Illinois 2023-2024 Regular Session

Illinois Senate Bill SB1672 Compare Versions

Only one version of the bill is available at this time.
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11 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1672 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 50 ILCS 754/550 ILCS 754/1550 ILCS 754/2550 ILCS 754/3050 ILCS 754/3550 ILCS 754/40 Amends the Community Emergency Services and Support Act. Replaces the term "responder" with "mobile crisis response team member" in the Act. Removes provisions concerning responder involvement in involuntary commitment, and makes other changes in provisions concerning State prohibitions relating to emergency response. Provides that the Division of Mental Health's guidance for 9-1-1 PSAPs and emergency services dispatched through 9-1-1 PSAPs shall promote, to the greatest extent practicable, referrals to a prearrest or prebooking case management unit in any area served by a prearrest or prebooking case management unit. Makes other changes. LRB103 05032 AWJ 50045 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1672 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 50 ILCS 754/550 ILCS 754/1550 ILCS 754/2550 ILCS 754/3050 ILCS 754/3550 ILCS 754/40 50 ILCS 754/5 50 ILCS 754/15 50 ILCS 754/25 50 ILCS 754/30 50 ILCS 754/35 50 ILCS 754/40 Amends the Community Emergency Services and Support Act. Replaces the term "responder" with "mobile crisis response team member" in the Act. Removes provisions concerning responder involvement in involuntary commitment, and makes other changes in provisions concerning State prohibitions relating to emergency response. Provides that the Division of Mental Health's guidance for 9-1-1 PSAPs and emergency services dispatched through 9-1-1 PSAPs shall promote, to the greatest extent practicable, referrals to a prearrest or prebooking case management unit in any area served by a prearrest or prebooking case management unit. Makes other changes. LRB103 05032 AWJ 50045 b LRB103 05032 AWJ 50045 b A BILL FOR
22 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1672 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED:
33 50 ILCS 754/550 ILCS 754/1550 ILCS 754/2550 ILCS 754/3050 ILCS 754/3550 ILCS 754/40 50 ILCS 754/5 50 ILCS 754/15 50 ILCS 754/25 50 ILCS 754/30 50 ILCS 754/35 50 ILCS 754/40
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1010 Amends the Community Emergency Services and Support Act. Replaces the term "responder" with "mobile crisis response team member" in the Act. Removes provisions concerning responder involvement in involuntary commitment, and makes other changes in provisions concerning State prohibitions relating to emergency response. Provides that the Division of Mental Health's guidance for 9-1-1 PSAPs and emergency services dispatched through 9-1-1 PSAPs shall promote, to the greatest extent practicable, referrals to a prearrest or prebooking case management unit in any area served by a prearrest or prebooking case management unit. Makes other changes.
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1616 1 AN ACT concerning local government.
1717 2 Be it enacted by the People of the State of Illinois,
1818 3 represented in the General Assembly:
1919 4 Section 5. The Community Emergency Services and Support
2020 5 Act is amended by changing Sections 5, 15, 25, 30, 35, and 40
2121 6 as follows:
2222 7 (50 ILCS 754/5)
2323 8 Sec. 5. Findings. The General Assembly recognizes that the
2424 9 Illinois Department of Human Services Division of Mental
2525 10 Health is preparing to provide mobile mental and behavioral
2626 11 health services to all Illinoisans as part of the federally
2727 12 mandated adoption of the 9-8-8 phone number. The General
2828 13 Assembly also recognizes that many cities and some states have
2929 14 successfully established mobile emergency mental and
3030 15 behavioral health services as part of their emergency response
3131 16 system to support people who need such support and do not
3232 17 present a threat of physical violence to the mobile crisis
3333 18 response team members responders. In light of that experience,
3434 19 the General Assembly finds that in order to promote and
3535 20 protect the health, safety, and welfare of the public, it is
3636 21 necessary and in the public interest to provide emergency
3737 22 response, with or without medical transportation, to
3838 23 individuals requiring mental health or behavioral health
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4242 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1672 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED:
4343 50 ILCS 754/550 ILCS 754/1550 ILCS 754/2550 ILCS 754/3050 ILCS 754/3550 ILCS 754/40 50 ILCS 754/5 50 ILCS 754/15 50 ILCS 754/25 50 ILCS 754/30 50 ILCS 754/35 50 ILCS 754/40
4444 50 ILCS 754/5
4545 50 ILCS 754/15
4646 50 ILCS 754/25
4747 50 ILCS 754/30
4848 50 ILCS 754/35
4949 50 ILCS 754/40
5050 Amends the Community Emergency Services and Support Act. Replaces the term "responder" with "mobile crisis response team member" in the Act. Removes provisions concerning responder involvement in involuntary commitment, and makes other changes in provisions concerning State prohibitions relating to emergency response. Provides that the Division of Mental Health's guidance for 9-1-1 PSAPs and emergency services dispatched through 9-1-1 PSAPs shall promote, to the greatest extent practicable, referrals to a prearrest or prebooking case management unit in any area served by a prearrest or prebooking case management unit. Makes other changes.
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8383 1 services in a manner that is substantially equivalent to the
8484 2 response already provided to individuals who require emergency
8585 3 physical health care.
8686 4 (Source: P.A. 102-580, eff. 1-1-22.)
8787 5 (50 ILCS 754/15)
8888 6 Sec. 15. Definitions. As used in this Act:
8989 7 "Division of Mental Health" means the Division of Mental
9090 8 Health of the Department of Human Services.
9191 9 "Emergency" means an emergent circumstance caused by a
9292 10 health condition, regardless of whether it is perceived as
9393 11 physical, mental, or behavioral in nature, for which an
9494 12 individual may require prompt care, support, or assessment at
9595 13 the individual's location.
9696 14 "Mental or behavioral health" means any health condition
9797 15 involving changes in thinking, emotion, or behavior, and that
9898 16 the medical community treats as distinct from physical health
9999 17 care.
100100 18 "Mobile crisis response team member" means any person who
101101 19 engages with a member of the public to provide the mobile
102102 20 mental and behavioral service established in conjunction with
103103 21 the Division of Mental Health's implementation of the 9-8-8
104104 22 emergency number. "Mobile crisis response team member" does
105105 23 not mean an EMS Paramedic or EMT, as defined in the Emergency
106106 24 Medical Services (EMS) Systems Act, unless that responding
107107 25 agency has agreed to provide a specialized response in
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118118 1 accordance with the Division of Mental Health's services
119119 2 offered through its 9-8-8 number and has met all the
120120 3 requirements to offer that service through that system.
121121 4 "Physical health" means a health condition that the
122122 5 medical community treats as distinct from mental or behavioral
123123 6 health care.
124124 7 "PSAP" means a Public Safety Answering Point
125125 8 tele-communicator.
126126 9 "Community services" and "community-based mental or
127127 10 behavioral health services" may include both public and
128128 11 private settings.
129129 12 "Treatment relationship" means an active association with
130130 13 a mental or behavioral care provider able to respond in an
131131 14 appropriate amount of time to requests for care.
132132 15 "Responder" is any person engaging with a member of the
133133 16 public to provide the mobile mental and behavioral service
134134 17 established in conjunction with the Division of Mental Health
135135 18 establishing the 9-8-8 emergency number. A responder is not an
136136 19 EMS Paramedic or EMT as defined in the Emergency Medical
137137 20 Services (EMS) Systems Act unless that responding agency has
138138 21 agreed to provide a specialized response in accordance with
139139 22 the Division of Mental Health's services offered through its
140140 23 9-8-8 number and has met all the requirements to offer that
141141 24 service through that system.
142142 25 (Source: P.A. 102-580, eff. 1-1-22.)
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153153 1 (50 ILCS 754/25)
154154 2 Sec. 25. State goals.
155155 3 (a) 9-1-1 PSAPs, emergency services dispatched through
156156 4 9-1-1 PSAPs, and the mobile mental and behavioral health
157157 5 service established by the Division of Mental Health must
158158 6 coordinate their services so that the State goals listed in
159159 7 this Section are achieved. Appropriate mobile response service
160160 8 for mental and behavioral health emergencies shall be
161161 9 available regardless of whether the initial contact was with
162162 10 9-8-8, 9-1-1 or directly with an emergency service dispatched
163163 11 through 9-1-1. Appropriate mobile response services must:
164164 12 (1) ensure that individuals experiencing mental or
165165 13 behavioral health crises are diverted from hospitalization
166166 14 or incarceration whenever possible, and are instead linked
167167 15 with available appropriate community services;
168168 16 (2) include the option of on-site care if that type of
169169 17 care is appropriate and does not override the care
170170 18 decisions of the individual receiving care. Providing care
171171 19 in the community, through methods like mobile crisis
172172 20 units, is encouraged. If effective care is provided on
173173 21 site, and if it is consistent with the care decisions of
174174 22 the individual receiving the care, further transportation
175175 23 to other medical providers is not required by this Act;
176176 24 (3) recommend appropriate referrals for available
177177 25 community services if the individual receiving on-site
178178 26 care is not already in a treatment relationship with a
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189189 1 service provider or is unsatisfied with their current
190190 2 service providers. The referrals shall take into
191191 3 consideration waiting lists and copayments, which may
192192 4 present barriers to access; and
193193 5 (4) subject to the care decisions of the individual
194194 6 receiving care, provide transportation for any individual
195195 7 experiencing a mental or behavioral health emergency.
196196 8 Transportation shall be to the most integrated and least
197197 9 restrictive setting appropriate in the community, such as
198198 10 to the individual's home or chosen location, community
199199 11 crisis respite centers, clinic settings, behavioral health
200200 12 centers, or the offices of particular medical care
201201 13 providers with existing treatment relationships to the
202202 14 individual seeking care.
203203 15 (b) Prioritize requests for emergency assistance. 9-1-1
204204 16 PSAPs, emergency services dispatched through 9-1-1 PSAPs, and
205205 17 the mobile mental and behavioral health service established by
206206 18 the Division of Mental Health must provide guidance for
207207 19 prioritizing calls for assistance and maximum response time in
208208 20 relation to the type of emergency reported.
209209 21 (c) Provide appropriate response times. From the time of
210210 22 first notification, 9-1-1 PSAPs, emergency services dispatched
211211 23 through 9-1-1 PSAPs, and the mobile mental and behavioral
212212 24 health service established by the Division of Mental Health
213213 25 must provide the response within response time appropriate to
214214 26 the care requirements of the individual with an emergency.
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225225 1 (d) Require appropriate responder training of mobile
226226 2 crisis response team members. Mobile crisis response team
227227 3 members Responders must have adequate training to address the
228228 4 needs of individuals experiencing a mental or behavioral
229229 5 health emergency. Adequate training at least includes:
230230 6 (1) training in de-escalation techniques;
231231 7 (2) knowledge of local community services and
232232 8 supports; and
233233 9 (3) training in respectful interaction with people
234234 10 experiencing mental or behavioral health crises, including
235235 11 the concepts of stigma and respectful language.
236236 12 (e) Require minimum team staffing. The Division of Mental
237237 13 Health, in consultation with the Regional Advisory Committees
238238 14 created in Section 40, shall determine the appropriate
239239 15 credentials for the mental health providers responding to
240240 16 calls, including to what extent the mobile crisis response
241241 17 team members responders must have certain credentials and
242242 18 licensing, and to what extent the mobile crisis response team
243243 19 members responders can be peer support professionals.
244244 20 (f) Require training from individuals with lived
245245 21 experience. Training shall be provided by individuals with
246246 22 lived experience to the extent available.
247247 23 (g) Adopt guidelines directing referral to restrictive
248248 24 care settings. Mobile crisis response team members Responders
249249 25 must have guidelines to follow when considering whether to
250250 26 refer an individual to more restrictive forms of care, like
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261261 1 emergency room or hospital settings.
262262 2 (h) Specify regional best practices. Mobile crisis
263263 3 response team members Responders providing these services must
264264 4 do so consistently with best practices, which include
265265 5 respecting the care choices of the individuals receiving
266266 6 assistance. Regional best practices may be broken down into
267267 7 sub-regions, as appropriate to reflect local resources and
268268 8 conditions. With the agreement of the impacted EMS Regions,
269269 9 providers of emergency response to physical emergencies may
270270 10 participate in another EMS Region for mental and behavioral
271271 11 response, if that participation shall provide a better service
272272 12 to individuals experiencing a mental or behavioral health
273273 13 emergency.
274274 14 (i) Adopt a system for directing care in advance of an
275275 15 emergency. The Division of Mental Health shall select and
276276 16 publicly identify a system that allows individuals who
277277 17 voluntarily choose chose to do so to provide confidential
278278 18 advanced care directions to individuals providing services
279279 19 under this Act. No system for providing advanced care
280280 20 direction may be implemented unless the Division of Mental
281281 21 Health approves it as confidential, available to individuals
282282 22 at all economic levels, and non-stigmatizing. The Division of
283283 23 Mental Health may defer this requirement for providing a
284284 24 system for advanced care direction if it determines that no
285285 25 existing systems can currently meet these requirements.
286286 26 (j) Train dispatching staff. The personnel staffing 9-1-1,
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297297 1 3-1-1, or other emergency response intake systems must be
298298 2 provided with adequate training to assess whether coordinating
299299 3 with 9-8-8 is appropriate.
300300 4 (k) Establish protocol for emergency mobile crisis
301301 5 response team member responder coordination. The Division of
302302 6 Mental Health shall establish a protocol for mobile crisis
303303 7 response team members responders, law enforcement, and fire
304304 8 and ambulance services to request assistance from each other,
305305 9 and train these groups on the protocol.
306306 10 (l) Integrate law enforcement. The Division of Mental
307307 11 Health shall provide for law enforcement to request mobile
308308 12 crisis response team member responder assistance whenever law
309309 13 enforcement engages an individual appropriate for services
310310 14 under this Act. If law enforcement would typically request EMS
311311 15 assistance when it encounters an individual with a physical
312312 16 health emergency, law enforcement shall similarly dispatch
313313 17 mental or behavioral health personnel or medical
314314 18 transportation when it encounters an individual in a mental or
315315 19 behavioral health emergency.
316316 20 (Source: P.A. 102-580, eff. 1-1-22.)
317317 21 (50 ILCS 754/30)
318318 22 Sec. 30. State prohibitions. 9-1-1 PSAPs, emergency
319319 23 services dispatched through 9-1-1 PSAPs, and the mobile mental
320320 24 and behavioral health service established by the Division of
321321 25 Mental Health must coordinate their services so that, based on
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332332 1 the information provided to them, the following State
333333 2 prohibitions are avoided:
334334 3 (a) Law enforcement responsibility for providing mental
335335 4 and behavioral health care. In any area where mobile crisis
336336 5 response team members responders are available for dispatch,
337337 6 law enforcement shall not be dispatched to respond to an
338338 7 individual requiring mental or behavioral health care unless
339339 8 that individual is (i) involved in a suspected violation of
340340 9 the criminal laws of this State, or (ii) presents a threat of
341341 10 physical injury to self or others. Mobile crisis response team
342342 11 members Responders are not considered available for dispatch
343343 12 under this Section if 9-8-8 reports that it cannot dispatch
344344 13 appropriate service within the maximum response times
345345 14 established by each Regional Advisory Committee under Section
346346 15 45.
347347 16 (1) The Standing on its own or in combination with
348348 17 each other, the fact that an individual is experiencing a
349349 18 mental or behavioral health emergency, or has a mental
350350 19 health, behavioral health, or other diagnosis, is not
351351 20 sufficient to justify an assessment that the individual
352352 21 presents is a threat of physical injury to self or others,
353353 22 or that the situation requires a law enforcement response
354354 23 to a request for emergency response or medical
355355 24 transportation.
356356 25 (2) If, based on its assessment of the threat to
357357 26 public safety, law enforcement would not accompany the
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368368 1 emergency response or medical transportation personnel
369369 2 responding to a physical health emergency, unless
370370 3 requested by those responders, then law enforcement may
371371 4 not accompany the emergency response or medical
372372 5 transportation personnel responding to a mental or
373373 6 behavioral health emergency that presents an equivalent
374374 7 level of threat to self or public safety unless requested
375375 8 by those responders. Law enforcement may respond to a
376376 9 mental or behavioral health emergency in accordance with
377377 10 subparagraph (3).
378378 11 (3) Without regard to an assessment of threat to self
379379 12 or threat to public safety, law enforcement may station
380380 13 personnel so that they can rapidly respond to requests for
381381 14 assistance from mobile crisis response team members,
382382 15 emergency response, or medical transportation personnel
383383 16 responders if law enforcement does not interfere with the
384384 17 provision of emergency response or transportation
385385 18 services. To the extent practical, not interfering with
386386 19 services includes remaining sufficiently distant from or
387387 20 out of sight of the individual receiving care so that law
388388 21 enforcement presence is unlikely to escalate the
389389 22 emergency.
390390 23 (b) (Blank). Responder involvement in involuntary
391391 24 commitment. In order to maintain the appropriate care
392392 25 relationship, responders shall not in any way assist in the
393393 26 involuntary commitment of an individual beyond (i) reporting
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404404 1 to their dispatching entity or to law enforcement that they
405405 2 believe the situation requires assistance the responders are
406406 3 not permitted to provide under this Section; (ii) providing
407407 4 witness statements; and (iii) fulfilling reporting
408408 5 requirements the responders may have under their professional
409409 6 ethical obligations or laws of this state. This prohibition
410410 7 shall not interfere with any responder's ability to provide
411411 8 physical or mental health care.
412412 9 (c) Use of law enforcement for transportation. In any area
413413 10 where mobile crisis response team members responders are
414414 11 available for dispatch, unless requested by mobile crisis
415415 12 response team members responders, law enforcement shall not be
416416 13 used to provide transportation to access mental or behavioral
417417 14 health care, or travel between mental or behavioral health
418418 15 care providers, except where no alternative is available.
419419 16 (d) Reduction of educational institution obligations. The
420420 17 services coordinated under this Act may not be used to replace
421421 18 any service an educational institution is required to provide
422422 19 to a student. It shall not substitute for appropriate special
423423 20 education and related services that schools are required to
424424 21 provide by any law.
425425 22 (Source: P.A. 102-580, eff. 1-1-22.)
426426 23 (50 ILCS 754/35)
427427 24 Sec. 35. Non-violent misdemeanors. The Division of Mental
428428 25 Health's guidance Guidance for 9-1-1 PSAPs and emergency
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439439 1 services dispatched through 9-1-1 PSAPs for coordinating the
440440 2 response to individuals who appear to be in a mental or
441441 3 behavioral health emergency while engaging in conduct alleged
442442 4 to constitute a non-violent misdemeanor shall promote the
443443 5 following:
444444 6 (a) Prioritization of Health Care. To the greatest
445445 7 extent practicable, community-based mental or behavioral
446446 8 health services should be provided before addressing law
447447 9 enforcement objectives.
448448 10 (b) Diversion from Further Criminal Justice
449449 11 Involvement. To the greatest extent practicable,
450450 12 individuals should be referred to health care services
451451 13 with the potential to reduce the likelihood of further law
452452 14 enforcement engagement.
453453 15 (c) Prearrest or prebooking case management
454454 16 initiatives. To the greatest extent practicable, a
455455 17 referral to a prearrest or prebooking case management unit
456456 18 should be prioritized in any area served by a prearrest or
457457 19 prebooking case management unit.
458458 20 (Source: P.A. 102-580, eff. 1-1-22.)
459459 21 (50 ILCS 754/40)
460460 22 Sec. 40. Statewide Advisory Committee.
461461 23 (a) The Division of Mental Health shall establish a
462462 24 Statewide Advisory Committee to review and make
463463 25 recommendations for aspects of coordinating 9-1-1 and the
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474474 1 9-8-8 mobile mental health response system most appropriately
475475 2 addressed on a State level.
476476 3 (b) Issues to be addressed by the Statewide Advisory
477477 4 Committee include, but are not limited to, addressing changes
478478 5 necessary in 9-1-1 call taking protocols and scripts used in
479479 6 9-1-1 PSAPs where those protocols and scripts are based on or
480480 7 otherwise dependent on national providers for their operation.
481481 8 (c) The Statewide Advisory Committee shall recommend a
482482 9 system for gathering data related to the coordination of the
483483 10 9-1-1 and 9-8-8 systems for purposes of allowing the parties
484484 11 to make ongoing improvements in that system. As practical, the
485485 12 system shall attempt to determine issues including, but not
486486 13 limited to:
487487 14 (1) the volume of calls coordinated between 9-1-1 and
488488 15 9-8-8;
489489 16 (2) the volume of referrals from other first
490490 17 responders to 9-8-8;
491491 18 (3) the volume and type of calls deemed appropriate
492492 19 for referral to 9-8-8 but could not be served by 9-8-8
493493 20 because of capacity restrictions or other reasons;
494494 21 (4) the appropriate information to improve
495495 22 coordination between 9-1-1 and 9-8-8; and
496496 23 (5) the appropriate information to improve the 9-8-8
497497 24 system, if the information is most appropriately gathered
498498 25 at the 9-1-1 PSAPs.
499499 26 (d) The Statewide Advisory Committee shall consist of:
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510510 1 (1) the Statewide 9-1-1 Administrator, ex officio;
511511 2 (2) one representative designated by the Illinois
512512 3 Chapter of National Emergency Number Association (NENA);
513513 4 (3) one representative designated by the Illinois
514514 5 Chapter of Association of Public Safety Communications
515515 6 Officials (APCO);
516516 7 (4) one representative of the Division of Mental
517517 8 Health;
518518 9 (5) one representative of the Illinois Department of
519519 10 Public Health;
520520 11 (6) one representative of a statewide organization of
521521 12 EMS responders;
522522 13 (7) one representative of a statewide organization of
523523 14 fire chiefs;
524524 15 (8) two representatives of statewide organizations of
525525 16 law enforcement;
526526 17 (9) two representatives of mental health, behavioral
527527 18 health, or substance abuse providers or a statewide
528528 19 organization representing one or more of these types of
529529 20 providers; and
530530 21 (10) four representatives of advocacy organizations
531531 22 either led by or consisting primarily of individuals with
532532 23 intellectual or developmental disabilities, individuals
533533 24 with behavioral disabilities, or individuals with lived
534534 25 experience.
535535 26 (e) The members of the Statewide Advisory Committee, other
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546546 1 than the Statewide 9-1-1 Administrator, shall be appointed by
547547 2 the Secretary of Human Services.
548548 3 (Source: P.A. 102-580, eff. 1-1-22.)
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