Amended IN Senate June 13, 2017 Amended IN Assembly April 19, 2017 Amended IN Assembly March 30, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 1372Introduced by Assembly Member LevineFebruary 17, 2017 An act to add Section 14724 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 1372, as amended, Levine. Crisis stabilization units: psychiatric patients.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, the department and counties provide specialty mental health services for Medi-Cal beneficiaries through mental health managed care plans, as specified. Under existing law, these services may include crisis stabilization services and inpatient psychiatric care.This bill would authorize a certified crisis stabilization unit designated by a mental health managed care plan, at the discretion of the mental health managed care plan, to provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. The bill would require a person who is placed under, or who is already under, a 72-hour involuntary hold because, based on probable cause, the person, as a result of a mental disorder, is a danger to others, or to himself or herself, or is gravely disabled, to be credited for the time detained at a certified crisis stabilization unit. The bill would require the department to amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services for more than 24 hours if the mental health plan elects to provide crisis stabilization services under these provisions. The bill would require the department to require these mental health plans to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours. The bill would require the department to seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement these provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 14724 is added to the Welfare and Institutions Code, to read:14724. (a) A certified crisis stabilization unit designated by a mental health plan under Article 5 (commencing with Section 14680) or this chapter, and authorized pursuant to Sections 14021.4, 14680, and 14684, may, at the discretion of the mental health plan, provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. If a person is placed under, or is already under, a 72-hour hold pursuant to Section 5150, he or she shall be credited for the time detained at a certified crisis stabilization unit addressed by this section. Nothing in this section shall be construed to encourage the placement of a 72-hour hold pursuant to Section 5150 for an individual who is at a certified crisis stabilization unit on a voluntary basis.(b) The department shall amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services as described in this section if the mental health plan elects to provide crisis stabilization services pursuant to this section.(c) The department shall require each mental health plan to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours.(d) The department shall seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement this section.
Amended IN Senate June 13, 2017 Amended IN Assembly April 19, 2017 Amended IN Assembly March 30, 2017 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 1372Introduced by Assembly Member LevineFebruary 17, 2017 An act to add Section 14724 to the Welfare and Institutions Code, relating to Medi-Cal. LEGISLATIVE COUNSEL'S DIGESTAB 1372, as amended, Levine. Crisis stabilization units: psychiatric patients.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, the department and counties provide specialty mental health services for Medi-Cal beneficiaries through mental health managed care plans, as specified. Under existing law, these services may include crisis stabilization services and inpatient psychiatric care.This bill would authorize a certified crisis stabilization unit designated by a mental health managed care plan, at the discretion of the mental health managed care plan, to provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. The bill would require a person who is placed under, or who is already under, a 72-hour involuntary hold because, based on probable cause, the person, as a result of a mental disorder, is a danger to others, or to himself or herself, or is gravely disabled, to be credited for the time detained at a certified crisis stabilization unit. The bill would require the department to amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services for more than 24 hours if the mental health plan elects to provide crisis stabilization services under these provisions. The bill would require the department to require these mental health plans to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours. The bill would require the department to seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement these provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Senate June 13, 2017 Amended IN Assembly April 19, 2017 Amended IN Assembly March 30, 2017
Amended IN Senate June 13, 2017
Amended IN Assembly April 19, 2017
Amended IN Assembly March 30, 2017
CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION
Assembly Bill No. 1372
Introduced by Assembly Member LevineFebruary 17, 2017
Introduced by Assembly Member Levine
February 17, 2017
An act to add Section 14724 to the Welfare and Institutions Code, relating to Medi-Cal.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 1372, as amended, Levine. Crisis stabilization units: psychiatric patients.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, the department and counties provide specialty mental health services for Medi-Cal beneficiaries through mental health managed care plans, as specified. Under existing law, these services may include crisis stabilization services and inpatient psychiatric care.This bill would authorize a certified crisis stabilization unit designated by a mental health managed care plan, at the discretion of the mental health managed care plan, to provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. The bill would require a person who is placed under, or who is already under, a 72-hour involuntary hold because, based on probable cause, the person, as a result of a mental disorder, is a danger to others, or to himself or herself, or is gravely disabled, to be credited for the time detained at a certified crisis stabilization unit. The bill would require the department to amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services for more than 24 hours if the mental health plan elects to provide crisis stabilization services under these provisions. The bill would require the department to require these mental health plans to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours. The bill would require the department to seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement these provisions.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions. Under existing law, the department and counties provide specialty mental health services for Medi-Cal beneficiaries through mental health managed care plans, as specified. Under existing law, these services may include crisis stabilization services and inpatient psychiatric care.
This bill would authorize a certified crisis stabilization unit designated by a mental health managed care plan, at the discretion of the mental health managed care plan, to provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. The bill would require a person who is placed under, or who is already under, a 72-hour involuntary hold because, based on probable cause, the person, as a result of a mental disorder, is a danger to others, or to himself or herself, or is gravely disabled, to be credited for the time detained at a certified crisis stabilization unit. The bill would require the department to amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services for more than 24 hours if the mental health plan elects to provide crisis stabilization services under these provisions. The bill would require the department to require these mental health plans to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours. The bill would require the department to seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement these provisions.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 14724 is added to the Welfare and Institutions Code, to read:14724. (a) A certified crisis stabilization unit designated by a mental health plan under Article 5 (commencing with Section 14680) or this chapter, and authorized pursuant to Sections 14021.4, 14680, and 14684, may, at the discretion of the mental health plan, provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. If a person is placed under, or is already under, a 72-hour hold pursuant to Section 5150, he or she shall be credited for the time detained at a certified crisis stabilization unit addressed by this section. Nothing in this section shall be construed to encourage the placement of a 72-hour hold pursuant to Section 5150 for an individual who is at a certified crisis stabilization unit on a voluntary basis.(b) The department shall amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services as described in this section if the mental health plan elects to provide crisis stabilization services pursuant to this section.(c) The department shall require each mental health plan to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours.(d) The department shall seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement this section.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 14724 is added to the Welfare and Institutions Code, to read:14724. (a) A certified crisis stabilization unit designated by a mental health plan under Article 5 (commencing with Section 14680) or this chapter, and authorized pursuant to Sections 14021.4, 14680, and 14684, may, at the discretion of the mental health plan, provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. If a person is placed under, or is already under, a 72-hour hold pursuant to Section 5150, he or she shall be credited for the time detained at a certified crisis stabilization unit addressed by this section. Nothing in this section shall be construed to encourage the placement of a 72-hour hold pursuant to Section 5150 for an individual who is at a certified crisis stabilization unit on a voluntary basis.(b) The department shall amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services as described in this section if the mental health plan elects to provide crisis stabilization services pursuant to this section.(c) The department shall require each mental health plan to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours.(d) The department shall seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement this section.
SECTION 1. Section 14724 is added to the Welfare and Institutions Code, to read:
### SECTION 1.
14724. (a) A certified crisis stabilization unit designated by a mental health plan under Article 5 (commencing with Section 14680) or this chapter, and authorized pursuant to Sections 14021.4, 14680, and 14684, may, at the discretion of the mental health plan, provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. If a person is placed under, or is already under, a 72-hour hold pursuant to Section 5150, he or she shall be credited for the time detained at a certified crisis stabilization unit addressed by this section. Nothing in this section shall be construed to encourage the placement of a 72-hour hold pursuant to Section 5150 for an individual who is at a certified crisis stabilization unit on a voluntary basis.(b) The department shall amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services as described in this section if the mental health plan elects to provide crisis stabilization services pursuant to this section.(c) The department shall require each mental health plan to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours.(d) The department shall seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement this section.
14724. (a) A certified crisis stabilization unit designated by a mental health plan under Article 5 (commencing with Section 14680) or this chapter, and authorized pursuant to Sections 14021.4, 14680, and 14684, may, at the discretion of the mental health plan, provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. If a person is placed under, or is already under, a 72-hour hold pursuant to Section 5150, he or she shall be credited for the time detained at a certified crisis stabilization unit addressed by this section. Nothing in this section shall be construed to encourage the placement of a 72-hour hold pursuant to Section 5150 for an individual who is at a certified crisis stabilization unit on a voluntary basis.(b) The department shall amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services as described in this section if the mental health plan elects to provide crisis stabilization services pursuant to this section.(c) The department shall require each mental health plan to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours.(d) The department shall seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement this section.
14724. (a) A certified crisis stabilization unit designated by a mental health plan under Article 5 (commencing with Section 14680) or this chapter, and authorized pursuant to Sections 14021.4, 14680, and 14684, may, at the discretion of the mental health plan, provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. If a person is placed under, or is already under, a 72-hour hold pursuant to Section 5150, he or she shall be credited for the time detained at a certified crisis stabilization unit addressed by this section. Nothing in this section shall be construed to encourage the placement of a 72-hour hold pursuant to Section 5150 for an individual who is at a certified crisis stabilization unit on a voluntary basis.(b) The department shall amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services as described in this section if the mental health plan elects to provide crisis stabilization services pursuant to this section.(c) The department shall require each mental health plan to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours.(d) The department shall seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement this section.
14724. (a) A certified crisis stabilization unit designated by a mental health plan under Article 5 (commencing with Section 14680) or this chapter, and authorized pursuant to Sections 14021.4, 14680, and 14684, may, at the discretion of the mental health plan, provide medically necessary crisis stabilization services to individuals beyond the service time of 24 hours in those cases in which the individual needs inpatient psychiatric care or outpatient care and crisis stabilization beds inpatient psychiatric beds or outpatient services are not reasonably available. If a person is placed under, or is already under, a 72-hour hold pursuant to Section 5150, he or she shall be credited for the time detained at a certified crisis stabilization unit addressed by this section. Nothing in this section shall be construed to encourage the placement of a 72-hour hold pursuant to Section 5150 for an individual who is at a certified crisis stabilization unit on a voluntary basis.
(b) The department shall amend its contract with a mental health plan to include a provision authorizing the provision of crisis stabilization services as described in this section if the mental health plan elects to provide crisis stabilization services pursuant to this section.
(c) The department shall require each mental health plan to establish treatment protocols, documentation standards, and administrative procedures, consistent with best practices and other evidence-based medicine, to be followed by a certified crisis stabilization unit for appropriate treatment to individuals who are provided crisis stabilization services for more than 24 hours.
(d) The department shall seek any state plan amendments or waivers, or amendments to existing waivers, that are necessary to implement this section.