Illinois 2023-2024 Regular Session

Illinois House Bill HB3230 Compare Versions

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1-Public Act 103-0337
21 HB3230 EnrolledLRB103 29430 KTG 55821 b HB3230 Enrolled LRB103 29430 KTG 55821 b
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4-AN ACT concerning mental health.
5-Be it enacted by the People of the State of Illinois,
6-represented in the General Assembly:
7-Section 1. Short title. This Act may be cited as the
8-Strengthening and Transforming Behavioral Health Crisis Care
9-in Illinois Act.
10-Section 5. Findings. The General Assembly finds that:
11-(1) 1,440 Illinois residents died from suicide in 2021, up
12-from 1,358 in 2020 or a 6% increase.
13-(2) An estimated 110,000 Illinois adults struggle with
14-schizophrenia, and 220,000 with bipolar disorder.
15-(3) 3,013 Illinois residents died due to opioid overdose
16-in 2021, a 2.3% increase from 2020 and a 35.8% increase from
17-2019.
18-(4) Too many people are experiencing suicidal crises, and
19-mental health or substance use-related distress without the
20-support and care they need, and the pandemic has amplified
21-these challenges for children and adults.
22-(5) On July 16, 2022, the U.S. transitioned the 10-digit
23-National Suicide Prevention Lifeline to 9-8-8, an
24-easy-to-remember 3-digit number for 24/7 behavioral health
25-crisis care.
26-(6) The ultimate goal of the 9-8-8 crisis response system
3+1 AN ACT concerning mental health.
4+2 Be it enacted by the People of the State of Illinois,
5+3 represented in the General Assembly:
6+4 Section 1. Short title. This Act may be cited as the
7+5 Strengthening and Transforming Behavioral Health Crisis Care
8+6 in Illinois Act.
9+7 Section 5. Findings. The General Assembly finds that:
10+8 (1) 1,440 Illinois residents died from suicide in 2021, up
11+9 from 1,358 in 2020 or a 6% increase.
12+10 (2) An estimated 110,000 Illinois adults struggle with
13+11 schizophrenia, and 220,000 with bipolar disorder.
14+12 (3) 3,013 Illinois residents died due to opioid overdose
15+13 in 2021, a 2.3% increase from 2020 and a 35.8% increase from
16+14 2019.
17+15 (4) Too many people are experiencing suicidal crises, and
18+16 mental health or substance use-related distress without the
19+17 support and care they need, and the pandemic has amplified
20+18 these challenges for children and adults.
21+19 (5) On July 16, 2022, the U.S. transitioned the 10-digit
22+20 National Suicide Prevention Lifeline to 9-8-8, an
23+21 easy-to-remember 3-digit number for 24/7 behavioral health
24+22 crisis care.
25+23 (6) The ultimate goal of the 9-8-8 crisis response system
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33-is to reduce the over-reliance on 9-1-1 and law enforcement
34-response to suicide, mental health, or substance use crises,
35-so that every Illinoisan is ensured appropriate and supportive
36-assistance from trained mental health professionals during his
37-or her time of need.
38-(7) The 3 interdependent pillars of the 9-8-8 crisis
39-response system include someone to call (Lifeline Call
40-Centers), someone to respond (Mobile Crisis Response Teams),
41-and somewhere to go (Crisis Receiving and Stabilization
42-Centers).
43-(8) The transition to 9-8-8 provides a historic
44-opportunity to strengthen and transform the way behavioral
45-health crises are treated in Illinois and moves us away from
46-criminalizing mental health and substance use disorders and
47-treating them as health issues.
48-(9) Having a range of mobile crisis response options has
49-the potential to save lives.
50-(10) Individuals who interact with the 9-8-8 crisis
51-response system should receive follow-up and be connected to
52-local mental health and substance use resources and other
53-community supports.
54-(11) Transforming the Illinois behavioral health crisis
55-response system will require long-term structural changes and
56-investments. These include strengthening core behavioral
57-health crisis care services, ensuring rapid post-crisis
58-access, increasing coordination across systems and State
32+HB3230 Enrolled- 2 -LRB103 29430 KTG 55821 b HB3230 Enrolled - 2 - LRB103 29430 KTG 55821 b
33+ HB3230 Enrolled - 2 - LRB103 29430 KTG 55821 b
34+1 is to reduce the over-reliance on 9-1-1 and law enforcement
35+2 response to suicide, mental health, or substance use crises,
36+3 so that every Illinoisan is ensured appropriate and supportive
37+4 assistance from trained mental health professionals during his
38+5 or her time of need.
39+6 (7) The 3 interdependent pillars of the 9-8-8 crisis
40+7 response system include someone to call (Lifeline Call
41+8 Centers), someone to respond (Mobile Crisis Response Teams),
42+9 and somewhere to go (Crisis Receiving and Stabilization
43+10 Centers).
44+11 (8) The transition to 9-8-8 provides a historic
45+12 opportunity to strengthen and transform the way behavioral
46+13 health crises are treated in Illinois and moves us away from
47+14 criminalizing mental health and substance use disorders and
48+15 treating them as health issues.
49+16 (9) Having a range of mobile crisis response options has
50+17 the potential to save lives.
51+18 (10) Individuals who interact with the 9-8-8 crisis
52+19 response system should receive follow-up and be connected to
53+20 local mental health and substance use resources and other
54+21 community supports.
55+22 (11) Transforming the Illinois behavioral health crisis
56+23 response system will require long-term structural changes and
57+24 investments. These include strengthening core behavioral
58+25 health crisis care services, ensuring rapid post-crisis
59+26 access, increasing coordination across systems and State
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61-agencies, enhancing the behavioral health crisis care
62-workforce, and establishing sustainable funding from various
63-streams for all dimensions of the crisis response system.
64-Section 10. Purpose. The purpose of this Act is to improve
65-the quality and access to behavioral health crisis services;
66-reduce stigma surrounding suicide, mental health, and
67-substance use conditions; provide a behavioral health crisis
68-response that is equivalent to the response already provided
69-to individuals who require emergency physical health care in
70-the State; improve equity in addressing mental health and
71-substance use conditions; ensure a culturally and
72-linguistically competent response to behavioral health crises
73-and saving lives; build a new system of equitable and
74-linguistically appropriate behavioral crisis services in which
75-all individuals are treated with respect, dignity, cultural
76-competence, and humility; and comply with the National Suicide
77-Hotline Designation Act of 2020 and the Federal Communication
78-Commission's rules adopted July 16, 2020 to ensure that all
79-citizens and visitors of the State of Illinois receive a
80-consistent level of 9-8-8 and crisis behavioral health
81-services no matter where they live, work, or travel in the
82-State.
83-Section 15. Cost analysis and sources of funding.
84-(a)(1) Subject to appropriation, the Department of Human
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87-Services, Division of Mental Health, shall use an independent
88-third-party expert to conduct a cost analysis and determine
89-sound costs associated with developing and maintaining a
90-statewide initiative for the coordination and delivery of the
91-continuum of behavioral health crisis response services in the
92-State, including all of the following:
93-(A) Crisis call centers.
94-(B) Mobile crisis response team services.
95-(C) Crisis receiving and stabilization centers.
96-(D) Follow-up and other acute behavioral health
97-services.
98-(2) The analysis shall include costs that are or can be
99-reasonably attributed to, but not limited to:
100-(A) staffing and technological infrastructure
101-enhancements necessary to achieve operational and clinical
102-standards and best practices set forth by the 9-8-8
103-Suicide and Crisis Lifeline;
104-(B) the recruitment of personnel that reflect the
105-demographics of the community served; specialized training
106-of staff to assess and serve people experiencing mental
107-health, substance use, and suicidal crises, including
108-specialized training to serve at-risk communities,
109-including culturally and linguistically competent services
110-for LGBTQ+, racially, ethnically, and linguistically
111-diverse communities;
112-(C) the need to develop staffing that is consistent
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115-with federal guidelines for mobile crisis response times,
116-based on call volume and the geography served;
117-(D) the provision of call, text, and chat response;
118-mobile crisis response; and follow-up and crisis
119-stabilization services that are in response to the 9-8-8
120-Suicide and Crisis Lifeline;
121-(E) the costs related to developing and maintaining
122-the physical plant, operations, and staffing of crisis
123-receiving and stabilization centers;
124-(F) the provision of data, reporting, participation in
125-evaluations, and related quality improvement activities as
126-may be required;
127-(G) the administration, oversight, and evaluation of
128-the Statewide 9-8-8 Trust Fund;
129-(H) the coordination with 9-1-1, emergency service
130-providers, crisis co-responders, and other system
131-partners, including service providers; and
132-(I) the development of service enhancements or
133-targeted responses to improve outcomes and address gaps
134-and needs.
135-(3) The Department of Human Services, Division of Mental
136-Health, and independent third-party experts shall obtain
137-meaningful stakeholder engagement on the cost analysis
138-conducted in accordance with paragraphs (1) and (2).
139-(b) The Department of Human Services, Division of Mental
140-Health, and independent third-party experts, with meaningful
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70+1 agencies, enhancing the behavioral health crisis care
71+2 workforce, and establishing sustainable funding from various
72+3 streams for all dimensions of the crisis response system.
73+4 Section 10. Purpose. The purpose of this Act is to improve
74+5 the quality and access to behavioral health crisis services;
75+6 reduce stigma surrounding suicide, mental health, and
76+7 substance use conditions; provide a behavioral health crisis
77+8 response that is equivalent to the response already provided
78+9 to individuals who require emergency physical health care in
79+10 the State; improve equity in addressing mental health and
80+11 substance use conditions; ensure a culturally and
81+12 linguistically competent response to behavioral health crises
82+13 and saving lives; build a new system of equitable and
83+14 linguistically appropriate behavioral crisis services in which
84+15 all individuals are treated with respect, dignity, cultural
85+16 competence, and humility; and comply with the National Suicide
86+17 Hotline Designation Act of 2020 and the Federal Communication
87+18 Commission's rules adopted July 16, 2020 to ensure that all
88+19 citizens and visitors of the State of Illinois receive a
89+20 consistent level of 9-8-8 and crisis behavioral health
90+21 services no matter where they live, work, or travel in the
91+22 State.
92+23 Section 15. Cost analysis and sources of funding.
93+24 (a)(1) Subject to appropriation, the Department of Human
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143-stakeholder engagement, shall provide a set of recommendations
144-on multiple sources of funding that could potentially be
145-utilized to support a sustainable and comprehensive continuum
146-of behavioral health crisis response services.
147-(c) The Department of Human Services, Division of Mental
148-Health, may hire an independent third-party expert, amend an
149-existing Department of Human Services contract with an
150-independent third-party expert, or coordinate with the
151-Department of Healthcare and Family Services to amend and
152-utilize an independent third-party expert contracted with the
153-Department of Healthcare and Family Services to conduct a cost
154-analysis and determine sound costs as outlined in this
155-Section.
156-Section 20. Behavioral health crisis workforce.
157-(a) The Department of Human Services, Division of Mental
158-Health, with meaningful stakeholder engagement shall do all of
159-the following:
160-(1) Examine eligibility for participation as an
161-Engagement Specialist under the Division of Mental
162-Health's Crisis Care Continuum Program. As used in this
163-paragraph, "Engagement Specialist" means an individual
164-with the lived experience of recovery from a mental health
165-condition, substance use disorder, or both.
166-(2) Consider many additional experiences, including
167-but not limited to, being a parent or family member of a
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170-person with a mental health or substance use disorder,
171-being from a disadvantaged or marginalized population that
172-would be valuable to this role and can help provide a more
173-culturally competent crisis response. This includes the
174-need for crisis responders who are African American,
175-Latinx, have been incarcerated, experienced homelessness,
176-identify as LGBTQ+, or are veterans.
177-(3) Consider how that expansion impacts the unique
178-training and support needs of Engagement Specialists from
179-different populations.
180-(4) Allow providers to use their clinical discretion
181-to determine responses by one individual or by a
182-two-person team depending on the nature of the call with
183-access to an Engagement Specialist.
184-(5) Collect feedback on other policies to address the
185-behavioral health workforce issues.
186-(b) The Department of Human Services, Division of Mental
187-Health, shall implement a process to obtain meaningful
188-stakeholder engagement not later than 6 months after the
189-effective date of this Act.
190-Section 25. Action plan. Not later than 12 months after
191-the effective date of this Act, the Department of Human
192-Services, Division of Mental Health, shall submit an action
193-plan to the General Assembly on the activities under Sections
194-15 and 20 of this Act. The action plan shall be filed
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197-electronically with the General Assembly, as provided under
198-Section 3.1 of the General Assembly Organization Act, and
199-shall be provided electronically to any member of the General
200-Assembly upon request. The action plan shall be published on
201-the Department of Human Services' website for the public.
202-Section 30. Coordination across State agencies.
203-(a) The Department of Human Services, Division of Mental
204-Health, and the Department of Healthcare and Family Services
205-shall convene a stakeholder working group immediately after
206-the effective date of this Act to develop recommendations to
207-coordinate programming and strategies to support a cohesive
208-behavioral health crisis response system.
209-(b) The stakeholder working group shall:
210-(1) Identify logistical challenges and solutions and
211-define a process to ensure the Illinois crisis response
212-system established by the Division of Mental Health's
213-Crisis Care Continuum Program and the Department of
214-Healthcare and Family Services' Medicaid Mobile Crisis
215-Response is coordinated across the lifespan.
216-(2) Consider cross-program identification and
217-alignment of providers within geographic regions,
218-messaging regarding the 9-8-8 Suicide and Crisis Lifeline
219-and the Illinois Crisis and Referral Entry Services
220-(CARES) lines, and coordination between disparate program
221-plan goals to ensure that crisis response services are
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103+ HB3230 Enrolled - 4 - LRB103 29430 KTG 55821 b
104+1 Services, Division of Mental Health, shall use an independent
105+2 third-party expert to conduct a cost analysis and determine
106+3 sound costs associated with developing and maintaining a
107+4 statewide initiative for the coordination and delivery of the
108+5 continuum of behavioral health crisis response services in the
109+6 State, including all of the following:
110+7 (A) Crisis call centers.
111+8 (B) Mobile crisis response team services.
112+9 (C) Crisis receiving and stabilization centers.
113+10 (D) Follow-up and other acute behavioral health
114+11 services.
115+12 (2) The analysis shall include costs that are or can be
116+13 reasonably attributed to, but not limited to:
117+14 (A) staffing and technological infrastructure
118+15 enhancements necessary to achieve operational and clinical
119+16 standards and best practices set forth by the 9-8-8
120+17 Suicide and Crisis Lifeline;
121+18 (B) the recruitment of personnel that reflect the
122+19 demographics of the community served; specialized training
123+20 of staff to assess and serve people experiencing mental
124+21 health, substance use, and suicidal crises, including
125+22 specialized training to serve at-risk communities,
126+23 including culturally and linguistically competent services
127+24 for LGBTQ+, racially, ethnically, and linguistically
128+25 diverse communities;
129+26 (C) the need to develop staffing that is consistent
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224-delivered efficiently and without duplication.
225-(c) The stakeholder working group shall at least include
226-Division of Mental Health Crisis Care Continuum Program
227-providers, Pathways to Success providers, parents, family
228-advocates, associations that represent behavioral health
229-providers, and labor unions that represent workers in the
230-behavioral health workforce and shall meet no less than once
231-per month.
232-(d) Not later than 6 months after the effective date of
233-this Act, the Department of Human Services, Division of Mental
234-Health, in collaboration with the Department of Healthcare and
235-Family Services, shall submit an action plan to the General
236-Assembly on the activities under Section 30 of this Act. The
237-action plan shall be filed electronically with the General
238-Assembly, as provided under Section 3.1 of the General
239-Assembly Organization Act, and shall be provided
240-electronically to any member of the General Assembly upon
241-request. The action plan shall be published on the Department
242-of Human Services' website for the public.
243-Section 99. Effective date. This Act takes effect upon
244-becoming law.
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140+1 with federal guidelines for mobile crisis response times,
141+2 based on call volume and the geography served;
142+3 (D) the provision of call, text, and chat response;
143+4 mobile crisis response; and follow-up and crisis
144+5 stabilization services that are in response to the 9-8-8
145+6 Suicide and Crisis Lifeline;
146+7 (E) the costs related to developing and maintaining
147+8 the physical plant, operations, and staffing of crisis
148+9 receiving and stabilization centers;
149+10 (F) the provision of data, reporting, participation in
150+11 evaluations, and related quality improvement activities as
151+12 may be required;
152+13 (G) the administration, oversight, and evaluation of
153+14 the Statewide 9-8-8 Trust Fund;
154+15 (H) the coordination with 9-1-1, emergency service
155+16 providers, crisis co-responders, and other system
156+17 partners, including service providers; and
157+18 (I) the development of service enhancements or
158+19 targeted responses to improve outcomes and address gaps
159+20 and needs.
160+21 (3) The Department of Human Services, Division of Mental
161+22 Health, and independent third-party experts shall obtain
162+23 meaningful stakeholder engagement on the cost analysis
163+24 conducted in accordance with paragraphs (1) and (2).
164+25 (b) The Department of Human Services, Division of Mental
165+26 Health, and independent third-party experts, with meaningful
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176+1 stakeholder engagement, shall provide a set of recommendations
177+2 on multiple sources of funding that could potentially be
178+3 utilized to support a sustainable and comprehensive continuum
179+4 of behavioral health crisis response services.
180+5 (c) The Department of Human Services, Division of Mental
181+6 Health, may hire an independent third-party expert, amend an
182+7 existing Department of Human Services contract with an
183+8 independent third-party expert, or coordinate with the
184+9 Department of Healthcare and Family Services to amend and
185+10 utilize an independent third-party expert contracted with the
186+11 Department of Healthcare and Family Services to conduct a cost
187+12 analysis and determine sound costs as outlined in this
188+13 Section.
189+14 Section 20. Behavioral health crisis workforce.
190+15 (a) The Department of Human Services, Division of Mental
191+16 Health, with meaningful stakeholder engagement shall do all of
192+17 the following:
193+18 (1) Examine eligibility for participation as an
194+19 Engagement Specialist under the Division of Mental
195+20 Health's Crisis Care Continuum Program. As used in this
196+21 paragraph, "Engagement Specialist" means an individual
197+22 with the lived experience of recovery from a mental health
198+23 condition, substance use disorder, or both.
199+24 (2) Consider many additional experiences, including
200+25 but not limited to, being a parent or family member of a
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203+
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205+
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211+1 person with a mental health or substance use disorder,
212+2 being from a disadvantaged or marginalized population that
213+3 would be valuable to this role and can help provide a more
214+4 culturally competent crisis response. This includes the
215+5 need for crisis responders who are African American,
216+6 Latinx, have been incarcerated, experienced homelessness,
217+7 identify as LGBTQ+, or are veterans.
218+8 (3) Consider how that expansion impacts the unique
219+9 training and support needs of Engagement Specialists from
220+10 different populations.
221+11 (4) Allow providers to use their clinical discretion
222+12 to determine responses by one individual or by a
223+13 two-person team depending on the nature of the call with
224+14 access to an Engagement Specialist.
225+15 (5) Collect feedback on other policies to address the
226+16 behavioral health workforce issues.
227+17 (b) The Department of Human Services, Division of Mental
228+18 Health, shall implement a process to obtain meaningful
229+19 stakeholder engagement not later than 6 months after the
230+20 effective date of this Act.
231+21 Section 25. Action plan. Not later than 12 months after
232+22 the effective date of this Act, the Department of Human
233+23 Services, Division of Mental Health, shall submit an action
234+24 plan to the General Assembly on the activities under Sections
235+25 15 and 20 of this Act. The action plan shall be filed
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240+
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245+ HB3230 Enrolled - 8 - LRB103 29430 KTG 55821 b
246+1 electronically with the General Assembly, as provided under
247+2 Section 3.1 of the General Assembly Organization Act, and
248+3 shall be provided electronically to any member of the General
249+4 Assembly upon request. The action plan shall be published on
250+5 the Department of Human Services' website for the public.
251+6 Section 30. Coordination across State agencies.
252+7 (a) The Department of Human Services, Division of Mental
253+8 Health, and the Department of Healthcare and Family Services
254+9 shall convene a stakeholder working group immediately after
255+10 the effective date of this Act to develop recommendations to
256+11 coordinate programming and strategies to support a cohesive
257+12 behavioral health crisis response system.
258+13 (b) The stakeholder working group shall:
259+14 (1) Identify logistical challenges and solutions and
260+15 define a process to ensure the Illinois crisis response
261+16 system established by the Division of Mental Health's
262+17 Crisis Care Continuum Program and the Department of
263+18 Healthcare and Family Services' Medicaid Mobile Crisis
264+19 Response is coordinated across the lifespan.
265+20 (2) Consider cross-program identification and
266+21 alignment of providers within geographic regions,
267+22 messaging regarding the 9-8-8 Suicide and Crisis Lifeline
268+23 and the Illinois Crisis and Referral Entry Services
269+24 (CARES) lines, and coordination between disparate program
270+25 plan goals to ensure that crisis response services are
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281+1 delivered efficiently and without duplication.
282+2 (c) The stakeholder working group shall at least include
283+3 Division of Mental Health Crisis Care Continuum Program
284+4 providers, Pathways to Success providers, parents, family
285+5 advocates, associations that represent behavioral health
286+6 providers, and labor unions that represent workers in the
287+7 behavioral health workforce and shall meet no less than once
288+8 per month.
289+9 (d) Not later than 6 months after the effective date of
290+10 this Act, the Department of Human Services, Division of Mental
291+11 Health, in collaboration with the Department of Healthcare and
292+12 Family Services, shall submit an action plan to the General
293+13 Assembly on the activities under Section 30 of this Act. The
294+14 action plan shall be filed electronically with the General
295+15 Assembly, as provided under Section 3.1 of the General
296+16 Assembly Organization Act, and shall be provided
297+17 electronically to any member of the General Assembly upon
298+18 request. The action plan shall be published on the Department
299+19 of Human Services' website for the public.
300+20 Section 99. Effective date. This Act takes effect upon
301+21 becoming law.
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