1 | 1 | | 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 |
---|
2 | 2 | | 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1672 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: |
---|
3 | 3 | | 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 |
---|
4 | 4 | | 50 ILCS 754/5 |
---|
5 | 5 | | 50 ILCS 754/15 |
---|
6 | 6 | | 50 ILCS 754/25 |
---|
7 | 7 | | 50 ILCS 754/30 |
---|
8 | 8 | | 50 ILCS 754/35 |
---|
9 | 9 | | 50 ILCS 754/40 |
---|
10 | 10 | | 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. |
---|
11 | 11 | | LRB103 05032 AWJ 50045 b LRB103 05032 AWJ 50045 b |
---|
12 | 12 | | LRB103 05032 AWJ 50045 b |
---|
13 | 13 | | A BILL FOR |
---|
14 | 14 | | SB1672LRB103 05032 AWJ 50045 b SB1672 LRB103 05032 AWJ 50045 b |
---|
15 | 15 | | SB1672 LRB103 05032 AWJ 50045 b |
---|
16 | 16 | | 1 AN ACT concerning local government. |
---|
17 | 17 | | 2 Be it enacted by the People of the State of Illinois, |
---|
18 | 18 | | 3 represented in the General Assembly: |
---|
19 | 19 | | 4 Section 5. The Community Emergency Services and Support |
---|
20 | 20 | | 5 Act is amended by changing Sections 5, 15, 25, 30, 35, and 40 |
---|
21 | 21 | | 6 as follows: |
---|
22 | 22 | | 7 (50 ILCS 754/5) |
---|
23 | 23 | | 8 Sec. 5. Findings. The General Assembly recognizes that the |
---|
24 | 24 | | 9 Illinois Department of Human Services Division of Mental |
---|
25 | 25 | | 10 Health is preparing to provide mobile mental and behavioral |
---|
26 | 26 | | 11 health services to all Illinoisans as part of the federally |
---|
27 | 27 | | 12 mandated adoption of the 9-8-8 phone number. The General |
---|
28 | 28 | | 13 Assembly also recognizes that many cities and some states have |
---|
29 | 29 | | 14 successfully established mobile emergency mental and |
---|
30 | 30 | | 15 behavioral health services as part of their emergency response |
---|
31 | 31 | | 16 system to support people who need such support and do not |
---|
32 | 32 | | 17 present a threat of physical violence to the mobile crisis |
---|
33 | 33 | | 18 response team members responders. In light of that experience, |
---|
34 | 34 | | 19 the General Assembly finds that in order to promote and |
---|
35 | 35 | | 20 protect the health, safety, and welfare of the public, it is |
---|
36 | 36 | | 21 necessary and in the public interest to provide emergency |
---|
37 | 37 | | 22 response, with or without medical transportation, to |
---|
38 | 38 | | 23 individuals requiring mental health or behavioral health |
---|
39 | 39 | | |
---|
40 | 40 | | |
---|
41 | 41 | | |
---|
42 | 42 | | 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1672 Introduced 2/8/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: |
---|
43 | 43 | | 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 |
---|
44 | 44 | | 50 ILCS 754/5 |
---|
45 | 45 | | 50 ILCS 754/15 |
---|
46 | 46 | | 50 ILCS 754/25 |
---|
47 | 47 | | 50 ILCS 754/30 |
---|
48 | 48 | | 50 ILCS 754/35 |
---|
49 | 49 | | 50 ILCS 754/40 |
---|
50 | 50 | | 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. |
---|
51 | 51 | | LRB103 05032 AWJ 50045 b LRB103 05032 AWJ 50045 b |
---|
52 | 52 | | LRB103 05032 AWJ 50045 b |
---|
53 | 53 | | A BILL FOR |
---|
54 | 54 | | |
---|
55 | 55 | | |
---|
56 | 56 | | |
---|
57 | 57 | | |
---|
58 | 58 | | |
---|
59 | 59 | | 50 ILCS 754/5 |
---|
60 | 60 | | 50 ILCS 754/15 |
---|
61 | 61 | | 50 ILCS 754/25 |
---|
62 | 62 | | 50 ILCS 754/30 |
---|
63 | 63 | | 50 ILCS 754/35 |
---|
64 | 64 | | 50 ILCS 754/40 |
---|
65 | 65 | | |
---|
66 | 66 | | |
---|
67 | 67 | | |
---|
68 | 68 | | LRB103 05032 AWJ 50045 b |
---|
69 | 69 | | |
---|
70 | 70 | | |
---|
71 | 71 | | |
---|
72 | 72 | | |
---|
73 | 73 | | |
---|
74 | 74 | | |
---|
75 | 75 | | |
---|
76 | 76 | | |
---|
77 | 77 | | |
---|
78 | 78 | | SB1672 LRB103 05032 AWJ 50045 b |
---|
79 | 79 | | |
---|
80 | 80 | | |
---|
81 | 81 | | SB1672- 2 -LRB103 05032 AWJ 50045 b SB1672 - 2 - LRB103 05032 AWJ 50045 b |
---|
82 | 82 | | SB1672 - 2 - LRB103 05032 AWJ 50045 b |
---|
83 | 83 | | 1 services in a manner that is substantially equivalent to the |
---|
84 | 84 | | 2 response already provided to individuals who require emergency |
---|
85 | 85 | | 3 physical health care. |
---|
86 | 86 | | 4 (Source: P.A. 102-580, eff. 1-1-22.) |
---|
87 | 87 | | 5 (50 ILCS 754/15) |
---|
88 | 88 | | 6 Sec. 15. Definitions. As used in this Act: |
---|
89 | 89 | | 7 "Division of Mental Health" means the Division of Mental |
---|
90 | 90 | | 8 Health of the Department of Human Services. |
---|
91 | 91 | | 9 "Emergency" means an emergent circumstance caused by a |
---|
92 | 92 | | 10 health condition, regardless of whether it is perceived as |
---|
93 | 93 | | 11 physical, mental, or behavioral in nature, for which an |
---|
94 | 94 | | 12 individual may require prompt care, support, or assessment at |
---|
95 | 95 | | 13 the individual's location. |
---|
96 | 96 | | 14 "Mental or behavioral health" means any health condition |
---|
97 | 97 | | 15 involving changes in thinking, emotion, or behavior, and that |
---|
98 | 98 | | 16 the medical community treats as distinct from physical health |
---|
99 | 99 | | 17 care. |
---|
100 | 100 | | 18 "Mobile crisis response team member" means any person who |
---|
101 | 101 | | 19 engages with a member of the public to provide the mobile |
---|
102 | 102 | | 20 mental and behavioral service established in conjunction with |
---|
103 | 103 | | 21 the Division of Mental Health's implementation of the 9-8-8 |
---|
104 | 104 | | 22 emergency number. "Mobile crisis response team member" does |
---|
105 | 105 | | 23 not mean an EMS Paramedic or EMT, as defined in the Emergency |
---|
106 | 106 | | 24 Medical Services (EMS) Systems Act, unless that responding |
---|
107 | 107 | | 25 agency has agreed to provide a specialized response in |
---|
108 | 108 | | |
---|
109 | 109 | | |
---|
110 | 110 | | |
---|
111 | 111 | | |
---|
112 | 112 | | |
---|
113 | 113 | | SB1672 - 2 - LRB103 05032 AWJ 50045 b |
---|
114 | 114 | | |
---|
115 | 115 | | |
---|
116 | 116 | | SB1672- 3 -LRB103 05032 AWJ 50045 b SB1672 - 3 - LRB103 05032 AWJ 50045 b |
---|
117 | 117 | | SB1672 - 3 - LRB103 05032 AWJ 50045 b |
---|
118 | 118 | | 1 accordance with the Division of Mental Health's services |
---|
119 | 119 | | 2 offered through its 9-8-8 number and has met all the |
---|
120 | 120 | | 3 requirements to offer that service through that system. |
---|
121 | 121 | | 4 "Physical health" means a health condition that the |
---|
122 | 122 | | 5 medical community treats as distinct from mental or behavioral |
---|
123 | 123 | | 6 health care. |
---|
124 | 124 | | 7 "PSAP" means a Public Safety Answering Point |
---|
125 | 125 | | 8 tele-communicator. |
---|
126 | 126 | | 9 "Community services" and "community-based mental or |
---|
127 | 127 | | 10 behavioral health services" may include both public and |
---|
128 | 128 | | 11 private settings. |
---|
129 | 129 | | 12 "Treatment relationship" means an active association with |
---|
130 | 130 | | 13 a mental or behavioral care provider able to respond in an |
---|
131 | 131 | | 14 appropriate amount of time to requests for care. |
---|
132 | 132 | | 15 "Responder" is any person engaging with a member of the |
---|
133 | 133 | | 16 public to provide the mobile mental and behavioral service |
---|
134 | 134 | | 17 established in conjunction with the Division of Mental Health |
---|
135 | 135 | | 18 establishing the 9-8-8 emergency number. A responder is not an |
---|
136 | 136 | | 19 EMS Paramedic or EMT as defined in the Emergency Medical |
---|
137 | 137 | | 20 Services (EMS) Systems Act unless that responding agency has |
---|
138 | 138 | | 21 agreed to provide a specialized response in accordance with |
---|
139 | 139 | | 22 the Division of Mental Health's services offered through its |
---|
140 | 140 | | 23 9-8-8 number and has met all the requirements to offer that |
---|
141 | 141 | | 24 service through that system. |
---|
142 | 142 | | 25 (Source: P.A. 102-580, eff. 1-1-22.) |
---|
143 | 143 | | |
---|
144 | 144 | | |
---|
145 | 145 | | |
---|
146 | 146 | | |
---|
147 | 147 | | |
---|
148 | 148 | | SB1672 - 3 - LRB103 05032 AWJ 50045 b |
---|
149 | 149 | | |
---|
150 | 150 | | |
---|
151 | 151 | | SB1672- 4 -LRB103 05032 AWJ 50045 b SB1672 - 4 - LRB103 05032 AWJ 50045 b |
---|
152 | 152 | | SB1672 - 4 - LRB103 05032 AWJ 50045 b |
---|
153 | 153 | | 1 (50 ILCS 754/25) |
---|
154 | 154 | | 2 Sec. 25. State goals. |
---|
155 | 155 | | 3 (a) 9-1-1 PSAPs, emergency services dispatched through |
---|
156 | 156 | | 4 9-1-1 PSAPs, and the mobile mental and behavioral health |
---|
157 | 157 | | 5 service established by the Division of Mental Health must |
---|
158 | 158 | | 6 coordinate their services so that the State goals listed in |
---|
159 | 159 | | 7 this Section are achieved. Appropriate mobile response service |
---|
160 | 160 | | 8 for mental and behavioral health emergencies shall be |
---|
161 | 161 | | 9 available regardless of whether the initial contact was with |
---|
162 | 162 | | 10 9-8-8, 9-1-1 or directly with an emergency service dispatched |
---|
163 | 163 | | 11 through 9-1-1. Appropriate mobile response services must: |
---|
164 | 164 | | 12 (1) ensure that individuals experiencing mental or |
---|
165 | 165 | | 13 behavioral health crises are diverted from hospitalization |
---|
166 | 166 | | 14 or incarceration whenever possible, and are instead linked |
---|
167 | 167 | | 15 with available appropriate community services; |
---|
168 | 168 | | 16 (2) include the option of on-site care if that type of |
---|
169 | 169 | | 17 care is appropriate and does not override the care |
---|
170 | 170 | | 18 decisions of the individual receiving care. Providing care |
---|
171 | 171 | | 19 in the community, through methods like mobile crisis |
---|
172 | 172 | | 20 units, is encouraged. If effective care is provided on |
---|
173 | 173 | | 21 site, and if it is consistent with the care decisions of |
---|
174 | 174 | | 22 the individual receiving the care, further transportation |
---|
175 | 175 | | 23 to other medical providers is not required by this Act; |
---|
176 | 176 | | 24 (3) recommend appropriate referrals for available |
---|
177 | 177 | | 25 community services if the individual receiving on-site |
---|
178 | 178 | | 26 care is not already in a treatment relationship with a |
---|
179 | 179 | | |
---|
180 | 180 | | |
---|
181 | 181 | | |
---|
182 | 182 | | |
---|
183 | 183 | | |
---|
184 | 184 | | SB1672 - 4 - LRB103 05032 AWJ 50045 b |
---|
185 | 185 | | |
---|
186 | 186 | | |
---|
187 | 187 | | SB1672- 5 -LRB103 05032 AWJ 50045 b SB1672 - 5 - LRB103 05032 AWJ 50045 b |
---|
188 | 188 | | SB1672 - 5 - LRB103 05032 AWJ 50045 b |
---|
189 | 189 | | 1 service provider or is unsatisfied with their current |
---|
190 | 190 | | 2 service providers. The referrals shall take into |
---|
191 | 191 | | 3 consideration waiting lists and copayments, which may |
---|
192 | 192 | | 4 present barriers to access; and |
---|
193 | 193 | | 5 (4) subject to the care decisions of the individual |
---|
194 | 194 | | 6 receiving care, provide transportation for any individual |
---|
195 | 195 | | 7 experiencing a mental or behavioral health emergency. |
---|
196 | 196 | | 8 Transportation shall be to the most integrated and least |
---|
197 | 197 | | 9 restrictive setting appropriate in the community, such as |
---|
198 | 198 | | 10 to the individual's home or chosen location, community |
---|
199 | 199 | | 11 crisis respite centers, clinic settings, behavioral health |
---|
200 | 200 | | 12 centers, or the offices of particular medical care |
---|
201 | 201 | | 13 providers with existing treatment relationships to the |
---|
202 | 202 | | 14 individual seeking care. |
---|
203 | 203 | | 15 (b) Prioritize requests for emergency assistance. 9-1-1 |
---|
204 | 204 | | 16 PSAPs, emergency services dispatched through 9-1-1 PSAPs, and |
---|
205 | 205 | | 17 the mobile mental and behavioral health service established by |
---|
206 | 206 | | 18 the Division of Mental Health must provide guidance for |
---|
207 | 207 | | 19 prioritizing calls for assistance and maximum response time in |
---|
208 | 208 | | 20 relation to the type of emergency reported. |
---|
209 | 209 | | 21 (c) Provide appropriate response times. From the time of |
---|
210 | 210 | | 22 first notification, 9-1-1 PSAPs, emergency services dispatched |
---|
211 | 211 | | 23 through 9-1-1 PSAPs, and the mobile mental and behavioral |
---|
212 | 212 | | 24 health service established by the Division of Mental Health |
---|
213 | 213 | | 25 must provide the response within response time appropriate to |
---|
214 | 214 | | 26 the care requirements of the individual with an emergency. |
---|
215 | 215 | | |
---|
216 | 216 | | |
---|
217 | 217 | | |
---|
218 | 218 | | |
---|
219 | 219 | | |
---|
220 | 220 | | SB1672 - 5 - LRB103 05032 AWJ 50045 b |
---|
221 | 221 | | |
---|
222 | 222 | | |
---|
223 | 223 | | SB1672- 6 -LRB103 05032 AWJ 50045 b SB1672 - 6 - LRB103 05032 AWJ 50045 b |
---|
224 | 224 | | SB1672 - 6 - LRB103 05032 AWJ 50045 b |
---|
225 | 225 | | 1 (d) Require appropriate responder training of mobile |
---|
226 | 226 | | 2 crisis response team members. Mobile crisis response team |
---|
227 | 227 | | 3 members Responders must have adequate training to address the |
---|
228 | 228 | | 4 needs of individuals experiencing a mental or behavioral |
---|
229 | 229 | | 5 health emergency. Adequate training at least includes: |
---|
230 | 230 | | 6 (1) training in de-escalation techniques; |
---|
231 | 231 | | 7 (2) knowledge of local community services and |
---|
232 | 232 | | 8 supports; and |
---|
233 | 233 | | 9 (3) training in respectful interaction with people |
---|
234 | 234 | | 10 experiencing mental or behavioral health crises, including |
---|
235 | 235 | | 11 the concepts of stigma and respectful language. |
---|
236 | 236 | | 12 (e) Require minimum team staffing. The Division of Mental |
---|
237 | 237 | | 13 Health, in consultation with the Regional Advisory Committees |
---|
238 | 238 | | 14 created in Section 40, shall determine the appropriate |
---|
239 | 239 | | 15 credentials for the mental health providers responding to |
---|
240 | 240 | | 16 calls, including to what extent the mobile crisis response |
---|
241 | 241 | | 17 team members responders must have certain credentials and |
---|
242 | 242 | | 18 licensing, and to what extent the mobile crisis response team |
---|
243 | 243 | | 19 members responders can be peer support professionals. |
---|
244 | 244 | | 20 (f) Require training from individuals with lived |
---|
245 | 245 | | 21 experience. Training shall be provided by individuals with |
---|
246 | 246 | | 22 lived experience to the extent available. |
---|
247 | 247 | | 23 (g) Adopt guidelines directing referral to restrictive |
---|
248 | 248 | | 24 care settings. Mobile crisis response team members Responders |
---|
249 | 249 | | 25 must have guidelines to follow when considering whether to |
---|
250 | 250 | | 26 refer an individual to more restrictive forms of care, like |
---|
251 | 251 | | |
---|
252 | 252 | | |
---|
253 | 253 | | |
---|
254 | 254 | | |
---|
255 | 255 | | |
---|
256 | 256 | | SB1672 - 6 - LRB103 05032 AWJ 50045 b |
---|
257 | 257 | | |
---|
258 | 258 | | |
---|
259 | 259 | | SB1672- 7 -LRB103 05032 AWJ 50045 b SB1672 - 7 - LRB103 05032 AWJ 50045 b |
---|
260 | 260 | | SB1672 - 7 - LRB103 05032 AWJ 50045 b |
---|
261 | 261 | | 1 emergency room or hospital settings. |
---|
262 | 262 | | 2 (h) Specify regional best practices. Mobile crisis |
---|
263 | 263 | | 3 response team members Responders providing these services must |
---|
264 | 264 | | 4 do so consistently with best practices, which include |
---|
265 | 265 | | 5 respecting the care choices of the individuals receiving |
---|
266 | 266 | | 6 assistance. Regional best practices may be broken down into |
---|
267 | 267 | | 7 sub-regions, as appropriate to reflect local resources and |
---|
268 | 268 | | 8 conditions. With the agreement of the impacted EMS Regions, |
---|
269 | 269 | | 9 providers of emergency response to physical emergencies may |
---|
270 | 270 | | 10 participate in another EMS Region for mental and behavioral |
---|
271 | 271 | | 11 response, if that participation shall provide a better service |
---|
272 | 272 | | 12 to individuals experiencing a mental or behavioral health |
---|
273 | 273 | | 13 emergency. |
---|
274 | 274 | | 14 (i) Adopt a system for directing care in advance of an |
---|
275 | 275 | | 15 emergency. The Division of Mental Health shall select and |
---|
276 | 276 | | 16 publicly identify a system that allows individuals who |
---|
277 | 277 | | 17 voluntarily choose chose to do so to provide confidential |
---|
278 | 278 | | 18 advanced care directions to individuals providing services |
---|
279 | 279 | | 19 under this Act. No system for providing advanced care |
---|
280 | 280 | | 20 direction may be implemented unless the Division of Mental |
---|
281 | 281 | | 21 Health approves it as confidential, available to individuals |
---|
282 | 282 | | 22 at all economic levels, and non-stigmatizing. The Division of |
---|
283 | 283 | | 23 Mental Health may defer this requirement for providing a |
---|
284 | 284 | | 24 system for advanced care direction if it determines that no |
---|
285 | 285 | | 25 existing systems can currently meet these requirements. |
---|
286 | 286 | | 26 (j) Train dispatching staff. The personnel staffing 9-1-1, |
---|
287 | 287 | | |
---|
288 | 288 | | |
---|
289 | 289 | | |
---|
290 | 290 | | |
---|
291 | 291 | | |
---|
292 | 292 | | SB1672 - 7 - LRB103 05032 AWJ 50045 b |
---|
293 | 293 | | |
---|
294 | 294 | | |
---|
295 | 295 | | SB1672- 8 -LRB103 05032 AWJ 50045 b SB1672 - 8 - LRB103 05032 AWJ 50045 b |
---|
296 | 296 | | SB1672 - 8 - LRB103 05032 AWJ 50045 b |
---|
297 | 297 | | 1 3-1-1, or other emergency response intake systems must be |
---|
298 | 298 | | 2 provided with adequate training to assess whether coordinating |
---|
299 | 299 | | 3 with 9-8-8 is appropriate. |
---|
300 | 300 | | 4 (k) Establish protocol for emergency mobile crisis |
---|
301 | 301 | | 5 response team member responder coordination. The Division of |
---|
302 | 302 | | 6 Mental Health shall establish a protocol for mobile crisis |
---|
303 | 303 | | 7 response team members responders, law enforcement, and fire |
---|
304 | 304 | | 8 and ambulance services to request assistance from each other, |
---|
305 | 305 | | 9 and train these groups on the protocol. |
---|
306 | 306 | | 10 (l) Integrate law enforcement. The Division of Mental |
---|
307 | 307 | | 11 Health shall provide for law enforcement to request mobile |
---|
308 | 308 | | 12 crisis response team member responder assistance whenever law |
---|
309 | 309 | | 13 enforcement engages an individual appropriate for services |
---|
310 | 310 | | 14 under this Act. If law enforcement would typically request EMS |
---|
311 | 311 | | 15 assistance when it encounters an individual with a physical |
---|
312 | 312 | | 16 health emergency, law enforcement shall similarly dispatch |
---|
313 | 313 | | 17 mental or behavioral health personnel or medical |
---|
314 | 314 | | 18 transportation when it encounters an individual in a mental or |
---|
315 | 315 | | 19 behavioral health emergency. |
---|
316 | 316 | | 20 (Source: P.A. 102-580, eff. 1-1-22.) |
---|
317 | 317 | | 21 (50 ILCS 754/30) |
---|
318 | 318 | | 22 Sec. 30. State prohibitions. 9-1-1 PSAPs, emergency |
---|
319 | 319 | | 23 services dispatched through 9-1-1 PSAPs, and the mobile mental |
---|
320 | 320 | | 24 and behavioral health service established by the Division of |
---|
321 | 321 | | 25 Mental Health must coordinate their services so that, based on |
---|
322 | 322 | | |
---|
323 | 323 | | |
---|
324 | 324 | | |
---|
325 | 325 | | |
---|
326 | 326 | | |
---|
327 | 327 | | SB1672 - 8 - LRB103 05032 AWJ 50045 b |
---|
328 | 328 | | |
---|
329 | 329 | | |
---|
330 | 330 | | SB1672- 9 -LRB103 05032 AWJ 50045 b SB1672 - 9 - LRB103 05032 AWJ 50045 b |
---|
331 | 331 | | SB1672 - 9 - LRB103 05032 AWJ 50045 b |
---|
332 | 332 | | 1 the information provided to them, the following State |
---|
333 | 333 | | 2 prohibitions are avoided: |
---|
334 | 334 | | 3 (a) Law enforcement responsibility for providing mental |
---|
335 | 335 | | 4 and behavioral health care. In any area where mobile crisis |
---|
336 | 336 | | 5 response team members responders are available for dispatch, |
---|
337 | 337 | | 6 law enforcement shall not be dispatched to respond to an |
---|
338 | 338 | | 7 individual requiring mental or behavioral health care unless |
---|
339 | 339 | | 8 that individual is (i) involved in a suspected violation of |
---|
340 | 340 | | 9 the criminal laws of this State, or (ii) presents a threat of |
---|
341 | 341 | | 10 physical injury to self or others. Mobile crisis response team |
---|
342 | 342 | | 11 members Responders are not considered available for dispatch |
---|
343 | 343 | | 12 under this Section if 9-8-8 reports that it cannot dispatch |
---|
344 | 344 | | 13 appropriate service within the maximum response times |
---|
345 | 345 | | 14 established by each Regional Advisory Committee under Section |
---|
346 | 346 | | 15 45. |
---|
347 | 347 | | 16 (1) The Standing on its own or in combination with |
---|
348 | 348 | | 17 each other, the fact that an individual is experiencing a |
---|
349 | 349 | | 18 mental or behavioral health emergency, or has a mental |
---|
350 | 350 | | 19 health, behavioral health, or other diagnosis, is not |
---|
351 | 351 | | 20 sufficient to justify an assessment that the individual |
---|
352 | 352 | | 21 presents is a threat of physical injury to self or others, |
---|
353 | 353 | | 22 or that the situation requires a law enforcement response |
---|
354 | 354 | | 23 to a request for emergency response or medical |
---|
355 | 355 | | 24 transportation. |
---|
356 | 356 | | 25 (2) If, based on its assessment of the threat to |
---|
357 | 357 | | 26 public safety, law enforcement would not accompany the |
---|
358 | 358 | | |
---|
359 | 359 | | |
---|
360 | 360 | | |
---|
361 | 361 | | |
---|
362 | 362 | | |
---|
363 | 363 | | SB1672 - 9 - LRB103 05032 AWJ 50045 b |
---|
364 | 364 | | |
---|
365 | 365 | | |
---|
366 | 366 | | SB1672- 10 -LRB103 05032 AWJ 50045 b SB1672 - 10 - LRB103 05032 AWJ 50045 b |
---|
367 | 367 | | SB1672 - 10 - LRB103 05032 AWJ 50045 b |
---|
368 | 368 | | 1 emergency response or medical transportation personnel |
---|
369 | 369 | | 2 responding to a physical health emergency, unless |
---|
370 | 370 | | 3 requested by those responders, then law enforcement may |
---|
371 | 371 | | 4 not accompany the emergency response or medical |
---|
372 | 372 | | 5 transportation personnel responding to a mental or |
---|
373 | 373 | | 6 behavioral health emergency that presents an equivalent |
---|
374 | 374 | | 7 level of threat to self or public safety unless requested |
---|
375 | 375 | | 8 by those responders. Law enforcement may respond to a |
---|
376 | 376 | | 9 mental or behavioral health emergency in accordance with |
---|
377 | 377 | | 10 subparagraph (3). |
---|
378 | 378 | | 11 (3) Without regard to an assessment of threat to self |
---|
379 | 379 | | 12 or threat to public safety, law enforcement may station |
---|
380 | 380 | | 13 personnel so that they can rapidly respond to requests for |
---|
381 | 381 | | 14 assistance from mobile crisis response team members, |
---|
382 | 382 | | 15 emergency response, or medical transportation personnel |
---|
383 | 383 | | 16 responders if law enforcement does not interfere with the |
---|
384 | 384 | | 17 provision of emergency response or transportation |
---|
385 | 385 | | 18 services. To the extent practical, not interfering with |
---|
386 | 386 | | 19 services includes remaining sufficiently distant from or |
---|
387 | 387 | | 20 out of sight of the individual receiving care so that law |
---|
388 | 388 | | 21 enforcement presence is unlikely to escalate the |
---|
389 | 389 | | 22 emergency. |
---|
390 | 390 | | 23 (b) (Blank). Responder involvement in involuntary |
---|
391 | 391 | | 24 commitment. In order to maintain the appropriate care |
---|
392 | 392 | | 25 relationship, responders shall not in any way assist in the |
---|
393 | 393 | | 26 involuntary commitment of an individual beyond (i) reporting |
---|
394 | 394 | | |
---|
395 | 395 | | |
---|
396 | 396 | | |
---|
397 | 397 | | |
---|
398 | 398 | | |
---|
399 | 399 | | SB1672 - 10 - LRB103 05032 AWJ 50045 b |
---|
400 | 400 | | |
---|
401 | 401 | | |
---|
402 | 402 | | SB1672- 11 -LRB103 05032 AWJ 50045 b SB1672 - 11 - LRB103 05032 AWJ 50045 b |
---|
403 | 403 | | SB1672 - 11 - LRB103 05032 AWJ 50045 b |
---|
404 | 404 | | 1 to their dispatching entity or to law enforcement that they |
---|
405 | 405 | | 2 believe the situation requires assistance the responders are |
---|
406 | 406 | | 3 not permitted to provide under this Section; (ii) providing |
---|
407 | 407 | | 4 witness statements; and (iii) fulfilling reporting |
---|
408 | 408 | | 5 requirements the responders may have under their professional |
---|
409 | 409 | | 6 ethical obligations or laws of this state. This prohibition |
---|
410 | 410 | | 7 shall not interfere with any responder's ability to provide |
---|
411 | 411 | | 8 physical or mental health care. |
---|
412 | 412 | | 9 (c) Use of law enforcement for transportation. In any area |
---|
413 | 413 | | 10 where mobile crisis response team members responders are |
---|
414 | 414 | | 11 available for dispatch, unless requested by mobile crisis |
---|
415 | 415 | | 12 response team members responders, law enforcement shall not be |
---|
416 | 416 | | 13 used to provide transportation to access mental or behavioral |
---|
417 | 417 | | 14 health care, or travel between mental or behavioral health |
---|
418 | 418 | | 15 care providers, except where no alternative is available. |
---|
419 | 419 | | 16 (d) Reduction of educational institution obligations. The |
---|
420 | 420 | | 17 services coordinated under this Act may not be used to replace |
---|
421 | 421 | | 18 any service an educational institution is required to provide |
---|
422 | 422 | | 19 to a student. It shall not substitute for appropriate special |
---|
423 | 423 | | 20 education and related services that schools are required to |
---|
424 | 424 | | 21 provide by any law. |
---|
425 | 425 | | 22 (Source: P.A. 102-580, eff. 1-1-22.) |
---|
426 | 426 | | 23 (50 ILCS 754/35) |
---|
427 | 427 | | 24 Sec. 35. Non-violent misdemeanors. The Division of Mental |
---|
428 | 428 | | 25 Health's guidance Guidance for 9-1-1 PSAPs and emergency |
---|
429 | 429 | | |
---|
430 | 430 | | |
---|
431 | 431 | | |
---|
432 | 432 | | |
---|
433 | 433 | | |
---|
434 | 434 | | SB1672 - 11 - LRB103 05032 AWJ 50045 b |
---|
435 | 435 | | |
---|
436 | 436 | | |
---|
437 | 437 | | SB1672- 12 -LRB103 05032 AWJ 50045 b SB1672 - 12 - LRB103 05032 AWJ 50045 b |
---|
438 | 438 | | SB1672 - 12 - LRB103 05032 AWJ 50045 b |
---|
439 | 439 | | 1 services dispatched through 9-1-1 PSAPs for coordinating the |
---|
440 | 440 | | 2 response to individuals who appear to be in a mental or |
---|
441 | 441 | | 3 behavioral health emergency while engaging in conduct alleged |
---|
442 | 442 | | 4 to constitute a non-violent misdemeanor shall promote the |
---|
443 | 443 | | 5 following: |
---|
444 | 444 | | 6 (a) Prioritization of Health Care. To the greatest |
---|
445 | 445 | | 7 extent practicable, community-based mental or behavioral |
---|
446 | 446 | | 8 health services should be provided before addressing law |
---|
447 | 447 | | 9 enforcement objectives. |
---|
448 | 448 | | 10 (b) Diversion from Further Criminal Justice |
---|
449 | 449 | | 11 Involvement. To the greatest extent practicable, |
---|
450 | 450 | | 12 individuals should be referred to health care services |
---|
451 | 451 | | 13 with the potential to reduce the likelihood of further law |
---|
452 | 452 | | 14 enforcement engagement. |
---|
453 | 453 | | 15 (c) Prearrest or prebooking case management |
---|
454 | 454 | | 16 initiatives. To the greatest extent practicable, a |
---|
455 | 455 | | 17 referral to a prearrest or prebooking case management unit |
---|
456 | 456 | | 18 should be prioritized in any area served by a prearrest or |
---|
457 | 457 | | 19 prebooking case management unit. |
---|
458 | 458 | | 20 (Source: P.A. 102-580, eff. 1-1-22.) |
---|
459 | 459 | | 21 (50 ILCS 754/40) |
---|
460 | 460 | | 22 Sec. 40. Statewide Advisory Committee. |
---|
461 | 461 | | 23 (a) The Division of Mental Health shall establish a |
---|
462 | 462 | | 24 Statewide Advisory Committee to review and make |
---|
463 | 463 | | 25 recommendations for aspects of coordinating 9-1-1 and the |
---|
464 | 464 | | |
---|
465 | 465 | | |
---|
466 | 466 | | |
---|
467 | 467 | | |
---|
468 | 468 | | |
---|
469 | 469 | | SB1672 - 12 - LRB103 05032 AWJ 50045 b |
---|
470 | 470 | | |
---|
471 | 471 | | |
---|
472 | 472 | | SB1672- 13 -LRB103 05032 AWJ 50045 b SB1672 - 13 - LRB103 05032 AWJ 50045 b |
---|
473 | 473 | | SB1672 - 13 - LRB103 05032 AWJ 50045 b |
---|
474 | 474 | | 1 9-8-8 mobile mental health response system most appropriately |
---|
475 | 475 | | 2 addressed on a State level. |
---|
476 | 476 | | 3 (b) Issues to be addressed by the Statewide Advisory |
---|
477 | 477 | | 4 Committee include, but are not limited to, addressing changes |
---|
478 | 478 | | 5 necessary in 9-1-1 call taking protocols and scripts used in |
---|
479 | 479 | | 6 9-1-1 PSAPs where those protocols and scripts are based on or |
---|
480 | 480 | | 7 otherwise dependent on national providers for their operation. |
---|
481 | 481 | | 8 (c) The Statewide Advisory Committee shall recommend a |
---|
482 | 482 | | 9 system for gathering data related to the coordination of the |
---|
483 | 483 | | 10 9-1-1 and 9-8-8 systems for purposes of allowing the parties |
---|
484 | 484 | | 11 to make ongoing improvements in that system. As practical, the |
---|
485 | 485 | | 12 system shall attempt to determine issues including, but not |
---|
486 | 486 | | 13 limited to: |
---|
487 | 487 | | 14 (1) the volume of calls coordinated between 9-1-1 and |
---|
488 | 488 | | 15 9-8-8; |
---|
489 | 489 | | 16 (2) the volume of referrals from other first |
---|
490 | 490 | | 17 responders to 9-8-8; |
---|
491 | 491 | | 18 (3) the volume and type of calls deemed appropriate |
---|
492 | 492 | | 19 for referral to 9-8-8 but could not be served by 9-8-8 |
---|
493 | 493 | | 20 because of capacity restrictions or other reasons; |
---|
494 | 494 | | 21 (4) the appropriate information to improve |
---|
495 | 495 | | 22 coordination between 9-1-1 and 9-8-8; and |
---|
496 | 496 | | 23 (5) the appropriate information to improve the 9-8-8 |
---|
497 | 497 | | 24 system, if the information is most appropriately gathered |
---|
498 | 498 | | 25 at the 9-1-1 PSAPs. |
---|
499 | 499 | | 26 (d) The Statewide Advisory Committee shall consist of: |
---|
500 | 500 | | |
---|
501 | 501 | | |
---|
502 | 502 | | |
---|
503 | 503 | | |
---|
504 | 504 | | |
---|
505 | 505 | | SB1672 - 13 - LRB103 05032 AWJ 50045 b |
---|
506 | 506 | | |
---|
507 | 507 | | |
---|
508 | 508 | | SB1672- 14 -LRB103 05032 AWJ 50045 b SB1672 - 14 - LRB103 05032 AWJ 50045 b |
---|
509 | 509 | | SB1672 - 14 - LRB103 05032 AWJ 50045 b |
---|
510 | 510 | | 1 (1) the Statewide 9-1-1 Administrator, ex officio; |
---|
511 | 511 | | 2 (2) one representative designated by the Illinois |
---|
512 | 512 | | 3 Chapter of National Emergency Number Association (NENA); |
---|
513 | 513 | | 4 (3) one representative designated by the Illinois |
---|
514 | 514 | | 5 Chapter of Association of Public Safety Communications |
---|
515 | 515 | | 6 Officials (APCO); |
---|
516 | 516 | | 7 (4) one representative of the Division of Mental |
---|
517 | 517 | | 8 Health; |
---|
518 | 518 | | 9 (5) one representative of the Illinois Department of |
---|
519 | 519 | | 10 Public Health; |
---|
520 | 520 | | 11 (6) one representative of a statewide organization of |
---|
521 | 521 | | 12 EMS responders; |
---|
522 | 522 | | 13 (7) one representative of a statewide organization of |
---|
523 | 523 | | 14 fire chiefs; |
---|
524 | 524 | | 15 (8) two representatives of statewide organizations of |
---|
525 | 525 | | 16 law enforcement; |
---|
526 | 526 | | 17 (9) two representatives of mental health, behavioral |
---|
527 | 527 | | 18 health, or substance abuse providers or a statewide |
---|
528 | 528 | | 19 organization representing one or more of these types of |
---|
529 | 529 | | 20 providers; and |
---|
530 | 530 | | 21 (10) four representatives of advocacy organizations |
---|
531 | 531 | | 22 either led by or consisting primarily of individuals with |
---|
532 | 532 | | 23 intellectual or developmental disabilities, individuals |
---|
533 | 533 | | 24 with behavioral disabilities, or individuals with lived |
---|
534 | 534 | | 25 experience. |
---|
535 | 535 | | 26 (e) The members of the Statewide Advisory Committee, other |
---|
536 | 536 | | |
---|
537 | 537 | | |
---|
538 | 538 | | |
---|
539 | 539 | | |
---|
540 | 540 | | |
---|
541 | 541 | | SB1672 - 14 - LRB103 05032 AWJ 50045 b |
---|
542 | 542 | | |
---|
543 | 543 | | |
---|
544 | 544 | | SB1672- 15 -LRB103 05032 AWJ 50045 b SB1672 - 15 - LRB103 05032 AWJ 50045 b |
---|
545 | 545 | | SB1672 - 15 - LRB103 05032 AWJ 50045 b |
---|
546 | 546 | | 1 than the Statewide 9-1-1 Administrator, shall be appointed by |
---|
547 | 547 | | 2 the Secretary of Human Services. |
---|
548 | 548 | | 3 (Source: P.A. 102-580, eff. 1-1-22.) |
---|
549 | 549 | | |
---|
550 | 550 | | |
---|
551 | 551 | | |
---|
552 | 552 | | |
---|
553 | 553 | | |
---|
554 | 554 | | SB1672 - 15 - LRB103 05032 AWJ 50045 b |
---|