13 | 13 | | A BILL TO BE ENTITLED 1 |
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14 | 14 | | AN ACT TO PROMOTE GREATER ACCESS TO CLUBHOUSE MODEL PSYCHOSOCIAL 2 |
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15 | 15 | | REHABILITATION DAY PROGRAMS FOR INDIVIDUALS WITH SEVERE AND 3 |
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16 | 16 | | PERSISTENT MENTAL ILLNESS IN NORTH CAROLINA. 4 |
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17 | 17 | | The General Assembly of North Carolina enacts: 5 |
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18 | 18 | | SECTION 1.(a) The Department of Health and Human Services, Division of Mental 6 |
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19 | 19 | | Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS), shall develop 7 |
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20 | 20 | | and implement a plan for a statewide reimbursement methodology for State funded behavioral 8 |
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21 | 21 | | health services provided to adults with a severe and persistent mental illness diagnosis who are 9 |
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22 | 22 | | served by a Clubhouse model psychosocial rehabilitation day program. The plan shall include all 10 |
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23 | 23 | | of the following: 11 |
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24 | 24 | | (1) Incentives for clubhouses to become accredited by Clubhouse International. 12 |
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25 | 25 | | (2) Consistent application of rates throughout regions served by local 13 |
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26 | 26 | | management entities/managed care organizations (LME/MCOs). 14 |
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27 | 27 | | (3) Education and training for LME/MCO staff and relevant staff within the 15 |
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28 | 28 | | Department of Health and Human Services on the Clubhouse model and its 16 |
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29 | 29 | | use in serving individuals with severe and persistent mental illness in this 17 |
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30 | 30 | | State. 18 |
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31 | 31 | | (4) A new service definition. 19 |
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32 | 32 | | SECTION 1.(b) No later than June 1, 2026, DMH/DD/SUS shall submit a report to 20 |
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33 | 33 | | the Joint Legislative Oversight Committee on Health and Human Services that contains all of the 21 |
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34 | 34 | | following information related to the plan required by subsection (a) of this section: 22 |
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35 | 35 | | (1) The proposed reimbursement methodology. 23 |
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36 | 36 | | (2) A proposed time line for implementation for the reimbursement methodology. 24 |
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37 | 37 | | (3) Any costs associated with implementation of the reimbursement 25 |
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38 | 38 | | methodology. 26 |
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39 | 39 | | (4) Details on the education and training developed for LME/MCOs and staff of 27 |
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40 | 40 | | the Department of Health and Human Services. 28 |
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41 | 41 | | (5) Details pertaining to lifting barriers to accessing services and lifting 29 |
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42 | 42 | | burdensome service requirements. 30 |
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43 | 43 | | (6) Any new service definitions created pursuant to this section. 31 |
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44 | 44 | | SECTION 2. Effective July 1, 2026, there is appropriated from the General Fund to 32 |
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45 | 45 | | the Department of Health and Human Services, Division of Mental Health, Developmental 33 |
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46 | 46 | | Disabilities, and Substance Use Services, the sum of two million five hundred thousand dollars 34 |
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47 | | - | ($2,500,000) in recurring funds for the 2026-2027 fiscal year to be used to implement the plan 35 General Assembly Of North Carolina Session 2025 |
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48 | | - | Page 2 House Bill 551-First Edition |
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49 | | - | under Section 1 of this act and provide funding for Clubhouse International (CI) accredited 1 |
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50 | | - | member Clubhouses for current programs, expansion of services or locations served, 2 |
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51 | | - | accreditation costs of a Clubhouse, or staff and Clubhouse member training and professional 3 |
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52 | | - | development. 4 |
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53 | | - | SECTION 3. The Department of Health and Human Services, Division of Health 5 |
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54 | | - | Benefits, shall, to the extent allowable under G.S. 108A-54.1A, provide Medicaid coverage for 6 |
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55 | | - | services included in the plan developed by DMH/DD/SUS pursuant to Section 1 of this act. 7 |
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56 | | - | SECTION 4. This act is effective when it becomes law. 8 |
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| 47 | + | ($2,500,000) in recurring funds for the 2026-2027 fiscal year to be used to implement the plan 35 |
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| 48 | + | under Section 1 of this act and provide funding for Clubhouse International (CI) accredited 36 |
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| 49 | + | H.B. 551 |
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| 50 | + | Mar 27, 2025 |
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| 51 | + | HOUSE PRINCIPAL CLERK General Assembly Of North Carolina Session 2025 |
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| 52 | + | Page 2 DRH10253-NLa-57 |
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| 53 | + | member Clubhouses for current programs, expansion of services or locations served, 1 |
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| 54 | + | accreditation costs of a Clubhouse, or staff and Clubhouse member training and professional 2 |
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| 55 | + | development. 3 |
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| 56 | + | SECTION 3. The Department of Health and Human Services, Division of Health 4 |
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| 57 | + | Benefits, shall, to the extent allowable under G.S. 108A-54.1A, provide Medicaid coverage for 5 |
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| 58 | + | services included in the plan developed by DMH/DD/SUS pursuant to Section 1 of this act. 6 |
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| 59 | + | SECTION 4. This act is effective when it becomes law. 7 |
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