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H.B. 57

             1     

MENTAL AND BEHAVIORAL HEALTH AMENDMENTS

             2     
2013 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Dean Sanpei

             5     
Senate Sponsor: Allen M. Christensen

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill modifies Title 17, Chapter 43, Local Human Services Act, and Title 62A,
             10      Chapter 15, Substance Abuse and Mental Health Act, by promoting integration of
             11      mental, behavioral, and physical healthcare.
             12      Highlighted Provisions:
             13          This bill:
             14          .    requires the Division of Substance Abuse and Mental Health to promote integrated
             15      programs that address an individual's substance abuse, mental health, and physical
             16      healthcare needs;
             17          .    requires local substance abuse and mental health authorities to cooperate with the
             18      Division of Substance Abuse and Mental Health in promoting the aforementioned
             19      programs;
             20          .    requires the Division of Substance Abuse and Mental Health to evaluate the
             21      effectiveness of integrated health programs;
             22          .    requires the Division of Substance Abuse and Mental Health to review and approve
             23      each local substance abuse and mental health authority's plan to ensure that services
             24      result in improved overall health and functioning;
             25          .    repeals language referring to the state board of substance abuse and mental health;
             26      and
             27          .    makes technical changes.


             28      Money Appropriated in this Bill:
             29          None
             30      Other Special Clauses:
             31          None
             32      Utah Code Sections Affected:
             33      AMENDS:
             34          17-43-201, as last amended by Laws of Utah 2009, Chapter 75
             35          17-43-301, as last amended by Laws of Utah 2009, Chapter 75
             36          17-43-305, as renumbered and amended by Laws of Utah 2003, Chapter 22
             37          62A-15-103, as last amended by Laws of Utah 2012, Chapter 242
             38          62A-15-612, as last amended by Laws of Utah 2003, Chapter 16
             39      REPEALS:
             40          62A-15-606, as renumbered and amended by Laws of Utah 2002, Fifth Special Session,
             41      Chapter 8
             42     
             43      Be it enacted by the Legislature of the state of Utah:
             44          Section 1. Section 17-43-201 is amended to read:
             45           17-43-201. Local substance abuse authorities -- Responsibilities.
             46          (1) (a) (i) In each county operating under a county executive-council form of
             47      government under Section 17-52-504 , the county legislative body is the local substance abuse
             48      authority, provided however that any contract for plan services shall be administered by the
             49      county executive.
             50          (ii) In each county operating under a council-manager form of government under
             51      Section 17-52-505 , the county manager is the local substance abuse authority.
             52          (iii) In each county other than a county described in Subsection (1)(a)(i) or (ii), the
             53      county legislative body is the local substance abuse authority.
             54          (b) Within legislative appropriations and county matching funds required by this
             55      section, and under the direction of the division, each local substance abuse authority shall:
             56          (i) develop substance abuse prevention and treatment services plans; [and]
             57          (ii) provide substance abuse services to residents of the county[.]; and
             58          (iii) cooperate with efforts of the Division of Substance Abuse and Mental Health to


             59      promote integrated programs that address an individual's substance abuse, mental health, and
             60      physical healthcare needs, as described in Section 62A-15-103 .
             61          (2) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
             62      Cooperation Act, two or more counties may join to provide substance abuse prevention and
             63      treatment services.
             64          (b) The legislative bodies of counties joining to provide services may establish
             65      acceptable ways of apportioning the cost of substance abuse services.
             66          (c) Each agreement for joint substance abuse services shall:
             67          (i) (A) designate the treasurer of one of the participating counties or another person as
             68      the treasurer for the combined substance abuse authorities and as the custodian of money
             69      available for the joint services; and
             70          (B) provide that the designated treasurer, or other disbursing officer authorized by the
             71      treasurer, may make payments from the money for the joint services upon audit of the
             72      appropriate auditing officer or officers representing the participating counties;
             73          (ii) provide for the appointment of an independent auditor or a county auditor of one of
             74      the participating counties as the designated auditing officer for the combined substance abuse
             75      authorities;
             76          (iii) (A) provide for the appointment of the county or district attorney of one of the
             77      participating counties as the designated legal officer for the combined substance abuse
             78      authorities; and
             79          (B) authorize the designated legal officer to request and receive the assistance of the
             80      county or district attorneys of the other participating counties in defending or prosecuting
             81      actions within their counties relating to the combined substance abuse authorities; and
             82          (iv) provide for the adoption of management, clinical, financial, procurement,
             83      personnel, and administrative policies as already established by one of the participating
             84      counties or as approved by the legislative body of each participating county or interlocal board.
             85          (d) An agreement for joint substance abuse services may provide for joint operation of
             86      services and facilities or for operation of services and facilities under contract by one
             87      participating local substance abuse authority for other participating local substance abuse
             88      authorities.
             89          (3) (a) Each local substance abuse authority is accountable to the department, the


             90      Department of Health, and the state with regard to the use of state and federal funds received
             91      from those departments for substance abuse services, regardless of whether the services are
             92      provided by a private contract provider.
             93          (b) Each local substance abuse authority shall comply, and require compliance by its
             94      contract provider, with all directives issued by the department and the Department of Health
             95      regarding the use and expenditure of state and federal funds received from those departments
             96      for the purpose of providing substance abuse programs and services. The department and
             97      Department of Health shall ensure that those directives are not duplicative or conflicting, and
             98      shall consult and coordinate with local substance abuse authorities with regard to programs and
             99      services.
             100          (4) Each local substance abuse authority shall:
             101          (a) review and evaluate substance abuse prevention and treatment needs and services,
             102      including substance abuse needs and services for individuals incarcerated in a county jail or
             103      other county correctional facility;
             104          (b) annually prepare and submit to the division a plan approved by the county
             105      legislative body for funding and service delivery that includes:
             106          (i) provisions for services, either directly by the substance abuse authority or by
             107      contract, for adults, youth, and children, including those incarcerated in a county jail or other
             108      county correctional facility; and
             109          (ii) primary prevention, targeted prevention, early intervention, and treatment services;
             110          (c) establish and maintain, either directly or by contract, programs licensed under Title
             111      62A, Chapter 2, Licensure of Programs and Facilities;
             112          (d) appoint directly or by contract a full or part time director for substance abuse
             113      programs, and prescribe the director's duties;
             114          (e) provide input and comment on new and revised rules established by the division;
             115          (f) establish and require contract providers to establish administrative, clinical,
             116      procurement, personnel, financial, and management policies regarding substance abuse services
             117      and facilities, in accordance with the rules of the division, and state and federal law;
             118          (g) establish mechanisms allowing for direct citizen input;
             119          (h) annually contract with the division to provide substance abuse programs and
             120      services in accordance with the provisions of Title 62A, Chapter 15, Substance Abuse and


             121      Mental Health Act;
             122          (i) comply with all applicable state and federal statutes, policies, audit requirements,
             123      contract requirements, and any directives resulting from those audits and contract requirements;
             124          (j) promote or establish programs for the prevention of substance abuse within the
             125      community setting through community-based prevention programs;
             126          (k) provide funding equal to at least 20% of the state funds that it receives to fund
             127      services described in the plan;
             128          (l) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
             129      Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Local Districts, and Title
             130      51, Chapter 2a, Accounting Reports from Political Subdivisions, Interlocal Organizations, and
             131      Other Local Entities Act;
             132          (m) for persons convicted of driving under the influence in violation of Section
             133      41-6a-502 or 41-6a-517 , conduct the following as defined in Section 41-6a-501 :
             134          (i) a screening;
             135          (ii) an assessment;
             136          (iii) an educational series; and
             137          (iv) substance abuse treatment; and
             138          (n) utilize proceeds of the accounts described in Subsection 62A-15-503 (1) to
             139      supplement the cost of providing the services described in Subsection (4)(m).
             140          (5) Before disbursing any public funds, each local substance abuse authority shall
             141      require that each entity that receives any public funds from the local substance abuse authority
             142      agrees in writing that:
             143          (a) the entity's financial records and other records relevant to the entity's performance
             144      of the services provided to the local substance abuse authority shall be subject to examination
             145      by:
             146          (i) the division;
             147          (ii) the local substance abuse authority director;
             148          (iii) (A) the county treasurer and county or district attorney; or
             149          (B) if two or more counties jointly provide substance abuse services under an
             150      agreement under Subsection (2), the designated treasurer and the designated legal officer;
             151          (iv) the county legislative body; and


             152          (v) in a county with a county executive that is separate from the county legislative
             153      body, the county executive;
             154          (b) the county auditor may examine and audit the entity's financial and other records
             155      relevant to the entity's performance of the services provided to the local substance abuse
             156      authority; and
             157          (c) the entity will comply with the provisions of Subsection (3)(b).
             158          (6) A local substance abuse authority may receive property, grants, gifts, supplies,
             159      materials, contributions, and any benefit derived therefrom, for substance abuse services. If
             160      those gifts are conditioned upon their use for a specified service or program, they shall be so
             161      used.
             162          (7) (a) As used in this section, "public funds" means the same as that term is defined in
             163      Section 17-43-203 .
             164          (b) Public funds received for the provision of services pursuant to the local substance
             165      abuse plan may not be used for any other purpose except those authorized in the contract
             166      between the local substance abuse authority and the provider for the provision of plan services.
             167          (8) Subject to the requirements of the federal Substance Abuse Prevention and
             168      Treatment Block Grant, Public Law 102-321, a local substance abuse authority shall ensure
             169      that all substance abuse treatment programs that receive public funds:
             170          (a) accept and provide priority for admission to a pregnant woman or a pregnant minor;
             171      and
             172          (b) if admission of a pregnant woman or a pregnant minor is not possible within 24
             173      hours of the time that a request for admission is made, provide a comprehensive referral for
             174      interim services that:
             175          (i) are accessible to the pregnant woman or pregnant minor;
             176          (ii) are best suited to provide services to the pregnant woman or pregnant minor;
             177          (iii) may include:
             178          (A) counseling;
             179          (B) case management; or
             180          (C) a support group; and
             181          (iv) shall include a referral for:
             182          (A) prenatal care; and


             183          (B) counseling on the effects of alcohol and drug use during pregnancy.
             184          (9) If a substance abuse treatment program described in Subsection (8) is not able to
             185      accept and admit a pregnant woman or pregnant minor under Subsection (8) within 48 hours of
             186      the time that request for admission is made, the local substance abuse authority shall contact
             187      the Division of Substance Abuse and Mental Health for assistance in providing services to the
             188      pregnant woman or pregnant minor.
             189          Section 2. Section 17-43-301 is amended to read:
             190           17-43-301. Local mental health authorities -- Responsibilities.
             191          (1) (a) (i) In each county operating under a county executive-council form of
             192      government under Section 17-52-504 , the county legislative body is the local mental health
             193      authority, provided however that any contract for plan services shall be administered by the
             194      county executive.
             195          (ii) In each county operating under a council-manager form of government under
             196      Section 17-52-505 , the county manager is the local mental health authority.
             197          (iii) In each county other than a county described in Subsection (1)(a)(i) or (ii), the
             198      county legislative body is the local mental health authority.
             199          (b) Within legislative appropriations and county matching funds required by this
             200      section, under the direction of the division, each local mental health authority shall:
             201          (i) provide mental health services to persons within the county[.]; and
             202          (ii) cooperate with efforts of the Division of Substance Abuse and Mental Health to
             203      promote integrated programs that address an individual's substance abuse, mental health, and
             204      physical healthcare needs, as described in Section 62A-15-103 .
             205          (2) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
             206      Cooperation Act, two or more counties may join to provide mental health prevention and
             207      treatment services.
             208          (b) The legislative bodies of counties joining to provide services may establish
             209      acceptable ways of apportioning the cost of mental health services.
             210          (c) Each agreement for joint mental health services shall:
             211          (i) (A) designate the treasurer of one of the participating counties or another person as
             212      the treasurer for the combined mental health authorities and as the custodian of money
             213      available for the joint services; and


             214          (B) provide that the designated treasurer, or other disbursing officer authorized by the
             215      treasurer, may make payments from the money available for the joint services upon audit of the
             216      appropriate auditing officer or officers representing the participating counties;
             217          (ii) provide for the appointment of an independent auditor or a county auditor of one of
             218      the participating counties as the designated auditing officer for the combined mental health
             219      authorities;
             220          (iii) (A) provide for the appointment of the county or district attorney of one of the
             221      participating counties as the designated legal officer for the combined mental health
             222      authorities; and
             223          (B) authorize the designated legal officer to request and receive the assistance of the
             224      county or district attorneys of the other participating counties in defending or prosecuting
             225      actions within their counties relating to the combined mental health authorities; and
             226          (iv) provide for the adoption of management, clinical, financial, procurement,
             227      personnel, and administrative policies as already established by one of the participating
             228      counties or as approved by the legislative body of each participating county or interlocal board.
             229          (d) An agreement for joint mental health services may provide for:
             230          (i) joint operation of services and facilities or for operation of services and facilities
             231      under contract by one participating local mental health authority for other participating local
             232      mental health authorities; and
             233          (ii) allocation of appointments of members of the mental health advisory council
             234      between or among participating counties.
             235          (3) (a) Each local mental health authority is accountable to the department, the
             236      Department of Health, and the state with regard to the use of state and federal funds received
             237      from those departments for mental health services, regardless of whether the services are
             238      provided by a private contract provider.
             239          (b) Each local mental health authority shall comply, and require compliance by its
             240      contract provider, with all directives issued by the department and the Department of Health
             241      regarding the use and expenditure of state and federal funds received from those departments
             242      for the purpose of providing mental health programs and services. The department and
             243      Department of Health shall ensure that those directives are not duplicative or conflicting, and
             244      shall consult and coordinate with local mental health authorities with regard to programs and


             245      services.
             246          (4) (a) Each local mental health authority shall:
             247          (i) review and evaluate mental health needs and services, including mental health needs
             248      and services for persons incarcerated in a county jail or other county correctional facility;
             249          (ii) as provided in Subsection (4)(b), annually prepare and submit to the division a plan
             250      approved by the county legislative body for mental health funding and service delivery, either
             251      directly by the local mental health authority or by contract;
             252          (iii) establish and maintain, either directly or by contract, programs licensed under Title
             253      62A, Chapter 2, Licensure of Programs and Facilities;
             254          (iv) appoint, directly or by contract, a full-time or part-time director for mental health
             255      programs and prescribe the director's duties;
             256          (v) provide input and comment on new and revised rules established by the division;
             257          (vi) establish and require contract providers to establish administrative, clinical,
             258      personnel, financial, procurement, and management policies regarding mental health services
             259      and facilities, in accordance with the rules of the division, and state and federal law;
             260          (vii) establish mechanisms allowing for direct citizen input;
             261          (viii) annually contract with the division to provide mental health programs and
             262      services in accordance with the provisions of Title 62A, Chapter 15, Substance Abuse and
             263      Mental Health Act;
             264          (ix) comply with all applicable state and federal statutes, policies, audit requirements,
             265      contract requirements, and any directives resulting from those audits and contract requirements;
             266          (x) provide funding equal to at least 20% of the state funds that it receives to fund
             267      services described in the plan;
             268          (xi) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
             269      Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Local Districts, and Title
             270      51, Chapter 2a, Accounting Reports from Political Subdivisions, Interlocal Organizations, and
             271      Other Local Entities Act; and
             272          (xii) take and retain physical custody of minors committed to the physical custody of
             273      local mental health authorities by a judicial proceeding under Title 62A, Chapter 15, Part 7,
             274      Commitment of Persons Under Age 18 to Division of Substance Abuse and Mental Health.
             275          (b) Each plan under Subsection (4)(a)(ii) shall include services for adults, youth, and


             276      children, which shall include:
             277          (i) inpatient care and services;
             278          (ii) residential care and services;
             279          (iii) outpatient care and services;
             280          (iv) 24-hour crisis care and services;
             281          (v) psychotropic medication management;
             282          (vi) psychosocial rehabilitation, including vocational training and skills development;
             283          (vii) case management;
             284          (viii) community supports, including in-home services, housing, family support
             285      services, and respite services;
             286          (ix) consultation and education services, including case consultation, collaboration
             287      with other county service agencies, public education, and public information; and
             288          (x) services to persons incarcerated in a county jail or other county correctional facility.
             289          (5) Before disbursing any public funds, each local mental health authority shall require
             290      that each entity that receives any public funds from a local mental health authority agrees in
             291      writing that:
             292          (a) the entity's financial records and other records relevant to the entity's performance
             293      of the services provided to the mental health authority shall be subject to examination by:
             294          (i) the division;
             295          (ii) the local mental health authority director;
             296          (iii) (A) the county treasurer and county or district attorney; or
             297          (B) if two or more counties jointly provide mental health services under an agreement
             298      under Subsection (2), the designated treasurer and the designated legal officer;
             299          (iv) the county legislative body; and
             300          (v) in a county with a county executive that is separate from the county legislative
             301      body, the county executive;
             302          (b) the county auditor may examine and audit the entity's financial and other records
             303      relevant to the entity's performance of the services provided to the local mental health
             304      authority; and
             305          (c) the entity will comply with the provisions of Subsection (3)(b).
             306          (6) A local mental health authority may receive property, grants, gifts, supplies,


             307      materials, contributions, and any benefit derived therefrom, for mental health services. If those
             308      gifts are conditioned upon their use for a specified service or program, they shall be so used.
             309          (7) (a) As used in this section, "public funds" means the same as that term is defined in
             310      Section 17-43-303 .
             311          (b) Public funds received for the provision of services pursuant to the local mental
             312      health plan may not be used for any other purpose except those authorized in the contract
             313      between the local mental health authority and the provider for the provision of plan services.
             314          Section 3. Section 17-43-305 is amended to read:
             315           17-43-305. Responsibility for cost of services provided by local mental health
             316      authority.
             317          If a local mental health authority, through its designated provider, provides any service
             318      described in Subsection 17-43-301 [(3)](4)(b) to a person who resides within the jurisdiction of
             319      another local mental health authority, the local mental health authority in whose jurisdiction the
             320      person resides is responsible for the cost of that service if its designated provider has
             321      authorized the provision of that service.
             322          Section 4. Section 62A-15-103 is amended to read:
             323           62A-15-103. Division -- Creation -- Responsibilities.
             324          (1) There is created the Division of Substance Abuse and Mental Health within the
             325      department, under the administration and general supervision of the executive director. The
             326      division is the substance abuse authority and the mental health authority for this state.
             327          (2) The division shall:
             328          (a) (i) educate the general public regarding the nature and consequences of substance
             329      abuse by promoting school and community-based prevention programs;
             330          (ii) render support and assistance to public schools through approved school-based
             331      substance abuse education programs aimed at prevention of substance abuse;
             332          (iii) promote or establish programs for the prevention of substance abuse within the
             333      community setting through community-based prevention programs;
             334          (iv) cooperate and assist other organizations and private treatment centers for substance
             335      abusers, by providing them with essential materials for furthering programs of prevention and
             336      rehabilitation of actual and potential substance abusers; [and]
             337          (v) promote integrated programs that address an individual's substance abuse, mental


             338      health, and physical healthcare needs;
             339          (vi) evaluate the effectiveness of programs described in Subsection (2);
             340          (vii) consider the impact of the programs described in Subsection (2) on:
             341          (A) emergency department utilization;
             342          (B) jail and prison populations;
             343          (C) the homeless population; and
             344          (D) the child welfare system; and
             345          [(v)] (viii) promote or establish programs for education and certification of instructors
             346      to educate persons convicted of driving under the influence of alcohol or drugs or driving with
             347      any measurable controlled substance in the body;
             348          (b) (i) collect and disseminate information pertaining to mental health;
             349          (ii) provide direction over the state hospital including approval of its budget,
             350      administrative policy, and coordination of services with local service plans;
             351          (iii) promulgate rules in accordance with Title 63G, Chapter 3, Utah Administrative
             352      Rulemaking Act, to educate families concerning mental illness and promote family
             353      involvement, when appropriate, and with patient consent, in the treatment program of a family
             354      member; and
             355          (iv) promulgate rules in accordance with Title 63G, Chapter 3, Utah Administrative
             356      Rulemaking Act, to direct that all individuals receiving services through local mental health
             357      authorities or the Utah State Hospital be informed about and, if desired, provided assistance in
             358      completion of a declaration for mental health treatment in accordance with Section
             359      62A-15-1002 ;
             360          (c) (i) consult and coordinate with local substance abuse authorities and local mental
             361      health authorities regarding programs and services;
             362          (ii) provide consultation and other assistance to public and private agencies and groups
             363      working on substance abuse and mental health issues;
             364          (iii) promote and establish cooperative relationships with courts, hospitals, clinics,
             365      medical and social agencies, public health authorities, law enforcement agencies, education and
             366      research organizations, and other related groups;
             367          (iv) promote or conduct research on substance abuse and mental health issues, and
             368      submit to the governor and the Legislature recommendations for changes in policy and


             369      legislation;
             370          (v) receive, distribute, and provide direction over public funds for substance abuse and
             371      mental health services;
             372          (vi) monitor and evaluate programs provided by local substance abuse authorities and
             373      local mental health authorities;
             374          (vii) examine expenditures of any local, state, and federal funds;
             375          (viii) monitor the expenditure of public funds by:
             376          (A) local substance abuse authorities;
             377          (B) local mental health authorities; and
             378          (C) in counties where they exist, the private contract provider that has an annual or
             379      otherwise ongoing contract to provide comprehensive substance abuse or mental health
             380      programs or services for the local substance abuse authority or local mental health authorities;
             381          (ix) contract with local substance abuse authorities and local mental health authorities
             382      to provide a comprehensive continuum of services in accordance with division policy, contract
             383      provisions, and the local plan;
             384          (x) contract with private and public entities for special statewide or nonclinical services
             385      according to division rules;
             386          (xi) review and approve each local substance abuse authority's plan and each local
             387      mental health authority's plan in order to ensure:
             388          (A) a statewide comprehensive continuum of substance abuse services;
             389          (B) a statewide comprehensive continuum of mental health services; [and]
             390          (C) services result in improved overall health and functioning; and
             391          [(C)] (D) appropriate expenditure of public funds;
             392          (xii) review and make recommendations regarding each local substance abuse
             393      authority's contract with its provider of substance abuse programs and services and each local
             394      mental health authority's contract with its provider of mental health programs and services to
             395      ensure compliance with state and federal law and policy;
             396          (xiii) monitor and ensure compliance with division rules and contract requirements;
             397      and
             398          (xiv) withhold funds from local substance abuse authorities, local mental health
             399      authorities, and public and private providers for contract noncompliance, failure to comply


             400      with division directives regarding the use of public funds, or for misuse of public funds or
             401      money;
             402          (d) assure that the requirements of this part are met and applied uniformly by local
             403      substance abuse authorities and local mental health authorities across the state;
             404          (e) require each local substance abuse authority and each local mental health authority
             405      to submit its plan to the division by May 1 of each year;
             406          (f) conduct an annual program audit and review of each local substance abuse authority
             407      in the state and its contract provider and each local mental health authority in the state and its
             408      contract provider, including:
             409          (i) a review and determination regarding whether:
             410          (A) public funds allocated to local substance abuse authorities and local mental health
             411      authorities are consistent with services rendered and outcomes reported by them or their
             412      contract providers; and
             413          (B) each local substance abuse authority and each local mental health authority is
             414      exercising sufficient oversight and control over public funds allocated for substance abuse and
             415      mental health programs and services; and
             416          (ii) items determined by the division to be necessary and appropriate;
             417          (g) by July 1 of each year, provide to the Health and Human Services Interim
             418      Committee and the Social Services Appropriations Subcommittee a written report that
             419      includes:
             420          (i) the annual audit and review;
             421          (ii) the financial expenditures of each local substance abuse authority and its contract
             422      provider and each local mental health authority and its contract provider;
             423          (iii) the status of the compliance of each local authority and its contract provider with
             424      its plan, state statutes, and the provisions of the contract awarded; and
             425          (iv) whether audit guidelines established under Section 62A-15-110 and Subsection
             426      67-3-1 (10) provide the division with sufficient criteria and assurances of appropriate
             427      expenditures of public funds; and
             428          (h) if requested by the Health and Human Services Interim Committee or the Social
             429      Services Appropriations Subcommittee, provide an oral report as requested.
             430          (3) (a) The division may refuse to contract with and may pursue its legal remedies


             431      against any local substance abuse authority or local mental health authority that fails, or has
             432      failed, to expend public funds in accordance with state law, division policy, contract
             433      provisions, or directives issued in accordance with state law.
             434          (b) The division may withhold funds from a local substance abuse authority or local
             435      mental health authority if the authority's contract with its provider of substance abuse or mental
             436      health programs or services fails to comply with state and federal law or policy.
             437          (4) Before reissuing or renewing a contract with any local substance abuse authority or
             438      local mental health authority, the division shall review and determine whether the local
             439      substance abuse authority or local mental health authority is complying with its oversight and
             440      management responsibilities described in Sections 17-43-201 , 17-43-203 , 17-43-303 , and
             441      17-43-309 . Nothing in this Subsection (4) may be used as a defense to the responsibility and
             442      liability described in Section 17-43-303 and to the responsibility and liability described in
             443      Section 17-43-203 .
             444          (5) In carrying out its duties and responsibilities, the division may not duplicate
             445      treatment or educational facilities that exist in other divisions or departments of the state, but
             446      shall work in conjunction with those divisions and departments in rendering the treatment or
             447      educational services that those divisions and departments are competent and able to provide.
             448          (6) (a) The division may accept in the name of and on behalf of the state donations,
             449      gifts, devises, or bequests of real or personal property or services to be used as specified by the
             450      donor.
             451          (b) Those donations, gifts, devises, or bequests shall be used by the division in
             452      performing its powers and duties. Any money so obtained shall be considered private funds
             453      and shall be deposited into an interest-bearing restricted special revenue fund to be used by the
             454      division for substance abuse or mental health services. The state treasurer may invest the fund
             455      and all interest shall remain with the fund.
             456          (7) The division shall annually review with each local substance abuse authority and
             457      each local mental health authority the authority's statutory and contract responsibilities
             458      regarding:
             459          (a) the use of public funds;
             460          (b) oversight responsibilities regarding public funds; and
             461          (c) governance of substance abuse and mental health programs and services.


             462          (8) The Legislature may refuse to appropriate funds to the division upon the division's
             463      failure to comply with the provisions of this part.
             464          (9) If a local substance abuse authority contacts the division under Subsection
             465      17-43-201 (9) for assistance in providing treatment services to a pregnant woman or pregnant
             466      minor, the division shall:
             467          (a) refer the pregnant woman or pregnant minor to a treatment facility that has the
             468      capacity to provide the treatment services; or
             469          (b) otherwise ensure that treatment services are made available to the pregnant woman
             470      or pregnant minor.
             471          Section 5. Section 62A-15-612 is amended to read:
             472           62A-15-612. Allocation of pediatric state hospital beds -- Formula.
             473          (1) As used in this section:
             474          [(b)] (a) "Mental health catchment area" means a county or group of counties governed
             475      by a local mental health authority.
             476          [(a)] (b) "Pediatric beds" means the total number of patient beds located in the
             477      children's unit and the youth units at the state hospital, as determined by the superintendent of
             478      the state hospital.
             479          (2) [The board shall establish by rule a formula to separately allocate to local mental
             480      health authorities pediatric beds for persons who meet the requirements of Subsection
             481      62A-15-610 (2)(b).] On July 1, 1996, 72 pediatric beds shall be allocated to local mental health
             482      authorities under this section. [That number shall be reviewed and adjusted] The division shall
             483      review and adjust the number of pediatric beds as necessary every three years according to the
             484      state's population of persons under 18 years of age. All population figures utilized shall reflect
             485      the most recent available population estimates from the Governor's Office of Planning and
             486      Budget.
             487          (3) [The formula established under Subsection (2) becomes effective on July 1, 1996,
             488      and shall provide for] The allocation of beds shall be based on the percentage of the state's
             489      population of persons under the age of 18 located within a mental health catchment area. Each
             490      community mental health center shall be allocated at least one bed.
             491          (4) A local mental health authority may sell or loan its allocation of beds to another
             492      local mental health authority.


             493          (5) The division shall allocate 72 pediatric beds at the state hospital to local mental
             494      health authorities for their use in accordance with the formula established under this section. If
             495      a local mental health authority is unable to access a bed allocated to it under that formula, the
             496      division shall provide that local mental health authority with funding equal to the reasonable,
             497      average daily cost of an acute care bed purchased by the local mental health authority.
             498          [(6) The board shall periodically review and make changes in the formula established
             499      under Subsection (2) as necessary to accurately reflect changes in the state's population.]
             500          Section 6. Repealer.
             501          This bill repeals:
             502          Section 62A-15-606, Board -- Rulemaking authority -- Administration by division.




Legislative Review Note
    as of 12-14-12 10:47 AM


Office of Legislative Research and General Counsel


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