hired PSAP telecommunicators must complete
the suicide training curriculum established in subsection
(a) of this Section prior to handling emergency calls.
(2) All existing PSAP telecommunicators shall complete
the suicide training curriculum established in subsection
(a) of this Section within 2 years of the effective date of
this amendatory Act of the 102nd General Assembly.
Section 99. Effective date. This Act takes effect July 1,
2021.
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INDEX
Statutes amended in order of appearance