1     
CRISIS SERVICES AMENDMENTS

2     
2020 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Steve Eliason

5     
Senate Sponsor: Daniel W. Thatcher

6     

7     LONG TITLE
8     General Description:
9          This bill relates to crisis response treatment and resources.
10     Highlighted Provisions:
11          This bill:
12          ▸     defines terms;
13          ▸     changes the name of the "Mental Health Crisis Line Commission" to the
14     "Behavioral Health Crisis Response Commission";
15          ▸     modifies the membership of the Behavioral Health Crisis Response Commission;
16          ▸     expands the mobile crisis outreach team grant program to fund additional mobile
17     crisis outreach teams in certain counties;
18          ▸     requires the Division of Substance Abuse and Mental Health to administer a grant
19     program for the development of a behavioral health receiving center;
20          ▸     directs the Department of Health to:
21               •     apply for a waiver or a state plan amendment with Medicaid to offer a program
22     to provide reimbursement for certain services that are provided in a behavioral
23     health receiving center at a bundled daily rate;
24               •     if the waiver or state plan amendment is approved, require a managed care
25     organization that contracts with Medicaid to provide reimbursement for certain
26     services that are provided in a behavioral health receiving center; and
27               •     consult with accountable care organizations and counties when determining
28     whether to integrate payment for certain services that are provided in a
29     behavioral health receiving center;

30          ▸     requires the Department of Human Services to establish a statewide stabilization
31     services plan and standards for providing stabilization services to a child;
32          ▸     requires the Division of Substance Abuse and Mental Health to implement a
33     statewide warm line;
34          ▸     requires the Behavioral Health Crisis Response Commission to study and make
35     recommendations regarding implementation of the statewide warm line; and
36          ▸     makes technical changes.
37     Money Appropriated in this Bill:
38          This bill appropriates in fiscal year 2021:
39          ▸     to Department of Human Services -- Division of Substance Abuse and Mental
40     Health -- Community Mental Health Services, as an ongoing appropriation:
41               •     From General Fund, $10,460,000;
42          ▸     to Department of Human Services -- Division of Substance Abuse and Mental
43     Health -- Community Mental Health Services, as a one-time appropriation:
44               •     From General Fund, One-time, $5,652,000;
45          ▸     to Governor's Office -- Suicide Prevention -- Suicide Prevention, as an ongoing
46     appropriation:
47               •     from General Fund, $100,000; and
48          ▸     to University of Utah -- SafeUT Crisis Text and Tip Line -- SafeUT Operations, as
49     an ongoing appropriation:
50               •     from General Fund, $250,000.
51     Other Special Clauses:
52          None
53     Utah Code Sections Affected:
54     AMENDS:
55          17-43-301, as last amended by Laws of Utah 2019, Chapter 256
56          26-18-418, as last amended by Laws of Utah 2019, Chapter 393
57          62A-1-104, as last amended by Laws of Utah 2018, Chapter 147

58          62A-1-111, as last amended by Laws of Utah 2018, Chapter 200
59          62A-15-102, as last amended by Laws of Utah 2018, Chapter 414
60          62A-15-116, as last amended by Laws of Utah 2019, Chapter 446
61          62A-15-1301, as enacted by Laws of Utah 2018, Chapter 407
62          62A-15-1302, as enacted by Laws of Utah 2018, Chapter 407
63          62A-15-1303, as enacted by Laws of Utah 2018, Chapter 407
64          62A-15-1401, as enacted by Laws of Utah 2018, Chapter 84
65          63C-18-101, as enacted by Laws of Utah 2017, Chapter 23
66          63C-18-102, as enacted by Laws of Utah 2017, Chapter 23
67          63C-18-202, as enacted by Laws of Utah 2017, Chapter 23
68          63C-18-203, as last amended by Laws of Utah 2018, Chapters 84 and 407
69          63I-1-226, as last amended by Laws of Utah 2019, Chapters 67, 136, 246, 289, 455 and
70     last amended by Coordination Clause, Laws of Utah 2019, Chapter 246
71          63I-1-262, as last amended by Laws of Utah 2019, Chapters 246, 257, 440 and last
72     amended by Coordination Clause, Laws of Utah 2019, Chapter 246
73          63I-1-263, as last amended by Laws of Utah 2019, Chapters 89, 246, 311, 414, 468,
74     469, 482 and last amended by Coordination Clause, Laws of Utah 2019, Chapter
75     246
76     ENACTS:
77          62A-15-118, Utah Code Annotated 1953
78          26-18-420, Utah Code Annotated 1953
79     

80     Be it enacted by the Legislature of the state of Utah:
81          Section 1. Section 17-43-301 is amended to read:
82          17-43-301. Local mental health authorities -- Responsibilities.
83          (1) As used in this section:
84          (a) "Assisted outpatient treatment" means the same as that term is defined in Section
85     62A-15-602.

86          (b) "Crisis worker" means the same as that term is defined in Section 62A-15-1301.
87          (c) "Local mental health crisis line" means the same as that term is defined in Section
88     [63C-18-102] 62A-15-1301.
89          (d) "Mental health therapist" means the same as that term is defined in Section
90     58-60-102.
91          (e) "Public funds" means the same as that term is defined in Section 17-43-303.
92          (f) "Statewide mental health crisis line" means the same as that term is defined in
93     Section [63C-18-102] 62A-15-1301.
94          (2) (a) (i) In each county operating under a county executive-council form of
95     government under Section 17-52a-203, the county legislative body is the local mental health
96     authority, provided however that any contract for plan services shall be administered by the
97     county executive.
98          (ii) In each county operating under a council-manager form of government under
99     Section 17-52a-204, the county manager is the local mental health authority.
100          (iii) In each county other than a county described in Subsection (2)(a)(i) or (ii), the
101     county legislative body is the local mental health authority.
102          (b) Within legislative appropriations and county matching funds required by this
103     section, under the direction of the division, each local mental health authority shall:
104          (i) provide mental health services to individuals within the county; and
105          (ii) cooperate with efforts of the Division of Substance Abuse and Mental Health to
106     promote integrated programs that address an individual's substance abuse, mental health, and
107     physical healthcare needs, as described in Section 62A-15-103.
108          (c) Within legislative appropriations and county matching funds required by this
109     section, each local mental health authority shall cooperate with the efforts of the Department of
110     Human Services to promote a system of care, as defined in Section 62A-1-104, for minors with
111     or at risk for complex emotional and behavioral needs, as described in Section 62A-1-111.
112          (3) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
113     Cooperation Act, two or more counties may join to:

114          (i) provide mental health prevention and treatment services; or
115          (ii) create a united local health department that combines substance abuse treatment
116     services, mental health services, and local health department services in accordance with
117     Subsection (4).
118          (b) The legislative bodies of counties joining to provide services may establish
119     acceptable ways of apportioning the cost of mental health services.
120          (c) Each agreement for joint mental health services shall:
121          (i) (A) designate the treasurer of one of the participating counties or another person as
122     the treasurer for the combined mental health authorities and as the custodian of money
123     available for the joint services; and
124          (B) provide that the designated treasurer, or other disbursing officer authorized by the
125     treasurer, may make payments from the money available for the joint services upon audit of the
126     appropriate auditing officer or officers representing the participating counties;
127          (ii) provide for the appointment of an independent auditor or a county auditor of one of
128     the participating counties as the designated auditing officer for the combined mental health
129     authorities;
130          (iii) (A) provide for the appointment of the county or district attorney of one of the
131     participating counties as the designated legal officer for the combined mental health
132     authorities; and
133          (B) authorize the designated legal officer to request and receive the assistance of the
134     county or district attorneys of the other participating counties in defending or prosecuting
135     actions within their counties relating to the combined mental health authorities; and
136          (iv) provide for the adoption of management, clinical, financial, procurement,
137     personnel, and administrative policies as already established by one of the participating
138     counties or as approved by the legislative body of each participating county or interlocal board.
139          (d) An agreement for joint mental health services may provide for:
140          (i) joint operation of services and facilities or for operation of services and facilities
141     under contract by one participating local mental health authority for other participating local

142     mental health authorities; and
143          (ii) allocation of appointments of members of the mental health advisory council
144     between or among participating counties.
145          (4) A county governing body may elect to combine the local mental health authority
146     with the local substance abuse authority created in Part 2, Local Substance Abuse Authorities,
147     and the local health department created in Title 26A, Chapter 1, Part 1, Local Health
148     Department Act, to create a united local health department under Section 26A-1-105.5. A local
149     mental health authority that joins with a united local health department shall comply with this
150     part.
151          (5) (a) Each local mental health authority is accountable to the department, the
152     Department of Health, and the state with regard to the use of state and federal funds received
153     from those departments for mental health services, regardless of whether the services are
154     provided by a private contract provider.
155          (b) Each local mental health authority shall comply, and require compliance by its
156     contract provider, with all directives issued by the department and the Department of Health
157     regarding the use and expenditure of state and federal funds received from those departments
158     for the purpose of providing mental health programs and services. The department and
159     Department of Health shall ensure that those directives are not duplicative or conflicting, and
160     shall consult and coordinate with local mental health authorities with regard to programs and
161     services.
162          (6) (a) Each local mental health authority shall:
163          (i) review and evaluate mental health needs and services, including mental health needs
164     and services for:
165          (A) an individual incarcerated in a county jail or other county correctional facility; and
166          (B) an individual who is a resident of the county and who is court ordered to receive
167     assisted outpatient treatment under Section 62A-15-630.5;
168          (ii) in accordance with Subsection (6)(b), annually prepare and submit to the division a
169     plan approved by the county legislative body for mental health funding and service delivery,

170     either directly by the local mental health authority or by contract;
171          (iii) establish and maintain, either directly or by contract, programs licensed under Title
172     62A, Chapter 2, Licensure of Programs and Facilities;
173          (iv) appoint, directly or by contract, a full-time or part-time director for mental health
174     programs and prescribe the director's duties;
175          (v) provide input and comment on new and revised rules established by the division;
176          (vi) establish and require contract providers to establish administrative, clinical,
177     personnel, financial, procurement, and management policies regarding mental health services
178     and facilities, in accordance with the rules of the division, and state and federal law;
179          (vii) establish mechanisms allowing for direct citizen input;
180          (viii) annually contract with the division to provide mental health programs and
181     services in accordance with the provisions of Title 62A, Chapter 15, Substance Abuse and
182     Mental Health Act;
183          (ix) comply with all applicable state and federal statutes, policies, audit requirements,
184     contract requirements, and any directives resulting from those audits and contract requirements;
185          (x) provide funding equal to at least 20% of the state funds that it receives to fund
186     services described in the plan;
187          (xi) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
188     Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Local Districts, and Title
189     51, Chapter 2a, Accounting Reports from Political Subdivisions, Interlocal Organizations, and
190     Other Local Entities Act; and
191          (xii) take and retain physical custody of minors committed to the physical custody of
192     local mental health authorities by a judicial proceeding under Title 62A, Chapter 15, Part 7,
193     Commitment of Persons Under Age 18 to Division of Substance Abuse and Mental Health.
194          (b) Each plan under Subsection (6)(a)(ii) shall include services for adults, youth, and
195     children, which shall include:
196          (i) inpatient care and services;
197          (ii) residential care and services;

198          (iii) outpatient care and services;
199          (iv) 24-hour crisis care and services;
200          (v) psychotropic medication management;
201          (vi) psychosocial rehabilitation, including vocational training and skills development;
202          (vii) case management;
203          (viii) community supports, including in-home services, housing, family support
204     services, and respite services;
205          (ix) consultation and education services, including case consultation, collaboration
206     with other county service agencies, public education, and public information; and
207          (x) services to persons incarcerated in a county jail or other county correctional facility.
208          (7) (a) If a local mental health authority provides for a local mental health crisis line
209     under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv), the local
210     mental health authority shall:
211          (i) collaborate with the statewide mental health crisis line described in Section
212     62A-15-1302;
213          (ii) ensure that each individual who answers calls to the local mental health crisis line:
214          (A) is a mental health therapist or a crisis worker; and
215          (B) meets the standards of care and practice established by the Division of Substance
216     Abuse and Mental Health, in accordance with Section 62A-15-1302; and
217          (iii) ensure that when necessary, based on the local mental health crisis line's capacity,
218     calls are immediately routed to the statewide mental health crisis line to ensure that when an
219     individual calls the local mental health crisis line, regardless of the time, date, or number of
220     individuals trying to simultaneously access the local mental health crisis line, a mental health
221     therapist or a crisis worker answers the call without the caller first:
222          (A) waiting on hold; or
223          (B) being screened by an individual other than a mental health therapist or crisis
224     worker.
225          (b) If a local mental health authority does not provide for a local mental health crisis

226     line under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv), the
227     local mental health authority shall use the statewide mental health crisis line as a local crisis
228     line resource.
229          (8) Before disbursing any public funds, each local mental health authority shall require
230     that each entity that receives any public funds from a local mental health authority agrees in
231     writing that:
232          (a) the entity's financial records and other records relevant to the entity's performance
233     of the services provided to the mental health authority shall be subject to examination by:
234          (i) the division;
235          (ii) the local mental health authority director;
236          (iii) (A) the county treasurer and county or district attorney; or
237          (B) if two or more counties jointly provide mental health services under an agreement
238     under Subsection (3), the designated treasurer and the designated legal officer;
239          (iv) the county legislative body; and
240          (v) in a county with a county executive that is separate from the county legislative
241     body, the county executive;
242          (b) the county auditor may examine and audit the entity's financial and other records
243     relevant to the entity's performance of the services provided to the local mental health
244     authority; and
245          (c) the entity will comply with the provisions of Subsection (5)(b).
246          (9) A local mental health authority may receive property, grants, gifts, supplies,
247     materials, contributions, and any benefit derived therefrom, for mental health services. If those
248     gifts are conditioned upon their use for a specified service or program, they shall be so used.
249          (10) Public funds received for the provision of services pursuant to the local mental
250     health plan may not be used for any other purpose except those authorized in the contract
251     between the local mental health authority and the provider for the provision of plan services.
252          (11) A local mental health authority shall provide assisted outpatient treatment
253     services, as described in Section 62A-15-630.4, to a resident of the county who has been

254     ordered under Section 62A-15-630.5 to receive assisted outpatient treatment.
255          Section 2. Section 26-18-418 is amended to read:
256          26-18-418. Medicaid waiver for mental health crisis lines and mobile crisis
257     outreach teams.
258          (1) As used in this section:
259          (a) "Local mental health crisis line" means the same as that term is defined in Section
260     [63C-18-102] 62A-15-1301.
261          (b) "Mental health crisis" means:
262          (i) a mental health condition that manifests itself in an individual by symptoms of
263     sufficient severity that a prudent layperson who possesses an average knowledge of mental
264     health issues could reasonably expect the absence of immediate attention or intervention to
265     result in:
266          (A) serious danger to the individual's health or well-being; or
267          (B) a danger to the health or well-being of others; or
268          (ii) a mental health condition that, in the opinion of a mental health therapist or the
269     therapist's designee, requires direct professional observation or the intervention of a mental
270     health therapist.
271          (c) (i) "Mental health crisis services" means direct mental health services and on-site
272     intervention that a mobile crisis outreach team provides to an individual suffering from a
273     mental health crisis, including the provision of safety and care plans, prolonged mental health
274     services for up to 90 days, and referrals to other community resources.
275          (ii) "Mental health crisis services" includes:
276          (A) local mental health crisis lines; and
277          (B) the statewide mental health crisis line.
278          (d) "Mental health therapist" means the same as that term is defined in Section
279     58-60-102.
280          (e) "Mobile crisis outreach team" or "MCOT" means a mobile team of medical and
281     mental health professionals that, in coordination with local law enforcement and emergency

282     medical service personnel, provides mental health crisis services.
283          (f) "Statewide mental health crisis line" means the same as that term is defined in
284     Section [63C-18-102] 62A-15-1301.
285          (2) In consultation with the Department of Human Services and the [Mental]
286     Behavioral Health Crisis [Line] Response Commission created in Section 63C-18-202, the
287     department shall develop a proposal to amend the state Medicaid plan to include mental health
288     crisis services, including the statewide mental health crisis line, local mental health crisis lines,
289     and mobile crisis outreach teams.
290          (3) By January 1, 2019, the department shall apply for a Medicaid waiver with CMS, if
291     necessary to implement, within the state Medicaid program, the mental health crisis services
292     described in Subsection (2).
293          Section 3. Section 26-18-420 is enacted to read:
294          26-18-420. Reimbursement for crisis management services provided in a
295     behavioral health receiving center -- Integration of payment for physical health services.
296          (1) As used in this section:
297          (a) "Accountable care organization" means the same as that term is defined in Section
298     26-18-408.
299          (b) "Behavioral health receiving center" means the same as that term is defined in
300     Section 62A-15-118.
301          (c) "Crisis management services" means behavioral health services provided to an
302     individual who is experiencing a mental health crisis.
303          (d) "Managed care organization" means the same as that term is defined in 42 C.F.R.
304     Sec. 438.2.
305          (2) Before July 1, 2020, the division shall apply for a Medicaid waiver or state plan
306     amendment with CMS to offer a program that provides reimbursement through a bundled daily
307     rate for crisis management services that are delivered to an individual during the individual's
308     stay at a behavioral health receiving center.
309          (3) If the waiver or state plan amendment described in Subsection (2) is approved, the

310     department shall:
311          (a) implement the program described in Subsection (2); and
312          (b) require a managed care organization that contracts with the state's Medicaid
313     program for behavioral health services or integrated health services to provide coverage for
314     crisis management services that are delivered to an individual during the individual's stay at a
315     behavioral health receiving center.
316          (4) (a) The department may elect to integrate payment for physical health services
317     provided in a behavioral health receiving center.
318          (b) In determining whether to integrate payment under Subsection (4)(a), the
319     department shall consult with accountable care organizations and counties in the state.
320          Section 4. Section 62A-1-104 is amended to read:
321          62A-1-104. Definitions.
322          (1) As used in this title:
323          (a) "Competency evaluation" means the same as that term is defined in Section
324     77-15-2.
325          (b) "Concurrence of the board" means agreement by a majority of the members of a
326     board.
327          (c) "Department" means the Department of Human Services established in Section
328     62A-1-102.
329          (d) "Executive director" means the executive director of the department, appointed
330     under Section 62A-1-108.
331          (e) "Forensic evaluator" means the same as that term is defined in Section 77-15-2.
332          (f) "Stabilization services" means in-home services provided to a child with, or who is
333     at risk for, complex emotional and behavioral needs, including teaching the child's parent or
334     guardian skills to improve family functioning.
335          [(f)] (g) "System of care" means a broad, flexible array of services and supports that:
336          (i) serves a child with or who is at risk for complex emotional and behavioral needs;
337          (ii) is community based;

338          (iii) is informed about trauma;
339          (iv) builds meaningful partnerships with families and children;
340          (v) integrates service planning, service coordination, and management across state and
341     local entities;
342          (vi) includes individualized case planning;
343          (vii) provides management and policy infrastructure that supports a coordinated
344     network of interdepartmental service providers, contractors, and service providers who are
345     outside of the department; and
346          (viii) is guided by the type and variety of services needed by a child with or who is at
347     risk for complex emotional and behavioral needs and by the child's family.
348          (2) The definitions provided in Subsection (1) are to be applied in addition to
349     definitions contained throughout this title that are applicable to specified chapters or parts.
350          Section 5. Section 62A-1-111 is amended to read:
351          62A-1-111. Department authority.
352          The department may, in addition to all other authority and responsibility granted to the
353     department by law:
354          (1) adopt rules, not inconsistent with law, as the department may consider necessary or
355     desirable for providing social services to the people of this state;
356          (2) establish and manage client trust accounts in the department's institutions and
357     community programs, at the request of the client or the client's legal guardian or representative,
358     or in accordance with federal law;
359          (3) purchase, as authorized or required by law, services that the department is
360     responsible to provide for legally eligible persons;
361          (4) conduct adjudicative proceedings for clients and providers in accordance with the
362     procedures of Title 63G, Chapter 4, Administrative Procedures Act;
363          (5) establish eligibility standards for its programs, not inconsistent with state or federal
364     law or regulations;
365          (6) take necessary steps, including legal action, to recover money or the monetary value

366     of services provided to a recipient who was not eligible;
367          (7) set and collect fees for [its] the department's services;
368          (8) license agencies, facilities, and programs, except as otherwise allowed, prohibited,
369     or limited by law;
370          (9) acquire, manage, and dispose of any real or personal property needed or owned by
371     the department, not inconsistent with state law;
372          (10) receive gifts, grants, devises, and donations; gifts, grants, devises, donations, or
373     the proceeds thereof, may be credited to the program designated by the donor, and may be used
374     for the purposes requested by the donor, as long as the request conforms to state and federal
375     policy; all donated funds shall be considered private, nonlapsing funds and may be invested
376     under guidelines established by the state treasurer;
377          (11) accept and employ volunteer labor or services; the department is authorized to
378     reimburse volunteers for necessary expenses, when the department considers that
379     reimbursement to be appropriate;
380          (12) carry out the responsibility assigned in the workforce services plan by the State
381     Workforce Development Board;
382          (13) carry out the responsibility assigned by Section 35A-8-602 with respect to
383     coordination of services for the homeless;
384          (14) carry out the responsibility assigned by Section 62A-5a-105 with respect to
385     coordination of services for students with a disability;
386          (15) provide training and educational opportunities for [its] the department's staff;
387          (16) collect child support payments and any other money due to the department;
388          (17) apply the provisions of Title 78B, Chapter 12, Utah Child Support Act, to parents
389     whose child lives out of the home in a department licensed or certified setting;
390          (18) establish policy and procedures, within appropriations authorized by the
391     Legislature, in cases where the department is given custody of a minor by the juvenile court
392     under Section 78A-6-117 or ordered to prepare an attainment plan for a minor found not
393     competent to proceed under Section 78A-6-1301; any policy and procedures shall include:

394          (a) designation of interagency teams for each juvenile court district in the state;
395          (b) delineation of assessment criteria and procedures;
396          (c) minimum requirements, and timeframes, for the development and implementation
397     of a collaborative service plan for each minor placed in department custody; and
398          (d) provisions for submittal of the plan and periodic progress reports to the court;
399          (19) carry out the responsibilities assigned to [it] the department by statute;
400          (20) examine and audit the expenditures of any public funds provided to local
401     substance abuse authorities, local mental health authorities, local area agencies on aging, and
402     any person, agency, or organization that contracts with or receives funds from those authorities
403     or agencies. Those local authorities, area agencies, and any person or entity that contracts with
404     or receives funds from those authorities or area agencies, shall provide the department with any
405     information the department considers necessary. The department is further authorized to issue
406     directives resulting from any examination or audit to local authorities, area agencies, and
407     persons or entities that contract with or receive funds from those authorities with regard to any
408     public funds. If the department determines that it is necessary to withhold funds from a local
409     mental health authority or local substance abuse authority based on failure to comply with state
410     or federal law, policy, or contract provisions, it may take steps necessary to ensure continuity of
411     services. For purposes of this Subsection (20) "public funds" means the same as that term is
412     defined in Section 62A-15-102;
413          (21) pursuant to Subsection 62A-2-106(1)(d), accredit one or more agencies and
414     persons to provide intercountry adoption services;
415          (22) within appropriations authorized by the Legislature, promote and develop a
416     system of care[, as defined in Section 62A-1-104] and stabilization services:
417          (a) in compliance with Title 63G, Chapter 6a, Utah Procurement Code; and
418          (b) that encompasses the department, department contractors, and the divisions,
419     offices, or institutions within the department, to:
420          (i) navigate services, funding resources, and relationships to the benefit of the children
421     and families whom the department serves;

422          (ii) centralize department operations, including procurement and contracting;
423          (iii) develop policies that govern business operations and that facilitate a system of care
424     approach to service delivery;
425          (iv) allocate resources that may be used for the children and families served by the
426     department or the divisions, offices, or institutions within the department, subject to the
427     restrictions in Section 63J-1-206;
428          (v) create performance-based measures for the provision of services; and
429          (vi) centralize other business operations, including data matching and sharing among
430     the department's divisions, offices, and institutions; and
431          (23) ensure that any training or certification required of a public official or public
432     employee, as those terms are defined in Section 63G-22-102, complies with Title 63G, Chapter
433     22, State Training and Certification Requirements, if the training or certification is required:
434          (a) under this title;
435          (b) by the department; or
436          (c) by an agency or division within the department.
437          Section 6. Section 62A-15-102 is amended to read:
438          62A-15-102. Definitions.
439          As used in this chapter:
440          (1) "Criminal risk factors" means a person's characteristics and behaviors that:
441          (a) affect the person's risk of engaging in criminal behavior; and
442          (b) are diminished when addressed by effective treatment, supervision, and other
443     support resources, resulting in reduced risk of criminal behavior.
444          (2) "Director" means the director of the Division of Substance Abuse and Mental
445     Health.
446          (3) "Division" means the Division of Substance Abuse and Mental Health established
447     in Section 62A-15-103.
448          (4) "Local mental health authority" means a county legislative body.
449          (5) "Local substance abuse authority" means a county legislative body.

450          (6) "Mental health crisis" means:
451          (a) a mental health condition that manifests in an individual by symptoms of sufficient
452     severity that a prudent layperson who possesses an average knowledge of mental health issues
453     could reasonably expect the absence of immediate attention or intervention to result in:
454          (i) serious danger to the individual's health or well-being; or
455          (ii) a danger to the health or well-being of others; or
456          (b) a mental health condition that, in the opinion of a mental health therapist or the
457     therapist's designee, requires direct professional observation or intervention.
458          (7) "Mental health crisis response training" means community-based training that
459     educates laypersons and professionals on the warning signs of a mental health crisis and how to
460     respond.
461          (8) "Mental health crisis services" means an array of services provided to an individual
462     who experiences a mental health crisis, which may include:
463          (a) direct mental health services;
464          (b) on-site intervention provided by a mobile crisis outreach team;
465          (c) the provision of safety and care plans;
466          (d) prolonged mental health services for up to 90 days after the day on which an
467     individual experiences a mental health crisis;
468          (e) referrals to other community resources;
469          (f) local mental health crisis lines; and
470          (g) the statewide mental health crisis line.
471          (9) "Mental health therapist" means the same as that term is defined in Section
472     58-60-102.
473          (10) "Mobile crisis outreach team" or "MCOT" means a mobile team of medical and
474     mental health professionals that, in coordination with local law enforcement and emergency
475     medical service personnel, provides mental health crisis services.
476          (11) (a) "Public funds" means federal money received from the Department of Human
477     Services or the Department of Health, and state money appropriated by the Legislature to the

478     Department of Human Services, the Department of Health, a county governing body, or a local
479     substance abuse authority, or a local mental health authority for the purposes of providing
480     substance abuse or mental health programs or services.
481          (b) "Public funds" include federal and state money that has been transferred by a local
482     substance abuse authority or a local mental health authority to a private provider under an
483     annual or otherwise ongoing contract to provide comprehensive substance abuse or mental
484     health programs or services for the local substance abuse authority or local mental health
485     authority. The money maintains the nature of "public funds" while in the possession of the
486     private entity that has an annual or otherwise ongoing contract with a local substance abuse
487     authority or a local mental health authority to provide comprehensive substance abuse or
488     mental health programs or services for the local substance abuse authority or local mental
489     health authority.
490          (c) Public funds received for the provision of services pursuant to substance abuse or
491     mental health service plans may not be used for any other purpose except those authorized in
492     the contract between the local mental health or substance abuse authority and provider for the
493     provision of plan services.
494          (12) "Severe mental disorder" means schizophrenia, major depression, bipolar
495     disorders, delusional disorders, psychotic disorders, and other mental disorders as defined by
496     the division.
497          (13) "Statewide mental health crisis line" means the same as that term is defined in
498     Section [63C-18-102] 62A-15-1301.
499          Section 7. Section 62A-15-116 is amended to read:
500          62A-15-116. Mobile crisis outreach team expansion.
501          (1) In consultation with the [Mental] Behavioral Health Crisis [Line] Response
502     Commission, established in Section 63C-18-202, the division shall award grants for the
503     development of:
504          (a) five mobile crisis outreach teams:
505          [(a)] (i) in counties of the second, third, fourth, fifth, or sixth class; or

506          (ii) in counties of the first class, if no more than two mobile crisis outreach teams are
507     operating or have been awarded a grant to operate in the county; and
508          (b) at least three mobile crisis outreach teams in counties of the third, fourth, fifth, or
509     sixth class.
510          [(b) to] (2) A mobile crisis outreach team awarded a grant under Subsection (1) shall
511     provide mental health crisis services 24 hours per day, 7 days per week, and every day of the
512     year.
513          [(2)] (3) The division shall prioritize the award of a grant described in Subsection (1)
514     to entities, based on:
515          (a) the number of individuals the proposed mobile crisis outreach team will serve; and
516          (b) the percentage of matching funds the entity will provide to develop the proposed
517     mobile crisis outreach team.
518          [(3)] (4) An entity does not need to have resources already in place to be awarded a
519     grant described in Subsection (1).
520          [(4)] (5) In consultation with the [Mental] Behavioral Health Crisis [Line] Response
521     Commission, established in Section 63C-18-202, the division shall make rules, in accordance
522     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, for the application and award
523     of the grants described in Subsection (1).
524          Section 8. Section 62A-15-118 is enacted to read:
525          62A-15-118. Behavioral Health Receiving Center Grant Program.
526          (1) As used in this section:
527          (a) "Behavioral health receiving center" means a 23-hour nonsecure program or facility
528     that is responsible for, and provides mental health crisis services to, an individual experiencing
529     a mental health crisis.
530          (b) "Project" means a behavioral health receiving center project described in
531     Subsection (2)(a).
532          (2) (a) (i) Before July 1, 2020, the division shall issue a request for proposals in
533     accordance with this section to award a grant to one or more counties of the first or second

534     class, as classified in Section 17-50-501, to, except as provided in Subsection (2)(a)(ii),
535     develop and implement a behavioral health receiving center.
536          (ii) A grant awarded under Subsection (2)(a)(i) may not be used to purchase land for
537     the behavioral health receiving center.
538          (b) The division shall award all grants under this section before December 31, 2020.
539          (3) The purpose of a project is to:
540          (a) increase access to mental health crisis services for individuals in the state who are
541     experiencing a mental health crisis; and
542          (b) reduce the number of individuals in the state who are incarcerated or in a hospital
543     emergency room while experiencing a mental health crisis.
544          (4) An application for a grant under this section shall:
545          (a) identify the population to which the behavioral health receiving center will provide
546     mental health crisis services;
547          (b) identify the type of mental health crisis services the behavioral health receiving
548     center will provide;
549          (c) explain how the population described in Subsection (4)(a) will benefit from the
550     provision of mental health crisis services;
551          (d) provide details regarding:
552          (i) how the proposed project plans to provide mental health crisis services;
553          (ii) how the proposed project will ensure that consideration is given to the capacity of
554     the behavioral health receiving center;
555          (iii) how the proposed project will ensure timely and effective provision of mental
556     health crisis services;
557          (iv) the cost of the proposed project;
558          (v) any existing or planned contracts or partnerships between the applicant and other
559     individuals or entities to develop and implement the proposed project;
560          (vi) any plan to use funding sources in addition to a grant under this section for the
561     proposed project;

562          (vii) the sustainability of the proposed project; and
563          (viii) the methods the proposed project will use to:
564          (A) protect the privacy of each individual who receives mental health crisis services
565     from the behavioral health receiving center;
566          (B) collect nonidentifying data relating to the proposed project; and
567          (C) provide transparency on the costs and operation of the proposed project; and
568          (e) provide other information requested by the division to ensure that the proposed
569     project satisfies the criteria described in Subsection (5).
570          (5) In evaluating an application for the grant, the division shall consider:
571          (a) the extent to which the proposed project will fulfill the purposes described in
572     Subsection (3);
573          (b) the extent to which the population described in Subsection (4)(a) is likely to benefit
574     from the proposed project;
575          (c) the cost of the proposed project;
576          (d) the extent to which any existing or planned contracts or partnerships between the
577     applicant and other individuals or entities to develop and implement the project, or additional
578     funding sources available to the applicant for the proposed project, are likely to benefit the
579     proposed project; and
580          (e) the viability and innovation of the proposed project.
581          (6) Before June 30, 2021, the division shall report to the Health and Human Services
582     Interim Committee regarding:
583          (a) each county awarded a grant under this section; and
584          (b) the details of each project.
585          (7) Before June 30, 2023, the division shall report to the Health and Human Services
586     Interim Committee regarding:
587          (a) data gathered in relation to each project;
588          (b) knowledge gained relating to the provision of mental health crisis services in a
589     behavioral health receiving center;

590          (c) recommendations for the future use of mental health crisis services in behavioral
591     health receiving centers; and
592          (d) obstacles encountered in the provision of mental health crisis services in a
593     behavioral health receiving center.
594          Section 9. Section 62A-15-1301 is amended to read:
595     
Part 13. Statewide Mental Health Crisis Line and Statewide Warm Line

596          62A-15-1301. Definitions.
597          As used in this part:
598          (1) "Certified peer support specialist" means an individual who:
599          (a) meets the standards of qualification or certification that the division sets, in
600     accordance with Section 62A-15-1302; and
601          (b) staffs the statewide warm line under the supervision of at least one mental health
602     therapist.
603          [(1)] (2) "Commission" means the [Mental] Behavioral Health Crisis [Line] Response
604     Commission created in Section 63C-18-202.
605          [(2)] (3) "Crisis worker" means an individual who:
606          (a) meets the standards of qualification or certification that the division sets, in
607     accordance with Section 62A-15-1302; and
608          (b) staffs the statewide mental health crisis line, the statewide warm line, or a local
609     mental health crisis line under the supervision of at least one mental health therapist.
610          [(3)] (4) "Local mental health crisis line" means [the same as that term is defined in
611     Section 63C-18-102.] a phone number or other response system that is:
612          (a) accessible within a particular geographic area of the state; and
613          (b) intended to allow an individual to contact and interact with a qualified mental or
614     behavioral health professional.
615          (5) "Mental health crisis" means the same as that term is defined in Section
616     62A-15-1401.
617          [(4)] (6) "Mental health therapist" means the same as that term is defined in Section

618     58-60-102.
619          [(5)] (7) "Statewide mental health crisis line" means [the same as that term is defined
620     in Section 63C-18-102.] a statewide phone number or other response system that allows an
621     individual to contact and interact with a qualified mental or behavioral health professional 24
622     hours per day, 365 days per year.
623          (8) "Statewide warm line" means a statewide phone number or other response system
624     that allows an individual to contact and interact with a qualified mental or behavioral health
625     professional or a certified peer support specialist.
626          Section 10. Section 62A-15-1302 is amended to read:
627          62A-15-1302. Contracts for statewide mental health crisis line and statewide
628     warm line -- Crisis worker and certified peer support specialist qualification or
629     certification.
630          (1) (a) The division shall enter into a new contract or modify an existing contract to
631     manage and operate [the statewide mental health crisis line], in accordance with this part, [and
632     to encourage collaboration with local mental health crisis lines] the statewide mental health
633     crisis line and the statewide warm line.
634          (b) Through the [contract] contracts described in Subsection (1)(a) and in consultation
635     with the commission, the division shall set standards of care and practice for:
636          (i) the mental health therapists and crisis workers who staff the statewide mental health
637     crisis line[.]; and
638          (ii) the mental health therapists, crisis workers, and certified peer support specialists
639     who staff the statewide warm line.
640          (2) (a) The division shall establish training and minimum standards for the
641     qualification or certification of:
642          (i) crisis workers who staff the statewide mental health crisis line, the statewide warm
643     line, and local mental health crisis lines[.]; and
644          (ii) certified peer support specialists who staff the statewide warm line.
645          (b) The division may make rules, in accordance with Title 63G, Chapter 3, Utah

646     Administrative Rulemaking Act, necessary to establish the training and minimum standards
647     described in Subsection (2)(a).
648          Section 11. Section 62A-15-1303 is amended to read:
649          62A-15-1303. Statewide mental health crisis line and statewide warm line
650     operational standards.
651          (1) In consultation with the commission, the division shall ensure that:
652          [(1)] (a) the following individuals are available to staff and answer calls to the
653     statewide mental health crisis line 24 hours per day, 365 days per calendar year:
654          [(a)] (i) mental health therapists; or
655          [(b)] (ii) crisis workers;
656          [(2)] (b) a sufficient amount of staff is available to ensure that when an individual calls
657     the statewide mental health crisis line, regardless of the time, date, or number of individuals
658     trying to simultaneously access the statewide mental health crisis line, an individual described
659     in Subsection (1)(a) answers the call without the caller first:
660          [(a)] (i) waiting on hold; or
661          [(b)] (ii) being screened by an individual other than a mental health therapist or crisis
662     worker; [and]
663          [(3)] (c) the statewide mental health crisis line has capacity to accept all calls that local
664     mental health crisis lines route to the statewide mental health crisis line[.];
665          (d) the following individuals are available to staff and answer calls to the statewide
666     warm line during the hours and days of operation set by the division under Subsection (2):
667          (i) mental health therapists;
668          (ii) crisis workers; or
669          (iii) certified peer support specialists;
670          (e) when an individual calls the statewide mental health crisis line, the individual's call
671     may be transferred to the statewide warm line if the individual is not experiencing a mental
672     health crisis; and
673          (f) when an individual calls the statewide warm line, the individual's call may be

674     transferred to the statewide mental health crisis line if the individual is experiencing a mental
675     health crisis.
676          (2) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
677     Administrative Rulemaking Act, to establish the hours and days of operation for the statewide
678     warm line.
679          Section 12. Section 62A-15-1401 is amended to read:
680          62A-15-1401. Definitions.
681          As used in this part:
682          (1) "Commission" means the [Mental] Behavioral Health Crisis [Line] Response
683     Commission created in Section 63C-18-202.
684          (2) "Emergency medical service personnel" means the same as that term is defined in
685     Section 26-8a-102.
686          (3) "Emergency medical services" means the same as that term is defined in Section
687     26-8a-102.
688          (4) "MCOT certification" means the certification created in this part for MCOT
689     personnel and mental health crisis outreach services.
690          (5) "MCOT personnel" means a licensed mental health therapist or other mental health
691     professional, as determined by the division, who is a part of a mobile crisis outreach team.
692          (6) "Mental health crisis" means a mental health condition that manifests itself by
693     symptoms of sufficient severity that a prudent layperson who possesses an average knowledge
694     of mental health issues could reasonably expect the absence of immediate attention or
695     intervention to result in:
696          (a) serious jeopardy to the individual's health or well-being; or
697          (b) a danger to others.
698          (7) (a) "Mental health crisis services" means mental health services and on-site
699     intervention that a person renders to an individual suffering from a mental health crisis.
700          (b) "Mental health crisis services" includes the provision of safety and care plans,
701     stabilization services offered for a minimum of 60 days, and referrals to other community

702     resources.
703          (8) "Mental health therapist" means the same as that term is defined in Section
704     58-60-102.
705          (9) "Mobile crisis outreach team" or "MCOT" means a mobile team of medical and
706     mental health professionals that provides mental health crisis services and, based on the
707     individual circumstances of each case, coordinates with local law enforcement, emergency
708     medical service personnel, and other appropriate state or local resources.
709          Section 13. Section 63C-18-101 is amended to read:
710     
CHAPTER 18. BEHAVIORAL HEALTH CRISIS RESPONSE COMMISSION

711          63C-18-101. Title.
712          (1) This chapter is known as the "[Mental] Behavioral Health Crisis [Line] Response
713     Commission."
714          (2) This part is known as "General Provisions."
715          Section 14. Section 63C-18-102 is amended to read:
716          63C-18-102. Definitions.
717          As used in this chapter:
718          (1) "Commission" means the [Mental] Behavioral Health Crisis [Line] Response
719     Commission created in Section 63C-18-202.
720          (2) "Local mental health crisis line" means [a phone number or other response system
721     that is:] the same as that term is defined in Section 62A-15-1301.
722          [(a) accessible within a particular geographic area of the state; and]
723          [(b) intended to allow an individual to contact and interact with a qualified mental or
724     behavioral health professional.]
725          (3) "Statewide mental health crisis line" means [a statewide phone number or other
726     response system that allows an individual to contact and interact with a qualified mental or
727     behavioral health professional 24 hours per day, 365 days per year] the same as that term is
728     defined in Section 62A-15-1301.
729          (4) "Statewide warm line" means the same as that term is defined in Section

730     62A-15-1301.
731          Section 15. Section 63C-18-202 is amended to read:
732          63C-18-202. Commission established -- Members.
733          (1) There is created the [Mental] Behavioral Health Crisis [Line] Response
734     Commission, composed of the following [11] 16 members:
735          (a) the executive director of the University Neuropsychiatric Institute;
736          (b) the governor or the governor's designee;
737          (c) the director of the Division of Substance Abuse and Mental Health;
738          (d) one representative of the Office of the Attorney General, appointed by the attorney
739     general;
740          (e) one member of the public, appointed by the chair of the commission and approved
741     by the commission;
742          (f) two individuals who are mental or behavioral health clinicians licensed to practice
743     in the state, appointed by the chair of the commission and approved by the commission, at least
744     one of whom is an individual who:
745          (i) is licensed as a physician under:
746          (A) Title 58, Chapter 67, Utah Medical Practice Act;
747          (B) Title 58, Chapter 67b, Interstate Medical Licensure Compact; or
748          (C) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
749          (ii) is board eligible for a psychiatry specialization recognized by the American Board
750     of Medical Specialists or the American Osteopathic Association's Bureau of Osteopathic
751     Specialists;
752          (g) one individual who represents a county of the first or second class, appointed by the
753     Utah Association of Counties;
754          (h) one individual who represents a county of the third, fourth, or fifth class, appointed
755     by the Utah Association of Counties;
756          (i) one individual who represents the Utah Hospital Association, appointed by the chair
757     of the commission;

758          (j) one individual who represents law enforcement, appointed by the chair of the
759     commission;
760          (k) one individual who has lived with a mental health disorder, appointed by the chair
761     of the commission;
762          (l) one individual who represents an integrated health care system that:
763          (i) is not affiliated with the chair of the commission; and
764          (ii) provides inpatient behavioral health services and emergency room services to
765     individuals in the state;
766          (m) one individual who represents an accountable care organization, as defined in
767     Section 26-18-420, with a statewide membership base;
768          [(i)] (n) one member of the House of Representatives, appointed by the speaker of the
769     House of Representatives; and
770          [(j)] (o) one member of the Senate, appointed by the president of the Senate.
771          (2) (a) The executive director of the University Neuropsychiatric Institute is the chair
772     of the commission.
773          (b) The chair of the commission shall appoint a member of the commission to serve as
774     the vice chair of the commission, with the approval of the commission.
775          (c) The chair of the commission shall set the agenda for each commission meeting.
776          (3) (a) A majority of the members of the commission constitutes a quorum.
777          (b) The action of a majority of a quorum constitutes the action of the commission.
778          (4) (a) Except as provided in Subsection (4)(b), a member may not receive
779     compensation, benefits, per diem, or travel expenses for the member's service on the
780     commission.
781          (b) Compensation and expenses of a member who is a legislator are governed by
782     Section 36-2-2 and Legislative Joint Rules, Title 5, Legislative Compensation and Expenses.
783          (5) The Office of the Attorney General shall provide staff support to the commission.
784          Section 16. Section 63C-18-203 is amended to read:
785          63C-18-203. Commission duties -- Reporting requirements.

786          (1) The commission shall:
787          (a) identify a method to integrate existing local mental health crisis lines to ensure each
788     individual who accesses a local mental health crisis line is connected to a qualified mental or
789     behavioral health professional, regardless of the time, date, or number of individuals trying to
790     simultaneously access the local mental health crisis line;
791          (b) study how to establish and implement a statewide mental health crisis line and a
792     statewide warm line, including identifying:
793          (i) a statewide phone number or other means for an individual to easily access the
794     statewide mental health crisis line, including a short code for text messaging and [an N11] a
795     three-digit number for calls;
796          (ii) a statewide phone number or other means for an individual to easily access the
797     statewide warm line, including a short code for text messaging and a three-digit number for
798     calls;
799          [(ii)] (iii) a supply of:
800          (A) qualified mental or behavioral health professionals to staff the statewide mental
801     health crisis line; and
802          (B) qualified mental or behavioral health professionals or certified peer support
803     specialists to staff the statewide warm line; and
804          [(iii)] (iv) a funding mechanism to operate and maintain the statewide mental health
805     crisis line and the statewide warm line;
806          (c) coordinate with local mental health authorities in fulfilling the commission's duties
807     described in Subsections (1)(a) and (b); and
808          (d) recommend standards for [mobile crisis outreach team certification as] the
809     certifications described in Section 62A-15-1302.
810          (2) The commission may conduct other business related to the commission's duties
811     described in Subsection (1).
812          (3) The commission shall consult with the Division of Substance Abuse and Mental
813     Health regarding the standards and operation of the statewide mental health crisis line and the

814     statewide warm line, in accordance with Title 62A, Chapter 15, Part 13, Statewide Mental
815     Health Crisis Line and Statewide Warm Line.
816          Section 17. Section 63I-1-226 is amended to read:
817          63I-1-226. Repeal dates, Title 26.
818          (1) Section 26-1-40 is repealed July 1, 2022.
819          (2) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
820     1, 2025.
821          (3) Section 26-10-11 is repealed July 1, 2020.
822          (4) Subsection 26-18-417(3) relating to a report to the Health and Human Services
823     Interim Committee is repealed July 1, 2020.
824          (5) Subsection 26-18-418(2), the language that states "and the [Mental] Behavioral
825     Health Crisis [Line] Response Commission created in Section 63C-18-202" is repealed July 1,
826     2023.
827          (6) Section 26-18-419.1 is repealed December 31, 2019.
828          (7) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2024.
829          (8) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1, 2024.
830          (9) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is repealed
831     July 1, 2024.
832          (10) Title 26, Chapter 36d, Hospital Provider Assessment Act, is repealed July 1, 2024.
833          (11) Title 26, Chapter 54, Spinal Cord and Brain Injury Rehabilitation Fund and
834     Pediatric Neuro-Rehabilitation Fund, is repealed January 1, 2023.
835          (12) Subsection 26-61a-108(2)(e)(i), related to the Native American Legislative
836     Liaison Committee, is repealed July 1, 2022.
837          (13) Title 26, Chapter 63, Nurse Home Visiting Pay-for-Success Program, is repealed
838     July 1, 2026.
839          Section 18. Section 63I-1-262 is amended to read:
840          63I-1-262. Repeal dates, Title 62A.
841          (1) Subsections 62A-1-120(8)(g), (h), and (i) relating to completion of premarital

842     counseling or education under Section 30-1-34 are repealed July 1, 2023.
843          (2) Section 62A-3-209 is repealed July 1, 2023.
844          (3) Section 62A-4a-202.9 is repealed December 31, 2021.
845          (4) Section 62A-4a-213 is repealed July 1, 2024.
846          (5) Section 62A-15-114 is repealed December 31, 2021.
847          (6) Subsections 62A-15-116(1) and (4), the language that states "In consultation with
848     the [SafeUT and School Safety] Behavioral Health Crisis Response Commission, established
849     in Section [53B-17-1203] 63C-18-202," is repealed January 1, 2023.
850          (7) Section 62A-15-118 is repealed December 31, 2023.
851          [(7)] (8) Subsections 62A-15-1100(1) and 62A-15-1101[(8)](9), in relation to the Utah
852     Substance Use and Mental Health Advisory Council, are repealed January 1, 2023.
853          [(8)] (9) In relation to the [Mental] Behavioral Health Crisis [Line] Response
854     Commission, on July 1, 2023:
855          (a) Subsections 62A-15-1301[(1)](2) and 62A-15-1401(1) are repealed;
856          (b) Subsection 62A-15-1302(1)(b), the language that states "and in consultation with
857     the commission" is repealed;
858          (c) Section 62A-15-1303, the language that states "In consultation with the
859     commission," is repealed; and
860          (d) Subsection 62A-15-1402(2)(a), the language that states "With recommendations
861     from the commission," is repealed.
862          Section 19. Section 63I-1-263 is amended to read:
863          63I-1-263. Repeal dates, Titles 63A to 63N.
864          (1) In relation to the Utah Transparency Advisory Board, on January 1, 2025:
865          (a) Subsection 63A-1-201(1) is repealed;
866          (b) Subsection 63A-1-202(2)(c), the language that states "using criteria established by
867     the board" is repealed;
868          (c) Section 63A-1-203 is repealed;
869          (d) Subsections 63A-1-204(1) and (2), the language that states "After consultation with

870     the board, and" is repealed; and
871          (e) Subsection 63A-1-204(1)(b), the language that states "using the standards provided
872     in Subsection 63A-1-203(3)(c)" is repealed.
873          (2) Subsection 63A-5-228(2)(h), relating to prioritizing and allocating capital
874     improvement funding, is repealed on July 1, 2024.
875          (3) Section 63A-5-603, State Facility Energy Efficiency Fund, is repealed July 1, 2023.
876          (4) Title 63C, Chapter 4a, Constitutional and Federalism Defense Act, is repealed July
877     1, 2028.
878          (5) Title 63C, Chapter 6, Utah Seismic Safety Commission, is repealed January 1,
879     2025.
880          [(6) Title 63C, Chapter 16, Prison Development Commission Act, is repealed July 1,
881     2020.]
882          [(7)] (6) Title 63C, Chapter 17, Point of the Mountain Development Commission Act,
883     is repealed July 1, 2021.
884          [(8)] (7) Title 63C, Chapter 18, [Mental] Behavioral Health Crisis [Line] Response
885     Commission, is repealed July 1, 2023.
886          [(9)] (8) Title 63G, Chapter 21, Agreements to Provide State Services, is repealed July
887     1, 2025.
888          [(10)] (9) Title 63H, Chapter 4, Heber Valley Historic Railroad Authority, is repealed
889     July 1, 2020.
890          [(11)] (10) In relation to the State Fair Corporation Board of Directors, on January 1,
891     2025:
892          (a) Subsection 63H-6-104(2)(c), related to a Senate appointment, is repealed;
893          (b) Subsection 63H-6-104(2)(d), related to a House appointment, is repealed;
894          (c) in Subsection 63H-6-104(2)(e), the language that states ", of whom only one may
895     be a legislator, in accordance with Subsection (3)(e)," is repealed;
896          (d) Subsection 63H-6-104(3)(a)(i) is amended to read:
897          "(3)(a)(i) Except as provided in Subsection (3)(a)(ii), a board member appointed under

898     Subsection (2)(e) or (f) shall serve a term that expires on the December 1 four years after the
899     year that the board member was appointed.";
900          (e) in Subsections 63H-6-104(3)(a)(ii), (c)(ii), and (d), the language that states "the
901     president of the Senate, the speaker of the House, the governor," is repealed and replaced with
902     "the governor"; and
903          (f) Subsection 63H-6-104(3)(e), related to limits on the number of legislators, is
904     repealed.
905          [(12)] (11) Title 63H, Chapter 8, Utah Housing Corporation Act, is repealed July 1,
906     2026.
907          [(13)] (12) Section 63M-7-212 is repealed on December 31, 2019.
908          [(14)] (13) On July 1, 2025:
909          (a) in Subsection 17-27a-404(3)(c)(ii), the language that states "the Resource
910     Development Coordinating Committee," is repealed;
911          (b) Subsection 23-14-21(2)(c) is amended to read "(c) provide notification of proposed
912     sites for the transplant of species to local government officials having jurisdiction over areas
913     that may be affected by a transplant.";
914          (c) in Subsection 23-14-21(3), the language that states "and the Resource Development
915     Coordinating Committee" is repealed;
916          (d) in Subsection 23-21-2.3(1), the language that states "the Resource Development
917     Coordinating Committee created in Section 63J-4-501 and" is repealed;
918          (e) in Subsection 23-21-2.3(2), the language that states "the Resource Development
919     Coordinating Committee and" is repealed;
920          (f) Subsection 63J-4-102(1) is repealed and the remaining subsections are renumbered
921     accordingly;
922          (g) Subsections 63J-4-401(5)(a) and (c) are repealed;
923          (h) Subsection 63J-4-401(5)(b) is renumbered to Subsection 63J-4-401(5)(a) and the
924     word "and" is inserted immediately after the semicolon;
925          (i) Subsection 63J-4-401(5)(d) is renumbered to Subsection 63J-4-401(5)(b);

926          (j) Sections 63J-4-501, 63J-4-502, 63J-4-503, 63J-4-504, and 63J-4-505 are repealed;
927     and
928          (k) Subsection 63J-4-603(1)(e)(iv) is repealed and the remaining subsections are
929     renumbered accordingly.
930          [(15)] (14) Subsection 63J-1-602.1(13), Nurse Home Visiting Restricted Account is
931     repealed July 1, 2026.
932          [(16)] (15) Subsection 63J-1-602.2(4), referring to dedicated credits to the Utah
933     Marriage Commission, is repealed July 1, 2023.
934          [(17)] (16) Subsection 63J-1-602.2(5), referring to the Trip Reduction Program, is
935     repealed July 1, 2022.
936          [(18)] (17) (a) Subsection 63J-1-602.1(53), relating to the Utah Statewide Radio
937     System Restricted Account, is repealed July 1, 2022.
938          (b) When repealing Subsection 63J-1-602.1(53), the Office of Legislative Research and
939     General Counsel shall, in addition to the office's authority under Subsection 36-12-12(3), make
940     necessary changes to subsection numbering and cross references.
941          [(19)] (18) Subsection 63J-1-602.2(23), related to the Utah Seismic Safety
942     Commission, is repealed January 1, 2025.
943          [(20)] (19) Subsection 63J-4-708(1), in relation to the Talent Ready Utah Board, on
944     January 1, 2023, is amended to read:
945          "(1) On or before October 1, the board shall provide an annual written report to the
946     Social Services Appropriations Subcommittee and the Economic Development and Workforce
947     Services Interim Committee."[.]
948          [(21)] (20) In relation to the Utah Substance Use and Mental Health Advisory Council,
949     on January 1, 2023:
950          (a) Sections 63M-7-301, 63M-7-302, 63M-7-303, 63M-7-304, and 63M-7-306 are
951     repealed;
952          (b) Section 63M-7-305, the language that states "council" is replaced with
953     "commission";

954          (c) Subsection 63M-7-305(1) is repealed and replaced with:
955          "(1) "Commission" means the Commission on Criminal and Juvenile Justice."; and
956          (d) Subsection 63M-7-305(2) is repealed and replaced with:
957          "(2) The commission shall:
958          (a) provide ongoing oversight of the implementation, functions, and evaluation of the
959     Drug-Related Offenses Reform Act; and
960          (b) coordinate the implementation of Section 77-18-1.1 and related provisions in
961     Subsections 77-18-1(5)(b)(iii) and (iv).".
962          [(22)] (21) The Crime Victim Reparations and Assistance Board, created in Section
963     63M-7-504, is repealed July 1, 2027.
964          [(23)] (22) Title 63M, Chapter 11, Utah Commission on Aging, is repealed July 1,
965     2021.
966          [(24)] (23) Subsection 63N-1-301(4)(c), related to the Talent Ready Utah Board, is
967     repealed on January 1, 2023.
968          [(25)] (24) Title 63N, Chapter 2, Part 2, Enterprise Zone Act, is repealed July 1, 2028.
969          [(26)] (25) (a) Title 63N, Chapter 2, Part 4, Recycling Market Development Zone Act,
970     is repealed January 1, 2021.
971          (b) Subject to Subsection [(26)] (25)(c), Sections 59-7-610 and 59-10-1007 regarding
972     tax credits for certain persons in recycling market development zones, are repealed for taxable
973     years beginning on or after January 1, 2021.
974          (c) A person may not claim a tax credit under Section 59-7-610 or 59-10-1007:
975          (i) for the purchase price of machinery or equipment described in Section 59-7-610 or
976     59-10-1007, if the machinery or equipment is purchased on or after January 1, 2021; or
977          (ii) for an expenditure described in Subsection 59-7-610(1)(b) or 59-10-1007(1)(b), if
978     the expenditure is made on or after January 1, 2021.
979          (d) Notwithstanding Subsections [(26)] (25)(b) and (c), a person may carry forward a
980     tax credit in accordance with Section 59-7-610 or 59-10-1007 if:
981          (i) the person is entitled to a tax credit under Section 59-7-610 or 59-10-1007; and

982          (ii) (A) for the purchase price of machinery or equipment described in Section
983     59-7-610 or 59-10-1007, the machinery or equipment is purchased on or before December 31,
984     2020; or
985          (B) for an expenditure described in Subsection 59-7-610(1)(b) or 59-10-1007(1)(b), the
986     expenditure is made on or before December 31, 2020.
987          [(27)] (26) Section 63N-2-512 is repealed on July 1, 2021.
988          [(28)] (27) (a) Title 63N, Chapter 2, Part 6, Utah Small Business Jobs Act, is repealed
989     January 1, 2021.
990          (b) Section 59-9-107 regarding tax credits against premium taxes is repealed for
991     calendar years beginning on or after January 1, 2021.
992          (c) Notwithstanding Subsection [(28)] (27)(b), an entity may carry forward a tax credit
993     in accordance with Section 59-9-107 if:
994          (i) the person is entitled to a tax credit under Section 59-9-107 on or before December
995     31, 2020; and
996          (ii) the qualified equity investment that is the basis of the tax credit is certified under
997     Section 63N-2-603 on or before December 31, 2023.
998          [(29)] (28) Subsections 63N-3-109(2)(e) and 63N-3-109(2)(f)(i) are repealed July 1,
999     2023.
1000          [(30)] (29) Title 63N, Chapter 4, Part 4, Rural Employment Expansion Program, is
1001     repealed July 1, 2023.
1002          [(31)] (30) Title 63N, Chapter 9, Part 2, Outdoor Recreational Infrastructure Grant
1003     Program, is repealed January 1, 2023.
1004          [(32)] (31) In relation to the Pete Suazo Utah Athletic Commission, on January 1,
1005     2021:
1006          (a) Subsection 63N-10-201(2)(a) is amended to read:
1007          "(2) (a) The governor shall appoint five commission members with the advice and
1008     consent of the Senate.";
1009          (b) Subsection 63N-10-201(2)(b), related to legislative appointments, is repealed;

1010          (c) in Subsection 63N-10-201(3)(a), the language that states ", president, or speaker,
1011     respectively," is repealed; and
1012          (d) Subsection 63N-10-201(3)(d) is amended to read:
1013          "(d) The governor may remove a commission member for any reason and replace the
1014     commission member in accordance with this section.".
1015          [(33)] (32) In relation to the Talent Ready Utah Board, on January 1, 2023:
1016          (a) Subsection 9-22-102(16) is repealed;
1017          (b) in Subsection 9-22-114(2), the language that states "Talent Ready Utah," is
1018     repealed; and
1019          (c) in Subsection 9-22-114(5), the language that states "representatives of Talent Ready
1020     Utah," is repealed.
1021          [(34)] (33) Title 63N, Chapter 12, Part 5, Talent Ready Utah Center, is repealed
1022     January 1, 2023.
1023          Section 20. Appropriation.
1024          The following sums of money are appropriated for the fiscal year beginning July 1,
1025     2020, and ending June 30, 2021. These are additions to amounts previously appropriated for
1026     fiscal year 2021. Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures
1027     Act, the Legislature appropriates the following sums of money from the funds or accounts
1028     indicated for the use and support of the government of the state of Utah.
1029     ITEM 1
1030          To Department of Human Services -- Division of Substance Abuse and Mental Health
1031               From General Fund
$2,400,000

1032               Schedule of Programs:
1033                    Community Mental Health Services               $2,400,000
1034          The Legislature intends that the appropriations under this item be used to award grants
1035     under Section 62A-15-116.
1036     ITEM 2
1037          To Department of Human Services -- Division of Substance Abuse and Mental Health

1038               From General Fund
$25,000

1039               From General Fund, One-time
$250,000

1040               Schedule of Programs:
1041                    Community Mental Health Services                $275,000
1042          The Legislature intends that:
1043          (1) the one-time appropriation under this item be used to purchase, maintain, and
1044     replace vehicles to be used by mobile crisis outreach teams described in Section 62A-15-116;
1045          (2) the ongoing appropriations under this item be used to provide for maintenance or
1046     replacement of the vehicles described in Subsection (1) of this item; and
1047          (3) under Section 63J-1-603, the one-time appropriation provided under this section
1048     not lapse at the close of fiscal year 2021 and the use of any non-lapsing funds is limited to the
1049     purposes described in Subsection (2) of this item.
1050     ITEM 3
1051          To Department of Human Services -- Division of Substance Abuse and Mental Health
1052               From General Fund
$8,035,000

1053               From General Fund, One-time
$5,652,000

1054               Schedule of Programs:
1055                    Community Mental Health Services               
1056          The Legislature intends that:
1057          (1) the appropriations under this item be used to award grants under Section
1058     62A-15-118 and for operation of the mental health crisis line and statewide warm line
1059     described in Sections 62A-15-1302 and 1303;
1060          (2) the one-time appropriation under this item be used to award grants under Section
1061     62A-15-118 and for software to operate the mental health crisis line described in Sections
1062     62A-15-1302 and 1303; and
1063          (3) under Section 63J-1-603, the one-time appropriation under this item not lapse at the
1064     close of fiscal year 2021 and the use of any nonlapsing funds is limited to the purpose
1065     described in Subsection (2) of this item.

1066     ITEM 4
1067          To Governor's Office -- Suicide Prevention
1068               From General Fund
$100,000

1069               Schedule of Programs:
1070                    Suicide Prevention                    $100,000
1071          The Legislature intends that the appropriations under this item be used to award grants
1072     under Section 62A-15-1103.
1073     ITEM 5
1074          To University of Utah -- SafeUT Crisis Text and Tip Line
1075               From General Fund
$250,000

1076               Schedule of Programs:
1077                    SafeUT Operations                    $250,000
1078          The Legislature intends that the appropriations under this item be used to create and
1079     operate a crisis intervention application for first responders and emergency medical services
1080     personnel in the state.