103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
SB3521

 

Introduced 2/9/2024, by Sen. Karina Villa

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 301/5-28 new
305 ILCS 5/5-52 new

    Amends the Substance Use Disorder Act. Requires the Department of Human Services to establish a 5-year Behavioral Health Recovery Center Grant Pilot Program and to issue, no later than July 1, 2024, a request for proposals to award a grant to one or more counties to develop and implement a behavioral health recovery center project. Provides that the purpose of the behavioral health recovery center project is to (1) increase access to mental health crisis services for individuals who are experiencing a mental health crisis or substance use disorder crisis and (2) reduce the number of individuals in the State who are incarcerated or in a hospital emergency room while experiencing a mental health crisis or substance use disorder crisis. Sets forth grant application information requirements. Requires the Department to consider the cost of the proposed project, the extent to which the proposed project will fulfill stated purposes and benefit the targeted population, and other matters when evaluating a grant application. Requires the Department to report to specified House and Senate committees (i) before June 30, 2025 regarding each county awarded a grant under the pilot program and the details of each project and (ii) before June 30, 2027 regarding data gathered on each project, recommendations for future use of mental health crisis services and substance use disorder crisis services in behavioral health recovery centers, and other matters. 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, 2024, for a waiver or State Plan amendment to offer a program that provides 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 recovery center. Requires the Department to implement the program upon federal approval and to require certain managed care organizations to provide coverage for behavioral health crisis management services at a behavioral health recovery center. Permits the Department to elect to integrate payment for physical health services provided in a behavioral health recovery center. Effective immediately.


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A BILL FOR

 

SB3521LRB103 38117 KTG 68249 b

1    AN ACT concerning behavioral health.
 
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 Recovery Center Grant
8Program.
9    (a) As used in this Section:
10    "Behavioral health recovery center" means a facility that
11provides mental health crisis services and substance use
12disorder crisis services to individuals who are experiencing a
13mental health or substance use crisis that does not require
14treatment beyond 23 hours and 59 minutes.
15    "Project" means a behavioral health recovery center
16project.
17    (b) The Department shall establish a Behavioral Health
18Recovery Center Grant Pilot Program in accordance with this
19Section. The pilot program shall operate for a 5-year period.
20No later than July 1, 2024, the Department shall issue a
21request for proposals to award a grant to one or more counties
22to develop and implement a behavioral health recovery center
23project. A grant awarded under this Section may not be used to

 

 

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1purchase land for the behavioral health recovery center. The
2Department shall award all grants under this Section before
3December 31, 2024.
4    (c) The purpose of a project is to:
5        (1) increase access to mental health crisis services
6    for individuals in the State who are experiencing a mental
7    health crisis or substance use disorder crisis; and
8        (2) reduce the number of individuals in the State who
9    are incarcerated or in a hospital emergency room while
10    experiencing a mental health crisis or substance use
11    disorder crisis.
12    (d) An application for a grant under this Section shall:
13        (1) identify the population to which the behavioral
14    health recovery center will provide mental health crisis
15    and substance use disorder crisis services;
16        (2) identify the type of mental health crisis services
17    or substance use disorder crisis services the behavioral
18    health recovery center will provide;
19        (3) explain how the population described in paragraph
20    (1) will benefit from the provision of mental health
21    crisis or substance use disorder crisis services;
22        (4) provide details regarding:
23            (A) how the proposed project plans to provide
24        mental health crisis and substance use disorder crisis
25        services;
26            (B) how the proposed project will ensure that

 

 

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

 

 

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1    (f) In evaluating an application for the grant, the
2Department shall consider:
3        (1) the extent to which the proposed project will
4    fulfill the purposes described in subsection (c);
5        (2) the extent to which the population described in
6    paragraph (1) of subsection (d) is likely to benefit from
7    the proposed project;
8        (3) the cost of the proposed project;
9        (4) the extent to which any existing or planned
10    contracts or partnerships between the applicant and other
11    individuals or entities to develop and implement the
12    project, or additional funding sources available to the
13    applicant for the proposed project, are likely to benefit
14    the proposed project; and
15        (5) the viability and innovation of the proposed
16    project.
17    (g) Before June 30, 2025, the Department shall report to
18the Mental Health and Addiction Committee of the House and the
19Behavioral and Mental Health Committee of the Senate
20regarding:
21        (1) each county awarded a grant under this Section;
22    and
23        (2) the details of each project.
24    (h) Before June 30, 2027, the Department shall report to
25the Mental Health and Addiction Committee of the House and the
26Behavioral and Mental Health Committee of the Senate, or

 

 

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1successor committees, regarding:
2        (1) data gathered in relation to each project;
3        (2) knowledge gained relating to the provision of
4    mental health crisis and substance use disorder crisis
5    services in a behavioral health recovery center;
6        (3) recommendations for the future use of mental
7    health crisis services and substance use disorder crisis
8    services in behavioral health recovery centers; and
9        (4) obstacles encountered in the provision of mental
10    health crisis services in a behavioral health recovery
11    center.
 
12    Section 10. The Illinois Public Aid Code is amended by
13adding Section 5-52 as follows:
 
14    (305 ILCS 5/5-52 new)
15    Sec. 5-52. Reimbursement for crisis management services at
16behavioral health recovery centers.
17    (a) As used in this Section:
18    "Behavioral health recovery center" has the meaning
19ascribed to that term in Section 5-28 of the Substance Use
20Disorder Act.
21    "Crisis management services" means behavioral health
22services provided to an individual who is experiencing a
23mental health crisis or substance use crisis.
24    "Managed care organization" has the meaning ascribed to

 

 

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1that term in Section 5-30.1.
2    (b) No later than July 1, 2024, the Department shall apply
3for a waiver or Title XIX State Plan amendment with the federal
4Centers for Medicare and Medicaid Services to offer a program
5that provides reimbursement through a bundled daily rate for
6crisis management services that are delivered to an individual
7during the individual's stay at a behavioral health recovery
8center.
9    (c) If the waiver or Title XIX State Plan amendment
10described in subsection (b) is approved, the Department shall:
11        (1) implement the program described in subsection (b);
12    and
13        (2) require a managed care organization that contracts
14    with the Department for behavioral health services or
15    integrated health services to provide coverage for crisis
16    management services that are delivered to an individual
17    during the individual's stay at a behavioral health
18    recovery center.
19    (d) The Department may elect to integrate payment for
20physical health services provided in a behavioral health
21recovery center. In determining whether to integrate payment
22under this subsection, the Department shall consult with
23managed care organizations and counties in the State.
 
24    Section 99. Effective date. This Act takes effect upon
25becoming law.