| 15 | | - | An act relating to crisis care coordination; creating 2 |
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| 16 | | - | s. 394.6581, F.S.; requiring the Department of 3 |
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| 17 | | - | Children and Families to implement, subject to 4 |
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| 18 | | - | appropriation, Crisis Care Coordination Pilot Programs 5 |
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| 19 | | - | in specified counties for certain purposes; providing 6 |
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| 20 | | - | requirements for the pilot programs; requiring the 7 |
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| 21 | | - | department to contract for an independent evaluation 8 |
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| 22 | | - | of the pilot programs and submit a report t o the 9 |
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| 23 | | - | Governor and the Legislature by a specified date; 10 |
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| 24 | | - | providing rulemaking authority; providing for 11 |
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| 25 | | - | expiration of the pilot programs; providing an 12 |
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| 26 | | - | effective date. 13 |
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| 27 | | - | 14 |
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| 28 | | - | Be It Enacted by the Legislature of the State of Florida: 15 |
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| 29 | | - | 16 |
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| 30 | | - | Section 1. Section 394. 6581, Florida Statutes, is created 17 |
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| 31 | | - | to read: 18 |
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| 32 | | - | 394.6581 Crisis Care Coordination Pilot Programs. — 19 |
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| 33 | | - | (1) Subject to a specific appropriation, the department 20 |
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| 34 | | - | shall establish and implement Crisis Care Coordination Pilot 21 |
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| 35 | | - | Programs in Polk and Volusia Counties. T he purpose of the pilot 22 |
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| 36 | | - | programs is to reduce repeat involuntary examinations initiated 23 |
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| 37 | | - | by law enforcement, provide persons who are experiencing an 24 |
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| 38 | | - | acute mental health crisis an option for crisis intervention 25 |
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| 15 | + | An act relating to crisis care coordination; amending 2 |
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| 16 | + | s. 394.4573, F.S.; requiring, subject to an 3 |
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| 17 | + | appropriation, the Department of Children and Families 4 |
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| 18 | + | to implement a Crisis Care Coordination Pilot Program, 5 |
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| 19 | + | with a specific emphasis, in specified counties for 6 |
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| 20 | + | certain purposes; providing requirements for the pilot 7 |
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| 21 | + | program; requiring the pilot program to engage a third 8 |
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| 22 | + | party for certain purposes; providing a n effective 9 |
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| 23 | + | date. 10 |
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| 24 | + | 11 |
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| 25 | + | Be It Enacted by the Legislature of the State of Florida: 12 |
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| 26 | + | 13 |
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| 27 | + | Section 1. Subsection (4) is added to section 394.4573, 14 |
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| 28 | + | Florida Statutes, to read: 15 |
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| 29 | + | 394.4573 Coordinated system of care; annual assessment; 16 |
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| 30 | + | essential elements; measures of performance; system improvement 17 |
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| 31 | + | grants; reports.—On or before December 1 of each year, the 18 |
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| 32 | + | department shall submit to the Governor, the President of the 19 |
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| 33 | + | Senate, and the Speaker of the House of Representatives an 20 |
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| 34 | + | assessment of the behavioral health servi ces in this state. The 21 |
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| 35 | + | assessment shall consider, at a minimum, the extent to which 22 |
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| 36 | + | designated receiving systems function as no -wrong-door models, 23 |
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| 37 | + | the availability of treatment and recovery services that use 24 |
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| 38 | + | recovery-oriented and peer-involved approaches, the availability 25 |
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| 51 | | - | other than the use of law enforcement, reduce t heir level of 26 |
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| 52 | | - | followup interaction with law enforcement officers post crisis, 27 |
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| 53 | | - | and assist them with engagement in behavioral health care. 28 |
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| 54 | | - | (a) The pilot programs shall facilitate partnerships 29 |
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| 55 | | - | between law enforcement agencies in Polk and Volusia Counties 30 |
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| 56 | | - | and organizations in the coordinated system of care under s. 31 |
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| 57 | | - | 394.4573 that are operating in those counties by placing crisis 32 |
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| 58 | | - | counselors within law enforcement agencies to intervene with and 33 |
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| 59 | | - | provide followup care for persons who are experiencing or have 34 |
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| 60 | | - | experienced an acute mental health crisis and their families and 35 |
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| 61 | | - | support networks. 36 |
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| 62 | | - | (b) The pilot programs shall be implemented by nationally 37 |
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| 63 | | - | accredited community mental health centers in partnership with 38 |
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| 64 | | - | local law enforcement. 39 |
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| 65 | | - | (2) Crisis counselors placed i n law enforcement agencies 40 |
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| 66 | | - | shall provide support and assistance to persons who are 41 |
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| 67 | | - | experiencing or have experienced an acute mental health crisis, 42 |
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| 68 | | - | connecting them to the coordinated system of care. Duties of 43 |
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| 69 | | - | crisis counselors shall include: 44 |
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| 70 | | - | (a) Intervening when law enforcement is contacted relating 45 |
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| 71 | | - | to a person experiencing an acute mental health crisis to make 46 |
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| 72 | | - | observations and provide information to responding officers, 47 |
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| 73 | | - | conduct assessments, de -escalate the crisis situation, or 48 |
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| 74 | | - | provide referrals, as appro priate. 49 |
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| 75 | | - | (b) Follow up with such persons following an acute mental 50 |
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| 51 | + | of less-restrictive services, and the use of evidence -informed 26 |
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| 52 | + | practices. The assessment shall also consider the availability 27 |
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| 53 | + | of and access to coordinated specialty care programs and 28 |
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| 54 | + | identify any gaps in the availability of and access to s uch 29 |
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| 55 | + | programs in the state. The department's assessment shall 30 |
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| 56 | + | consider, at a minimum, the needs assessments conducted by the 31 |
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| 57 | + | managing entities pursuant to s. 394.9082(5). The department 32 |
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| 58 | + | shall compile and include in the report all plans submitted by 33 |
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| 59 | + | managing entities pursuant to s. 394.9082(8) and the 34 |
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| 60 | + | department's evaluation of each plan. 35 |
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| 61 | + | (4) As part of a coordinated system of care and subject to 36 |
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| 62 | + | a specific appropriation by the Legislature, the department, 37 |
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| 63 | + | through the managing entities, shall implement a Cr isis Care 38 |
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| 64 | + | Coordination Pilot Program with an emphasis on a coordinated 39 |
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| 65 | + | system of care in Polk and Volusia Counties to be implemented by 40 |
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| 66 | + | nationally accredited community mental health centers in 41 |
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| 67 | + | partnership with local law enforcement. 42 |
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| 68 | + | (a) The pilot program must provide community -based care 43 |
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| 69 | + | coordination and support for children, adolescents, and adults 44 |
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| 70 | + | after contact with law enforcement during a mental health crisis 45 |
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| 71 | + | event, including involuntary examinations initiated by a law 46 |
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| 72 | + | enforcement officer. 47 |
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| 73 | + | (b) Services provided by the pilot program shall include 48 |
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| 74 | + | assessment, safety planning, assistance in accessing recommended 49 |
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| 75 | + | services, supportive counseling, and other supports needed 50 |
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| 88 | | - | health crisis involving law enforcement, such as an involuntary 51 |
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| 89 | | - | examination as defined in s. 394.455 initiated by law 52 |
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| 90 | | - | enforcement. A person's involvement with followup care shall be 53 |
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| 91 | | - | voluntary. Such followup care by crisis counselors may include, 54 |
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| 92 | | - | but need not be limited to: 55 |
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| 93 | | - | 1. Conducting assessments. 56 |
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| 94 | | - | 2. Providing individualized safety planning tailored to 57 |
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| 95 | | - | the person's needs and risks. 58 |
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| 96 | | - | 3. Providing supportive counseling. 59 |
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| 97 | | - | 4. Assisting persons in accessing recommended mental 60 |
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| 98 | | - | health services and substance abuse services. 61 |
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| 99 | | - | 5. Assisting persons in adhering to discharge plans. 62 |
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| 100 | | - | 6. Providing care coordination as defined in s. 63 |
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| 101 | | - | 394.4573(1), unless a person is already receiving that service 64 |
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| 102 | | - | from another organization. 65 |
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| 103 | | - | (3) The pilot programs shall establish formal partnerships 66 |
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| 104 | | - | through written referral agreements and information exchange 67 |
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| 105 | | - | procedures with, at a minimum, providers of mental health 68 |
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| 106 | | - | services and substance abuse services, local hosp itals licensed 69 |
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| 107 | | - | under chapter 395, and not -for-profit agencies and other 70 |
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| 108 | | - | organizations which can be of assistance to persons who are 71 |
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| 109 | | - | experiencing or have experienced an acute mental health crisis 72 |
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| 110 | | - | and their families and support networks. Such agreements shal l, 73 |
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| 111 | | - | at a minimum, facilitate timely access to community -based 74 |
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| 112 | | - | behavioral health services and other local systems and entities 75 |
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| 113 | | - | |
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| 114 | | - | CS/HB 1013 2025 |
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| 115 | | - | |
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| 116 | | - | |
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| 117 | | - | |
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| 118 | | - | CODING: Words stricken are deletions; words underlined are additions. |
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| 119 | | - | hb1013-01-c1 |
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| 120 | | - | Page 4 of 4 |
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| 121 | | - | F L O R I D A H O U S E O F R E P R E S E N T A T I VE S |
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| 122 | | - | |
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| 123 | | - | |
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| 124 | | - | |
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| 125 | | - | as provided in the person's discharge plan. 76 |
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| 126 | | - | (4) The department shall contract for an independent 77 |
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| 127 | | - | evaluation of the pilot programs regarding, at a minimum, their 78 |
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| 128 | | - | effectiveness and return on investment. By January 15, 2029, the 79 |
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| 129 | | - | department shall submit a report of the findings of the 80 |
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| 130 | | - | evaluation of the pilot programs to the Governor, the President 81 |
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| 131 | | - | of the Senate, and the Speaker of the H ouse of Representatives, 82 |
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| 132 | | - | which shall include, at a minimum: 83 |
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| 133 | | - | (a) The amount of time that law enforcement officers were 84 |
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| 134 | | - | engaged in responses to persons who were experiencing or had 85 |
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| 135 | | - | experienced an acute mental health crisis. 86 |
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| 136 | | - | (b) Repeat involuntary examina tions initiated by law 87 |
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| 137 | | - | enforcement. 88 |
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| 138 | | - | (c) Engagement in post -crisis mental health and substance 89 |
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| 139 | | - | abuse services among persons served by the programs. 90 |
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| 140 | | - | (d) The effectiveness of the pilot program services. 91 |
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| 141 | | - | (e) Recommendations regarding enhancements to, and 92 |
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| 142 | | - | continuation and expansion of, the pilot programs. 93 |
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| 143 | | - | (5) The department may adopt rules to implement this 94 |
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| 144 | | - | section. 95 |
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| 145 | | - | (6) This section expires June 30, 2029. 96 |
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| 146 | | - | Section 2. This act shall take effect July 1, 2025. 97 |
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| 88 | + | following a mental health crisis event. 51 |
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| 89 | + | (c) The pilot program must coordinate with community 52 |
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| 90 | + | partners, including development of referral agreements and 53 |
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| 91 | + | information exchange procedures. Referral agreements must be 54 |
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| 92 | + | developed with behavioral health service providers in the pilot 55 |
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| 93 | + | program's service area to facilitate timely access to communi ty-56 |
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| 94 | + | based behavioral health services and other local systems and 57 |
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| 95 | + | entities as outlined in the individual's discharge plan. 58 |
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| 96 | + | (d) The goal of the pilot program is to reduce repeat 59 |
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| 97 | + | involuntary examinations initiated by law enforcement, reduce 60 |
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| 98 | + | the time burden of law enforcement working with individuals 61 |
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| 99 | + | after an involuntary examination, provide post -crisis 62 |
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| 100 | + | intervention services, assist individuals with engagement in 63 |
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| 101 | + | mental health care, and provide individuals an option for crisis 64 |
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| 102 | + | intervention other than the use o f law enforcement. 65 |
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| 103 | + | (e) The pilot program must engage a third -party evaluator 66 |
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| 104 | + | to assess the pilot program's efficacy and return on investment 67 |
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| 105 | + | and provide a written report of the findings within 2 years 68 |
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| 106 | + | after implementation of the pilot program. 69 |
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| 107 | + | Section 2. This act shall take effect July 1, 2025. 70 |
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