OK
Oklahoma House Bill HB1911

Oklahoma 2025 Regular Session

Oklahoma House Bill HB1911 Compare Versions

Only one version of the bill is available at this time.
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2828 STATE OF OKLAHOMA
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3030 1st Session of the 60th Legislature (2025)
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3232 HOUSE BILL 1911 By: Alonso-Sandoval
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3838 AS INTRODUCED
3939
4040 An Act relating to mental health; providing
4141 definitions; creating the 988 Suicide and Crisis
4242 Lifeline System; providing for admi nistrative
4343 structure; providing for evaluation; providing for
4444 workforce retention; establishing a trust fund;
4545 creating a telecommunication fee; directing
4646 maximization of federal funding; providing for
4747 codification; and providing an effective date .
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5454 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
5555 SECTION 1. NEW LAW A new section of law to be codified
5656 in the Oklahoma Statutes as Section 12-200 of Title 43A, unless
5757 there is created a duplication in numbering, reads as follows:
5858 As used in this section:
5959 1. "911" means any telephone system whereby telephone
6060 subscribers may utilize a three -digit number (9-1-1) for reporting
6161 an emergency to the appropriate public agency providing law
6262 enforcement, fire, medical or other emer gency services, including
6363 ancillary communications systems and personnel neces sary to pass the
6464 reported emergency to the appropriate emergency service and which
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9191 the wireless service provider is required to provide pursuant to the
9292 Federal Communications Com mission Order 94-102, 961 Federal Register
9393 40348;
9494 2. "988" means the universal telephone number within the United
9595 States designated by the Federal Communications Commission for the
9696 purpose of the National Suicide Prevention Lifeline program
9797 operating through the 988 Suicide and Crisis Lifeline (988
9898 Lifeline), or its successor maint ained by the Assistant Secretary
9999 for Mental Health and Substance Use under Section 520E–3 of the
100100 Public Health Service Act , 42 U.S.C. 290bb-36c;
101101 3. "988 administrator" means the administrator of the National
102102 988 Suicide and Crisis Lifeline system maintained by the Assistant
103103 Secretary for Mental Health and Substance Use under Section 520E–3
104104 of the Public Health Service Act. The administrator oversees the
105105 administration of the 988 Lifeline system with expectations of
106106 clinical, technical and operational perf ormance. The Lifeline
107107 administrator is responsible for leadership and coordination of 200 -
108108 plus individual state and locally funded crisis contact centers
109109 across the country. Each center is responsible for abiding by a
110110 series of requirements that include, but are not limited to, an
111111 accreditation process, insurance, a formal agreement with the
112112 Lifeline administrator, and a center liaison ;
113113 4. "988 contact" means a communication wi th the 988 Suicide and
114114 Crisis Lifeline system within the United States or its successor via
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141141 modalities offered, including call, chat, text or a transfer from
142142 peer-operated warmlines, other behavioral health crisis hotlines and
143143 emotional support lines ;
144144 5. "988 fee" means the surcharge assessed on commercial
145145 landline, mobile service, prepaid wireless voice service, and
146146 interconnected voice over Internet protocol (VoIP) service lines
147147 created under Section 4 of this act authority for communication law,
148148 regulation, and technological innovation ;
149149 6. "988 Lifeline Crisis Centers " are a national network of
150150 local crisis centers that provide free and confidential emotional
151151 support to people in suicidal crisis, behavioral health crisis, or
152152 emotional distress twenty -four (24) hours a day, seven (7) days a
153153 week in the United States. It is the national Suicide Prevention
154154 and Mental Health Crisis Hotline system maintained by the Assistant
155155 Secretary for Mental Health and Substance Use under Section 520E-3
156156 of the Public Health Service Act (42 U.S.C. 290bb -36c);
157157 7. "988 Trust Fund" means the 988 Suicide and Crisis Lifeline
158158 program fund created under Section 3 of this act;
159159 8. "Behavioral health crisis services" are intensive services
160160 that are provided to address or prevent b ehavioral health symptoms,
161161 situations, or events that may negatively impact an individual 's
162162 ability to function within his or her current family or caregiver
163163 and living situation, school, workplace, or community. Behavioral
164164 health crisis services are for anyone, anywhere, and at any time and
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191191 can be provided in a variety of settings , including via text or
192192 telephone, face-to-face at an individual 's home, or in the
193193 community;
194194 9. "Behavioral health crisis system " is an organized set of
195195 structures, processes, and services in place to meet all types of
196196 urgent and emerging mental health and substance use needs in a
197197 defined population or community, effectively and efficiently.
198198 Essential elements of a behavioral health crisis system include 988
199199 crisis lines that accept all calls and texts , and provide support
200200 and referrals based on the need s of the individual or family member
201201 or caregiver; mobile crisis teams that respond to the location of
202202 need in the community; and crisis stabilization facilities that
203203 serve everyone who enters their doors from all referral sources.
204204 Comprehensive behavioral health crisis systems :
205205 a. address recovery needs, significant use of peers, and
206206 trauma-informed care,
207207 b. provide "suicide safer" care,
208208 c. ensure safety and security for staff an d those in
209209 crisis, and
210210 d. involve collaboration with law enforcement and
211211 emergency medical services.
212212 10. "Behavioral health equity" is the right to access high -
213213 quality, affordable behavioral health care services and support ,
214214 regardless of race, ethnicity, sexual orientation, gender identity,
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241241 geography, socioeconomic status, or other characteristics. This
242242 includes addressing the needs of historically underserved
243243 populations such as:
244244 a. individuals from diverse racial and ethnic
245245 backgrounds, including Black , Latino, Indigenous,
246246 Native American, Asian American, and Pacific Islander
247247 communities,
248248 b. persons of varying faiths and beliefs, including
249249 members of religious minorities ,
250250 c. individuals with disabilities ,
251251 d. members of the LGBTQ community, including les bian and
252252 gay individuals,
253253 e. residents of rural or remote areas , and
254254 f. those experiencing systemic inequities or barriers due
255255 to persistent poverty, discrimination, or inequality;
256256 11. "Behavioral health urgent care" is an ambulatory setting
257257 that offers safe, voluntary, and time -limited services and supports
258258 to individuals experien cing behavioral health crisis. This setting
259259 is an alternative to the use of hospital emergency departments or
260260 more intensive crisis services ;
261261 12. "Community Mental Health Cente rs, and Certified Community
262262 Behavioral Health Clinics " are facilities as defined under Sec tion
263263 1913(c) of the Public Health Services Act or Section 223(d) of the
264264 Protecting Access to Medicare Act of 2014 (PAMA), and Community
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291291 Behavioral Health Organization s as licensed and certified by
292292 relevant state agencies ;
293293 13. "Community outreach teams (COTs)" engage in outreach to
294294 communities and community members to support a variety of needs of
295295 individuals including behavioral health, physical care, housing,
296296 benefits, education, and employment. COTs do not provide on -demand
297297 crisis services. Instead, through outreach and engagement, COTs aim
298298 to promote wellness, resilience, recovery, self -advocacy,
299299 development of supports, and maintenance of community living skills.
300300 COTs can work effectively alongside mobile crisis teams to prevent
301301 crisis and provide wraparound supports to those in need. Some rural
302302 and under-resourced communities have created teams with dual roles
303303 of mobile crisis services and COTs. COTs can be especially helpful
304304 for follow-up care;
305305 14. "Co-response" is a collaborative approach to behavioral
306306 health crisis developed in response to the need for local adaptation
307307 in which first responders, sometimes including law enforcement
308308 officers, are partnered wi th behavioral health professionals as an
309309 effective way to respond to behaviora l health crises and other
310310 situations involving unmet behavioral health needs ;
311311 15. "Crisis stabilization services" reflect a range of models
312312 and care to support individuals throu gh emergent and urgent
313313 behavioral health needs. Crisis stabilization services involve
314314 facility-, home-, and community-based services that provide access
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341341 to care and stabilization for adults and youth in crisis. Crisis
342342 stabilization services are delivered across a continuum of care that
343343 includes no barrier, low barrier, and referra l-based services;
344344 16. "Emotional support lines" focus on providing connection and
345345 wellness promotion. They are not hotlines; however, they are still
346346 expected to have the capaci ty to determine if referral to a crisis
347347 hotline or more intensive intervention is warranted. They are
348348 sometimes referred to as helplines. Emotional support lines are
349349 recognized for providing services such as active, empathetic
350350 listening, safety planning, rapport building, and crisis support and
351351 prevention planning. Prominent examples include Substance Abuse and
352352 Mental Health Services Administration National Helpline, the Alcohol
353353 and Drug Helpline, and the Alzheimer 's Association 24/7 Helpline ;
354354 17. "Federal Communications Commission " regulates interstate
355355 and international communications by radio, television, wire,
356356 satellite, and cable in all fifty (50) states, the District of
357357 Columbia and U.S. territories. An independent U.S. government
358358 agency overseen by Congress, the Commission is the federal agency
359359 responsible for implementing and enforcing America 's communications
360360 law and regulations;
361361 18. "Health insurance" means any individual or group hospital
362362 or medical-expense-incurred policy or health care benef its plan or
363363 contract providing insurance against loss through illness or injury
364364 of the insured. The term does not include any policy governing
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391391 short-term accidents only, a fixed indemnity policy, a limited
392392 benefit policy, a specified accident policy, a sp ecified disease
393393 policy, a Medicare supplement policy, a long -term care policy,
394394 medical payment or personal injury coverage in a motor vehicle
395395 policy, coverage issued as a supplement to liability insurance, a
396396 disability policy or workers ' compensation;
397397 19. "Law enforcement" describes a type of first -responder
398398 agency and employee responsible for enforcing laws, maintaining
399399 public order, and managing public safety ;
400400 20. "Lived experience" is personal knowledge about mental
401401 health, substance use, or co -occurring mental health and substance
402402 use disorders, treatment, and recovery gained t hrough direct
403403 involvement as an individual with past or current mental health or
404404 substance use challenges ;
405405 21. "Mobile crisis team" means a multidisciplinary behavioral
406406 health team that includes at least one behavioral health care
407407 professional who is capable of conducting an assessment of the
408408 individual, in accordance with the professional 's permitted scope of
409409 practice under state law, and other professionals or
410410 paraprofessionals with appropriate expertise in behavioral health or
411411 mental health crisis respo nse, including nurses, social workers,
412412 peer support specialists, and others, whose members are trained in
413413 trauma-informed care, de-escalation strategies, and harm reduction;
414414 that is able to respond in a timely manner and, where appropriate,
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441441 provide screening and assessment; stabilization and de -escalation;
442442 and coordination with, and referrals to, health, social, and other
443443 services and supports as needed; that maintains relationshi ps with
444444 relevant community partners, including medical and behavioral ;
445445 22. "Other behavioral health crisis hotlines" include phone,
446446 text, and chat services that are not part of the 988 Lifeline
447447 network but that also provide support to people experiencing
448448 emotional distress or to third -party callers who are concerned about
449449 another person. These hotlines typically fall into one or more of
450450 the following categories:
451451 a. topically focused to a specific type of need or
452452 stressor,
453453 b. focused on providing services to a specific
454454 population, including but not limited to , a geographic
455455 catchment area, and
456456 c. targets the needs of individuals experiencing the
457457 types of emotional distress that are similar in scope
458458 to the 988 Lifeline but are not connected to the 988
459459 Lifeline;
460460 23. "Peer-operated warmlines" provide ongoing phone, text, or
461461 chat support by an individual with lived experience. Calls are
462462 answered by trained peers who have lived experience with the type of
463463 mental health support the line is intended to provide. Peer-
464464 operated warmlines are typically local to the caller 's jurisdiction
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491491 or state, though there also are national peer warmlines geared
492492 toward specific groups such as teens, older adults, and LGBTQI+
493493 individuals;
494494 24. "Peer crisis respites" are voluntary short-term programs
495495 offering rest and peer support in a home environment for individuals
496496 experiencing or recovering from a crisis ;
497497 25. "Respite services" are short-term relief services for
498498 primary caregivers;
499499 26. "State" as defined herein includes the U.S. territories
500500 under 16 USC, Section 6602(9);
501501 27. "State-certified peer support specialists" are individuals
502502 who are employed based on his or her personal lived experience of a
503503 crisis or suicide attempt and who have successfully completed a
504504 state-recognized peer support training program ;
505505 28. "Substance Abuse and Mental Health Services Administration
506506 ("SAMHSA")" is the agency within the U.S. Department of Health and
507507 Human Services that leads public health efforts to advance the
508508 behavioral health of the nation;
509509 29. "Trauma-informed care" is a program, organization, or
510510 system that:
511511 a. realizes the widespread impact of trauma and
512512 understands potential paths for recovery ,
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539539 b. recognizes the signs and symptoms of trauma in
540540 clients, families, staff, and others invo lved with the
541541 system,
542542 c. responds by fully integrating knowledge about trauma
543543 into policies, procedures, and practices, and
544544 d. seeks to actively resist re -traumatization; and
545545 30. "Veterans Crisis Line (VCL) " means Veterans Crisis Line
546546 maintained by the Se cretary of Veterans Affairs under Section
547547 1720F(h) of Title 38, United States Code.
548548 SECTION 2. NEW LAW A new section of law to be codified
549549 in the Oklahoma Statutes as Section 12-201 of Title 43A, unless
550550 there is created a duplicatio n in numbering, reads as follows:
551551 The State of Oklahoma shall designate the Department of Mental
552552 Health and Substance Abuse Services to have primary oversight over
553553 the suicide prevention and crisis service activities and essential
554554 coordination with designa ted 988 Lifeline Crisis Centers to provide
555555 crisis intervention services and cr isis care coordination to
556556 individuals accessing the 988 Suicide and Crisis Lifeline program
557557 from any jurisdiction within Oklahoma twenty -four (24) hours a day,
558558 seven (7) days a week.
559559 The oversight and coordination of a 988 Suicide and crisis
560560 Lifeline System will be dependent upon design, implementation, and
561561 sustainability which will be achieved through the following
562562 essential infrastructure components:
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589589 A. The designated 988 Lifel ine Crisis Centers shall have an
590590 active agreement with the 988 administrator for participation with
591591 the Lifeline network ;
592592 B. The designated 988 Lifeline Centers shall have the authority
593593 to deploy crisis and outgoing services, including mobile crisis
594594 teams, and coordinate access to crisis receiving and stabilization
595595 services or other local resources as appropriate and consistent with
596596 any guidelines and best practices that may be established by the
597597 state or 988 Lifeline administrator;
598598 C. Facilitation of the ongoing care needs of persons contacting
599599 the 988 Lifeline, the state or relat ed public health authority by
600600 assuring active collaborations and coordination of service linkages
601601 between the designated centers, mental health and substance use
602602 disorder treatment providers, local community mental health centers
603603 including certified community behavioral health clinics and
604604 community behavioral health centers, mobile crisis teams, and
605605 community-based as well as hospital emergency departments and
606606 inpatient psychiatri c settings, establishing formal agreements and
607607 appropriate information sharing procedures where appropriate ;
608608 D. The Department of Mental Health and Substance Abuse Services
609609 having primary oversight of suicide prevention and crisis service
610610 activities and essential coordination with designated 988 Lifeline
611611 Crisis Centers, and working in concert with the 988 Lifeline, VCL,
612612 and other SAMHSA-approved networks, local 24 -hour local crisis
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639639 hotlines, the National Mental Health Hotline, and peer warmlines.
640640 Other behavioral health crisis hotlines play an important part in
641641 the crisis response system for the purposes of ensuring consistency
642642 of public messaging about 988 services ;
643643 E. The designated 988 Lifeline Crisis Centers shall meet 988
644644 Lifeline Program requirement s and best practices guidelines for
645645 operational, performance and clinical standards ;
646646 F. The following information and reporting are required by the
647647 Department of Mental Health and Substance Abuse Services or 988
648648 Lifeline Centers to the organizations indic ated:
649649 1. Designated 988 Lifeline Crisis Centers shall provide to the
650650 State of Oklahoma including the Department of Mental Health and
651651 Substance Abuse Services having primary oversight of suicide
652652 prevention, data and reports on crisis service activities and
653653 essential coordination;
654654 2. Data related to their participation in evaluations related
655655 to quality improvement activities; and
656656 3. Other data and reports as required ; and
657657 G. The following information and reporting are required by the
658658 Department of Mental Health and Substance Abuse Services or 988
659659 Lifeline Centers to the organizatio ns indicated:
660660 The Department of Mental Health and Substance Abuse Services
661661 will report revenue generated by the 988 telecommunications fees,
662662 fund deposits, expenditures and other related information as
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689689 required to the Legislature and to the Federal Communications
690690 Commission (FCC).
691691 H. The state shall use its authority to promulgate rules and
692692 regulations to allow appropriate information sharing and
693693 communication between and across crisis and emergency response
694694 systems for the purpose of real -time crisis care coordination
695695 including, but not limited to, deployment of crisis and outgoing
696696 services and linked, flexible services specific to crisis response ;
697697 I. The state or related public health authority shall assure
698698 active collaborations and coordination of service linkages between
699699 the designated centers and crisis receiving and stabilization
700700 services for individuals accessing the 988 Lifeline through
701701 appropriate information sharing rega rding availability of services ;
702702 J. The Department of Mental Health and Substa nce Abuse Services
703703 shall work to build collaboration between and among the designated
704704 centers and key community stakeholders including residents,
705705 community groups, peer organizat ions, faith organizations, business
706706 owners, neighborhood leaders, and Commission members;
707707 K. The designated 988 Lifeline Crisis Centers shall provide
708708 follow-up services to individuals accessing the 988 Lifeline
709709 consistent with guidance and policies establ ished by the 988
710710 Lifeline administrator;
711711 L. The designated 988 Lifeline Crisi s Centers shall meet the
712712 requirements set forth by the state or 988 Lifeline administrator
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739739 for serving at-risk and specialized populations as identified by the
740740 state or SAMHSA including, but not be limited to:
741741 1. Children, youth and young people;
742742 2. Racially, ethnically, and linguistically diverse
743743 populations;
744744 3. Rural individuals;
745745 4. Veterans;
746746 5. American Indians;
747747 6. Alaskan Natives; and
748748 7. Other high-risk populations as w ell as those with co -
749749 occurring substance use; provide culturally and linguisti cally
750750 competent care; and include training requirements and policies for
751751 transferring a 988 Lifeline contact to an appropriate specialized
752752 center or subnetworks within the 988 Li feline network;
753753 M. The state or related public health authority and designated
754754 988 Lifeline Crisis Centers shall utilize technology to enhance
755755 communication and coordination in the delivery of behavioral health
756756 crisis services, and for data collection, an alysis and sharing; and
757757 N. The state or related public health authority and d esignated
758758 988 Lifeline Crisis Centers shall take action to identify and
759759 implement behavioral health crisis workforce strategies for
760760 recruitment, retention, and support of a varie ty of behavioral
761761 health professionals and a certified peer recovery workforce.
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788788 SECTION 3. NEW LAW A new section of law to be codified
789789 in the Oklahoma Statutes as Section 12-202 of Title 43A, unless
790790 there is created a duplication in numbering, reads as follows:
791791 The State of Oklahoma shall establish a statewide 988 Trust Fund
792792 for the following purposes:
793793 1. To create and maintain a statewide 988 Lifeline system
794794 pursuant to the National Suicide Hotline Designation Act of 2020,
795795 the Federal Communication Commission 's rules adopted July 16, 2020,
796796 and October 17, 2024, and the National Guidelines For A Behavioral
797797 Health Coordinated System Of Crisis Care;
798798 2. To support or enhance 988 services, including state-
799799 designated 988 Lifeline Crisis C enters, and mobile crisis and
800800 outreach services in specified circumstances;
801801 3. The fund shall consist of:
802802 a. the statewide 988 telecommunications fee assessed on
803803 users under Section 4 of this act,
804804 b. appropriations made by the Legislature,
805805 c. available federal funding that has been allocated by
806806 the state for the purposes of 988 Lifeline
807807 implementation,
808808 d. grants and gifts intended for deposit in the fund,
809809 e. interest, premiums, gains, or other earnings on the
810810 fund, and
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837837 f. monies from any other source depos ited in or
838838 transferred to the fund;
839839 4. The fund shall be created and administ ered by the State
840840 Treasurer or the Department of Mental Health and Substance Abuse
841841 Services and money in the fund shall be expended to offset costs
842842 that are or can be reasonably attributed to:
843843 a. implementing, maintaining, and improving the 988
844844 Suicide and Crisis Lifeline including staffing and
845845 technological infrastructure enhancements necessary to
846846 achieve operational and clinical standards and best
847847 practices set forth by the state, the Department of
848848 Mental Health and Substance Abuse Services, or 988
849849 Lifeline administrator,
850850 b. provision of acute behavioral health, crisis outreach,
851851 and receiving and stabilization services by directly
852852 responding to the 988 Suicide and Crisis Lifeline, or
853853 c. personnel for the 988 Suicide and Crisis Lifeline
854854 centers;
855855 5. Money in the fund:
856856 a. does not revert at the end of any state fiscal year
857857 and shall remain available for the purposes of the
858858 fund in subsequent state fiscal years ,
859859 b. is not subject to transfer to any other fund or to
860860 transfer, assignment, or reassignment for any other
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887887 use or purpose outside of those specified in this
888888 section,
889889 c. is continuously appropriated for the purposes of the
890890 fund,
891891 d. to the extent that the 988 Suicide and Crisis Lifeline
892892 Centers are fully funded, the expansion and ongoing
893893 funding of mobile crisis teams and outreach teams ,
894894 e. to the extent that the 988 Suicide and Crisis Lifeline
895895 Centers and the mobile crisis teams are fully funded,
896896 remaining revenues in the Trust F und shall be used for
897897 a variety of crisis receiving and stabilization
898898 services, including services provided by:
899899 (1) crisis stabilization settings ,
900900 (2) residential settings,
901901 (3) additional behavioral health stabilization
902902 services and supports, and
903903 (4) peer crisis respite, and
904904 f. mobile crisis teams shall operate in compliance with
905905 rules adopted by the Department of Mental Health and
906906 Substance Abuse Services .
907907 SECTION 4. NEW LAW A new section of law to be codified
908908 in the Oklahoma Statut es as Section 12-203 of Title 43A, unless
909909 there is created a duplication in nu mbering, reads as follows:
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936936 The State of Oklahoma, in compliance with the National Suicide
937937 Hotline Designation Act of 2020, shall establish a monthly statewide
938938 988 telecommunications fee to support and sustain the 988 Suicide
939939 and Crisis Lifeline centers. The fee shall be imposed on each
940940 resident that is a subscriber of a commercial landline telephone,
941941 mobile telephone or IP -enabled voice services, and a point -of-sale
942942 988 fee on each purchaser of a prepaid telephone service, at a rate
943943 that provides for the r obust creation, operation, and maintenance of
944944 a statewide 988 Suicide and Crisis Lifeline program and the
945945 continuum of crisis services provided pursuant to the National
946946 Guidelines for a Behavioral Health Coordinated System Of Crisis
947947 Care.
948948 A. The revenue generated by a 988 fee should be sequestered in
949949 a trust as specified in Section 3 of this act to be obligated or
950950 expended only in support of 988 services, or enhancements of such
951951 services.
952952 B. Consistent with 47 U.S.C. Section 251a, the revenue
953953 generated by a 988 fee shall only be used to offset costs that are
954954 or will be reasonably attributed to:
955955 1. Ensuring the efficient and effective routing and answering
956956 or handling of calls, c hats and texts made to the 988 Suicide and
957957 Crisis Lifeline and to the designated 988 Lifeline centers including
958958 staffing and technological infrastructure enhancements necessary to
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985985 achieve operational, performance and clinical standards and best
986986 practices set forth by the state or 988 Lifeline administrator;
987987 2. Personnel and the pro vision of acute mental health services
988988 by directly responding to the 988 Suicide and Crisis Lifeline; and
989989 3. For mobile crisis teams or crisis receiving and
990990 stabilization servic es as specified in Section 3 of this act.
991991 C. The revenue generated by 988 telecommunications fees may
992992 only be used for expenses that are not:
993993 1. Reimbursed through Medicaid, Medicare, federal or state -
994994 regulated health insurance plans, disability insurers , and
995995 including, but not limited to, municipal or county programs or
996996 funding, not otherwise covered by another entity;
997997 2. A covered service by the individual 's health coverage; and
998998 3. Covered because the service recipient 's name and health
999999 coverage information cannot be obtained or billed.
10001000 D. The 988 fee revenue shall be used to supplement, not
10011001 supplant, any federal, state, or local funding for suicide
10021002 prevention or behavioral health crisis services.
10031003 E. The 988-telecommunication fee amount shall be adju sted
10041004 annually based on the Consumer Price Index (CPI) which represents
10051005 the rate of inflation and is determined by the Bureau of Labor
10061006 Statistics (BLS) to provide for continuous operation, volume
10071007 increases, and maintenance.
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10341034 SECTION 5. NEW LAW A new section of law to be codified
10351035 in the Oklahoma Statutes as Section 12-204 of Title 43A, unless
10361036 there is created a duplication in numbering, reads as follows:
10371037 The State of Oklahoma shall implement strategies to ensure that
10381038 the behavioral health crisis service system is adequately funded,
10391039 including mechanisms for reimbu rsement of behavioral health crisis
10401040 response, but not limited to:
10411041 A. Ensuring that to the extent available any necessary federal
10421042 approvals are obtained and federal financial par ticipation is
10431043 available and is not otherwise jeopardized, seeking to maximize all
10441044 available federal funding sources for the purposes of behavioral
10451045 health crisis services and administrative activities related to 988
10461046 implementation, including:
10471047 1. Federal Medicaid reimbursement for services;
10481048 2. Federal Medicaid reimbursement for admi nistrative expenses,
10491049 including the development and maintenance of information technology;
10501050 and supporting implementation of the behavioral health crisis
10511051 continuum through Medicaid and the Children's Health Insurance
10521052 Program (CHIP) through Section 5124 of the Consolidated
10531053 Appropriations Act of 2023 (CAA, 2023); and
10541054 3. Federal grants.
10551055 B. Mandating the Oklahoma Insurance Department and Medicaid
10561056 behavioral managed health care to exer cise their enforcement
10571057 authority by verifying reimbursement to 988 centers for medically
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10841084 necessary behavioral health crisis services by health care service
10851085 plans and disability insurers, and consistent with the requirements
10861086 of the federal Mental Health Par ity and Addiction Equity Act of
10871087 2008, 29 U.S.C. Sec. 1185a, the September 9, 2024, final rules
10881088 implementing the nonquantitative treatment limitation ( "NQTL")
10891089 comparative analyses requirements under the Mental Health Parity and
10901090 Addiction Equity Act of 2008 ("MHPAEA"), in accordance with the
10911091 amendments made to the law in 2021, and pur suant to the No Surprises
10921092 Act, including 26 U.S. Code Section 9816, 29 U.S. Code Section
10931093 1185e, and 42 U.S. Code Section 300gg-111, and it's implementing
10941094 regulations.
10951095 SECTION 6. This act shall become effective November 1, 2025.
10961096
10971097 60-1-11179 TJ 01/14/25