LCO No. 2166 1 of 5 General Assembly Raised Bill No. 5433 February Session, 2022 LCO No. 2166 Referred to Committee on APPROPRIATIONS Introduced by: (APP) AN ACT ESTABLISHING A COUNCIL ON MENTAL AND BEHAVIORAL HEALTH PROGRAM OVERSIGHT. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective from passage) (a) There is established a 1 Council on Mental and Behavioral Health Program Oversight which 2 shall advise the Commissioner of Mental Health and Addiction Services 3 on the planning and implementation of the delivery system for mental 4 and behavioral health programs and services, including services for the 5 treatment of substance use disorder. The council shall monitor planning 6 and implementation of matters related to mental and behavioral health 7 program initiatives including, but not limited to, (1) eligibility 8 standards, (2) benefits, (3) access, (4) quality assurance, and (5) outcome 9 measures. 10 (b) The council shall be composed of the following members: 11 (1) The chairpersons and ranking members of the joint standing 12 committees of the General Assembly having cognizance of matters 13 relating to public health, human services, children and appropriations 14 and the budgets of state agencies, or their designees; 15 Raised Bill No. 5433 LCO No. 2166 2 of 5 (2) Five appointed by the speaker of the House of Representatives, 16 one of whom shall be a member of the General Assembly, one of whom 17 shall be a community provider of adult mental or behavioral health 18 services, one of whom shall be a consumer of adult mental or behavioral 19 health services or an advocate for such consumers, one of whom shall 20 be a representative of a federally qualified health center that provides 21 psychiatric services and one of whom shall be a member of the 22 Connecticut Hospital Association; 23 (3) Five appointed by the president pro tempore of the Senate, one of 24 whom shall be a member of the General Assembly, one of whom shall 25 be a representative of a nonprofit agency that provides mental and 26 behavioral health services, one of whom shall be a representative of a 27 for-profit agency that provides mental or behavioral health services, one 28 of whom shall be a licensed health care provider of mental or behavioral 29 health services and one of whom shall be a licensed alcohol and drug 30 counselor; 31 (4) Three appointed by the majority leader of the House of 32 Representatives, one of whom shall be an advocate for persons with 33 substance use disorder, one of whom shall be a family member of a 34 person with substance use disorder and one of whom shall be a 35 representative of a facility that provides in-patient substance use 36 disorder services; 37 (5) Three appointed by the majority leader of the Senate, one of whom 38 shall be a community provider of mental or behavioral health services 39 for children and young adults, one of whom shall be the family member 40 of a child or young adult who is a consumer of mental or behavioral 41 health services, and one of whom is an advocate for such consumers; 42 (6) Three appointed by the minority leader of the House of 43 Representatives; 44 (7) Three appointed by the minority leader of the Senate; 45 (8) The Commissioners of Public Health, Social Services, Children 46 Raised Bill No. 5433 LCO No. 2166 3 of 5 and Families, and Mental Health and Addiction Services, or their 47 designees, who shall be ex-officio nonvoting members; 48 (9) The Comptroller, or the Comptroller's designee, who shall be an 49 ex-officio nonvoting member; and 50 (10) The Secretary of the Office of Policy and Management, or the 51 secretary's designee, who shall be an ex-officio nonvoting member. 52 (c) The council shall choose a chairperson from among its members. 53 The Joint Committee on Legislative Management shall provide 54 administrative support to such chairperson. 55 (d) The council shall monitor and make recommendations 56 concerning: (1) Access to quality mental and behavioral health services 57 and effective outreach; (2) the sufficiency of providers of mental and 58 behavioral health services for adults and children throughout the state; 59 (3) the sufficiency of provider rates to maintain service access; (4) 60 funding and agency personnel resources to ensure timely access to 61 services and effective management of mental and behavioral health 62 programs; (5) the linguistic and cultural competency of providers; (6) 63 program quality, including outcome measures and continuous quality 64 improvement initiatives; (7) timely, accessible and effective consumer 65 grievance procedures; and (8) the need for program quality studies 66 within the areas identified in this section and the Department of Mental 67 Health and Addiction Services' application for available grant funds for 68 such studies. 69 (e) The Commissioner of Mental Health and Addiction Services shall 70 provide monthly reports to the council on the matters described in 71 subsection (d) of this section, including, but not limited to, policy 72 changes and proposed regulations that affect mental and behavioral 73 health services. The commissioner shall also provide the council with 74 quarterly financial reports for department expenditures on mental and 75 behavioral health services. 76 (f) The council shall biannually report on its activities and progress to 77 Raised Bill No. 5433 LCO No. 2166 4 of 5 the General Assembly. 78 (g) (1) There is established, within the Council on Mental and 79 Behavioral Health Program Oversight, a standing subcommittee to 80 study and make recommendations to the council on substance use 81 disorder programs and services. The subcommittee shall consist of 82 council members appointed by the chairpersons of the council and other 83 individuals who shall serve for terms prescribed by the cochairpersons 84 to advise the council on specific needs of children and adults with 85 substance use disorder. For the purposes of completing the report 86 required pursuant to this subsection, such individuals shall include, but 87 need not be limited to: (A) The Child Advocate, or the Child Advocate's 88 designee; (B) a family or child advocate; (C) the executive director of the 89 Connecticut Association of Public School Superintendents, or the 90 executive director's designee; (D) an expert in the diagnosis, evaluation, 91 education and treatment of children and young adults with substance 92 use disorder; (E) an expert in the diagnosis, evaluation, education and 93 treatment of adults with substance use disorder; and (F) the Healthcare 94 Advocate, or the Healthcare Advocate's designee. 95 (2) Not later than July 1, 2023, the subcommittee shall submit a report, 96 in accordance with section 11-4a of the general statutes to the council, 97 the Governor and the joint standing committees of the General 98 Assembly having cognizance of matters relating to children, human 99 services, public health and appropriations and the budgets of state 100 agencies regarding the sufficiency of treatment and services for children 101 and adults with substance use disorder. Such report shall include, but 102 need not be limited to: (A) Metrics for evaluating the quality of available 103 services; (B) statutory changes needed to promote effective service 104 delivery; and (C) any other changes needed to address gaps in services 105 identified by the subcommittee or council. 106 This act shall take effect as follows and shall amend the following sections: Section 1 from passage New section Raised Bill No. 5433 LCO No. 2166 5 of 5 Statement of Purpose: To establish a council on mental and behavioral health program oversight. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]