Hawaii 2024 Regular Session

Hawaii House Bill HB2448 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	HOUSE OF REPRESENTATIVES H.B. NO. 2448 THIRTY-SECOND LEGISLATURE, 2024 STATE OF HAWAII A BILL FOR AN ACT RELATING TO MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
2	2
3	3	HOUSE OF REPRESENTATIVES H.B. NO. 2448
4	4	THIRTY-SECOND LEGISLATURE, 2024
5	5	STATE OF HAWAII
6	6
7	7	HOUSE OF REPRESENTATIVES
8	8
9	9	H.B. NO.
10	10
11	11	2448
12	12
13	13	THIRTY-SECOND LEGISLATURE, 2024
14	14
15	15
16	16
17	17	STATE OF HAWAII
18	18
19	19
20	20
21	21
22	22
23	23
24	24
25	25
26	26
27	27
28	28
29	29
30	30
31	31	A BILL FOR AN ACT
32	32
33	33
34	34
35	35
36	36
37	37	RELATING TO MENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS.
38	38
39	39
40	40
41	41
42	42
43	43	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
44	44
45	45
46	46
47	47	SECTION 1. Addressing mental health needs early in life is imperative for better health and well-being in adulthood. Adverse childhood experiences, various forms of trauma during a child's development, are linked to a greater likelihood of lifelong risky behaviors that can lead to chronic diseases and poor mental health, including depression, anxiety, and suicidality. The importance of children and adolescent mental health was emphasized during the COVID-19 pandemic. The pandemic significantly impacted the social, emotional, and mental well-being of youth globally. Hawaii children and adolescents, like those in other states in the nation, were more likely to have depression and anxiety after the first year of the COVID-19 pandemic. The child and adolescent mental health division of the department of health is the State's Medicaid provider of intensive mental health services for youth. Services provided by the division may be described as a multi-tiered and multi-agency system of care. The child and adolescent mental health division receives referrals from, and provides mental health services in coordination and collaboration with, other state government agencies, as appropriate. For example, the division may receive a client who is housed in a detention home, has been abused, and has dropped out of school. The division will provide the child with treatment and services in coordination with other state agencies (e.g., judiciary, child welfare services, and department of education) that may be involved given the child's circumstances. To minimize disruptions in the daily lives of the clients and their families, the division provides its clients with community-based services and supports by contracting with mental health professionals who practice near or in the communities where eligible children and adolescents live. The purpose of this bill is to amend and update statutes pertaining to mental health services for children and adolescents provided by the child and adolescent mental health division to describe the current mental health systems of care that address mental health needs of children and adolescent in Hawaii. SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding to part XV a new section to be appropriately designated and to read as follows: "§321- Definitions. For the purposes of this part: "Client" means a child or adolescent who is receiving services from the child and adolescent mental health division. "Division" means the department of health's child and adolescent mental health division." SECTION 3. Section 321-171, Hawaii Revised Statutes, is amended to read as follows: "§321-171 [Children's] Children and adolescents' mental health services; department responsibility. It shall be the responsibility of the department of health to: (1) Provide preventative health services for children and [youth;] and adolescents; and (2) Provide diagnostic and treatment services for emotionally disturbed children and [youth; and (3) Provide treatment and rehabilitative services for mentally ill children and youth.] adolescents. [Such] These services shall be delivered [at the earliest possible moment] as soon as reasonably possible after the need for [such] the services is established. [All] Subject to the availability of state or federal resources, eligible children and [youth] adolescents between the ages of birth and seventeen years shall receive the necessary mental health services to [insure] ensure their proper and full development. [If there is any adjudication or settlement of any legal action involving the delivery of children's mental health services, the] The department of health shall be responsible for the coordination of carrying out the terms of [the] any judgment or settlement[.] related to the delivery of children and adolescents' mental health services, as required by this section." SECTION 4. Section 321-172, Hawaii Revised Statutes, is amended to read as follows: "§321-172 [Children's mental health services branch.] Child and adolescent mental health division. There is established within the department of health[, mental health division, a children's] a child and adolescent mental health [branch] division, which shall coordinate the effective and efficient delivery of mental health services to children and [youth,] adolescents, including services provided by private nonprofit agencies under contract to the department of health, and be responsible for the development and implementation of centralized and highly specialized programs for children and [youth.] adolescents." SECTION 5. Section 321-173, Hawaii Revised Statutes, is amended to read as follows: "§321-173 [Community mental health services] Family guidance centers for children and [youth.] adolescents. [There is established within each community mental health center a children's mental health services team which,] The division shall implement and administer family guidance centers. The family guidance centers, in conjunction with public and private agencies, shall develop and provide a network of preventative, early identification, screening, diagnostic, treatment, and rehabilitative services for children and [youth] adolescents based on the needs of each [geographic region] county in which the [community mental health] family guidance center is located. The [children's mental health services teams] division shall cooperate with and promote the coordination of the activities of local public and private agencies servicing children and [youth] adolescents in their [particular geographic area.] county or the closest county that has resources and services that meet the client's needs." SECTION 6. Section 321-175, Hawaii Revised Statutes is amended to read as follows: "§321-175 Statewide [children's] child and adolescent mental health services plan. (a) Commencing [on September 1, 1980,] in the year 2027, and every [four] five years thereafter, the [children's mental health services branch, on or before September 1 of each four-year cycle,] division shall develop and [present] submit to the governor and the legislature[, as well as release for public inspection and comment,] twenty days before the beginning of the legislative session a current statewide [children's] child and adolescent mental health services plan [which] that shall include: (1) [A survey of the children and youth in the State who are (A) in need of and (B) receiving mental health services showing the total number of such children and youth and their geographic distribution;] An assessment of the mental health needs of children and adolescents in the State; (2) [Identification of the public and private providers of mental health services to children and youth;] An assessment of resources available to meet the mental health needs of children and adolescents in the State; (3) [Identification of the criteria and standards for the treatment to be received by emotionally disturbed or mentally ill children and youth;] Identification of gaps between needs and available resources; [(4) A program for the recruitment, orientation, and in-service training of personnel in community mental health services to children and youth, and to allied fields, including participation, as appropriate, by institutions of higher learning, state and local agencies, and other public and private agencies having relevant expertise; (5)] (4) A description of the provisions for prevention, [early identification,] diagnosis, screening, and treatment, which is inclusive of [and] rehabilitation; and [(including, with regard to treatment and rehabilitation, services provided through inpatient, outpatient, and community residential facilities) of children and youth in need of mental health services; (6)] (5) [An implementation plan for providing mental health services to all children and youth in the State in each of the above mentioned areas; and] Recommendations to the governor and the legislature on how mental health needs of children and adolescents can be met. [(7) Any additional matters which may be necessary or appropriate, including recommendations for amendment of laws, changes in administrative practices and patterns of organization, and changes in levels and patterns of financial support relating to children's mental health services.] (b) Prior to the submission of the statewide [children's] child and adolescent mental health services plan under subsection (a) to the governor and the legislature, the department of health shall hold public hearings on the plan in accordance with [chapter 91.] section 92-41. There shall be at least one hearing in each county; except that the city and county of Honolulu shall have three hearings in strategic geographic locations to provide the widest exposure of the plan to the population. (c) Any amendments to the statewide [children's] child and adolescent mental health services plan shall be made after public meetings held in accordance with [chapter 91.] subsection (b)." SECTION 7. Section 321-176, Hawaii Revised Statutes, is repealed. ["§321-176 Biennial review of progress. Every two years, starting January 1, 1979, the department of health, on or before January 1 of each two-year cycle, shall submit to the legislature and the governor a report setting forth: (1) A detailed analysis of the progress made toward fulfilling the statewide children's mental health services plan developed under section 321-175; and (2) Other matters which are necessary or appropriate, including recommendations for any amendment to any law, any change in the administrative practices and patterns of organization, the current and prevailing memoranda of agreement, and any change in the levels and patterns of financial support."] SECTION 8. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored. SECTION 9. This Act shall take effect upon its approval. INTRODUCED BY: _____________________________ BY REQUEST
48	48
49	49	SECTION 1. Addressing mental health needs early in life is imperative for better health and well-being in adulthood. Adverse childhood experiences, various forms of trauma during a child's development, are linked to a greater likelihood of lifelong risky behaviors that can lead to chronic diseases and poor mental health, including depression, anxiety, and suicidality.
50	50
51	51	The importance of children and adolescent mental health was emphasized during the COVID-19 pandemic. The pandemic significantly impacted the social, emotional, and mental well-being of youth globally. Hawaii children and adolescents, like those in other states in the nation, were more likely to have depression and anxiety after the first year of the COVID-19 pandemic.
52	52
53	53	The child and adolescent mental health division of the department of health is the State's Medicaid provider of intensive mental health services for youth. Services provided by the division may be described as a multi-tiered and multi-agency system of care.
54	54
55	55	The child and adolescent mental health division receives referrals from, and provides mental health services in coordination and collaboration with, other state government agencies, as appropriate. For example, the division may receive a client who is housed in a detention home, has been abused, and has dropped out of school. The division will provide the child with treatment and services in coordination with other state agencies (e.g., judiciary, child welfare services, and department of education) that may be involved given the child's circumstances. To minimize disruptions in the daily lives of the clients and their families, the division provides its clients with community-based services and supports by contracting with mental health professionals who practice near or in the communities where eligible children and adolescents live.
56	56
57	57	The purpose of this bill is to amend and update statutes pertaining to mental health services for children and adolescents provided by the child and adolescent mental health division to describe the current mental health systems of care that address mental health needs of children and adolescent in Hawaii.
58	58
59	59	SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding to part XV a new section to be appropriately designated and to read as follows:
60	60
61	61	"§321- Definitions. For the purposes of this part:
62	62
63	63	"Client" means a child or adolescent who is receiving services from the child and adolescent mental health division.
64	64
65	65	"Division" means the department of health's child and adolescent mental health division."
66	66
67	67	SECTION 3. Section 321-171, Hawaii Revised Statutes, is amended to read as follows:
68	68
69	69	"§321-171 [Children's] Children and adolescents' mental health services; department responsibility. It shall be the responsibility of the department of health to:
70	70
71	71	(1) Provide preventative health services for children and [youth;] and adolescents; and
72	72
73	73	(2) Provide diagnostic and treatment services for emotionally disturbed children and [youth; and
74	74
75	75	(3) Provide treatment and rehabilitative services for mentally ill children and youth.] adolescents.
76	76
77	77	[Such] These services shall be delivered [at the earliest possible moment] as soon as reasonably possible after the need for [such] the services is established. [All] Subject to the availability of state or federal resources, eligible children and [youth] adolescents between the ages of birth and seventeen years shall receive the necessary mental health services to [insure] ensure their proper and full development. [If there is any adjudication or settlement of any legal action involving the delivery of children's mental health services, the] The department of health shall be responsible for the coordination of carrying out the terms of [the] any judgment or settlement[.] related to the delivery of children and adolescents' mental health services, as required by this section."
78	78
79	79	SECTION 4. Section 321-172, Hawaii Revised Statutes, is amended to read as follows:
80	80
81	81	"§321-172 [Children's mental health services branch.] Child and adolescent mental health division. There is established within the department of health[, mental health division, a children's] a child and adolescent mental health [branch] division, which shall coordinate the effective and efficient delivery of mental health services to children and [youth,] adolescents, including services provided by private nonprofit agencies under contract to the department of health, and be responsible for the development and implementation of centralized and highly specialized programs for children and [youth.] adolescents."
82	82
83	83	SECTION 5. Section 321-173, Hawaii Revised Statutes, is amended to read as follows:
84	84
85	85	"§321-173 [Community mental health services] Family guidance centers for children and [youth.] adolescents. [There is established within each community mental health center a children's mental health services team which,] The division shall implement and administer family guidance centers. The family guidance centers, in conjunction with public and private agencies, shall develop and provide a network of preventative, early identification, screening, diagnostic, treatment, and rehabilitative services for children and [youth] adolescents based on the needs of each [geographic region] county in which the [community mental health] family guidance center is located. The [children's mental health services teams] division shall cooperate with and promote the coordination of the activities of local public and private agencies servicing children and [youth] adolescents in their [particular geographic area.] county or the closest county that has resources and services that meet the client's needs."
86	86
87	87	SECTION 6. Section 321-175, Hawaii Revised Statutes is amended to read as follows:
88	88
89	89	"§321-175 Statewide [children's] child and adolescent mental health services plan. (a) Commencing [on September 1, 1980,] in the year 2027, and every [four] five years thereafter, the [children's mental health services branch, on or before September 1 of each four-year cycle,] division shall develop and [present] submit to the governor and the legislature[, as well as release for public inspection and comment,] twenty days before the beginning of the legislative session a current statewide [children's] child and adolescent mental health services plan [which] that shall include:
90	90
91	91	(1) [A survey of the children and youth in the State who are (A) in need of and (B) receiving mental health services showing the total number of such children and youth and their geographic distribution;] An assessment of the mental health needs of children and adolescents in the State;
92	92
93	93	(2) [Identification of the public and private providers of mental health services to children and youth;] An assessment of resources available to meet the mental health needs of children and adolescents in the State;
94	94
95	95	(3) [Identification of the criteria and standards for the treatment to be received by emotionally disturbed or mentally ill children and youth;] Identification of gaps between needs and available resources;
96	96
97	97	[(4) A program for the recruitment, orientation, and in-service training of personnel in community mental health services to children and youth, and to allied fields, including participation, as appropriate, by institutions of higher learning, state and local agencies, and other public and private agencies having relevant expertise;
98	98
99	99	(5)] (4) A description of the provisions for prevention, [early identification,] diagnosis, screening, and treatment, which is inclusive of [and] rehabilitation; and [(including, with regard to treatment and rehabilitation, services provided through inpatient, outpatient, and community residential facilities) of children and youth in need of mental health services;
100	100
101	101	(6)] (5) [An implementation plan for providing mental health services to all children and youth in the State in each of the above mentioned areas; and] Recommendations to the governor and the legislature on how mental health needs of children and adolescents can be met.
102	102
103	103	[(7) Any additional matters which may be necessary or appropriate, including recommendations for amendment of laws, changes in administrative practices and patterns of organization, and changes in levels and patterns of financial support relating to children's mental health services.]
104	104
105	105	(b) Prior to the submission of the statewide [children's] child and adolescent mental health services plan under subsection (a) to the governor and the legislature, the department of health shall hold public hearings on the plan in accordance with [chapter 91.] section 92-41. There shall be at least one hearing in each county; except that the city and county of Honolulu shall have three hearings in strategic geographic locations to provide the widest exposure of the plan to the population.
106	106
107	107	(c) Any amendments to the statewide [children's] child and adolescent mental health services plan shall be made after public meetings held in accordance with [chapter 91.] subsection (b)."
108	108
109	109	SECTION 7. Section 321-176, Hawaii Revised Statutes, is repealed.
110	110
111	111	["§321-176 Biennial review of progress. Every two years, starting January 1, 1979, the department of health, on or before January 1 of each two-year cycle, shall submit to the legislature and the governor a report setting forth:
112	112
113	113	(1) A detailed analysis of the progress made toward fulfilling the statewide children's mental health services plan developed under section 321-175; and
114	114
115	115	(2) Other matters which are necessary or appropriate, including recommendations for any amendment to any law, any change in the administrative practices and patterns of organization, the current and prevailing memoranda of agreement, and any change in the levels and patterns of financial support."]
116	116
117	117	SECTION 8. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
118	118
119	119	SECTION 9. This Act shall take effect upon its approval.
120	120
121	121
122	122
123	123	INTRODUCED BY: _____________________________
124	124	BY REQUEST
125	125
126	126	INTRODUCED BY:
127	127
128	128	_____________________________
129	129
130	130
131	131
132	132
133	133
134	134	BY REQUEST
135	135
136	136	Report Title: Department of Health; Child and Adolescent Mental Health Description: Amends the statutes pertaining to mental health services for children and adolescents provided by the Child and Adolescent Mental Health Division of the Department of Health to reflect the current mental health systems of care that address intensive mental health needs of children and adolescents. The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.
137	137
138	138
139	139
140	140
141	141
142	142	Report Title:
143	143
144	144	Department of Health; Child and Adolescent Mental Health
145	145
146	146
147	147
148	148	Description:
149	149
150	150	Amends the statutes pertaining to mental health services for children and adolescents provided by the Child and Adolescent Mental Health Division of the Department of Health to reflect the current mental health systems of care that address intensive mental health needs of children and adolescents.
151	151
152	152
153	153
154	154
155	155
156	156
157	157
158	158	The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.