Full Text of HB2982 97th General Assembly
HB2982ham003 97TH GENERAL ASSEMBLY | Rep. Joe Sosnowski Filed: 3/24/2011
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| 1 | | AMENDMENT TO HOUSE BILL 2982
| 2 | | AMENDMENT NO. ______. Amend House Bill 2982 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 1. Short title. This Act may be cited as the | 5 | | Regional Integrated Behavioral Health Networks Act. | 6 | | Section 5. Legislative Findings. The General Assembly | 7 | | recognizes that an estimated 25% of Illinoisans aged 18 years | 8 | | or older have experienced a mental or substance use disorder, | 9 | | an estimated 700,000 Illinois adults aged 18 years or older | 10 | | have a serious mental illness and an estimated 240,000 Illinois | 11 | | children and adolescents have a serious emotional disturbance. | 12 | | And on any given day, many go without treatment because it is | 13 | | not available or accessible. Recent federal and State fiscal | 14 | | crises have exacerbated an already deteriorating mental health | 15 | | and substance abuse (behavioral health) treatment system that | 16 | | is characterized by fragmentation, geographic disparities, |
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| 1 | | inadequate funding, psychiatric and other mental health | 2 | | workforce shortages, lack of transportation, and overuse of | 3 | | acute and emergency care by persons in crisis who are unable to | 4 | | obtain treatment from less intensive community alternatives. | 5 | | The failure to treat mental and substance use illnesses has | 6 | | human and financial consequences: human suffering and loss of | 7 | | function; increased use of hospital emergency departments; | 8 | | increased use of all medical services; increased unemployment | 9 | | and lack of productivity; lack of meaningful engagement in | 10 | | family and communities; school failure; homelessness; | 11 | | incarceration; and, in some instances, death. The citizens of | 12 | | Illinois with mental and substance use illnesses need an | 13 | | organized and integrated system of care that recognizes | 14 | | regional differences and is able to deliver the right care to | 15 | | the right person at the right time. | 16 | | Section 10. Purpose. The purpose of this Act is to require | 17 | | the Department of Human Services to facilitate the creation of | 18 | | Regional Integrated Behavioral Health Networks (hereinafter | 19 | | "Networks") for the purpose of ensuring and improving access to | 20 | | appropriate mental health and substance abuse (hereinafter | 21 | | "behavioral health") services throughout Illinois by providing | 22 | | a platform for the organization of all relevant health, mental | 23 | | health, substance abuse, and other community entities, and by | 24 | | providing a mechanism to use and channel financial and other | 25 | | resources efficiently and effectively. Networks may be located |
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| 1 | | in each of the Department of Human Services geographic regions. | 2 | | Section 15. Goals. Goals shall include, but not be limited | 3 | | to, the following: enabling persons with mental and substance | 4 | | use illnesses to access clinically appropriate, evidence-based | 5 | | services, regardless of where they reside in the State and | 6 | | particularly in rural areas; improving access to mental health | 7 | | and substance abuse services throughout Illinois, but | 8 | | especially in rural Illinois communities, by fostering | 9 | | innovative financing and collaboration among a variety of | 10 | | health, behavioral health, social service, and other community | 11 | | entities and by supporting the development of | 12 | | regional-specific planning and strategies; facilitating the | 13 | | integration of behavioral health services with primary and | 14 | | other medical services, advancing opportunities under federal | 15 | | health reform initiatives; ensuring actual or | 16 | | technologically-assisted access to the entire continuum of | 17 | | integrated care, including the provision of services in the | 18 | | areas of prevention, consumer or patient assessment and | 19 | | diagnosis, psychiatric care, case coordination, crisis and | 20 | | emergency care, acute inpatient and outpatient treatment in | 21 | | private hospitals and from other community providers, support | 22 | | services, and community residential settings; identifying | 23 | | funding for persons who do not have insurance and do not | 24 | | qualify for State and federal healthcare payment programs such | 25 | | as Medicaid or Medicare; improving access to transportation in |
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| 1 | | rural areas. | 2 | | Section 20. Steering Committee and Networks. | 3 | | (a) To achieve these goals, the Department of Human | 4 | | Services shall convene a Regional Integrated Behavioral Health | 5 | | Networks Steering Committee (hereinafter "Steering Committee") | 6 | | comprised of State agencies involved in the provision, | 7 | | regulation, or financing of health, mental health, substance | 8 | | abuse, rehabilitation, and other services. These include, but | 9 | | shall not be limited to, the following agencies: | 10 | | (1) The Department of Healthcare and Family Services. | 11 | | (2) The Department of Human Services and its Divisions | 12 | | of Mental Illness and Alcoholism and Substance Abuse | 13 | | Services. | 14 | | (3) The Department of Public Health, including its | 15 | | Center for Rural Health. | 16 | | The Steering Committee shall include a representative from | 17 | | each Network. The agencies of the Steering Committee are | 18 | | directed to work collaboratively to provide consultation, | 19 | | advice, and leadership to the Networks in facilitating | 20 | | communication within and across multiple agencies and in | 21 | | removing regulatory barriers that may prevent Networks from | 22 | | accomplishing the goals. The Steering Committee collectively | 23 | | or through one of its member Agencies shall also provide | 24 | | technical assistance to the Networks. | 25 | | (b) There also shall be convened Networks in each of the |
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| 1 | | Department of Human Services' regions comprised of | 2 | | representatives of community stakeholders represented in the | 3 | | Network, including when available, but not limited to, relevant | 4 | | trade and professional associations representing hospitals, | 5 | | community providers, public health care, hospice care, long | 6 | | term care, law enforcement, emergency medical service, | 7 | | physicians trained in psychiatry; an organization that | 8 | | advocates on behalf of federally qualified health centers, an | 9 | | organization that advocates on behalf of persons suffering with | 10 | | mental illness and substance abuse disorders, an organization | 11 | | that advocates on behalf of persons with disabilities, an | 12 | | organization that advocates on behalf of persons who live in | 13 | | rural areas, an organization that advocates on behalf of | 14 | | persons who live in medically underserved areas; and others | 15 | | designated by the Steering Committee or the Networks. A member | 16 | | from each Network may choose a representative who may serve on | 17 | | the Steering Committee. | 18 | | Section 25. Development of Network Plans. Each Network | 19 | | shall develop a plan for its respective region that addresses | 20 | | the following: | 21 | | (a) Inventory of all mental health and substance abuse | 22 | | treatment services, primary health care facilities and | 23 | | services, private hospitals, State-operated psychiatric | 24 | | hospitals, long term care facilities, social services, | 25 | | transportation services, and any services available to serve |
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| 1 | | persons with mental and substance use illnesses. | 2 | | (b) Identification of unmet community needs, including, | 3 | | but not limited to, the following: | 4 | | (1) Waiting lists in community mental health and | 5 | | substance abuse services. | 6 | | (2) Hospital emergency department use by persons with | 7 | | mental and substance use illnesses, including volume, | 8 | | length of stay, and challenges associated with obtaining | 9 | | psychiatric assessment. | 10 | | (3) Difficulty obtaining admission to inpatient | 11 | | facilities, and reasons therefore. | 12 | | (4) Availability of primary care providers in the | 13 | | community, including Federally Qualified Health Centers | 14 | | and Rural Health Centers. | 15 | | (5) Availability of psychiatrists and mental health | 16 | | professionals. | 17 | | (6) Transportation issues. | 18 | | (7) Other. | 19 | | (c) Identification of opportunities to improve access to | 20 | | mental and substance abuse services through the integration of | 21 | | specialty behavioral health services with primary care, | 22 | | including, but not limited to, the following: | 23 | | (1) Availability of Federally Qualified Health Centers | 24 | | in community with mental health staff. | 25 | | (2) Development of accountable care organizations or | 26 | | other primary care entities. |
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| 1 | | (3) Availability of acute care hospitals with | 2 | | specialized psychiatric capacity. | 3 | | (4) Community providers with an interest in | 4 | | collaborating with acute care providers. | 5 | | (d) Development of a plan to address community needs, | 6 | | including a specific timeline for implementation of specific | 7 | | objectives and establishment of evaluation measures. The | 8 | | comprehensive plan should include the complete continuum of | 9 | | behavioral health services, including, but not limited to, the | 10 | | following: | 11 | | (1) Prevention. | 12 | | (2) Client assessment and diagnosis. | 13 | | (3) An array of outpatient behavioral health services. | 14 | | (4) Case coordination. | 15 | | (5) Crisis and emergency services. | 16 | | (6) Treatment, including inpatient psychiatric | 17 | | services in public and private hospitals. | 18 | | (7) Long term care facilities. | 19 | | (8) Community residential alternatives to | 20 | | institutional settings. | 21 | | (9) Primary care services.
| 22 | | Section 30. Timeline. The Network plans shall be prepared | 23 | | within 6 months of establishment of the Network. The Steering | 24 | | Committee shall assist the Networks in the development of plans | 25 | | by providing technical expertise and in facilitating funding |
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| 1 | | support and opportunities for the development of services | 2 | | identified under each of the plans. | 3 | | Section 35. Report to Governor and General Assembly. The | 4 | | Steering Committee shall report to the Governor and General | 5 | | Assembly the status of each regional plan, including the | 6 | | recommendations of the network councils to accomplish their | 7 | | goals and improve access to behavioral health services. The | 8 | | report shall also contain performance measures, including | 9 | | changes to the behavioral health services capacity in the | 10 | | region; any waiting lists for community services; volume and | 11 | | wait times in hospital emergency departments for access to | 12 | | behavioral health services; development of primary | 13 | | care-behavioral health partnerships or barriers to their | 14 | | formation; and funding challenges and opportunities. This | 15 | | report shall be submitted on an annual basis.
| 16 | | Section 99. Effective date. This Act takes effect January | 17 | | 1, 2012.".
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