Full Text of SR0148 99th General Assembly
SR0148 99TH GENERAL ASSEMBLY |
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| 1 | | SENATE RESOLUTION
| 2 | | WHEREAS, Approximately 1.5 million Illinois adults and | 3 | | more than 300,000 Illinois children have a mental illness, and | 4 | | approximately 850,000 adults and 62,000 youth in Illinois have | 5 | | a substance use disorder; and
| 6 | | WHEREAS, In 2011, suicide due to the presence of a mental | 7 | | health condition was the third leading cause of death for | 8 | | children between the ages of 10 and 14, and the second leading | 9 | | cause of death for youth and adults between the ages of 15 and | 10 | | 34; and
| 11 | | WHEREAS, Despite the fact that community-based/outpatient | 12 | | mental health treatment, combined with the appropriate | 13 | | medications, is highly effective in treating mental illnesses | 14 | | and enabling recovery, more than two-thirds of Illinois | 15 | | children and 59% of adults living with a mental illness do not | 16 | | receive a diagnosis or treatment; this lack of access to | 17 | | treatment results in severe disability for those with untreated | 18 | | serious mental illnesses, the costs of which are borne by | 19 | | taxpayers for the remainder of the person's life; and
| 20 | | WHEREAS, The evidence is clear - when treatment is | 21 | | available early on following the signs of a mental illness, | 22 | | youth are less likely to drop out of school, turn to substance |
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| 1 | | use, or engage in self-injurious or criminal behaviors; they | 2 | | are also able to more effectively manage their mental illness | 3 | | over their lifetime; and
| 4 | | WHEREAS, Similar to other states, mental health and | 5 | | substance use treatment services and supports are primarily | 6 | | publicly-funded; and
| 7 | | WHEREAS, In recent decades, limited access to mental health | 8 | | care and substance use treatment has resulted in substantial | 9 | | increases in homelessness, institutionalization, and | 10 | | incarceration due to untreated serious mental illnesses and | 11 | | substance use disorders; and
| 12 | | WHEREAS, The estimated average cost of an emergency room | 13 | | visit in Illinois is $2,027, while the estimated average cost | 14 | | of a psychiatric hospitalization is $4,301; from 2009 to 2012, | 15 | | during the years of the deepest cuts to community mental | 16 | | health, increased emergency room visits and hospitalizations | 17 | | of individuals with untreated mental illnesses cost Illinois | 18 | | $123.3 million; without sustained treatment, this cycle | 19 | | continues unabated and often results in homelessness, | 20 | | incarceration, or institutionalization; and
| 21 | | WHEREAS, Despite the best efforts of community-based | 22 | | service providers, and due to a lack of State investment in |
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| 1 | | community mental health services and adequate reimbursement | 2 | | rates, too many Illinois citizens lack access to evidence-based | 3 | | treatments and robust support services which are proven to | 4 | | produce better health outcomes and reduce costs; and
| 5 | | WHEREAS, On March 31, 2014, Congress passed the Protecting | 6 | | Access to Medicare Act, which included provisions establishing | 7 | | a demonstration program that creates state Certified Community | 8 | | Behavioral Health Clinics; Certified Community Behavioral | 9 | | Health Clinics are intended to serve individuals with serious | 10 | | mental illnesses and substance use disorders and will provide | 11 | | intensive, person-centered, multidisciplinary, evidence-based | 12 | | screening, assessment, diagnostics, treatment, prevention, and | 13 | | wellness services, with a strong emphasis on care coordination; | 14 | | and
| 15 | | WHEREAS, This Act provides for the single largest federal | 16 | | investment in community-based mental and substance use | 17 | | treatment in decades; and | 18 | | WHEREAS, The Act provides that $25 million will be made | 19 | | available as planning grants to states to develop applications | 20 | | to participate in the 2-year pilot; only the states receiving | 21 | | planning grants will be eligible to participate in the pilot; | 22 | | and
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| 1 | | WHEREAS, During the duration of the pilot, states with | 2 | | Certified Community Behavioral Health Clinics will receive an | 3 | | enhanced Federal Matching Assistance Percentage for the | 4 | | services provided by the clinics; and
| 5 | | WHEREAS, On February 2, 2015, the Secretary for the United | 6 | | States Department of Health and Human Services released draft | 7 | | criteria for a clinic to be certified by a state, with guidance | 8 | | for establishing a prospective payment system for the clinics | 9 | | expected by September 2015; and
| 10 | | WHEREAS, By January 1, 2016, the Secretary for the United | 11 | | States Department of Health and Human Services will award the | 12 | | planning grants; by September l, 2017, the Secretary will | 13 | | select the 8 states that will participate in the demonstration; | 14 | | and
| 15 | | WHEREAS, Certified Community Behavioral Health Clinics | 16 | | will have uniform certification criteria in the areas of | 17 | | staffing, availability and accessibility of services, care | 18 | | coordination, scope of services, quality, and other reporting | 19 | | and organizational authority, thus ensuring the quality of | 20 | | services provided by the clinics; and
| 21 | | WHEREAS, States interested in pursuing Certified Community | 22 | | Behavioral Health Clinics should demonstrate the potential to |
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| 1 | | expand available services in a demonstration area and increase | 2 | | the quality of services without increasing net federal | 3 | | spending; and | 4 | | WHEREAS, By being a catalyst for driving change in | 5 | | Illinois' mental health and substance use treatment systems, | 6 | | Certified Community Behavioral Health Clinics will be an | 7 | | important component in Illinois' overall Medicaid payment and | 8 | | delivery system reform efforts; and | 9 | | WHEREAS, Given the limited scope of the demonstration | 10 | | program, it is in the best interests of the State of Illinois | 11 | | to engage in efforts aimed at securing a planning grant; unless | 12 | | Illinois pursues and receives a planning grant, it is | 13 | | prohibited from participating in the demonstration program; | 14 | | therefore, be it
| 15 | | RESOLVED, BY THE SENATE OF THE NINETY-NINTH GENERAL | 16 | | ASSEMBLY OF THE STATE OF ILLINOIS, that we encourage Governor | 17 | | Rauner's Administration, including the Department of Human | 18 | | Services Divisions of Mental Health and Alcoholism and | 19 | | Substance Abuse, the Department of Healthcare and Family | 20 | | Services, and the Governor's Office to prioritize a plan aimed | 21 | | at securing and submitting an application for a planning grant | 22 | | for the State of Illinois; and be it further
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| 1 | | RESOLVED, That we urge the aforementioned groups to | 2 | | collaborate in this effort with key stakeholders, including | 3 | | organizations representing individuals with serious mental | 4 | | illnesses, community-based mental health providers, substance | 5 | | use treatment facilities, federally-qualified health centers, | 6 | | hospitals, supportive housing providers, and rural health | 7 | | clinics; and be it further | 8 | | RESOLVED, That suitable copies of this resolution be | 9 | | delivered to the Governor, the Secretary of Human Services, and | 10 | | the Director of Healthcare and Family Services.
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