Amended IN Assembly April 11, 2024 Amended IN Assembly April 01, 2024 Amended IN Assembly March 11, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 2700Introduced by Assembly Member GabrielFebruary 14, 2024An act to add Chapter 15 (commencing with Section 1870) to Division 2.5 of the Health and Safety Code, relating to emergency medical services.LEGISLATIVE COUNSEL'S DIGESTAB 2700, as amended, Gabriel. Emergency medical services: alternate destinations.Existing law authorizes a county to develop an emergency medical services (EMS) program, and requires a county developing that program to designate a local EMS agency. Existing law authorizes a local EMS agency to develop a community paramedicine or triage to alternate destination program that, among other things, selects providers to triage individuals to mental health facilities and sobering centers as alternates to emergency departments. Existing law requires the Emergency Medical Services Authority to develop and, after approval by the Commission on Emergency Medical Services, adopt regulations and establish minimum standards for the development of those programs.This bill would require the state to survey and analyze the facilities in each county that can serve as an alternate destination facility. The bill would require a local emergency medical services agency to develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department.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. Chapter 15 (commencing with Section 1870) is added to Division 2.5 of the Health and Safety Code, to read: CHAPTER 15. Alternate Destination Facility Plans1870. For purposes of this chapter:(a) Alternate destination facility means a treatment location that serves as an alternative to an emergency department, including a mental health facility or sobering center.(b) EMS means emergency medical services.(c) Mental health facility means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subdivision (a) or (b) of Section 1250, by the State Department of Public Health, and may include a licensed psychiatric hospital, a licensed psychiatric health facility, or a certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.(d) Sobering center means a noncorrectional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, and that meets any of the following requirements:(1) The facility is a federally qualified health center, including a clinic described in subdivision (b) of Section 1206.(2) The facility is certified by the State Department of Health Care Services Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.(3) The facility meets the National Sobering Collaborative standards of care.1871. The state shall survey and analyze the facilities in each county that can serve as an alternate destination facility. The Emergency Medical Services Authority shall publish a report on its internet website that provides each local emergency services EMS agency with the current number, capacity, and type of alternate destination facilities, as well as the needed number, capacity, and type of alternate destination facilities necessary to meet current demand for services.1872. (a) A local EMS agency, in consultation with the county department or departments relevant to behavioral health within its jurisdiction, shall develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department. The plan and protocols shall be subject to regulations adopted pursuant to subdivision (b) of Section 1815.(b) The plan developed pursuant to subdivision (a) shall do both of the following:(1) Ensure that transportation to an emergency department is no longer the default protocol for an individual in need of mental or behavioral health care services.(2) Utilize existing facilities identified in the report published pursuant to Section 1871.
Amended IN Assembly April 11, 2024 Amended IN Assembly April 01, 2024 Amended IN Assembly March 11, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 2700Introduced by Assembly Member GabrielFebruary 14, 2024An act to add Chapter 15 (commencing with Section 1870) to Division 2.5 of the Health and Safety Code, relating to emergency medical services.LEGISLATIVE COUNSEL'S DIGESTAB 2700, as amended, Gabriel. Emergency medical services: alternate destinations.Existing law authorizes a county to develop an emergency medical services (EMS) program, and requires a county developing that program to designate a local EMS agency. Existing law authorizes a local EMS agency to develop a community paramedicine or triage to alternate destination program that, among other things, selects providers to triage individuals to mental health facilities and sobering centers as alternates to emergency departments. Existing law requires the Emergency Medical Services Authority to develop and, after approval by the Commission on Emergency Medical Services, adopt regulations and establish minimum standards for the development of those programs.This bill would require the state to survey and analyze the facilities in each county that can serve as an alternate destination facility. The bill would require a local emergency medical services agency to develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Assembly April 11, 2024 Amended IN Assembly April 01, 2024 Amended IN Assembly March 11, 2024
Amended IN Assembly April 11, 2024
Amended IN Assembly April 01, 2024
Amended IN Assembly March 11, 2024
CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION
Assembly Bill
No. 2700
Introduced by Assembly Member GabrielFebruary 14, 2024
Introduced by Assembly Member Gabriel
February 14, 2024
An act to add Chapter 15 (commencing with Section 1870) to Division 2.5 of the Health and Safety Code, relating to emergency medical services.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 2700, as amended, Gabriel. Emergency medical services: alternate destinations.
Existing law authorizes a county to develop an emergency medical services (EMS) program, and requires a county developing that program to designate a local EMS agency. Existing law authorizes a local EMS agency to develop a community paramedicine or triage to alternate destination program that, among other things, selects providers to triage individuals to mental health facilities and sobering centers as alternates to emergency departments. Existing law requires the Emergency Medical Services Authority to develop and, after approval by the Commission on Emergency Medical Services, adopt regulations and establish minimum standards for the development of those programs.This bill would require the state to survey and analyze the facilities in each county that can serve as an alternate destination facility. The bill would require a local emergency medical services agency to develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department.
Existing law authorizes a county to develop an emergency medical services (EMS) program, and requires a county developing that program to designate a local EMS agency. Existing law authorizes a local EMS agency to develop a community paramedicine or triage to alternate destination program that, among other things, selects providers to triage individuals to mental health facilities and sobering centers as alternates to emergency departments. Existing law requires the Emergency Medical Services Authority to develop and, after approval by the Commission on Emergency Medical Services, adopt regulations and establish minimum standards for the development of those programs.
This bill would require the state to survey and analyze the facilities in each county that can serve as an alternate destination facility. The bill would require a local emergency medical services agency to develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Chapter 15 (commencing with Section 1870) is added to Division 2.5 of the Health and Safety Code, to read: CHAPTER 15. Alternate Destination Facility Plans1870. For purposes of this chapter:(a) Alternate destination facility means a treatment location that serves as an alternative to an emergency department, including a mental health facility or sobering center.(b) EMS means emergency medical services.(c) Mental health facility means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subdivision (a) or (b) of Section 1250, by the State Department of Public Health, and may include a licensed psychiatric hospital, a licensed psychiatric health facility, or a certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.(d) Sobering center means a noncorrectional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, and that meets any of the following requirements:(1) The facility is a federally qualified health center, including a clinic described in subdivision (b) of Section 1206.(2) The facility is certified by the State Department of Health Care Services Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.(3) The facility meets the National Sobering Collaborative standards of care.1871. The state shall survey and analyze the facilities in each county that can serve as an alternate destination facility. The Emergency Medical Services Authority shall publish a report on its internet website that provides each local emergency services EMS agency with the current number, capacity, and type of alternate destination facilities, as well as the needed number, capacity, and type of alternate destination facilities necessary to meet current demand for services.1872. (a) A local EMS agency, in consultation with the county department or departments relevant to behavioral health within its jurisdiction, shall develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department. The plan and protocols shall be subject to regulations adopted pursuant to subdivision (b) of Section 1815.(b) The plan developed pursuant to subdivision (a) shall do both of the following:(1) Ensure that transportation to an emergency department is no longer the default protocol for an individual in need of mental or behavioral health care services.(2) Utilize existing facilities identified in the report published pursuant to Section 1871.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Chapter 15 (commencing with Section 1870) is added to Division 2.5 of the Health and Safety Code, to read: CHAPTER 15. Alternate Destination Facility Plans1870. For purposes of this chapter:(a) Alternate destination facility means a treatment location that serves as an alternative to an emergency department, including a mental health facility or sobering center.(b) EMS means emergency medical services.(c) Mental health facility means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subdivision (a) or (b) of Section 1250, by the State Department of Public Health, and may include a licensed psychiatric hospital, a licensed psychiatric health facility, or a certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.(d) Sobering center means a noncorrectional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, and that meets any of the following requirements:(1) The facility is a federally qualified health center, including a clinic described in subdivision (b) of Section 1206.(2) The facility is certified by the State Department of Health Care Services Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.(3) The facility meets the National Sobering Collaborative standards of care.1871. The state shall survey and analyze the facilities in each county that can serve as an alternate destination facility. The Emergency Medical Services Authority shall publish a report on its internet website that provides each local emergency services EMS agency with the current number, capacity, and type of alternate destination facilities, as well as the needed number, capacity, and type of alternate destination facilities necessary to meet current demand for services.1872. (a) A local EMS agency, in consultation with the county department or departments relevant to behavioral health within its jurisdiction, shall develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department. The plan and protocols shall be subject to regulations adopted pursuant to subdivision (b) of Section 1815.(b) The plan developed pursuant to subdivision (a) shall do both of the following:(1) Ensure that transportation to an emergency department is no longer the default protocol for an individual in need of mental or behavioral health care services.(2) Utilize existing facilities identified in the report published pursuant to Section 1871.
SECTION 1. Chapter 15 (commencing with Section 1870) is added to Division 2.5 of the Health and Safety Code, to read:
### SECTION 1.
CHAPTER 15. Alternate Destination Facility Plans1870. For purposes of this chapter:(a) Alternate destination facility means a treatment location that serves as an alternative to an emergency department, including a mental health facility or sobering center.(b) EMS means emergency medical services.(c) Mental health facility means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subdivision (a) or (b) of Section 1250, by the State Department of Public Health, and may include a licensed psychiatric hospital, a licensed psychiatric health facility, or a certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.(d) Sobering center means a noncorrectional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, and that meets any of the following requirements:(1) The facility is a federally qualified health center, including a clinic described in subdivision (b) of Section 1206.(2) The facility is certified by the State Department of Health Care Services Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.(3) The facility meets the National Sobering Collaborative standards of care.1871. The state shall survey and analyze the facilities in each county that can serve as an alternate destination facility. The Emergency Medical Services Authority shall publish a report on its internet website that provides each local emergency services EMS agency with the current number, capacity, and type of alternate destination facilities, as well as the needed number, capacity, and type of alternate destination facilities necessary to meet current demand for services.1872. (a) A local EMS agency, in consultation with the county department or departments relevant to behavioral health within its jurisdiction, shall develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department. The plan and protocols shall be subject to regulations adopted pursuant to subdivision (b) of Section 1815.(b) The plan developed pursuant to subdivision (a) shall do both of the following:(1) Ensure that transportation to an emergency department is no longer the default protocol for an individual in need of mental or behavioral health care services.(2) Utilize existing facilities identified in the report published pursuant to Section 1871.
CHAPTER 15. Alternate Destination Facility Plans1870. For purposes of this chapter:(a) Alternate destination facility means a treatment location that serves as an alternative to an emergency department, including a mental health facility or sobering center.(b) EMS means emergency medical services.(c) Mental health facility means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subdivision (a) or (b) of Section 1250, by the State Department of Public Health, and may include a licensed psychiatric hospital, a licensed psychiatric health facility, or a certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.(d) Sobering center means a noncorrectional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, and that meets any of the following requirements:(1) The facility is a federally qualified health center, including a clinic described in subdivision (b) of Section 1206.(2) The facility is certified by the State Department of Health Care Services Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.(3) The facility meets the National Sobering Collaborative standards of care.1871. The state shall survey and analyze the facilities in each county that can serve as an alternate destination facility. The Emergency Medical Services Authority shall publish a report on its internet website that provides each local emergency services EMS agency with the current number, capacity, and type of alternate destination facilities, as well as the needed number, capacity, and type of alternate destination facilities necessary to meet current demand for services.1872. (a) A local EMS agency, in consultation with the county department or departments relevant to behavioral health within its jurisdiction, shall develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department. The plan and protocols shall be subject to regulations adopted pursuant to subdivision (b) of Section 1815.(b) The plan developed pursuant to subdivision (a) shall do both of the following:(1) Ensure that transportation to an emergency department is no longer the default protocol for an individual in need of mental or behavioral health care services.(2) Utilize existing facilities identified in the report published pursuant to Section 1871.
CHAPTER 15. Alternate Destination Facility Plans
CHAPTER 15. Alternate Destination Facility Plans
1870. For purposes of this chapter:(a) Alternate destination facility means a treatment location that serves as an alternative to an emergency department, including a mental health facility or sobering center.(b) EMS means emergency medical services.(c) Mental health facility means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subdivision (a) or (b) of Section 1250, by the State Department of Public Health, and may include a licensed psychiatric hospital, a licensed psychiatric health facility, or a certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.(d) Sobering center means a noncorrectional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, and that meets any of the following requirements:(1) The facility is a federally qualified health center, including a clinic described in subdivision (b) of Section 1206.(2) The facility is certified by the State Department of Health Care Services Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.(3) The facility meets the National Sobering Collaborative standards of care.
1870. For purposes of this chapter:
(a) Alternate destination facility means a treatment location that serves as an alternative to an emergency department, including a mental health facility or sobering center.
(b) EMS means emergency medical services.
(c) Mental health facility means a facility that is licensed or certified as a mental health treatment facility or a hospital, as defined in subdivision (a) or (b) of Section 1250, by the State Department of Public Health, and may include a licensed psychiatric hospital, a licensed psychiatric health facility, or a certified crisis stabilization unit. An authorized mental health facility may also be a psychiatric health facility licensed by the State Department of Health Care Services. The facility shall be staffed at all times with at least one registered nurse.
(d) Sobering center means a noncorrectional facility that is staffed at all times with at least one registered nurse, that provides a safe, supportive environment for intoxicated individuals to become sober, and that meets any of the following requirements:
(1) The facility is a federally qualified health center, including a clinic described in subdivision (b) of Section 1206.
(2) The facility is certified by the State Department of Health Care Services Substance Use Disorder Compliance Division to provide outpatient, nonresidential detoxification services.
(3) The facility meets the National Sobering Collaborative standards of care.
1871. The state shall survey and analyze the facilities in each county that can serve as an alternate destination facility. The Emergency Medical Services Authority shall publish a report on its internet website that provides each local emergency services EMS agency with the current number, capacity, and type of alternate destination facilities, as well as the needed number, capacity, and type of alternate destination facilities necessary to meet current demand for services.
1871. The state shall survey and analyze the facilities in each county that can serve as an alternate destination facility. The Emergency Medical Services Authority shall publish a report on its internet website that provides each local emergency services EMS agency with the current number, capacity, and type of alternate destination facilities, as well as the needed number, capacity, and type of alternate destination facilities necessary to meet current demand for services.
1872. (a) A local EMS agency, in consultation with the county department or departments relevant to behavioral health within its jurisdiction, shall develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department. The plan and protocols shall be subject to regulations adopted pursuant to subdivision (b) of Section 1815.(b) The plan developed pursuant to subdivision (a) shall do both of the following:(1) Ensure that transportation to an emergency department is no longer the default protocol for an individual in need of mental or behavioral health care services.(2) Utilize existing facilities identified in the report published pursuant to Section 1871.
1872. (a) A local EMS agency, in consultation with the county department or departments relevant to behavioral health within its jurisdiction, shall develop an alternate destination facility plan with protocols for transporting an individual to an alternate destination facility instead of an emergency department. The plan and protocols shall be subject to regulations adopted pursuant to subdivision (b) of Section 1815.
(b) The plan developed pursuant to subdivision (a) shall do both of the following:
(1) Ensure that transportation to an emergency department is no longer the default protocol for an individual in need of mental or behavioral health care services.
(2) Utilize existing facilities identified in the report published pursuant to Section 1871.