UT
Utah House Bill HB0063

Utah 2025 Regular Session

Utah House Bill HB0063 Compare Versions

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1-02-19 10:51 3rd Sub. (Cherry) H.B. 63
1+01-27 11:27 2nd Sub. (Gray) H.B. 63
22 Jennifer Dailey-Provost proposes the following substitute bill:
33 1
44 Criminal Justice and Mental Health Coordination Amendments
55 2025 GENERAL SESSION
66 STATE OF UTAH
77 Chief Sponsor: Jennifer Dailey-Provost
88 Senate Sponsor:
99 2
1010
1111 3
1212 LONG TITLE
1313 4
1414 General Description:
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1616 This bill addresses situations where an individual experiencing a mental health crisis may
1717 6
1818 interact with the criminal justice system.
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2020 Highlighted Provisions:
2121 8
2222 This bill:
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24-▸ requires local mental health authorities to provide consultation and education services
24+▸ requires local mental health authorities to designate an individual or individuals
2525 10
26-concerning certain options for individuals experiencing mental health crises;
26+responsible for providing consultation, education, and information services concerning
2727 11
28-▸ requires the Behavioral Health Crisis Response Committee to prepare a proposal for a
28+certain options for individuals experiencing mental health crises;
2929 12
30-pilot program designed to improve outcomes for individuals experiencing a mental
30+▸ requires the Division of Integrated Healthcare to create and maintain an optional training
3131 13
32-health crisis; and
32+program relating to civil commitment for stakeholders who may be involved in the civil
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34+commitment process;
35+15
36+▸ requires the Behavioral Health Crisis Response Committee to create a working group
37+16
38+relating to the interaction of criminal justice systems and mental health systems, and
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40+describes the working group's duties; and
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3442 ▸ makes technical and conforming changes.
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3644 Money Appropriated in this Bill:
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45+20
3846 None
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47+21
4048 Other Special Clauses:
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4250 None
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4452 Utah Code Sections Affected:
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4654 AMENDS:
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4856 17-43-301, as last amended by Laws of Utah 2024, Chapters 240, 299
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58+26B-5-339, as renumbered and amended by Laws of Utah 2023, Chapter 308
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5060 63C-18-203, as last amended by Laws of Utah 2024, Chapters 245, 250
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5262
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63+2nd Sub. H.B. 63 2nd Sub. (Gray) H.B. 63 01-27 11:27
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5465 Be it enacted by the Legislature of the state of Utah:
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5667 Section 1. Section 17-43-301 is amended to read:
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5869 17-43-301 . Local mental health authorities -- Responsibilities.
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6071 (1) As used in this section:
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6273 (a) "Assisted outpatient treatment" means the same as that term is defined in Section
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6475 26B-5-301.
65-3rd Sub. H.B. 63 3rd Sub. (Cherry) H.B. 63 02-19 10:51
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6777 (b) "Crisis worker" means the same as that term is defined in Section 26B-5-610.
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6979 (c) "Local mental health crisis line" means the same as that term is defined in Section
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7181 26B-5-610.
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7383 (d) "Mental health therapist" means the same as that term is defined in Section 58-60-102.
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7585 (e) "Public funds" means the same as that term is defined in Section 17-43-303.
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7787 (f) "Statewide mental health crisis line" means the same as that term is defined in
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7989 Section 26B-5-610.
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8191 (2)(a)(i) In each county operating under a county executive-council form of
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8393 government under Section 17-52a-203, the county legislative body is the local
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8595 mental health authority, provided however that any contract for plan services shall
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8797 be administered by the county executive.
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8999 (ii) In each county operating under a council-manager form of government under
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91101 Section 17-52a-204, the county manager is the local mental health authority.
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93103 (iii) In each county other than a county described in Subsection (2)(a)(i) or (ii), the
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95105 county legislative body is the local mental health authority.
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97107 (b) Within legislative appropriations and county matching funds required by this section,
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99109 under the direction of the division, each local mental health authority shall:
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101111 (i) provide mental health services to individuals within the county; and
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103113 (ii) cooperate with efforts of the division to promote integrated programs that address
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105115 an individual's substance use, mental health, and physical healthcare needs, as
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107117 described in Section 26B-5-102.
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109119 (c) Within legislative appropriations and county matching funds required by this section,
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111121 each local mental health authority shall cooperate with the efforts of the department
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113123 to promote a system of care, as defined in Section 26B-5-101, for minors with or at
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115125 risk for complex emotional and behavioral needs, as described in Section 26B-1-202.
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117127 (3)(a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
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119129 Cooperation Act, two or more counties may join to:
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121131 (i) provide mental health prevention and treatment services; or
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132+- 2 - 01-27 11:27 2nd Sub. (Gray) H.B. 63
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123134 (ii) create a united local health department that combines substance use treatment
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125136 services, mental health services, and local health department services in
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127138 accordance with Subsection (4).
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129140 (b) The legislative bodies of counties joining to provide services may establish
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131142 acceptable ways of apportioning the cost of mental health services.
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133144 (c) Each agreement for joint mental health services shall:
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136146 (i)(A) designate the treasurer of one of the participating counties or another person
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138148 as the treasurer for the combined mental health authorities and as the custodian
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140150 of money available for the joint services; and
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142152 (B) provide that the designated treasurer, or other disbursing officer authorized by
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144154 the treasurer, may make payments from the money available for the joint
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146156 services upon audit of the appropriate auditing officer or officers representing
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148158 the participating counties;
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150160 (ii) provide for the appointment of an independent auditor or a county auditor of one
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152162 of the participating counties as the designated auditing officer for the combined
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154164 mental health authorities;
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156166 (iii)(A) provide for the appointment of the county or district attorney of one of the
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158168 participating counties as the designated legal officer for the combined mental
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160170 health authorities; and
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162172 (B) authorize the designated legal officer to request and receive the assistance of
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164174 the county or district attorneys of the other participating counties in defending
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166176 or prosecuting actions within their counties relating to the combined mental
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168178 health authorities; and
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170180 (iv) provide for the adoption of management, clinical, financial, procurement,
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172182 personnel, and administrative policies as already established by one of the
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174184 participating counties or as approved by the legislative body of each participating
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176186 county or interlocal board.
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178188 (d) An agreement for joint mental health services may provide for:
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180190 (i) joint operation of services and facilities or for operation of services and facilities
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182192 under contract by one participating local mental health authority for other
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184194 participating local mental health authorities; and
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186196 (ii) allocation of appointments of members of the mental health advisory council
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188198 between or among participating counties.
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190200 (4) A county governing body may elect to combine the local mental health authority with
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192203 the local substance abuse authority created in Part 2, Local Substance Abuse Authorities,
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194205 and the local health department created in Title 26A, Chapter 1, Part 1, Local Health
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196207 Department Act, to create a united local health department under Section 26A-1-105.5.
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198209 A local mental health authority that joins with a united local health department shall
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200211 comply with this part.
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202213 (5)(a) Each local mental health authority is accountable to the department and the state
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205215 with regard to the use of state and federal funds received from those departments for
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207217 mental health services, regardless of whether the services are provided by a private
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209219 contract provider.
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211221 (b) Each local mental health authority shall comply, and require compliance by its
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213223 contract provider, with all directives issued by the department regarding the use and
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215225 expenditure of state and federal funds received from those departments for the
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217227 purpose of providing mental health programs and services. The department shall
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219229 ensure that those directives are not duplicative or conflicting, and shall consult and
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221231 coordinate with local mental health authorities with regard to programs and services.
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223233 (6)(a) Each local mental health authority shall:
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225235 (i) review and evaluate mental health needs and services, including mental health
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227237 needs and services for:
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229239 (A) an individual incarcerated in a county jail or other county correctional facility;
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231241 and
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233243 (B) an individual who is a resident of the county and who is court ordered to
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235245 receive assisted outpatient treatment under Section 26B-5-351;
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237247 (ii) in accordance with Subsection (6)(b), annually prepare and submit to the division
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239249 a plan approved by the county legislative body for mental health funding and
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241251 service delivery, either directly by the local mental health authority or by contract;
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243253 (iii) establish and maintain, either directly or by contract, programs licensed under
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245255 Title 26B, Chapter 2, Part 1, Human Services Programs and Facilities;
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247257 (iv) appoint, directly or by contract, a full-time or part-time director for mental health
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249259 programs and prescribe the director's duties;
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251261 (v) provide input and comment on new and revised rules established by the division;
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253263 (vi) establish and require contract providers to establish administrative, clinical,
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255265 personnel, financial, procurement, and management policies regarding mental
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257267 health services and facilities, in accordance with the rules of the division, and state
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259269 and federal law;
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261272 (vii) establish mechanisms allowing for direct citizen input;
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263274 (viii) annually contract with the division to provide mental health programs and
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265276 services in accordance with the provisions of Title 26B, Chapter 5, Health Care -
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267278 Substance Use and Mental Health;
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269280 (ix) comply with all applicable state and federal statutes, policies, audit requirements,
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271282 contract requirements, and any directives resulting from those audits and contract
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274284 requirements;
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276286 (x) provide funding equal to at least 20% of the state funds that it receives to fund
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278288 services described in the plan;
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280290 (xi) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
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282292 Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Special
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284294 Districts, and Title 51, Chapter 2a, Accounting Reports from Political
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286296 Subdivisions, Interlocal Organizations, and Other Local Entities Act; and
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288298 (xii) take and retain physical custody of minors committed to the physical custody of
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290300 local mental health authorities by a judicial proceeding under Title 26B, Chapter
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292302 5, Part 4, Commitment of Persons Under Age 18.
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294304 (b) Each plan under Subsection (6)(a)(ii) shall include services for adults, youth, and
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296306 children, which shall include:
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298308 (i) inpatient care and services;
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300310 (ii) residential care and services;
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302312 (iii) outpatient care and services;
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304314 (iv) 24-hour crisis care and services;
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306316 (v) psychotropic medication management;
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308318 (vi) psychosocial rehabilitation, including vocational training and skills development;
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310320 (vii) case management;
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312322 (viii) community supports, including in-home services, housing, family support
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314324 services, and respite services;
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316326 (ix) consultation and education services, including:
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318328 (A) case consultation[,] ;
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320330 (B) collaboration with other county service agencies[,] ;
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322332 (C) public education[, and] ;
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324334 (D) public information; and
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326336 (E) information concerning the process for seeking the appointment of an
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328338 emergency guardian under Section 75-5-310, an emergency conservator under
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330341 Section 75-5-408, and alternative options for individuals experiencing mental
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332343 health crises; and
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334345 (x) services to persons incarcerated in a county jail or other county correctional
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336347 facility.
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338349 (7)(a) If a local mental health authority provides for a local mental health crisis line
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340351 under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv),
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343353 the local mental health authority shall:
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345355 (i) collaborate with the statewide mental health crisis line described in Section
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347357 26B-5-610;
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349359 (ii) ensure that each individual who answers calls to the local mental health crisis line:
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351361 (A) is a mental health therapist or a crisis worker; and
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353363 (B) meets the standards of care and practice established by the Division of
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355365 Integrated Healthcare, in accordance with Section 26B-5-610; and
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357367 (iii) ensure that when necessary, based on the local mental health crisis line's
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359369 capacity, calls are immediately routed to the statewide mental health crisis line to
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361371 ensure that when an individual calls the local mental health crisis line, regardless
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363373 of the time, date, or number of individuals trying to simultaneously access the
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365375 local mental health crisis line, a mental health therapist or a crisis worker answers
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367377 the call without the caller first:
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369379 (A) waiting on hold; or
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371381 (B) being screened by an individual other than a mental health therapist or crisis
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373383 worker.
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375385 (b) If a local mental health authority does not provide for a local mental health crisis line
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377387 under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv),
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379389 the local mental health authority shall use the statewide mental health crisis line as a
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381391 local crisis line resource.
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383393 (8) Before disbursing any public funds, each local mental health authority shall require that
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385395 each entity that receives any public funds from a local mental health authority agrees in
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387397 writing that:
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389399 (a) the entity's financial records and other records relevant to the entity's performance of
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391401 the services provided to the mental health authority shall be subject to examination
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393403 by:
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395405 (i) the division;
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397407 (ii) the local mental health authority director;
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399410 (iii)(A) the county treasurer and county or district attorney; or
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401412 (B) if two or more counties jointly provide mental health services under an
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403414 agreement under Subsection (3), the designated treasurer and the designated
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405416 legal officer;
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407418 (iv) the county legislative body; and
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409420 (v) in a county with a county executive that is separate from the county legislative
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412422 body, the county executive;
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414424 (b) the county auditor may examine and audit the entity's financial and other records
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416426 relevant to the entity's performance of the services provided to the local mental health
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418428 authority; and
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420430 (c) the entity will comply with the provisions of Subsection (5)(b).
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422432 (9) A local mental health authority may receive property, grants, gifts, supplies, materials,
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424434 contributions, and any benefit derived therefrom, for mental health services. If those
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426436 gifts are conditioned upon their use for a specified service or program, they shall be so
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428438 used.
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430440 (10) Public funds received for the provision of services pursuant to the local mental health
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432442 plan may not be used for any other purpose except those authorized in the contract
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434444 between the local mental health authority and the provider for the provision of plan
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436446 services.
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438448 (11) A local mental health authority shall provide assisted outpatient treatment services to a
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440450 resident of the county who has been ordered under Section 26B-5-351 to receive assisted
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442452 outpatient treatment.
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444-Section 2. Section 63C-18-203 is amended to read:
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454+Section 2. Section 26B-5-339 is amended to read:
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456+26B-5-339 . Designated examiners -- Training -- Evaluations -- Fee.
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458+(1) The division shall create and maintain optional training programs designed to educate
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460+physicians, physician assistants, advanced practice registered nurses, law enforcement
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462+officers, and other stakeholders on the process and requirements for civil commitment,
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464+including:
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466+(a) the purpose of civil commitment;
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468+(b) the civil commitment process; and
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470+(c) statutes governing civil commitment.
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472+(2) A designated examiner shall consider a proposed patient's mental health history when
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474+evaluating a proposed patient.
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476+[(2)] (3) A designated examiner may request a court order to obtain a proposed patient's
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479+mental health records if a proposed patient refuses to share this information with the
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481+designated examiner.
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483+[(3)] (4) A designated examiner, when evaluating a proposed patient for civil commitment,
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485+shall consider whether:
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487+(a) a proposed patient has been under a court order for assisted outpatient treatment;
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489+(b) the proposed patient complied with the terms of the assisted outpatient treatment
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491+order, if any; and
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493+(c) whether assisted outpatient treatment is sufficient to meet the proposed patient's
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495+needs.
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497+[(4)] (5) A designated examiner shall be allowed a reasonable fee by the county legislative
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499+body of the county in which the proposed patient resides or is found, unless the
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501+designated examiner is otherwise paid.
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503+Section 3. Section 63C-18-203 is amended to read:
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446505 63C-18-203 . Committee duties -- Reporting requirements.
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448507 (1) Under the direction of the Utah Behavioral Health Commission created in Section
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450509 26B-5-702, the committee shall:
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452511 (a) identify a method to integrate existing local mental health crisis lines to ensure each
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454513 individual who accesses a local mental health crisis line is connected to a qualified
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456515 mental or behavioral health professional, regardless of the time, date, or number of
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458517 individuals trying to simultaneously access the local mental health crisis line;
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460519 (b) study how to establish and implement a statewide mental health crisis line and a
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462521 statewide warm line, including identifying:
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464523 (i) a statewide phone number or other means for an individual to easily access the
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466525 statewide mental health crisis line, including a short code for text messaging and a
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468527 three-digit number for calls;
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470529 (ii) a statewide phone number or other means for an individual to easily access the
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472531 statewide warm line, including a short code for text messaging and a three-digit
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474533 number for calls;
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476535 (iii) a supply of:
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478537 (A) qualified mental or behavioral health professionals to staff the statewide
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481539 mental health crisis line; and
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483541 (B) qualified mental or behavioral health professionals or certified peer support
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485543 specialists to staff the statewide warm line; and
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487545 (iv) a funding mechanism to operate and maintain the statewide mental health crisis
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489548 line and the statewide warm line;
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491550 (c) coordinate with local mental health authorities in fulfilling the committee's duties
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493552 described in Subsections (1)(a) and (b);
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495-(d) recommend standards for the certifications described in Section 26B-5-610;[ and]
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554+(d) recommend standards for the certifications described in Section 26B-5-610; and
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497556 (e) coordinate services provided by local mental health crisis lines and mobile crisis
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499-outreach teams, as defined in Section 62A-15-1401[.] ; and
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501-(f)(i) prepare a proposal for a mental health crisis intervention pilot program aimed at
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503-improving outcomes for individuals experiencing a mental health crisis, as that
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505-term is defined in Section 26B-5-101, with an emphasis on improving outcomes
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507-for interactions between those individuals and the criminal justice system; and
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509-(ii) submit the proposal to the Health and Human Services Interim Committee on or
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511-before September 30, 2025.
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558+outreach teams, as defined in Section 62A-15-1401.
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513560 (2) The committee shall study and make recommendations regarding:
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515562 (a) crisis line practices and needs, including:
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517564 (i) quality and timeliness of service;
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519566 (ii) service volume projections;
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521568 (iii) a statewide assessment of crisis line staffing needs, including required
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523570 certifications; and
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525572 (iv) a statewide assessment of technology needs;
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527574 (b) primary duties performed by crisis line workers;
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529576 (c) coordination or redistribution of secondary duties performed by crisis line workers,
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531578 including responding to non-emergency calls;
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533580 (d) operating the statewide 988 hotline:
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535582 (i) in accordance with federal law;
536-262
583+285
537584 (ii) to ensure the efficient and effective routing of calls to an appropriate crisis center;
538-263
585+286
539586 and
540-264
587+287
541588 (iii) to directly respond to calls with trained personnel and the provision of acute
542-265
589+288
543590 mental health, crisis outreach, and stabilization services;
544-266
591+289
545592 (e) opportunities to increase operational and technological efficiencies and effectiveness
546-267
593+290
547594 between 988 and 911, utilizing current technology;
548-- 8 - 02-19 10:51 3rd Sub. (Cherry) H.B. 63
549-268
595+291
550596 (f) needs for interoperability partnerships and policies related to 911 call transfers and
551-269
597+292
552598 public safety responses;
553-270
599+293
554600 (g) standards for statewide mobile crisis outreach teams, including:
555-271
601+294
556602 (i) current models and projected needs;
557-272
603+295
558604 (ii) quality and timeliness of service;
559-273
605+296
560606 (iii) hospital and jail diversions; and
561-274
607+297
562608 (iv) staffing and certification;
563-275
609+298
564610 (h) resource centers, including:
565-276
611+299
566612 (i) current models and projected needs; and
567-277
613+300
568614 (ii) quality and timeliness of service;
569-278
615+- 9 - 2nd Sub. (Gray) H.B. 63 01-27 11:27
616+301
570617 (i) policy considerations related to whether the state should:
571-279
618+302
572619 (i) manage, operate, and pay for a complete behavioral health system; or
573-280
620+303
574621 (ii) create partnerships with private industry; and
575-281
622+304
576623 (j) sustainable funding source alternatives, including:
577-282
624+305
578625 (i) charging a 988 fee, including a recommendation on the fee amount;
579-283
626+306
580627 (ii) General Fund appropriations;
581-284
628+307
582629 (iii) other government funding options;
583-285
630+308
584631 (iv) private funding sources;
585-286
632+309
586633 (v) grants;
587-287
634+310
588635 (vi) insurance partnerships, including coverage for support and treatment after initial
589-288
636+311
590637 call and triage; and
591-289
638+312
592639 (vii) other funding resources.
593-290
640+313
594641 (3) The committee may conduct other business related to the committee's duties described
595-291
642+314
596643 in this section.
597-292
644+315
598645 (4) The committee shall consult with the Office of Substance Use and Mental Health
599-293
646+316
600647 regarding:
601-294
648+317
602649 (a) the standards and operation of the statewide mental health crisis line and the
603-295
650+318
604651 statewide warm line, in accordance with Section 26B-5-610; and
605-296
652+319
606653 (b) the incorporation of the statewide mental health crisis line and the statewide warm
607-297
654+320
608655 line into behavioral health systems throughout the state.
609-298
610-Section 3. Effective Date.
611-299
656+321
657+(5)(a) The committee shall establish a working group to review the interaction of
658+322
659+criminal justice systems and mental health systems.
660+323
661+(b)(i) Based on the review described in Subsection (5)(a), the working group shall
662+324
663+develop recommendations regarding the specific parameters of a study that could
664+325
665+be conducted to provide necessary data to guide the design of a pilot program
666+326
667+aimed at improving outcomes for individuals experiencing a mental health crisis,
668+327
669+as that term is defined in Section 26B-5-101.
670+328
671+(ii) On or before September 30, 2025, the working group shall provide a report that
672+329
673+includes the recommendations described in Subsection (5)(b)(i) to the Health and
674+330
675+Human Services Interim Committee and the Legislative Management Committee.
676+331
677+(c) If a study is undertaken based on the working group's recommendations described in
678+332
679+Subsection (5)(b), the working group shall review the results of the study and make
680+333
681+recommendations regarding the specific parameters of the pilot program described in
682+334
683+Subsection (5)(b)(i) to the Health and Human Services Interim Committee and the
684+- 10 - 01-27 11:27 2nd Sub. (Gray) H.B. 63
685+335
686+Legislative Management Committee on or before December 31, 2026.
687+336
688+(d) The working group shall complete the requirements described in Subsections (5)(a)
689+337
690+through (c) in consultation with:
691+338
692+(i) the Utah Sheriffs' Association;
693+339
694+(ii) the Statewide Association of Prosecutors;
695+340
696+(iii) the Utah Association of Criminal Defense Lawyers;
697+341
698+(iv) the Utah Medical Association;
699+342
700+(v) the Disability Law Center; and
701+343
702+(vi) as appropriate, members of the Utah Behavioral Health Commission or other
703+344
704+committees under the direction of the Utah Behavioral Health Commission who
705+345
706+represent stakeholders having an interest in the interaction of criminal justice
707+346
708+systems and mental health systems.
709+347
710+Section 4. Effective Date.
711+348
612712 This bill takes effect on May 7, 2025.
613-- 9 -
713+- 11 -