103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB2811

 

Introduced 2/16/2023, by Rep. Gregg Johnson

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 301/5-28 new
305 ILCS 5/5-47 new

    Amends the Substance Use Disorder Act. Requires the Department of Human Services to establish a Behavioral Health Receiving Center Grant Pilot Program to award a grant to one or more counties to develop and implement a behavioral health receiving center. Requires the Department to issue a request for proposals no later than July 1, 2023 and to award all grants before December 31, 2023. Prohibits the use of the grant to purchase land for the behavioral health receiving center. Provides that the purpose of the behavioral health receiving center project is to increase access to mental health crisis services for individuals who are experiencing a mental health crisis; and to reduce the number of individuals who are incarcerated or in a hospital emergency room while experiencing a mental health crisis. Requires a grant application to contain certain information including the population to which the behavioral health receiving center will serve, the type of mental health services that will be provided, and the cost of the proposed project. Requires the Department to report to certain House and Senate committees before June 30, 2024 regarding each county awarded a grant and the details of each project. Requires the Department to report to the committees before June 30, 2026 regarding certain data and recommendations for the future use of mental health crisis services in behavioral health receiving centers. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to apply, no later than July 1, 2023, for a federal waiver or Title XIX State Plan amendment to provide reimbursement through a bundled daily rate for crisis management services that are delivered to an individual during the individual's stay at a behavioral health receiving center. Effective immediately.


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A BILL FOR

 

HB2811LRB103 27126 KTG 53495 b

1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Substance Use Disorder Act is amended by
5adding Section 5-28 as follows:
 
6    (20 ILCS 301/5-28 new)
7    Sec. 5-28. Behavioral Health Receiving Center Grant
8Program.
9    (a) Definitions. As used in this Section:
10    "Behavioral health receiving center" means a 23-hour
11non-secure program or facility that is responsible for, and
12provides mental health crisis services to, an individual
13experiencing a mental health crisis.
14    "Project" means a behavioral health receiving center
15project described in subsection (b).
16    (b) The Department shall establish a Behavioral Health
17Receiving Center Grant Pilot Program in accordance with this
18Section. The pilot program shall operate for a 5-year period.
19No later than July 1, 2023 the Department shall issue a request
20for proposals to award a grant to one or more counties to
21develop and implement a behavioral health receiving center
22project. A grant awarded under this Section may not be used to
23purchase land for the behavioral health receiving center. The

 

 

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1Department shall award all grants under this Section before
2December 31, 2023.
3    (c) The purpose of a project is to:
4        (1) increase access to mental health crisis services
5    for individuals in the State who are experiencing a mental
6    health crisis; and
7        (2) reduce the number of individuals in the State who
8    are incarcerated or in a hospital emergency room while
9    experiencing a mental health crisis.
10    (d) An application for a grant under this Section shall:
11        (1) identify the population to which the behavioral
12    health receiving center will provide mental health crisis
13    services;
14        (2) identify the type of mental health crisis services
15    the behavioral health receiving center will provide;
16        (3) explain how the population described in paragraph
17    (1) will benefit from the provision of mental health
18    crisis services;
19        (4) provide details regarding:
20            (A) how the proposed project plans to provide
21        mental health crisis services;
22            (B) how the proposed project will ensure that
23        consideration is given to the capacity of the
24        behavioral health receiving center;
25            (C) how the proposed project will ensure timely
26        and effective provision of mental health crisis

 

 

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1        services;
2            (D) the cost of the proposed project;
3            (E) any existing or planned contracts or
4        partnerships between the applicant and other
5        individuals or entities to develop and implement the
6        proposed project;
7            (F) any plan to use funding sources in addition to
8        a grant under this Section for the proposed project;
9            (G) the sustainability of the proposed project;
10        and
11            (H) the methods the proposed project will use to:
12                (i) protect the privacy of each individual who
13            receives mental health crisis services from the
14            behavioral health receiving center;
15                (ii) collect non-identifying data relating to
16            the proposed project; and
17                (iii) provide transparency on the costs and
18            operation of the proposed project; and
19        (5) provide other information requested by the
20    Department to ensure that the proposed project satisfies
21    the criteria described in subsection (f).
22    (f) In evaluating an application for the grant, the
23Department shall consider:
24        (1) the extent to which the proposed project will
25    fulfill the purposes described in subsection (c);
26        (2) the extent to which the population described in

 

 

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1    paragraph (1) of subsection (d) is likely to benefit from
2    the proposed project;
3        (3) the cost of the proposed project;
4        (4) the extent to which any existing or planned
5    contracts or partnerships between the applicant and other
6    individuals or entities to develop and implement the
7    project, or additional funding sources available to the
8    applicant for the proposed project, are likely to benefit
9    the proposed project; and
10        (5) the viability and innovation of the proposed
11    project.
12    (g) Before June 30, 2024, the Department shall report to
13the Mental Health and Addiction Committee of the House and the
14Behavioral and Mental Health Committee of the Senate
15regarding:
16        (1) each county awarded a grant under this Section;
17    and
18        (2) the details of each project.
19    (h) Before June 30, 2026, the Department shall report to
20the Mental Health and Addiction Committee of the House and the
21Behavioral and Mental Health Committee of the Senate, or
22successor committees, regarding:
23        (1) data gathered in relation to each project;
24        (2) knowledge gained relating to the provision of
25    mental health crisis services in a behavioral health
26    receiving center;

 

 

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1        (3) recommendations for the future use of mental
2    health crisis services in behavioral health receiving
3    centers; and
4        (4) obstacles encountered in the provision of mental
5    health crisis services in a behavioral health receiving
6    center.
 
7    Section 10. The Illinois Public Aid Code is amended by
8adding Section 5-47 as follows:
 
9    (305 ILCS 5/5-47 new)
10    Sec. 5-47. Reimbursement for crisis management services
11provided in a behavioral health receiving center; integration
12of payment for physical health services.
13    (a) As used in this Section:
14    "Behavioral health receiving center" has the meaning
15ascribed to that term in Section 5-28 of the Substance Use
16Disorder Act.
17    "Crisis management services" means behavioral health
18services provided to an individual who is experiencing a
19mental health crisis.
20    "Managed care organization" has the meaning ascribed to
21that term in Section 5-30.1.
22    (b) No later than July 1, 2023, the Department shall apply
23for a waiver or Title XIX State Plan amendment with the federal
24Centers for Medicare and Medicaid Services to offer a program

 

 

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1that provides reimbursement through a bundled daily rate for
2crisis management services that are delivered to an individual
3during the individual's stay at a behavioral health receiving
4center.
5    (c) If the waiver or Title XIX State Plan amendment
6described in subsection (b) is approved, the Department shall:
7        (1) implement the program described in subsection (b);
8    and
9        (2) require a managed care organization that contracts
10    with the Department for behavioral health services or
11    integrated health services to provide coverage for crisis
12    management services that are delivered to an individual
13    during the individual's stay at a behavioral health
14    receiving center.
15    (d) The Department may elect to integrate payment for
16physical health services provided in a behavioral health
17receiving center. In determining whether to integrate payment
18under this subsection, the Department shall consult with
19managed care organizations and counties in the State.
 
20    Section 99. Effective date. This Act takes effect upon
21becoming law.