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THE SENATE |
S.B. NO. |
1245 |
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THIRTY-SECOND LEGISLATURE, 2023 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
relating to behavioral health.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 2. Chapter 334, Hawaii Revised Statutes, is amended by adding a new section to part I to be appropriately designated and to read as follows:
"§334-
Behavioral health crisis
centers. (a)
Pursuant to the authority and functions established under sections 334‑2.5(a)(3)(B)
and 334-3(a)(5), the director shall establish or contract with behavioral
crisis centers in each county to provide care, diagnoses, and treatment for
persons experiencing mental health or substance use disorder crises.
(b) Each behavioral health crisis center established or contracted with pursuant to this section shall:
(1) Be equipped to:
(A) Address mental health and substance
use disorder crises;
(B) Screen, assess, admit for
stabilization, and redirect a client to ongoing care in the most appropriate
and least restrictive community setting available, consistent with the client's
needs; and
(C) Assess a client's physical health
needs and deliver care for most minor physical health challenges;
(2) Provide services at all times, day
or night;
(3) Accept and provide services to all
walk-in clients and referral clients regardless of the client's ability to pay,
subject to subsection (c);
(4) Offer a dedicated drop-off area for
use by first responders;
(5) Provide assessment and support for a
client's mental stability while at the crisis center without requiring medical
clearance prior to admission;
(6) Assess all clients for their risk of
suicide or violence, with more comprehensive risk assessments and planning when
clinically indicated; and
(7) Be staffed at all times with a
multidisciplinary team who are capable of meeting the needs of clients
experiencing a range of mental health or substance use disorder crises,
including:
(A) Psychiatrists or psychiatric nurse
practitioners;
(B) Nurses;
(C) Licensed or credentialed clinicians,
capable of completing client assessments; and
(D) Staff with lived experience similar
to the lived experience of some clients.
(c) No person shall be denied services or receive
delayed care at a behavioral health crisis center operating under this section
based on the person's inability to pay; provided that, subject to section
334-6, the crisis center shall make every reasonable effort to collect
appropriate reimbursement for the cost of the provided services from any person
able to pay, including insurance companies or third-party payers.
(d) The director shall adopt rules pursuant to
section 334-9 to implement this section, including rules specifying:
(1) Eligibility standards for contracted
behavioral health crisis centers;
(2) Clinical procedures;
(3) Staffing requirements; and
(4) Operational, administrative, and financial requirements."
SECTION 3. 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 2023-2024 and the same sum or so much thereof as may be necessary for fiscal year 2024-2025 for the director of health to establish or contract with behavioral health crisis centers pursuant to this Act.
The sums appropriated shall be expended by the department of health for the purposes of this Act.
SECTION 4. New statutory material is underscored.
SECTION 5. This Act shall take effect on July 1, 2023.
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INTRODUCED BY: |
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Report Title:
DOH;
Behavioral Health Crisis Centers; Appropriation
Description:
Requires the Department of Health to establish or contract with behavioral health crisis centers to provide intervention and stabilization services in each county for persons experiencing mental health or substance use disorder crises. Appropriates moneys.
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.