Bill Text: NY S06194 | 2021-2022 | General Assembly | Amended


Bill Title: Establishes a 9-8-8 suicide prevention and mental health crisis hotline system; provides crisis intervention services and crisis care coordination to individuals accessing the 9-8-8 suicide prevention and mental health crisis hotline.

Spectrum: Slight Partisan Bill (Democrat 5-2)

Status: (Passed) 2021-12-22 - APPROVAL MEMO.145 [S06194 Detail]

Download: New_York-2021-S06194-Amended.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                         6194--B

                               2021-2022 Regular Sessions

                    IN SENATE

                                     April 14, 2021
                                       ___________

        Introduced  by  Sens. BROUK, HARCKHAM, BENJAMIN, BROOKS, HELMING -- read
          twice and ordered printed, and when printed to  be  committed  to  the
          Committee  on  Local  Government -- committee discharged and said bill
          committed to the Committee on Mental Health and Developmental Disabil-
          ities -- committee discharged,  bill  amended,  ordered  reprinted  as
          amended  and  recommitted  to  said committee -- committee discharged,
          bill amended, ordered reprinted as amended  and  recommitted  to  said
          committee

        AN  ACT  to  amend  the  county  law,  in  relation  to  a 9-8-8 suicide
          prevention and mental health crisis hotline system

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  Short  title. This act shall be known and may be cited as
     2  the "9-8-8 Suicide Prevention and Mental Health Crisis Act".
     3    § 2. The county law is amended by adding a new article 6-B to read  as
     4  follows:
     5                                 ARTICLE 6-B
     6            9-8-8 SUICIDE PREVENTION AND MENTAL HEALTH CRISIS ACT
     7  Section 340. Definitions.
     8          341. 9-8-8  suicide  prevention and mental health crisis hotline
     9                 system.
    10    § 340. Definitions. As  used  in  this  article,  unless  the  context
    11  requires otherwise:
    12    1.  "9-8-8"  shall mean the three digit phone number designated by the
    13  federal communications commission for the purpose of connecting individ-
    14  uals experiencing a mental health crisis  with  suicide  prevention  and
    15  mental health crisis counselors, mobile crisis teams, and crisis receiv-
    16  ing  and  stabilization services and other mental health crises services
    17  through the national suicide prevention lifeline.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10757-12-1

        S. 6194--B                          2

     1    2. "9-8-8 crisis hotline center" shall  mean  a  state-identified  and
     2  funded  center participating in the National Suicide Prevention Lifeline
     3  Network to respond to statewide or regional 9-8-8 calls.
     4    3. "Crisis receiving and stabilization services" shall mean facilities
     5  providing short-term observation and crisis stabilization services under
     6  article  thirty-six  of the mental hygiene law, or other crisis services
     7  approved or licensed by the office of mental health.
     8    4. "Mental health professional" shall mean any of the  following,  but
     9  shall not be limited to:
    10    (a)  a  licensed  clinical  social  worker, licensed under article one
    11  hundred fifty-four of the education law;
    12    (b) a  licensed  psychologist,  licensed  under  article  one  hundred
    13  fifty-three of the education law;
    14    (c)  a  registered  professional  nurse,  licensed  under  article one
    15  hundred thirty-nine of the education law;
    16    (d) a licensed  master  social  worker,  licensed  under  article  one
    17  hundred  fifty-four  of  the  education  law, under the supervision of a
    18  physician, psychologist or licensed clinical social worker; and
    19    (e) a licensed mental health counselor,  licensed  under  article  one
    20  hundred sixty-three of the education law.
    21    5.  "Mobile  crisis teams" shall mean a team that may include, but not
    22  be limited to, mental health  professionals,  certified  alcoholism  and
    23  substance abuse counselors, family peer advocates, and peers, to provide
    24  onsite community-based intervention for individuals who are experiencing
    25  a  mental  health  crisis,  or an "approved mobile crisis outreach team"
    26  under article nine of the mental hygiene law.
    27    6. "National suicide prevention lifeline" or  "NSPL"  shall  mean  the
    28  national network of local crisis centers that provide free and confiden-
    29  tial  emotional  support  to  people  in  suicidal  crisis  or emotional
    30  distress twenty-four hours a day, seven days  a  week  via  a  toll-free
    31  hotline  number, which receives calls made through the 9-8-8 system. The
    32  toll-free number is maintained by the  Assistant  Secretary  for  Mental
    33  Health  and  Substance  Use  under the United States Substance Abuse and
    34  Mental Health Services Administration.
    35    7. "Peer" shall mean an individual who is a current or former  recipi-
    36  ent of mental health or substance use services who provides advocacy and
    37  mutual  support  for  other  services  users  through  a model of shared
    38  personal experience, who are employed on the  basis  of  their  personal
    39  knowledge  and  recovery  from a mental illness, addiction, or both, and
    40  who meet the certification requirements set forth by the New York  state
    41  peer specialist certification board.
    42    8.  "Family  peer advocates" shall mean individuals with lived-experi-
    43  ence as the biological, foster, or adoptive parent or primary  caregiver
    44  of a child or youth with a social, emotional, behavioral, mental health,
    45  substance  use  disorder,  or  developmental  disability,  who  meet the
    46  current requirements for a credentialed family peer advocate,  or  other
    47  certification related to culturally responsive trauma informed care.
    48    9. "Veterans crisis line" or "VCL" shall mean the veterans crisis line
    49  maintained  by  the  secretary  of veterans affairs of the United States
    50  Department of Veterans Affairs.
    51    10.  "Substance  Abuse  and  Mental  Health  Services  Administration"
    52  ("SAMHSA")  shall mean the agency within the United States Department of
    53  Health and Human Services.
    54    § 341. 9-8-8 suicide  prevention  and  mental  health  crisis  hotline
    55  system.  1.  The  department of public service, in consultation with the
    56  commissioners of the office of mental health and the office of addiction

        S. 6194--B                          3

     1  services and supports shall, on or before July sixteenth,  two  thousand
     2  twenty-two,  designate  a  9-8-8  crisis  hotline center or centers that
     3  shall provide suicide prevention and  crisis  intervention  services  to
     4  individuals  accessing  the  9-8-8  suicide prevention and mental health
     5  crisis hotline from anywhere within the state twenty-four hours  a  day,
     6  seven  days  a week. A designated 9-8-8 crisis hotline center shall meet
     7  the following requirements:
     8    (a) Have an active agreement with the administrator  of  the  National
     9  Suicide Prevention Lifeline for participation within the network.
    10    (b)  Adhere  to  NSPL policies, requirements and best practices guide-
    11  lines for operation and clinical assessment standards.
    12    (c) Utilize technology including chat and text that  is  interoperable
    13  between  and  across  crisis  and  emergency systems used throughout the
    14  state, including but not limited to, 911,  emergency  medical  services,
    15  and other nonbehavioral health crisis services, and with the administra-
    16  tor of the National Suicide Prevention Lifeline.
    17    (d) Coordinate with 9-8-8 crisis hotline centers and 911 operators for
    18  the  appropriate  deployment of a mobile crisis team and/or law enforce-
    19  ment, and when appropriate emergency medical services or fire services.
    20    (e)(i) The department  of  public  service  in  conjunction  with  the
    21  commissioners of the office of mental health and the office of addiction
    22  services  and  supports shall have joint oversight of suicide prevention
    23  and crisis service activities and essential coordination with  a  desig-
    24  nated  9-8-8 hotline center, and shall work in concert with NSPL and VCL
    25  networks for the purposes of ensuring consistency  of  public  messaging
    26  about 9-8-8 services.
    27    (ii)  The office of mental health shall in consultation with the local
    28  mental hygiene directors established under section 41.55 of  the  mental
    29  hygiene  law,  crisis  receiving  and  stabilization  service providers,
    30  statewide mental health  and  substance  use  organizations,  and  other
    31  stakeholders  deemed appropriate by the office, shall establish training
    32  guidelines for 9-8-8 crisis hotline center  staff,  911  operators,  and
    33  first  responders,  to  assess callers for suicidal risk, provide crisis
    34  counseling and crisis intervention, offer  referrals  to  mental  health
    35  and/or  substance  use  services,  and  on  providing linguistically and
    36  culturally competent care.
    37    (f) Meet the requirements set forth by the NSPL for serving high  risk
    38  and specialized populations including but not limited to: Black, Hispan-
    39  ic,  Latino,  Asian,  Pacific Islander, Native American, Alaskan Native;
    40  lesbian, gay, bisexual, transgender, nonbinary, queer,  and  questioning
    41  individuals; individuals with an intellectual or developmental disabili-
    42  ty;   individuals  experiencing  homelessness  or  housing  instability;
    43  members of rural communities; veterans; immigrants and  refugees;  chil-
    44  dren and youth; older adults; and religious communities as identified by
    45  the  federal  Substance Abuse and Mental Health Services Administration,
    46  including training requirements and policies for transferring such call-
    47  ers to appropriate specialized centers or subnetworks within or  outside
    48  the  NSPL network and for providing linguistically and culturally compe-
    49  tent care.
    50    (g) May provide follow-up services as needed to individuals  accessing
    51  the 9-8-8 suicide prevention and mental health crisis hotline consistent
    52  with guidance and policies established by the NSPL.
    53    2.    The  commissioner of the office of mental health and the commis-
    54  sioner of the office of addiction services and supports shall  establish
    55  a  comprehensive  list  of reporting metrics to be included in an annual
    56  report under this article on the 9-8-8  suicide  prevention  and  mental

        S. 6194--B                          4

     1  health  crisis hotline's usage, services and impact which shall include,
     2  at a minimum:
     3    (a)  The  volume  of  requests  for  assistance that the 9-8-8 suicide
     4  prevention and mental health crisis hotline received;
     5    (b) The average length of time taken to respond to  each  request  for
     6  assistance, and the aggregate rates of call abandonment;
     7    (c)  The  types  of  requests  for  assistance  that the 9-8-8 suicide
     8  prevention and mental health crisis hotline received;
     9    (d) The number of mobile crisis teams dispatched;
    10    (e) The number of individuals engaged by mobile crisis teams including
    11  any support provided beyond the resolution of an initial crisis;
    12    (f) The number of individuals transported by mobile crisis teams to  a
    13  crisis receiving and stabilization service center or other mental health
    14  crisis service;
    15    (g)  The  number of such individuals transferred by mobile crisis team
    16  responders to the custody of law enforcement or transported to an  emer-
    17  gency room or inpatient mental health services;
    18    (h)  the  number of times a mobile crisis team was the first responder
    19  to a mental health crisis and had to request deployment of law  enforce-
    20  ment,  including  the reason for the request, and the outcome of the law
    21  enforcement response; and
    22    (i) The age, gender, race, ethnicity, national origin, and  high  risk
    23  category  or the individual, if reasonably ascertainable, of individuals
    24  contacted, transported, or transferred by each mobile crisis team.
    25    3.  The commissioners of the office of mental health and the office of
    26  addiction services and supports shall submit an annual report  beginning
    27  no later than December thirty-first, two thousand twenty-three and annu-
    28  ally  thereafter,  regarding the comprehensive list of reporting metrics
    29  to the governor, the temporary president of the senate, the  speaker  of
    30  the  assembly, the minority leader of the senate and the minority leader
    31  of the assembly.
    32    4. The commissioner of the office of mental  health,  in  consultation
    33  with  the  commissioners  of the department of taxation and finance, the
    34  office of addiction services and supports, and the department of  public
    35  service,  shall  submit a report that details the resources necessary to
    36  make the NSPL, available, operational, and effective across  the  state,
    37  including  an evaluation of available and new revenue sources to support
    38  the implementation, staffing, and ongoing activities of  9-8-8  services
    39  that are reasonably attributed to: (a) ensuring the efficient and effec-
    40  tive  routing  of  calls made to the NSPL to an appropriate 9-8-8 crisis
    41  hotline center; (b) personnel and the provision of mental health, crisis
    42  outreach and stabilization services directly related to  the  NSPL;  and
    43  (c)  the establishment of a trust fund for the purpose of depositing any
    44  dedicated revenues collected to create and maintain  a  statewide  9-8-8
    45  suicide  prevention  and mental health crisis hotline system. The report
    46  shall be submitted on or  before  December  thirty-first,  two  thousand
    47  twenty-one  to  the governor, the speaker of the assembly, the temporary
    48  president of the senate, and the minority leaders of the senate and  the
    49  assembly.
    50    § 3. This act shall take effect immediately.
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