1 | 1 | | 25 LC 52 0595 |
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2 | 2 | | House Bill 109 |
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3 | 3 | | By: Representatives Barnes of the 86 |
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4 | 4 | | th |
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5 | 5 | | , Oliver of the 84 |
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6 | 6 | | th |
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7 | 7 | | , Au of the 50 |
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8 | 8 | | th |
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9 | 9 | | , Hutchinson of the |
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10 | 10 | | 106 |
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11 | 11 | | th |
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12 | 12 | | , Park of the 107 |
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13 | 13 | | th |
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14 | 14 | | , and others |
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15 | 15 | | A BILL TO BE ENTITLED |
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16 | 16 | | AN ACT |
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17 | 17 | | To amend Title 37 of the Official Code of Georgia Annotated, relating to mental health, so |
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18 | 18 | | 1 |
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19 | 19 | | as to provide for a five-year pilot program for the purpose of creating emergency psychiatric2 |
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20 | 20 | | assessment, treatment, and healing units or EmPATH units in hospitals; to provide for3 |
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21 | 21 | | definitions; to provide for a short title; to provide for the administration of such program; to4 |
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22 | 22 | | provide for rules and regulations; to provide for the certification of EmPATH units; to5 |
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23 | 23 | | provide for an appropriations contingency; to provide for funding or gifts in-kind; to provide6 |
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24 | 24 | | for exclusions; to provide for termination of such program and automatic repeal of the article;7 |
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25 | 25 | | to provide for related matters; to repeal conflicting laws; and for other purposes.8 |
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26 | 26 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:9 |
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27 | 27 | | SECTION 1.10 |
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28 | 28 | | Title 37 of the Official Code of Georgia Annotated, relating to mental health, is amended in11 |
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29 | 29 | | Chapter 1, relating to the governing and regulation of mental health, by adding a new article12 |
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30 | 30 | | to read as follows:13 |
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31 | 31 | | H. B. 109 |
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32 | 32 | | - 1 - 25 LC 52 0595 |
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33 | 33 | | "ARTICLE 814 |
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34 | 34 | | 37-1-130.15 |
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35 | 35 | | This article shall be known and may be cited as the 'EmPATH Georgia Act.'16 |
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36 | 36 | | 37-1-131.17 |
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37 | 37 | | As used in this article, the term:18 |
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38 | 38 | | (1) 'Behavioral health crisis' has the same meaning as in Code Section 37-12-1.19 |
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39 | 39 | | (2) 'Behavioral health services' means services which are designed to prevent or20 |
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40 | 40 | | ameliorate the effects of mental or emotional illness or addictive disease.21 |
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41 | 41 | | (3) 'Emergency psychiatric assessment, treatment, and healing unit' or 'EmPATH unit'22 |
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42 | 42 | | means a hospital based outpatient program that:23 |
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43 | 43 | | (A) Operates for the purpose of providing behavioral health services for individuals24 |
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44 | 44 | | experiencing a behavioral health crisis;25 |
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45 | 45 | | (B) Provides brief, intensive crisis treatment that shall include an evaluation by a26 |
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46 | 46 | | psychiatrist within 24 hours of an individual's admission;27 |
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47 | 47 | | (C) Provides other appropriate treatment or services as necessary, including, but not28 |
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48 | 48 | | limited to, observation, detoxification, and stabilization services, and medication29 |
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49 | 49 | | prescribed by a physician;30 |
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50 | 50 | | (D) Provides services 24 hours a day, seven days a week to individuals on a voluntary31 |
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51 | 51 | | and involuntary basis in a community based setting as an alternative to emergency32 |
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52 | 52 | | department admission, inpatient hospitalization, and other higher levels of care; and33 |
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53 | 53 | | (E) Is certified by the department and complies with applicable standards.34 |
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54 | 54 | | (4) 'Rural county' means a county having a population of less than 50,000 according to35 |
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55 | 55 | | the United States decennial census of 2020 or any future such census.36 |
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56 | 56 | | (5) 'Urban county' means a county having a population equal to or greater than 50,00037 |
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57 | 57 | | according to the United States decennial census of 2020 or any future such census.38 |
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58 | 58 | | H. B. 109 |
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59 | 59 | | - 2 - 25 LC 52 0595 |
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60 | 60 | | 37-1-132.39 |
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61 | 61 | | (a) The department, in coordination with the Department of Community Health, shall40 |
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62 | 62 | | establish a pilot program to provide grants and funding for the creation, development, and41 |
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63 | 63 | | operation of EmPATH units.42 |
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64 | 64 | | (b) The department, in coordination with the Department of Community Health, shall43 |
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65 | 65 | | promulgate rules and regulations for EmPATH units, which shall include, but not be44 |
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66 | 66 | | limited to, minimum care, facility operational, and reporting requirements. Such rules and45 |
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67 | 67 | | regulations shall endeavor to adhere to the most recently established, medically recognized46 |
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68 | 68 | | EmPATH model.47 |
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69 | 69 | | (c) The department, in coordination with the Department of Community Health, shall48 |
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70 | 70 | | establish grant criteria and make award decisions; provided, however, that at least one49 |
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71 | 71 | | EmPATH unit shall be established in a rural county and at least one EmPATH unit shall50 |
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72 | 72 | | be established in an urban county. Grants shall not be used to fund existing programs.51 |
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73 | 73 | | 37-1-133.52 |
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74 | 74 | | (a) An EmPATH unit shall be designated as an emergency receiving facility under Code53 |
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75 | 75 | | Sections 37-3-40 and 37-7-40 and an evaluating facility under Code Sections 37-3-6054 |
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76 | 76 | | and 37-7-60, but shall not be designated as a treatment facility under Code Section 37-3-8055 |
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77 | 77 | | or 37-7-80.56 |
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78 | 78 | | (b) The department shall be authorized to certify EmPATH units pursuant to this article.57 |
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79 | 79 | | 37-1-134.58 |
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80 | 80 | | (a) Any program certified as a crisis stabilization unit pursuant to this article shall be59 |
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81 | 81 | | exempt from the requirements to obtain a certificate of need pursuant to Article 3 of60 |
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82 | 82 | | Chapter 6 of Title 31.61 |
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83 | 83 | | (b) This Code section is not intended to and should not be construed to affect the services62 |
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84 | 84 | | offered by a crisis stabilization unit as defined in Code Section 37-1-29.63 |
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85 | 85 | | H. B. 109 |
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86 | 86 | | - 3 - 25 LC 52 0595 |
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87 | 87 | | 37-1-135.64 |
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88 | 88 | | (a) This article shall be subject to appropriation to the department from the General65 |
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89 | 89 | | Assembly specifically for such pilot program. The department and the Department of66 |
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90 | 90 | | Community Health may accept and solicit private funding, public grants, in-kind gifts, or67 |
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91 | 91 | | any other funding or donations that may be available to facilitate the purpose of the grant68 |
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92 | 92 | | program.69 |
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93 | 93 | | (b) No later than December 31, 2029, the department shall submit a detailed written report70 |
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94 | 94 | | on the implementation and effectiveness of such pilot program to the Governor, the71 |
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95 | 95 | | Speaker of the House of Representatives, the President of the Senate, and the chairpersons72 |
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96 | 96 | | of the House Committee on Health and the Senate Health and Human Services Committee. 73 |
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97 | 97 | | Such report shall also include recommendations as to expansion of such pilot program state74 |
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98 | 98 | | wide.75 |
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99 | 99 | | (c) The pilot program created by this article shall terminate five years after such program's76 |
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100 | 100 | | start date, and this article shall be repealed by operation of law on July 1 of the year77 |
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101 | 101 | | following the conclusion of such pilot program."78 |
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102 | 102 | | SECTION 2.79 |
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103 | 103 | | Said title is further amended in Article 7 of Chapter 3, relating to adult residential mental80 |
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104 | 104 | | health services licensing, by revising paragraph (1) of Code Section 37-3-202, relating to81 |
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105 | 105 | | definitions, as follows:82 |
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106 | 106 | | "(1) 'Adult residential mental health program' means a subacute residential alternative83 |
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107 | 107 | | service of four or more residential beds authorized to provide psychiatric services for84 |
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108 | 108 | | mentally ill persons 18 years of age or older that operates 24 hours per day, (7) seven85 |
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109 | 109 | | days per week to provide intensive short-term noninstitutional treatment to individuals86 |
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110 | 110 | | who are temporarily in need of a 24-hour-per-day supportive therapeutic setting for87 |
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111 | 111 | | prevention of or transition from or after acute psychiatric hospitalization. Such term shall88 |
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112 | 112 | | not include crisis stabilization units, as defined in Code Section 37-1-29; community89 |
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113 | 113 | | H. B. 109 |
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114 | 114 | | - 4 - 25 LC 52 0595 |
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115 | 115 | | living arrangements, as defined by the Department of Behavioral Health and |
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116 | 116 | | 90 |
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117 | 117 | | Developmental Disabilities; EmPATH units as defined in Code Section 37-1-131; |
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118 | 118 | | mental91 |
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119 | 119 | | health programs conducted by accountability courts; or residential beds operated by a92 |
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120 | 120 | | state or local public entity."93 |
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121 | 121 | | SECTION 3.94 |
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122 | 122 | | All laws and parts of laws in conflict with this Act are repealed.95 |
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123 | 123 | | H. B. 109 |
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124 | 124 | | - 5 - |
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