*HB1205.1*
January 23, 2024
HOUSE BILL No. 1205
_____
DIGEST OF HB 1205 (Updated January 23, 2024 12:32 pm - DI 147)
Citations Affected: IC 12-21; IC 12-29.
Synopsis: Mental health standards and reporting. Requires the
secretary of family and social services to provide that the standards for
services provided by recovery community organizations for behavioral
health recovery, when used as a recovery community organization, be
certified through a certain entity and meet other standards established
by the division of mental health and addiction. Specifies information
that must be reported by a community mental health center as part of
the community mental health center's annual report.
Effective: July 1, 2024.
Meltzer, Jeter, O'Brien,
Garcia Wilburn
January 9, 2024, read first time and referred to Committee on Public Health.
January 23, 2024, amended, reported — Do Pass.
HB 1205—LS 6846/DI 104 January 23, 2024
Second Regular Session of the 123rd General Assembly (2024)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
Constitution) is being amended, the text of the existing provision will appear in this style type,
additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional
provision adopted), the text of the new provision will appear in this style type. Also, the
word NEW will appear in that style type in the introductory clause of each SECTION that adds
a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
between statutes enacted by the 2023 Regular Session of the General Assembly.
HOUSE BILL No. 1205
A BILL FOR AN ACT to amend the Indiana Code concerning
human services.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 12-21-2-3, AS AMENDED BY P.L.127-2020,
2 SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
3 JULY 1, 2024]: Sec. 3. The secretary or the secretary's designee shall
4 do the following:
5 (1) Organize the division, create the appropriate personnel
6 positions, and employ personnel necessary to discharge the
7 statutory duties and powers of the division or a bureau of the
8 division.
9 (2) Subject to the approval of the state personnel department,
10 establish personnel qualifications for all deputy directors,
11 assistant directors, bureau heads, and superintendents.
12 (3) Subject to the approval of the budget director and the
13 governor, establish the compensation of all deputy directors,
14 assistant directors, bureau heads, and superintendents.
15 (4) Study the entire problem of mental health, mental illness, and
16 addictions existing in Indiana.
17 (5) Adopt rules under IC 4-22-2 for the following:
HB 1205—LS 6846/DI 104 2
1 (A) Standards for the operation of private institutions that are
2 licensed under IC 12-25 for the diagnosis, treatment, and care
3 of individuals with psychiatric disorders, addictions, or other
4 abnormal mental conditions.
5 (B) Licensing or certifying community residential programs
6 described in IC 12-22-2-3.5 for individuals with serious
7 mental illness (SMI), serious emotional disturbance (SED), or
8 chronic addiction (CA) with the exception of psychiatric
9 residential treatment facilities.
10 (C) Certifying community mental health centers to operate in
11 Indiana.
12 (D) Establish exclusive geographic primary service areas for
13 community mental health centers. The rules must include the
14 following:
15 (i) Criteria and procedures to justify the change to the
16 boundaries of a community mental health center's primary
17 service area.
18 (ii) Criteria and procedures to justify the change of an
19 assignment of a community mental health center to a
20 primary service area.
21 (iii) A provision specifying that the criteria and procedures
22 determined in items (i) and (ii) must include an option for
23 the county and the community mental health center to
24 initiate a request for a change in primary service area or
25 provider assignment.
26 (iv) A provision specifying the criteria and procedures
27 determined in items (i) and (ii) may not limit an eligible
28 consumer's right to choose or access the services of any
29 provider who is certified by the division of mental health
30 and addiction to provide public supported mental health
31 services.
32 (6) Institute programs, in conjunction with an accredited college
33 or university and with the approval, if required by law, of the
34 commission for higher education, for the instruction of students
35 of mental health and other related occupations. The programs may
36 be designed to meet requirements for undergraduate and
37 postgraduate degrees and to provide continuing education and
38 research.
39 (7) Develop programs to educate the public in regard to the
40 prevention, diagnosis, treatment, and care of all abnormal mental
41 conditions.
42 (8) Make the facilities of the state institutions available for the
HB 1205—LS 6846/DI 104 3
1 instruction of medical students, student nurses, interns, and
2 resident and fellow physicians under the supervision of the faculty
3 of any accredited school of medicine or osteopathy located in
4 Indiana or an accredited residency or fellowship training program
5 in connection with research and instruction in psychiatric
6 disorders.
7 (9) Institute a stipend program designed to improve the quality
8 and quantity of staff that state institutions employ.
9 (10) Establish, supervise, and conduct community programs,
10 either directly or by contract, for the diagnosis, treatment, and
11 prevention of psychiatric disorders.
12 (11) Adopt rules under IC 4-22-2 concerning the records and data
13 to be kept concerning individuals admitted to state institutions,
14 community mental health centers, or other providers.
15 (12) Compile information and statistics concerning the ethnicity
16 and gender of a program or service recipient.
17 (13) Establish standards for services described in IC 12-7-2-40.6
18 for community mental health centers and other providers.
19 (14) Provide that the standards for services provided by recovery
20 residences for residential care and supported housing for chronic
21 addiction, when used as a recovery residence, to:
22 (A) be certified through an entity approved by the division to
23 ensure adherence to standards determined by the National
24 Alliance for Recovery Residences (NARR) or a similar entity;
25 and
26 (B) meet other standards established by the division under
27 rules adopted under IC 4-22-2.
28 (15) Provide that the standards for services provided by
29 recovery community organizations for behavioral health
30 recovery, when used as a recovery community organization:
31 (A) be certified through an entity approved by the division
32 to ensure adherence to standards determined by the
33 Indiana Recovery Network or similar entity that certifies
34 recovery community organizations; and
35 (B) meet other standards established by the division under
36 rules adopted under IC 4-22-2.
37 (15) (16) Require the division to:
38 (A) provide best practice recommendations to community
39 mental health centers; and
40 (B) work with community mental health centers in a
41 collaborative manner in order to ensure improved health
42 outcomes as a part of reviews or audits.
HB 1205—LS 6846/DI 104 4
1 Documentation developed as a part of an incident or death
2 reporting audit or review is confidential and may only be shared
3 between the division and the community mental health center.
4 SECTION 2. IC 12-29-2-16, AS AMENDED BY P.L.76-2018,
5 SECTION 10, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
6 JULY 1, 2024]: Sec. 16. (a) A community mental health center that is
7 certified by the division of mental health and addiction shall provide an
8 annual report to the division of mental health and addiction and to the
9 fiscal body and the board of county commissioners of each county
10 located in the community mental health center's primary service area.
11 The annual report under this section must include the following:
12 (1) Information concerning the operational and community based
13 activities undertaken during the year by the community mental
14 health center in each county from which the community mental
15 health center received funding under this chapter.
16 (2) A listing, by the county of patients' residence, of the following
17 information:
18 (A) The total number of patients served by the community
19 mental health center.
20 (B) The total number of patients receiving addiction treatment
21 services from the community mental health center.
22 (C) The total number of patients receiving mental health
23 services from the community mental health center.
24 (D) The total number of patients receiving both addiction
25 treatment services and mental health services from the
26 community mental health center.
27 (3) A copy of the most recent financial audit provided to the
28 division of mental health and addiction under 440 IAC 4.1-2-5,
29 including a balance sheet of assets and liabilities, which shall be
30 prepared by an independent certified public accountant.
31 (4) Demographic information of patients served by the
32 community mental health center.
33 (5) The total number of diagnoses served in each international
34 classification of diseases (ICD) or American Psychiatric
35 Association's Diagnostic and Statistical Manual of Mental
36 Disorders (DSM) diagnosis category that the community
37 health center provides.
38 (6) The total number of clinical encounters in the preceding
39 fiscal year.
40 (7) The total number of completed intakes in the preceding
41 fiscal year.
42 (8) The average time from initial engagement to an offered
HB 1205—LS 6846/DI 104 5
1 initial evaluation.
2 (9) The average time from initial evaluation to an offered
3 follow-up visit.
4 (10) The community mental health center's performance in
5 comparison to the state's performance on measures identified
6 by the division of mental health and addiction, including client
7 satisfaction and clinical outcomes.
8 (11) Data related to the connection between a patient and
9 additional county or regional based services, including any of
10 the following, if available:
11 (A) Self, family, or guardian referrals.
12 (B) Law enforcement or the criminal justice system.
13 (C) A hospital or physician.
14 (D) Child or youth services, including the department of
15 child services, systems of care, or schools.
16 (E) A twenty-four (24) hour crisis intervention service.
17 (F) An enhanced call center.
18 (b) The division of mental health and addiction shall:
19 (1) specify the format of the annual reports that must be provided
20 by community mental health centers under subsection (a); and
21 (2) determine the measures to be used concerning
22 performance required by subsection (a)(10); and
23 (2) (3) include a summary of that information in the annual report
24 prepared by the division under subsection (c).
25 (c) The division of mental health and addiction shall annually
26 provide to the county fiscal body and board of county commissioners
27 of each county a report that includes the following:
28 (1) An overview of the total funding provided to all community
29 mental health centers during the year under this chapter, including
30 funding provided by the division for purposes of programs under
31 this chapter.
32 (2) A count, by county of residence, of the following concerning
33 patients served by the community mental health centers under
34 programs funded under this chapter:
35 (A) The total number of patients served.
36 (B) The total number of patients receiving addiction treatment
37 services.
38 (C) The total number of patients receiving mental health
39 services.
40 (D) The total number of patients receiving both addiction
41 treatment services and mental health services.
42 (3) An assessment, specified by the county of patients' residence,
HB 1205—LS 6846/DI 104 6
1 of the overall outcomes of the treatment provided to patients of
2 the community mental health centers.
3 (4) A summary of the information provided by community mental
4 health centers in the annual reports provided under subsection (a),
5 and an explanation of the differences between the patient count
6 information provided by the community mental health centers in
7 those reports and the patient count information included in the
8 division's report under this subsection.
9 (d) The division of mental health and addiction may provide a report
10 required under subsection (c) to the county fiscal body and the board
11 of county commissioners by publishing the report on the division's
12 Internet web site. website.
HB 1205—LS 6846/DI 104 7
COMMITTEE REPORT
Mr. Speaker: Your Committee on Public Health, to which was
referred House Bill 1205, has had the same under consideration and
begs leave to report the same back to the House with the
recommendation that said bill be amended as follows:
Page 1, between the enacting clause and line 1, begin a new
paragraph and insert:
"SECTION 1. IC 12-21-2-3, AS AMENDED BY P.L.127-2020,
SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2024]: Sec. 3. The secretary or the secretary's designee shall
do the following:
(1) Organize the division, create the appropriate personnel
positions, and employ personnel necessary to discharge the
statutory duties and powers of the division or a bureau of the
division.
(2) Subject to the approval of the state personnel department,
establish personnel qualifications for all deputy directors,
assistant directors, bureau heads, and superintendents.
(3) Subject to the approval of the budget director and the
governor, establish the compensation of all deputy directors,
assistant directors, bureau heads, and superintendents.
(4) Study the entire problem of mental health, mental illness, and
addictions existing in Indiana.
(5) Adopt rules under IC 4-22-2 for the following:
(A) Standards for the operation of private institutions that are
licensed under IC 12-25 for the diagnosis, treatment, and care
of individuals with psychiatric disorders, addictions, or other
abnormal mental conditions.
(B) Licensing or certifying community residential programs
described in IC 12-22-2-3.5 for individuals with serious
mental illness (SMI), serious emotional disturbance (SED), or
chronic addiction (CA) with the exception of psychiatric
residential treatment facilities.
(C) Certifying community mental health centers to operate in
Indiana.
(D) Establish exclusive geographic primary service areas for
community mental health centers. The rules must include the
following:
(i) Criteria and procedures to justify the change to the
boundaries of a community mental health center's primary
service area.
HB 1205—LS 6846/DI 104 8
(ii) Criteria and procedures to justify the change of an
assignment of a community mental health center to a
primary service area.
(iii) A provision specifying that the criteria and procedures
determined in items (i) and (ii) must include an option for
the county and the community mental health center to
initiate a request for a change in primary service area or
provider assignment.
(iv) A provision specifying the criteria and procedures
determined in items (i) and (ii) may not limit an eligible
consumer's right to choose or access the services of any
provider who is certified by the division of mental health
and addiction to provide public supported mental health
services.
(6) Institute programs, in conjunction with an accredited college
or university and with the approval, if required by law, of the
commission for higher education, for the instruction of students
of mental health and other related occupations. The programs may
be designed to meet requirements for undergraduate and
postgraduate degrees and to provide continuing education and
research.
(7) Develop programs to educate the public in regard to the
prevention, diagnosis, treatment, and care of all abnormal mental
conditions.
(8) Make the facilities of the state institutions available for the
instruction of medical students, student nurses, interns, and
resident and fellow physicians under the supervision of the faculty
of any accredited school of medicine or osteopathy located in
Indiana or an accredited residency or fellowship training program
in connection with research and instruction in psychiatric
disorders.
(9) Institute a stipend program designed to improve the quality
and quantity of staff that state institutions employ.
(10) Establish, supervise, and conduct community programs,
either directly or by contract, for the diagnosis, treatment, and
prevention of psychiatric disorders.
(11) Adopt rules under IC 4-22-2 concerning the records and data
to be kept concerning individuals admitted to state institutions,
community mental health centers, or other providers.
(12) Compile information and statistics concerning the ethnicity
and gender of a program or service recipient.
(13) Establish standards for services described in IC 12-7-2-40.6
HB 1205—LS 6846/DI 104 9
for community mental health centers and other providers.
(14) Provide that the standards for services provided by recovery
residences for residential care and supported housing for chronic
addiction, when used as a recovery residence, to:
(A) be certified through an entity approved by the division to
ensure adherence to standards determined by the National
Alliance for Recovery Residences (NARR) or a similar entity;
and
(B) meet other standards established by the division under
rules adopted under IC 4-22-2.
(15) Provide that the standards for services provided by
recovery community organizations for behavioral health
recovery, when used as a recovery community organization:
(A) be certified through an entity approved by the division
to ensure adherence to standards determined by the
Indiana Recovery Network or similar entity that certifies
recovery community organizations; and
(B) meet other standards established by the division under
rules adopted under IC 4-22-2.
(15) (16) Require the division to:
(A) provide best practice recommendations to community
mental health centers; and
(B) work with community mental health centers in a
collaborative manner in order to ensure improved health
outcomes as a part of reviews or audits.
Documentation developed as a part of an incident or death
reporting audit or review is confidential and may only be shared
between the division and the community mental health center.".
Renumber all SECTIONS consecutively.
and when so amended that said bill do pass.
(Reference is to HB 1205 as introduced.)
BARRETT
Committee Vote: yeas 12, nays 0.
HB 1205—LS 6846/DI 104