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H.B. 234

This document includes House Committee Amendments incorporated into the bill on Tue, Feb 22, 2011 at 10:49 AM by jeyring. -->              1     

ASSERTIVE COMMUNITY MENTAL HEALTH TREATMENT

             2     
PILOT PROGRAM

             3     
2011 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Carol Spackman Moss

             6     
Senate Sponsor: J. Stuart Adams

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill establishes a pilot program within the Substance Abuse and Mental Health Act
             11      for the provision of assertive community treatment services to people with a severe
             12      mental disorder, who are not receiving or are transitioning out of other mental health
             13      services, and to their families.
             14      Highlighted Provisions:
             15          This bill:
             16          .    establishes a pilot program, beginning on July 1, 2011, and ending on July 1, 2014,
             17      for the provision of assertive community treatment mental health services to eligible
             18      people who are not receiving, or are transitioning out of, other mental health
             19      services;
             20          .    grants rulemaking authority to the division;
             21          .    describes a person who is eligible to receive services under this bill;
             22          .    provides that a local mental health authority shall establish criteria to determine the
             23      order of priority for receiving services under this bill;
             24          .    provides that the services provided under the pilot program described in this bill do
             25      not constitute an entitlement and may be withdrawn from a person at any time;
             26          .    requires the director of the division to report, for consideration and decision, to the
             27      Health and Human Services Interim Committee during the 2012 interim, regarding


             28      whether the pilot program created by this bill should be modified or converted into an ongoing
             29      program;
             30          .    provides, under the Legislative Oversight and Sunset Act, that the pilot program
             31      created by this bill will be repealed on July 1, 2014; and
             32          .     makes technical changes.
             33      Money Appropriated in this Bill:
             34          None
             35      Other Special Clauses:
             36          None
             37      Utah Code Sections Affected:
             38      AMENDS:
             39          63I-1-262, as last amended by Laws of Utah 2010, Chapter 365
             40      ENACTS:
             41          62A-15-113, Utah Code Annotated 1953
             42     
             43      Be it enacted by the Legislature of the state of Utah:
             44          Section 1. Section 62A-15-113 is enacted to read:
             45          62A-15-113. Pilot program for assertive community mental health treatment.
             46          (1) There is established a pilot program for assertive community mental health
             47      treatment, beginning on July 1, 2011, and ending on July 1, 2014.
             48          (2) The purpose of the pilot program described in Subsection (1) is to provide mental
             49      health services to a person with a severe mental disorder in order to reduce:
             50          (a) the use of emergency and inpatient medical and psychiatric services by the person;
             51          (b) the person's involvement in the criminal justice system; and
             52          (c) the person's use of illegal substances.
             53          (3) The pilot program shall:
             54          (a) primarily focus on a person who is transitioning from inpatient treatment, outpatient
             55      treatment, or incarceration;
             56          (b) be substantially in accordance with the Assertive Community Treatment model of
             57      the Substance Abuse and Mental Health Services Administration, within the United States
             58      Department of Health and Human Services; and


             59          (c) utilize fidelity scales for evidenced-based practices.
             60          (4) The division may make rules, in accordance with Title 63G, Chapter 3, Utah
             61      Administrative Rulemaking Act, as necessary for the implementation and administration of this
             62      section.
             63          (5) In accordance with Subsection (6), within funds appropriated by the Legislature for
             64      the pilot program described in this section, the division shall, through a local mental health
             65      authority, provide assertive community treatment as described in this section to a person with a
             66      severe mental disorder and that person's family, if that person:
             67          (a) is eligible to receive services from a local mental health authority;
             68          (b) is not receiving, or is transitioning out of, other mental health services; and
             69          (c) is determined by a local mental health authority to be a person who would
             70      substantially benefit from the provision of assertive community treatment.
             71          (6) A local mental health authority described in Subsection (5) shall establish criteria to
             72      determine the priority, between persons eligible for services under this section, for receiving
             73      services under this section.
             74          (7) It is the intent of the Legislature that the services provided under the pilot program
             75      described in this section:
             76          (a) do not constitute an entitlement of any kind; and
             77          (b) may be withdrawn from a person at any time.
             78          (8) The services provided under the pilot program described in this section may be
             79      provided in connection with an existing assertive community treatment program or programs to
             80      increase the level of the program to a fidelity scale model.
             81          (9) The director of the division shall report to the Health and Human Services Interim
             82      Committee during the 2013 interim regarding:
             83          (a) the operation and accomplishments of the pilot program described in this section;
             84          (b) whether the Legislature should convert the pilot program to an ongoing program
             85      within the division; and
             86          (c) recommendations for changes, if any, related to the pilot program.
             86a      H. (10) The report described in Subsection (9) shall evaluate the success of the pilot
             86b      program using tools, including the ACT Fidelity Scale and General Organization Index, to
             86c      measure outcomes, including:
             86d          (a) reduced hospital stays;
             86e          (b) higher levels of housing stability;
             86f          (c) improved symptoms and social functioning;
             86g          (d) higher quality of life; and
             86h          (e) increased consumer and family satisfaction with services.
             87           [ (10) ] (11) .H During the 2013 interim, the Health and Human Services Interim Committee
             88      shall:
             89          (a) hear or review the report described in Subsection (9); and


             90          (b) determine whether the pilot program described in this section should be converted
             91      into an ongoing program within the division.
             92          Section 2. Section 63I-1-262 is amended to read:
             93           63I-1-262. Repeal dates, Title 62A.
             94          (1) Section 62A-2-120.5 , Pilot program for expedited background check of a qualified
             95      human services applicant, is repealed July 1, 2012.
             96          (2) Section 62A-5-103.1 , Program for provision of supported employment services, is
             97      repealed July 1, 2013.
             98          (3) Section 62A-15-113 , Pilot program for assertive community mental health
             99      treatment, is repealed July 1, 2014.




Legislative Review Note
    as of 1-5-11 11:50 AM


Office of Legislative Research and General Counsel


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