4 | | - | AN ACT concerning mental health. |
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5 | | - | Be it enacted by the People of the State of Illinois, |
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6 | | - | represented in the General Assembly: |
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7 | | - | Section 1. Short title. This Act may be cited as the |
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8 | | - | Strengthening and Transforming Behavioral Health Crisis Care |
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9 | | - | in Illinois Act. |
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10 | | - | Section 5. Findings. The General Assembly finds that: |
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11 | | - | (1) 1,440 Illinois residents died from suicide in 2021, up |
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12 | | - | from 1,358 in 2020 or a 6% increase. |
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13 | | - | (2) An estimated 110,000 Illinois adults struggle with |
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14 | | - | schizophrenia, and 220,000 with bipolar disorder. |
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15 | | - | (3) 3,013 Illinois residents died due to opioid overdose |
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16 | | - | in 2021, a 2.3% increase from 2020 and a 35.8% increase from |
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17 | | - | 2019. |
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18 | | - | (4) Too many people are experiencing suicidal crises, and |
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19 | | - | mental health or substance use-related distress without the |
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20 | | - | support and care they need, and the pandemic has amplified |
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21 | | - | these challenges for children and adults. |
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22 | | - | (5) On July 16, 2022, the U.S. transitioned the 10-digit |
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23 | | - | National Suicide Prevention Lifeline to 9-8-8, an |
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24 | | - | easy-to-remember 3-digit number for 24/7 behavioral health |
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25 | | - | crisis care. |
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26 | | - | (6) The ultimate goal of the 9-8-8 crisis response system |
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| 3 | + | 1 AN ACT concerning mental health. |
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| 4 | + | 2 Be it enacted by the People of the State of Illinois, |
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| 5 | + | 3 represented in the General Assembly: |
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| 6 | + | 4 Section 1. Short title. This Act may be cited as the |
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| 7 | + | 5 Strengthening and Transforming Behavioral Health Crisis Care |
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| 8 | + | 6 in Illinois Act. |
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| 9 | + | 7 Section 5. Findings. The General Assembly finds that: |
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| 10 | + | 8 (1) 1,440 Illinois residents died from suicide in 2021, up |
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| 11 | + | 9 from 1,358 in 2020 or a 6% increase. |
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| 12 | + | 10 (2) An estimated 110,000 Illinois adults struggle with |
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| 13 | + | 11 schizophrenia, and 220,000 with bipolar disorder. |
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| 14 | + | 12 (3) 3,013 Illinois residents died due to opioid overdose |
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| 15 | + | 13 in 2021, a 2.3% increase from 2020 and a 35.8% increase from |
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| 16 | + | 14 2019. |
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| 17 | + | 15 (4) Too many people are experiencing suicidal crises, and |
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| 18 | + | 16 mental health or substance use-related distress without the |
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| 19 | + | 17 support and care they need, and the pandemic has amplified |
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| 20 | + | 18 these challenges for children and adults. |
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| 21 | + | 19 (5) On July 16, 2022, the U.S. transitioned the 10-digit |
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| 22 | + | 20 National Suicide Prevention Lifeline to 9-8-8, an |
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| 23 | + | 21 easy-to-remember 3-digit number for 24/7 behavioral health |
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| 24 | + | 22 crisis care. |
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| 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 |
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34 | | - | response to suicide, mental health, or substance use crises, |
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35 | | - | so that every Illinoisan is ensured appropriate and supportive |
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36 | | - | assistance from trained mental health professionals during his |
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37 | | - | or her time of need. |
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38 | | - | (7) The 3 interdependent pillars of the 9-8-8 crisis |
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39 | | - | response system include someone to call (Lifeline Call |
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40 | | - | Centers), someone to respond (Mobile Crisis Response Teams), |
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41 | | - | and somewhere to go (Crisis Receiving and Stabilization |
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42 | | - | Centers). |
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43 | | - | (8) The transition to 9-8-8 provides a historic |
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44 | | - | opportunity to strengthen and transform the way behavioral |
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45 | | - | health crises are treated in Illinois and moves us away from |
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46 | | - | criminalizing mental health and substance use disorders and |
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47 | | - | treating them as health issues. |
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48 | | - | (9) Having a range of mobile crisis response options has |
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49 | | - | the potential to save lives. |
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50 | | - | (10) Individuals who interact with the 9-8-8 crisis |
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51 | | - | response system should receive follow-up and be connected to |
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52 | | - | local mental health and substance use resources and other |
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53 | | - | community supports. |
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54 | | - | (11) Transforming the Illinois behavioral health crisis |
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55 | | - | response system will require long-term structural changes and |
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56 | | - | investments. These include strengthening core behavioral |
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57 | | - | health crisis care services, ensuring rapid post-crisis |
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58 | | - | access, increasing coordination across systems and State |
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| 34 | + | 1 is to reduce the over-reliance on 9-1-1 and law enforcement |
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| 35 | + | 2 response to suicide, mental health, or substance use crises, |
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| 36 | + | 3 so that every Illinoisan is ensured appropriate and supportive |
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| 37 | + | 4 assistance from trained mental health professionals during his |
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| 38 | + | 5 or her time of need. |
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| 39 | + | 6 (7) The 3 interdependent pillars of the 9-8-8 crisis |
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| 40 | + | 7 response system include someone to call (Lifeline Call |
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| 41 | + | 8 Centers), someone to respond (Mobile Crisis Response Teams), |
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| 42 | + | 9 and somewhere to go (Crisis Receiving and Stabilization |
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| 43 | + | 10 Centers). |
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| 44 | + | 11 (8) The transition to 9-8-8 provides a historic |
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| 45 | + | 12 opportunity to strengthen and transform the way behavioral |
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| 46 | + | 13 health crises are treated in Illinois and moves us away from |
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| 47 | + | 14 criminalizing mental health and substance use disorders and |
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| 48 | + | 15 treating them as health issues. |
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| 49 | + | 16 (9) Having a range of mobile crisis response options has |
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| 50 | + | 17 the potential to save lives. |
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| 51 | + | 18 (10) Individuals who interact with the 9-8-8 crisis |
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| 52 | + | 19 response system should receive follow-up and be connected to |
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| 53 | + | 20 local mental health and substance use resources and other |
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| 54 | + | 21 community supports. |
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| 55 | + | 22 (11) Transforming the Illinois behavioral health crisis |
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| 56 | + | 23 response system will require long-term structural changes and |
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| 57 | + | 24 investments. These include strengthening core behavioral |
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| 58 | + | 25 health crisis care services, ensuring rapid post-crisis |
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| 59 | + | 26 access, increasing coordination across systems and State |
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115 | | - | with federal guidelines for mobile crisis response times, |
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116 | | - | based on call volume and the geography served; |
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117 | | - | (D) the provision of call, text, and chat response; |
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118 | | - | mobile crisis response; and follow-up and crisis |
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119 | | - | stabilization services that are in response to the 9-8-8 |
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120 | | - | Suicide and Crisis Lifeline; |
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121 | | - | (E) the costs related to developing and maintaining |
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122 | | - | the physical plant, operations, and staffing of crisis |
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123 | | - | receiving and stabilization centers; |
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124 | | - | (F) the provision of data, reporting, participation in |
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125 | | - | evaluations, and related quality improvement activities as |
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126 | | - | may be required; |
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127 | | - | (G) the administration, oversight, and evaluation of |
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128 | | - | the Statewide 9-8-8 Trust Fund; |
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129 | | - | (H) the coordination with 9-1-1, emergency service |
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130 | | - | providers, crisis co-responders, and other system |
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131 | | - | partners, including service providers; and |
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132 | | - | (I) the development of service enhancements or |
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133 | | - | targeted responses to improve outcomes and address gaps |
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134 | | - | and needs. |
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135 | | - | (3) The Department of Human Services, Division of Mental |
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136 | | - | Health, and independent third-party experts shall obtain |
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137 | | - | meaningful stakeholder engagement on the cost analysis |
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138 | | - | conducted in accordance with paragraphs (1) and (2). |
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139 | | - | (b) The Department of Human Services, Division of Mental |
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140 | | - | Health, and independent third-party experts, with meaningful |
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| 69 | + | HB3230 Enrolled - 3 - LRB103 29430 KTG 55821 b |
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| 70 | + | 1 agencies, enhancing the behavioral health crisis care |
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| 71 | + | 2 workforce, and establishing sustainable funding from various |
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| 72 | + | 3 streams for all dimensions of the crisis response system. |
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| 73 | + | 4 Section 10. Purpose. The purpose of this Act is to improve |
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| 74 | + | 5 the quality and access to behavioral health crisis services; |
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| 75 | + | 6 reduce stigma surrounding suicide, mental health, and |
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| 76 | + | 7 substance use conditions; provide a behavioral health crisis |
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| 77 | + | 8 response that is equivalent to the response already provided |
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| 78 | + | 9 to individuals who require emergency physical health care in |
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| 79 | + | 10 the State; improve equity in addressing mental health and |
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| 80 | + | 11 substance use conditions; ensure a culturally and |
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| 81 | + | 12 linguistically competent response to behavioral health crises |
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| 82 | + | 13 and saving lives; build a new system of equitable and |
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| 83 | + | 14 linguistically appropriate behavioral crisis services in which |
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| 84 | + | 15 all individuals are treated with respect, dignity, cultural |
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| 85 | + | 16 competence, and humility; and comply with the National Suicide |
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| 86 | + | 17 Hotline Designation Act of 2020 and the Federal Communication |
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| 87 | + | 18 Commission's rules adopted July 16, 2020 to ensure that all |
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| 88 | + | 19 citizens and visitors of the State of Illinois receive a |
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| 89 | + | 20 consistent level of 9-8-8 and crisis behavioral health |
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| 90 | + | 21 services no matter where they live, work, or travel in the |
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| 91 | + | 22 State. |
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| 92 | + | 23 Section 15. Cost analysis and sources of funding. |
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| 93 | + | 24 (a)(1) Subject to appropriation, the Department of Human |
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197 | | - | electronically with the General Assembly, as provided under |
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198 | | - | Section 3.1 of the General Assembly Organization Act, and |
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199 | | - | shall be provided electronically to any member of the General |
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200 | | - | Assembly upon request. The action plan shall be published on |
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201 | | - | the Department of Human Services' website for the public. |
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202 | | - | Section 30. Coordination across State agencies. |
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203 | | - | (a) The Department of Human Services, Division of Mental |
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204 | | - | Health, and the Department of Healthcare and Family Services |
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205 | | - | shall convene a stakeholder working group immediately after |
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206 | | - | the effective date of this Act to develop recommendations to |
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207 | | - | coordinate programming and strategies to support a cohesive |
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208 | | - | behavioral health crisis response system. |
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209 | | - | (b) The stakeholder working group shall: |
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210 | | - | (1) Identify logistical challenges and solutions and |
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211 | | - | define a process to ensure the Illinois crisis response |
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212 | | - | system established by the Division of Mental Health's |
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213 | | - | Crisis Care Continuum Program and the Department of |
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214 | | - | Healthcare and Family Services' Medicaid Mobile Crisis |
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215 | | - | Response is coordinated across the lifespan. |
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216 | | - | (2) Consider cross-program identification and |
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217 | | - | alignment of providers within geographic regions, |
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218 | | - | messaging regarding the 9-8-8 Suicide and Crisis Lifeline |
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219 | | - | and the Illinois Crisis and Referral Entry Services |
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220 | | - | (CARES) lines, and coordination between disparate program |
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221 | | - | plan goals to ensure that crisis response services are |
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| 104 | + | 1 Services, Division of Mental Health, shall use an independent |
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| 105 | + | 2 third-party expert to conduct a cost analysis and determine |
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| 106 | + | 3 sound costs associated with developing and maintaining a |
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| 107 | + | 4 statewide initiative for the coordination and delivery of the |
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| 108 | + | 5 continuum of behavioral health crisis response services in the |
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| 109 | + | 6 State, including all of the following: |
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| 110 | + | 7 (A) Crisis call centers. |
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| 111 | + | 8 (B) Mobile crisis response team services. |
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| 112 | + | 9 (C) Crisis receiving and stabilization centers. |
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| 113 | + | 10 (D) Follow-up and other acute behavioral health |
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| 114 | + | 11 services. |
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| 115 | + | 12 (2) The analysis shall include costs that are or can be |
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| 116 | + | 13 reasonably attributed to, but not limited to: |
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| 117 | + | 14 (A) staffing and technological infrastructure |
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| 118 | + | 15 enhancements necessary to achieve operational and clinical |
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| 119 | + | 16 standards and best practices set forth by the 9-8-8 |
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| 120 | + | 17 Suicide and Crisis Lifeline; |
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| 121 | + | 18 (B) the recruitment of personnel that reflect the |
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| 122 | + | 19 demographics of the community served; specialized training |
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| 123 | + | 20 of staff to assess and serve people experiencing mental |
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| 124 | + | 21 health, substance use, and suicidal crises, including |
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| 125 | + | 22 specialized training to serve at-risk communities, |
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| 126 | + | 23 including culturally and linguistically competent services |
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| 127 | + | 24 for LGBTQ+, racially, ethnically, and linguistically |
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| 128 | + | 25 diverse communities; |
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| 129 | + | 26 (C) the need to develop staffing that is consistent |
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224 | | - | delivered efficiently and without duplication. |
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225 | | - | (c) The stakeholder working group shall at least include |
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226 | | - | Division of Mental Health Crisis Care Continuum Program |
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227 | | - | providers, Pathways to Success providers, parents, family |
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228 | | - | advocates, associations that represent behavioral health |
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229 | | - | providers, and labor unions that represent workers in the |
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230 | | - | behavioral health workforce and shall meet no less than once |
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231 | | - | per month. |
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232 | | - | (d) Not later than 6 months after the effective date of |
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233 | | - | this Act, the Department of Human Services, Division of Mental |
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234 | | - | Health, in collaboration with the Department of Healthcare and |
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235 | | - | Family Services, shall submit an action plan to the General |
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236 | | - | Assembly on the activities under Section 30 of this Act. The |
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237 | | - | action plan shall be filed electronically with the General |
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238 | | - | Assembly, as provided under Section 3.1 of the General |
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239 | | - | Assembly Organization Act, and shall be provided |
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240 | | - | electronically to any member of the General Assembly upon |
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241 | | - | request. The action plan shall be published on the Department |
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242 | | - | of Human Services' website for the public. |
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243 | | - | Section 99. Effective date. This Act takes effect upon |
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244 | | - | becoming law. |
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| 134 | + | |
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| 140 | + | 1 with federal guidelines for mobile crisis response times, |
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| 141 | + | 2 based on call volume and the geography served; |
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| 142 | + | 3 (D) the provision of call, text, and chat response; |
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| 143 | + | 4 mobile crisis response; and follow-up and crisis |
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| 144 | + | 5 stabilization services that are in response to the 9-8-8 |
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| 145 | + | 6 Suicide and Crisis Lifeline; |
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| 146 | + | 7 (E) the costs related to developing and maintaining |
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| 147 | + | 8 the physical plant, operations, and staffing of crisis |
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| 148 | + | 9 receiving and stabilization centers; |
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| 149 | + | 10 (F) the provision of data, reporting, participation in |
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| 150 | + | 11 evaluations, and related quality improvement activities as |
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| 151 | + | 12 may be required; |
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| 152 | + | 13 (G) the administration, oversight, and evaluation of |
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| 153 | + | 14 the Statewide 9-8-8 Trust Fund; |
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| 154 | + | 15 (H) the coordination with 9-1-1, emergency service |
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| 155 | + | 16 providers, crisis co-responders, and other system |
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| 156 | + | 17 partners, including service providers; and |
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| 157 | + | 18 (I) the development of service enhancements or |
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| 158 | + | 19 targeted responses to improve outcomes and address gaps |
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| 159 | + | 20 and needs. |
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| 160 | + | 21 (3) The Department of Human Services, Division of Mental |
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| 161 | + | 22 Health, and independent third-party experts shall obtain |
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| 162 | + | 23 meaningful stakeholder engagement on the cost analysis |
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| 163 | + | 24 conducted in accordance with paragraphs (1) and (2). |
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| 164 | + | 25 (b) The Department of Human Services, Division of Mental |
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| 165 | + | 26 Health, and independent third-party experts, with meaningful |
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| 166 | + | |
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| 167 | + | |
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| 169 | + | |
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| 176 | + | 1 stakeholder engagement, shall provide a set of recommendations |
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| 177 | + | 2 on multiple sources of funding that could potentially be |
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| 178 | + | 3 utilized to support a sustainable and comprehensive continuum |
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| 179 | + | 4 of behavioral health crisis response services. |
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| 180 | + | 5 (c) The Department of Human Services, Division of Mental |
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| 181 | + | 6 Health, may hire an independent third-party expert, amend an |
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| 182 | + | 7 existing Department of Human Services contract with an |
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| 183 | + | 8 independent third-party expert, or coordinate with the |
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| 184 | + | 9 Department of Healthcare and Family Services to amend and |
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| 185 | + | 10 utilize an independent third-party expert contracted with the |
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| 186 | + | 11 Department of Healthcare and Family Services to conduct a cost |
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| 187 | + | 12 analysis and determine sound costs as outlined in this |
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| 188 | + | 13 Section. |
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| 189 | + | 14 Section 20. Behavioral health crisis workforce. |
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| 190 | + | 15 (a) The Department of Human Services, Division of Mental |
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| 191 | + | 16 Health, with meaningful stakeholder engagement shall do all of |
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| 192 | + | 17 the following: |
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| 193 | + | 18 (1) Examine eligibility for participation as an |
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| 194 | + | 19 Engagement Specialist under the Division of Mental |
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| 195 | + | 20 Health's Crisis Care Continuum Program. As used in this |
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| 196 | + | 21 paragraph, "Engagement Specialist" means an individual |
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| 197 | + | 22 with the lived experience of recovery from a mental health |
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| 198 | + | 23 condition, substance use disorder, or both. |
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| 199 | + | 24 (2) Consider many additional experiences, including |
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| 200 | + | 25 but not limited to, being a parent or family member of a |
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| 201 | + | |
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| 202 | + | |
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| 203 | + | |
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| 204 | + | |
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| 205 | + | |
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| 208 | + | |
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| 210 | + | HB3230 Enrolled - 7 - LRB103 29430 KTG 55821 b |
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| 211 | + | 1 person with a mental health or substance use disorder, |
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| 212 | + | 2 being from a disadvantaged or marginalized population that |
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| 213 | + | 3 would be valuable to this role and can help provide a more |
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| 214 | + | 4 culturally competent crisis response. This includes the |
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| 215 | + | 5 need for crisis responders who are African American, |
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| 216 | + | 6 Latinx, have been incarcerated, experienced homelessness, |
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| 217 | + | 7 identify as LGBTQ+, or are veterans. |
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| 218 | + | 8 (3) Consider how that expansion impacts the unique |
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| 219 | + | 9 training and support needs of Engagement Specialists from |
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| 220 | + | 10 different populations. |
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| 221 | + | 11 (4) Allow providers to use their clinical discretion |
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| 222 | + | 12 to determine responses by one individual or by a |
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| 223 | + | 13 two-person team depending on the nature of the call with |
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| 224 | + | 14 access to an Engagement Specialist. |
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| 225 | + | 15 (5) Collect feedback on other policies to address the |
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| 226 | + | 16 behavioral health workforce issues. |
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| 227 | + | 17 (b) The Department of Human Services, Division of Mental |
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| 228 | + | 18 Health, shall implement a process to obtain meaningful |
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| 229 | + | 19 stakeholder engagement not later than 6 months after the |
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| 230 | + | 20 effective date of this Act. |
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| 231 | + | 21 Section 25. Action plan. Not later than 12 months after |
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| 232 | + | 22 the effective date of this Act, the Department of Human |
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| 233 | + | 23 Services, Division of Mental Health, shall submit an action |
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| 234 | + | 24 plan to the General Assembly on the activities under Sections |
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| 235 | + | 25 15 and 20 of this Act. The action plan shall be filed |
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| 236 | + | |
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| 237 | + | |
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| 238 | + | |
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| 239 | + | |
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| 240 | + | |
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| 243 | + | |
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| 245 | + | HB3230 Enrolled - 8 - LRB103 29430 KTG 55821 b |
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| 246 | + | 1 electronically with the General Assembly, as provided under |
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| 247 | + | 2 Section 3.1 of the General Assembly Organization Act, and |
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| 248 | + | 3 shall be provided electronically to any member of the General |
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| 249 | + | 4 Assembly upon request. The action plan shall be published on |
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| 250 | + | 5 the Department of Human Services' website for the public. |
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| 251 | + | 6 Section 30. Coordination across State agencies. |
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| 252 | + | 7 (a) The Department of Human Services, Division of Mental |
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| 253 | + | 8 Health, and the Department of Healthcare and Family Services |
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| 254 | + | 9 shall convene a stakeholder working group immediately after |
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| 255 | + | 10 the effective date of this Act to develop recommendations to |
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| 256 | + | 11 coordinate programming and strategies to support a cohesive |
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| 257 | + | 12 behavioral health crisis response system. |
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| 258 | + | 13 (b) The stakeholder working group shall: |
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| 259 | + | 14 (1) Identify logistical challenges and solutions and |
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| 260 | + | 15 define a process to ensure the Illinois crisis response |
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| 261 | + | 16 system established by the Division of Mental Health's |
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| 262 | + | 17 Crisis Care Continuum Program and the Department of |
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| 263 | + | 18 Healthcare and Family Services' Medicaid Mobile Crisis |
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| 264 | + | 19 Response is coordinated across the lifespan. |
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| 265 | + | 20 (2) Consider cross-program identification and |
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| 266 | + | 21 alignment of providers within geographic regions, |
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| 267 | + | 22 messaging regarding the 9-8-8 Suicide and Crisis Lifeline |
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| 268 | + | 23 and the Illinois Crisis and Referral Entry Services |
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| 269 | + | 24 (CARES) lines, and coordination between disparate program |
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| 270 | + | 25 plan goals to ensure that crisis response services are |
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| 271 | + | |
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| 280 | + | HB3230 Enrolled - 9 - LRB103 29430 KTG 55821 b |
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| 281 | + | 1 delivered efficiently and without duplication. |
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| 282 | + | 2 (c) The stakeholder working group shall at least include |
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| 283 | + | 3 Division of Mental Health Crisis Care Continuum Program |
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| 284 | + | 4 providers, Pathways to Success providers, parents, family |
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| 285 | + | 5 advocates, associations that represent behavioral health |
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| 286 | + | 6 providers, and labor unions that represent workers in the |
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| 287 | + | 7 behavioral health workforce and shall meet no less than once |
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| 288 | + | 8 per month. |
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| 289 | + | 9 (d) Not later than 6 months after the effective date of |
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| 290 | + | 10 this Act, the Department of Human Services, Division of Mental |
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| 291 | + | 11 Health, in collaboration with the Department of Healthcare and |
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| 292 | + | 12 Family Services, shall submit an action plan to the General |
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| 293 | + | 13 Assembly on the activities under Section 30 of this Act. The |
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| 294 | + | 14 action plan shall be filed electronically with the General |
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| 295 | + | 15 Assembly, as provided under Section 3.1 of the General |
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| 296 | + | 16 Assembly Organization Act, and shall be provided |
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| 297 | + | 17 electronically to any member of the General Assembly upon |
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| 298 | + | 18 request. The action plan shall be published on the Department |
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| 299 | + | 19 of Human Services' website for the public. |
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| 300 | + | 20 Section 99. Effective date. This Act takes effect upon |
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| 301 | + | 21 becoming law. |
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| 302 | + | |
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| 303 | + | |
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| 304 | + | |
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| 305 | + | |
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| 306 | + | |
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| 307 | + | HB3230 Enrolled - 9 - LRB103 29430 KTG 55821 b |
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