H.B. 21

This document includes House Floor Amendments incorporated into the bill on Mon, Feb 3, 2014 at 12:01 PM by lerror. -->              1     

SYSTEM OF CARE FOR MINORS IN STATE CUSTODY

             2     
2014 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Dean Sanpei

             5     
Senate Sponsor: Allen M. Christensen

             6     
             7      LONG TITLE
             8      Committee Note:
             9          The Health Reform Task Force recommended this bill.
             10      General Description:
             11          This bill modifies Title 17, Chapter 43, Local Human Services Act, and Title 62A, Utah
             12      Human Services Code, by promoting a system of care for a minor with or at risk for
             13      complex emotional and behavioral needs.
             14      Highlighted Provisions:
             15          This bill:
             16          .    defines system of care;
             17          .    requires the executive director of the Department of Human Services to establish a
             18      system of care for minors with or at risk for complex emotional and behavioral
             19      needs; and
             20          .    requires local substance abuse and mental health authorities to cooperate with the
             21      Department of Human Services in promoting the H. [ the ] .H system of care model.
             22      Money Appropriated in this Bill:
             23          None
             24      Other Special Clauses:
             25          None
             26      Utah Code Sections Affected:
             27      AMENDS:


             28           17-43-201 , as last amended by Laws of Utah 2013, Chapter 17
             29           17-43-301 , as last amended by Laws of Utah 2013, Chapter 17
             30           62A-1-104 , as last amended by Laws of Utah 1990, Chapter 183
             31           62A-1-111 , as last amended by Laws of Utah 2012, Chapters 212 and 316
             32     
             33      Be it enacted by the Legislature of the state of Utah:
             34          Section 1. Section 17-43-201 is amended to read:
             35           17-43-201. Local substance abuse authorities -- Responsibilities.
             36          (1) (a) (i) In each county operating under a county executive-council form of
             37      government under Section 17-52-504 , the county legislative body is the local substance abuse
             38      authority, provided however that any contract for plan services shall be administered by the
             39      county executive.
             40          (ii) In each county operating under a council-manager form of government under
             41      Section 17-52-505 , the county manager is the local substance abuse authority.
             42          (iii) In each county other than a county described in Subsection (1)(a)(i) or (ii), the
             43      county legislative body is the local substance abuse authority.
             44          (b) Within legislative appropriations and county matching funds required by this
             45      section, and under the direction of the division, each local substance abuse authority shall:
             46          (i) develop substance abuse prevention and treatment services plans;
             47          (ii) provide substance abuse services to residents of the county; and
             48          (iii) cooperate with efforts of the Division of Substance Abuse and Mental Health to
             49      promote integrated programs that address an individual's substance abuse, mental health, and
             50      physical healthcare needs, as described in Section 62A-15-103 .
             51          (c) Within legislative appropriations and county matching funds required by this
             52      section, each local substance abuse authority shall cooperate with the efforts of the Department
             53      of Human Services to promote a system of care, as defined in Section 62A-1-104 , for minors
             54      with or at risk for complex emotional and behavioral needs, as described in Section 62A-1-111 .
             55          (2) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
             56      Cooperation Act, two or more counties may join to provide substance abuse prevention and
             57      treatment services.
             58          (b) The legislative bodies of counties joining to provide services may establish


             59      acceptable ways of apportioning the cost of substance abuse services.
             60          (c) Each agreement for joint substance abuse services shall:
             61          (i) (A) designate the treasurer of one of the participating counties or another person as
             62      the treasurer for the combined substance abuse authorities and as the custodian of money
             63      available for the joint services; and
             64          (B) provide that the designated treasurer, or other disbursing officer authorized by the
             65      treasurer, may make payments from the money for the joint services upon audit of the
             66      appropriate auditing officer or officers representing the participating counties;
             67          (ii) provide for the appointment of an independent auditor or a county auditor of one of
             68      the participating counties as the designated auditing officer for the combined substance abuse
             69      authorities;
             70          (iii) (A) provide for the appointment of the county or district attorney of one of the
             71      participating counties as the designated legal officer for the combined substance abuse
             72      authorities; and
             73          (B) authorize the designated legal officer to request and receive the assistance of the
             74      county or district attorneys of the other participating counties in defending or prosecuting
             75      actions within their counties relating to the combined substance abuse authorities; and
             76          (iv) provide for the adoption of management, clinical, financial, procurement,
             77      personnel, and administrative policies as already established by one of the participating
             78      counties or as approved by the legislative body of each participating county or interlocal board.
             79          (d) An agreement for joint substance abuse services may provide for joint operation of
             80      services and facilities or for operation of services and facilities under contract by one
             81      participating local substance abuse authority for other participating local substance abuse
             82      authorities.
             83          (3) (a) Each local substance abuse authority is accountable to the department, the
             84      Department of Health, and the state with regard to the use of state and federal funds received
             85      from those departments for substance abuse services, regardless of whether the services are
             86      provided by a private contract provider.
             87          (b) Each local substance abuse authority shall comply, and require compliance by its
             88      contract provider, with all directives issued by the department and the Department of Health
             89      regarding the use and expenditure of state and federal funds received from those departments


             90      for the purpose of providing substance abuse programs and services. The department and
             91      Department of Health shall ensure that those directives are not duplicative or conflicting, and
             92      shall consult and coordinate with local substance abuse authorities with regard to programs and
             93      services.
             94          (4) Each local substance abuse authority shall:
             95          (a) review and evaluate substance abuse prevention and treatment needs and services,
             96      including substance abuse needs and services for individuals incarcerated in a county jail or
             97      other county correctional facility;
             98          (b) annually prepare and submit to the division a plan approved by the county
             99      legislative body for funding and service delivery that includes:
             100          (i) provisions for services, either directly by the substance abuse authority or by
             101      contract, for adults, youth, and children, including those incarcerated in a county jail or other
             102      county correctional facility; and
             103          (ii) primary prevention, targeted prevention, early intervention, and treatment services;
             104          (c) establish and maintain, either directly or by contract, programs licensed under Title
             105      62A, Chapter 2, Licensure of Programs and Facilities;
             106          (d) appoint directly or by contract a full or part time director for substance abuse
             107      programs, and prescribe the director's duties;
             108          (e) provide input and comment on new and revised rules established by the division;
             109          (f) establish and require contract providers to establish administrative, clinical,
             110      procurement, personnel, financial, and management policies regarding substance abuse services
             111      and facilities, in accordance with the rules of the division, and state and federal law;
             112          (g) establish mechanisms allowing for direct citizen input;
             113          (h) annually contract with the division to provide substance abuse programs and
             114      services in accordance with the provisions of Title 62A, Chapter 15, Substance Abuse and
             115      Mental Health Act;
             116          (i) comply with all applicable state and federal statutes, policies, audit requirements,
             117      contract requirements, and any directives resulting from those audits and contract requirements;
             118          (j) promote or establish programs for the prevention of substance abuse within the
             119      community setting through community-based prevention programs;
             120          (k) provide funding equal to at least 20% of the state funds that it receives to fund


             121      services described in the plan;
             122          (l) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
             123      Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Local Districts, and Title
             124      51, Chapter 2a, Accounting Reports from Political Subdivisions, Interlocal Organizations, and
             125      Other Local Entities Act;
             126          (m) for persons convicted of driving under the influence in violation of Section
             127      41-6a-502 or 41-6a-517 , conduct the following as defined in Section 41-6a-501 :
             128          (i) a screening;
             129          (ii) an assessment;
             130          (iii) an educational series; and
             131          (iv) substance abuse treatment; and
             132          (n) utilize proceeds of the accounts described in Subsection 62A-15-503 (1) to
             133      supplement the cost of providing the services described in Subsection (4)(m).
             134          (5) Before disbursing any public funds, each local substance abuse authority shall
             135      require that each entity that receives any public funds from the local substance abuse authority
             136      agrees in writing that:
             137          (a) the entity's financial records and other records relevant to the entity's performance
             138      of the services provided to the local substance abuse authority shall be subject to examination
             139      by:
             140          (i) the division;
             141          (ii) the local substance abuse authority director;
             142          (iii) (A) the county treasurer and county or district attorney; or
             143          (B) if two or more counties jointly provide substance abuse services under an
             144      agreement under Subsection (2), the designated treasurer and the designated legal officer;
             145          (iv) the county legislative body; and
             146          (v) in a county with a county executive that is separate from the county legislative
             147      body, the county executive;
             148          (b) the county auditor may examine and audit the entity's financial and other records
             149      relevant to the entity's performance of the services provided to the local substance abuse
             150      authority; and
             151          (c) the entity will comply with the provisions of Subsection (3)(b).


             152          (6) A local substance abuse authority may receive property, grants, gifts, supplies,
             153      materials, contributions, and any benefit derived therefrom, for substance abuse services. If
             154      those gifts are conditioned upon their use for a specified service or program, they shall be so
             155      used.
             156          (7) (a) As used in this section, "public funds" means the same as that term is defined in
             157      Section 17-43-203 .
             158          (b) Public funds received for the provision of services pursuant to the local substance
             159      abuse plan may not be used for any other purpose except those authorized in the contract
             160      between the local substance abuse authority and the provider for the provision of plan services.
             161          (8) Subject to the requirements of the federal Substance Abuse Prevention and
             162      Treatment Block Grant, Public Law 102-321, a local substance abuse authority shall ensure
             163      that all substance abuse treatment programs that receive public funds:
             164          (a) accept and provide priority for admission to a pregnant woman or a pregnant minor;
             165      and
             166          (b) if admission of a pregnant woman or a pregnant minor is not possible within 24
             167      hours of the time that a request for admission is made, provide a comprehensive referral for
             168      interim services that:
             169          (i) are accessible to the pregnant woman or pregnant minor;
             170          (ii) are best suited to provide services to the pregnant woman or pregnant minor;
             171          (iii) may include:
             172          (A) counseling;
             173          (B) case management; or
             174          (C) a support group; and
             175          (iv) shall include a referral for:
             176          (A) prenatal care; and
             177          (B) counseling on the effects of alcohol and drug use during pregnancy.
             178          (9) If a substance abuse treatment program described in Subsection (8) is not able to
             179      accept and admit a pregnant woman or pregnant minor under Subsection (8) within 48 hours of
             180      the time that request for admission is made, the local substance abuse authority shall contact
             181      the Division of Substance Abuse and Mental Health for assistance in providing services to the
             182      pregnant woman or pregnant minor.


             183          Section 2. Section 17-43-301 is amended to read:
             184           17-43-301. Local mental health authorities -- Responsibilities.
             185          (1) (a) (i) In each county operating under a county executive-council form of
             186      government under Section 17-52-504 , the county legislative body is the local mental health
             187      authority, provided however that any contract for plan services shall be administered by the
             188      county executive.
             189          (ii) In each county operating under a council-manager form of government under
             190      Section 17-52-505 , the county manager is the local mental health authority.
             191          (iii) In each county other than a county described in Subsection (1)(a)(i) or (ii), the
             192      county legislative body is the local mental health authority.
             193          (b) Within legislative appropriations and county matching funds required by this
             194      section, under the direction of the division, each local mental health authority shall:
             195          (i) provide mental health services to persons within the county; and
             196          (ii) cooperate with efforts of the Division of Substance Abuse and Mental Health to
             197      promote integrated programs that address an individual's substance abuse, mental health, and
             198      physical healthcare needs, as described in Section 62A-15-103 .
             199          (c) Within legislative appropriations and county matching funds required by this
             200      section, each local H. [ substance abuse ] mental health .H authority shall cooperate with the
             200a      efforts of the Department
             201      of Human Services to promote a system of care, as defined in Section 62A-1-104 , for minors
             202      with or at risk for complex emotional and behavioral needs, as described in Section 62A-1-111 .
             203          (2) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
             204      Cooperation Act, two or more counties may join to provide mental health prevention and
             205      treatment services.
             206          (b) The legislative bodies of counties joining to provide services may establish
             207      acceptable ways of apportioning the cost of mental health services.
             208          (c) Each agreement for joint mental health services shall:
             209          (i) (A) designate the treasurer of one of the participating counties or another person as
             210      the treasurer for the combined mental health authorities and as the custodian of money
             211      available for the joint services; and
             212          (B) provide that the designated treasurer, or other disbursing officer authorized by the
             213      treasurer, may make payments from the money available for the joint services upon audit of the


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


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


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


             307          (7) (a) As used in this section, "public funds" means the same as that term is defined in
             308      Section 17-43-303 .
             309          (b) Public funds received for the provision of services pursuant to the local mental
             310      health plan may not be used for any other purpose except those authorized in the contract
             311      between the local mental health authority and the provider for the provision of plan services.
             312          Section 3. Section 62A-1-104 is amended to read:
             313           62A-1-104. Definitions.
             314          (1) As used in this title:
             315          (a) "Concurrence of the board" means agreement by a majority of the members of a
             316      board.
             317          (b) "Department" means the Department of Human Services established in Section
             318      62A-1-102 .
             319          (c) "Executive director" means the executive director of the department, appointed
             320      pursuant to Section 62A-1-108 .
             321          (d) "System of care" means a broad, flexible array of services and supports for minors
             322      with or at risk for complex emotional and behavioral needs that:
             323          (i) is community based;
             324          (ii) integrates service planning, service coordination, and management across state and
             325      local entities;
             326          (iii) includes individualized, person-centered planning;
             327          (iv) builds meaningful partnerships with families and children; and
             328          (v) provides supportive management and policy infrastructure that is organized into a
             329      coordinated network.
             330          (2) The definitions provided in Subsection (1) are to be applied in addition to
             331      definitions contained throughout this title which are applicable to specific chapters or parts.
             332          Section 4. Section 62A-1-111 is amended to read:
             333           62A-1-111. Department authority.
             334          The department may, in addition to all other authority and responsibility granted to it by
             335      law:
             336          (1) adopt rules, not inconsistent with law, as the department may consider necessary or
             337      desirable for providing social services to the people of this state;


             338          (2) establish and manage client trust accounts in the department's institutions and
             339      community programs, at the request of the client or the client's legal guardian or representative,
             340      or in accordance with federal law;
             341          (3) purchase, as authorized or required by law, services that the department is
             342      responsible to provide for legally eligible persons;
             343          (4) conduct adjudicative proceedings for clients and providers in accordance with the
             344      procedures of Title 63G, Chapter 4, Administrative Procedures Act;
             345          (5) establish eligibility standards for its programs, not inconsistent with state or federal
             346      law or regulations;
             347          (6) take necessary steps, including legal action, to recover money or the monetary value
             348      of services provided to a recipient who was not eligible;
             349          (7) set and collect fees for its services;
             350          (8) license agencies, facilities, and programs, except as otherwise allowed, prohibited,
             351      or limited by law;
             352          (9) acquire, manage, and dispose of any real or personal property needed or owned by
             353      the department, not inconsistent with state law;
             354          (10) receive gifts, grants, devises, and donations; gifts, grants, devises, donations, or
             355      the proceeds thereof, may be credited to the program designated by the donor, and may be used
             356      for the purposes requested by the donor, as long as the request conforms to state and federal
             357      policy; all donated funds shall be considered private, nonlapsing funds and may be invested
             358      under guidelines established by the state treasurer;
             359          (11) accept and employ volunteer labor or services; the department is authorized to
             360      reimburse volunteers for necessary expenses, when the department considers that
             361      reimbursement to be appropriate;
             362          (12) carry out the responsibility assigned in the Workforce Services Plan by the State
             363      Council on Workforce Services;
             364          (13) carry out the responsibility assigned by Section 35A-8-602 with respect to
             365      coordination of services for the homeless;
             366          (14) carry out the responsibility assigned by Section 62A-5a-105 with respect to
             367      coordination of services for students with a disability;
             368          (15) provide training and educational opportunities for its staff;


             369          (16) collect child support payments and any other money due to the department;
             370          (17) apply the provisions of Title 78B, Chapter 12, Utah Child Support Act, to parents
             371      whose child lives out of the home in a department licensed or certified setting;
             372          (18) establish policy and procedures, within appropriations authorized by the
             373      Legislature, in cases where the department is given custody of a minor by the juvenile court
             374      pursuant to Section 78A-6-117 or ordered to prepare an attainment plan for a minor found not
             375      competent to proceed pursuant to Section 78A-6-1301 ; any policy and procedures shall
             376      include:
             377          (a) designation of interagency teams for each juvenile court district in the state;
             378          (b) delineation of assessment criteria and procedures;
             379          (c) minimum requirements, and timeframes, for the development and implementation
             380      of a collaborative service plan for each minor placed in department custody; and
             381          (d) provisions for submittal of the plan and periodic progress reports to the court;
             382          (19) carry out the responsibilities assigned to it by statute;
             383          (20) examine and audit the expenditures of any public funds provided to local
             384      substance abuse authorities, local mental health authorities, local area agencies on aging, and
             385      any person, agency, or organization that contracts with or receives funds from those authorities
             386      or agencies. Those local authorities, area agencies, and any person or entity that contracts with
             387      or receives funds from those authorities or area agencies, shall provide the department with any
             388      information the department considers necessary. The department is further authorized to issue
             389      directives resulting from any examination or audit to local authorities, area agencies, and
             390      persons or entities that contract with or receive funds from those authorities with regard to any
             391      public funds. If the department determines that it is necessary to withhold funds from a local
             392      mental health authority or local substance abuse authority based on failure to comply with state
             393      or federal law, policy, or contract provisions, it may take steps necessary to ensure continuity of
             394      services. For purposes of this Subsection (20) "public funds" means the same as that term is
             395      defined in Section 62A-15-102 ; [and]
             396          (21) pursuant to Subsection 62A-2-106 (1)(d), accredit one or more agencies and
             397      persons to provide intercountry adoption services[.]; and
             398          (22) within appropriations authorized by the Legislature, promote and develop a
             399      system of care, as defined in Section 62A-1-104 , within the department and with contractors


             400      that provide services to the department or any of the department's divisions.




Legislative Review Note
    as of 11-21-13 5:20 PM


Office of Legislative Research and General Counsel


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