HB 2594
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ARIZONA HOUSE OF REPRESENTATIVES
Fifty-fifth Legislature
Second Regular Session
House: HHS DPA 9-0-0-0
HB 2594: trauma recovery centers; grants
Sponsor: Representative Toma, LD 22
Caucus & COW
Overview
Creates the Trauma Recovery Center Fund (Fund) to support and provide grants to trauma
recovery centers. Outlines eligibility for trauma recovery centers and defines terms.
History
The Arizona Department of Health Services (DHS) is required to develop and administer a
statewide emergency medical services and trauma system to implement Arizona emergency
medical services and trauma system plan. Statute requires DHS to adopt rules and establish
standards, including: 1) injury prevention activities to decrease the incidence of trauma and
decrease the societal cost of preventable mortality and morbidity; 2) public access to prehospital
emergency medical services; and 3) a statewide network of trauma centers that provide trauma
care and to which trauma patients can be transported (A.R.S. § 36-2225).
Provisions
1. Requires the Fund to consist of legislative appropriations, grants and contributions and to be
administered by the Director of DHS. (Sec. 1)
2. Specifies that monies in the Fund are subject to legislative appropriation and exempt from
lapsing. (Sec. 1)
3. Requires DHS to:
a) Establish priorities for the Fund in consultation with a national alliance that supports
trauma recovery centers; and
b) To spend monies in the Fund to provide grants to trauma recovery centers. (Sec. 1)
4. Outlines eligibility for a trauma recovery center to receive a grant, including:
a) Providing services that are survivor-centered and focused on addressing psychological
and psychosocial impacts of trauma;
b) Providing outreach and services to crime victims that are unable to access traditional
services;
c) Serving victims of a wide range of crimes;
d) Offering evidence-based and evidence-informed mental health services and support
services;
e) Being composed of a staff that includes a multidisciplinary team of clinicians;
f) Offering mental health services and case management that are coordinated through a
single point of contact for victims with support from an integrated multidisciplinary team;
g) Delivering services that include assertive outreach and case management;
h) Ensuring that no one is excluded from services solely based on emotional or behavioral
issues resulting from trauma;
i) Using established, evidence-based and evidence-informed practices in treatment; HB 2594
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j) Providing all staff and trainees with opportunities to learn and practice cultural humility
with each other to foster a culture of equity, lifelong training and skills-building; and
k) Providing holistic and accountable services that ensure treatment is provided for up to 16
sessions. (Sec. 1)
5. Specifies that to be eligible a trauma center must provide outreach and services to crime
victims who typically are unable to access outreach and services; including:
a) Victims who are homeless, chronically mentally ill, members of immigrant and refugee
groups and persons with disabilities;
b) Victims who have a severe trauma-related symptoms or complex psychological issues;
c) Victims who are of diverse ethnicity origin; and
d) Juvenile victims, including minors who have had contact with the juvenile dependency or
justice system. (Sec. 1)
6. Specifies that to be eligible the evidence-based and evidence-informed mental health services
must be provided in a manner that increases access to services and removes barriers to care
for victims of violent crime and may include providing services to a victim in the victim's home,
in the community or other locations conductive to maintaining quality treatment and
confidentiality. (Sec. 1)
7. Clarifies that to be eligible the multidisciplinary team of clinicians must include at least one
physiologist, one social worker and additional staff. (Sec. 1)
8. Specifies that clinicians are not required to work full time as a member of the multidisciplinary
team and outlines further eligibility requirements for the physiologists and clinicians. (Sec. 1)
9. Requires clinician supervision and other supports to be provided to staff regularly to ensure
the highest quality of care and to help staff constructively manage trauma they experience as
service providers to victims of violent crime. (Sec. 1)
10. Requires each client receiving mental health services to have a treatment plan in place that
is periodically reviewed by the multidisciplinary team with stated examples of goals of primary
treatment including a decrease in psychosocial distress, minimizing long-term disability,
improving overall quality of life, reducing the risk of future victimization and promoting
posttraumatic growth. (Sec. 1)
11. Encourages organizational leadership to infuse policies and protocols with trauma-informed
principles, language and work toward the goal of ending systemic inequities. (Sec. 1)
12. Specifies that for those with ongoing problems and a primary focus on trauma, treatment may
be extended after consideration with the clinical supervisor and that extensions beyond 32
sessions requires approval by a clinical steering and utilization group that considers the
client's progress in treatment and remaining need. (Sec. 2)
13. Directs DHS, annually on October 1, to provide an annual report to the Governor and
Legislature and a copy of the report to the Secretary of State that includes information from
each trauma recovery center that receives grant monies on the population served. (Sec. 1)
14. Contains legislative findings. (Sec. 2)
15. Defines terms. (Sec. 1)
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note HB 2594
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Amendments
Committee on Health and Human Services
1. Removes the stated eligibility requirements for a trauma recovery center to receive a grant.
2. Specifies that for a trauma recovery center to be eligible to receive a grant it must adhere to
the guidelines for operating and implementing trauma recover centers developed by a national
alliance of trauma recovery centers.