This document includes Senate 3rd Reading Floor Amendments incorporated into the bill on Tue, Feb 28, 2023 at 7:41 PM by lpoole.
Representative Steve Eliason proposes the following substitute bill:


1     
BEHAVIORAL HEALTH CRISIS RESPONSE COMMISSION

2     
AMENDMENTS

3     
2023 GENERAL SESSION

4     
STATE OF UTAH

5     
Chief Sponsor: Steve Eliason

6     
Senate Sponsor: Chris H. Wilson

7     Cosponsors:
8     Melissa G. Ballard
9     Scott H. Chew
Jennifer Dailey-Provost
Michael J. Petersen
Christine F. Watkins
Ryan D. Wilcox
10     

11     LONG TITLE
12     General Description:
13          This bill amends provisions related to the Behavioral Health Crisis Response
14     Commission.
15     Highlighted Provisions:
16          This bill:
17          ▸     requires the Behavioral Health Crisis Response Commission (commission) to make
18     recommendations regarding, and the Division of Integrated Healthcare to administer
19     grant programs for the development of:
20               •     mobile crisis outreach teams;
21               • Ŝ→ [     up to two] one ←Ŝ behavioral health receiving Ŝ→ [centers in counties]
21a     center in a county ←Ŝ of the third Ŝ→ [, fourth,
22     fifth, or sixth] ←Ŝ class; and
23               •     a virtual crisis outreach team that will primarily serve counties of the third,
24     fourth, fifth, or sixth class;
25          ▸     requires the Division of Integrated Healthcare to consult with the commission
26     regarding use of funds from the Statewide Behavioral Health Crisis Response
27     Account, and amends provisions related to the use of those funds;
28          ▸     amends provisions regarding the membership of the commission;
29          ▸     repeals outdated language and makes corresponding modifications;
30          ▸     directs the commission to coordinate services by local mental health crisis lines and
31     mobile crisis outreach teams;
32          ▸     extends the sunset of the commission to December 31, 2026, and modifies
33     corresponding and related sunset provisions;
34          ▸     provides sunset dates for the mobile crisis outreach team and virtual crisis outreach
35     team grant programs;
36          ▸     repeals codified title provisions; and
37          ▸     makes technical corrections.
38     Money Appropriated in this Bill:
39          None
40     Other Special Clauses:
41          This bill provides a special effective date.
42     Utah Code Sections Affected:
43     AMENDS:
44          62A-15-118, as enacted by Laws of Utah 2020, Chapter 303
45          62A-15-123, as last amended by Laws of Utah 2022, Chapter 187
46          63C-18-202, as last amended by Laws of Utah 2021, Chapter 76
47          63C-18-203, as last amended by Laws of Utah 2021, Chapter 76
48          63I-1-226, as last amended by Laws of Utah 2022, Chapters 194, 206, 224, 253, 255,
49     347, and 451
50          63I-1-262, as last amended by Laws of Utah 2022, Chapters 34, 35, 149, 257, and 335
51          63I-1-263, as last amended by Laws of Utah 2022, Chapters 23, 34, 68, 153, 218, 236,
52     249, 274, 296, 313, 361, 362, 417, 419, and 472
53     ENACTS:
54          62A-15-116.5, Utah Code Annotated 1953
55          62A-15-125, Utah Code Annotated 1953
56     REPEALS:
57          63C-18-201, as enacted by Laws of Utah 2017, Chapter 23
58     

59     Be it enacted by the Legislature of the state of Utah:
60          Section 1. Section 62A-15-116.5 is enacted to read:
61          62A-15-116.5. Mobile Crisis Outreach Team Grant Program.
62          (1) As used in this section, "commission" means the Behavioral Health Crisis
63     Response Commission established in Section 63C-18-202.
64          (2) The commission shall provide recommendations and the division shall award
65     grants for the development of up to five mobile crisis outreach teams.
66          (3) A mobile crisis outreach team that is awarded a grant under Subsection (2) shall
67     provide mental health crisis services 24 hours per day, seven days per week, and every day of
68     the year.
69          (4) The division shall prioritize the award of a grant described in Subsection (2) to
70     entities based on:
71          (a) the outstanding need for crisis outreach services within the area the proposed
72     mobile crisis outreach team will serve; and
73          (b) the capacity for implementation of the proposed mobile crisis outreach team in
74     accordance with the division's established standards and requirements for mobile crisis
75     outreach teams.
76          (5) (a) In consultation with the commission, the division shall make rules, in
77     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, for the
78     application and award of the grants described in Subsection (2).
79          (b) (i) The rules created under Subsection (5)(a) shall implement a funding structure
80     for a mobile crisis outreach team developed using a grant awarded under this section.
81          (ii) The funding structure described in Subsection (5)(b)(i) shall provide for tiers and
82     phases of shared funding coverage between the state and counties.
83          Section 2. Section 62A-15-118 is amended to read:
84          62A-15-118. Behavioral Health Receiving Center Grant Program.
85          (1) As used in this section:
86          (a) "Behavioral health receiving center" means a 23-hour nonsecure program or facility
87     that is responsible for, and provides mental health crisis services to, an individual experiencing
88     a mental health crisis.
89          (b) "Commission" means the Behavioral Health Crisis Response Commission
90     established in Section 63C-18-202.
91          [(b)] (c) "Project" means a behavioral health receiving center project described in
92     [Subsection (2)(a)] Subsection (2) or (3)(a).
93          (2) [(a) (i)] Before July 1, 2020, the division shall issue a request for proposals in
94     accordance with this section to award a grant to one or more counties of the first or second
95     class, as classified in Section 17-50-501, to[, except as provided in Subsection (2)(a)(ii),]
96     develop and implement a behavioral health receiving center.
97          [(ii) A grant awarded under Subsection (2)(a)(i) may not be used to purchase land for
98     the behavioral health receiving center.]
99          [(b) The division shall award all grants under this section before December 31, 2020.]
100          (3) (a) Before July 1, 2023, the division shall issue a request for proposals in
101     accordance with this section to award a grant to Ŝ→ [up to two counties] one county ←Ŝ of the
101a     third Ŝ→ [, fourth, fifth, or
102     sixth] ←Ŝ class, as classified in Section 17-50-501, to develop and implement a behavioral health
103     receiving center.
104          (b) Subject to appropriations by the Legislature, the division shall award grants under
105     this Subsection (3) before December 31, 2023.
106          (c) The commission shall provide recommendations to the division regarding the
107     development and implementation of Ŝ→ [up to two] a ←Ŝ behavioral health receiving
107a     Ŝ→ [ centers] center ←Ŝ .
108          [(3)] (4) The purpose of a project is to:
109          (a) increase access to mental health crisis services for individuals in the state who are
110     experiencing a mental health crisis; and
111          (b) reduce the number of individuals in the state who are incarcerated or in a hospital
112     emergency room while experiencing a mental health crisis.
113          [(4)] (5) An application for a grant under this section shall:
114          (a) identify the population to which the behavioral health receiving center will provide
115     mental health crisis services;
116          (b) identify the type of mental health crisis services the behavioral health receiving
117     center will provide;
118          (c) explain how the population described in Subsection [(4)(a)] (5)(a) will benefit from
119     the provision of mental health crisis services;
120          (d) provide details regarding:
121          (i) how the proposed project plans to provide mental health crisis services;
122          (ii) how the proposed project will ensure that consideration is given to the capacity of
123     the behavioral health receiving center;
124          (iii) how the proposed project will ensure timely and effective provision of mental
125     health crisis services;
126          (iv) the cost of the proposed project;
127          (v) any existing or planned contracts or partnerships between the applicant and other
128     individuals or entities to develop and implement the proposed project;
129          (vi) any plan to use funding sources in addition to a grant under this section for the
130     proposed project;
131          (vii) the sustainability of the proposed project; and
132          (viii) the methods the proposed project will use to:
133          (A) protect the privacy of each individual who receives mental health crisis services
134     from the behavioral health receiving center;
135          (B) collect nonidentifying data relating to the proposed project; and
136          (C) provide transparency on the costs and operation of the proposed project; and
137          (e) provide other information requested by the division to ensure that the proposed
138     project satisfies the criteria described in Subsection [(5)] (7).
139          [(5)] (6) A recipient of a grant under this section shall enroll as a Medicaid provider
140     and meet minimum standards of care for behavioral health receiving centers established by the
141     division.
142          (7) In evaluating an application for the grant, the division shall consider:
143          (a) the extent to which the proposed project will fulfill the purposes described in
144     Subsection [(3)] (4);
145          (b) the extent to which the population described in Subsection [(4)(a)] (5)(a) is likely to
146     benefit from the proposed project;
147          (c) the cost of the proposed project;
148          (d) the extent to which any existing or planned contracts or partnerships between the
149     applicant and other individuals or entities to develop and implement the project, or additional
150     funding sources available to the applicant for the proposed project, are likely to benefit the
151     proposed project; and
152          (e) the viability and innovation of the proposed project.
153          [(6) Before June 30, 2021, the division shall report to the Health and Human Services
154     Interim Committee regarding:]
155          [(a) each county awarded a grant under this section; and]
156          [(b) the details of each project.]
157          [(7)] (8) Before June 30, 2023, the division shall report to the Health and Human
158     Services Interim Committee regarding:
159          (a) data gathered in relation to each project described in Subsection (2);
160          (b) knowledge gained relating to the provision of mental health crisis services in a
161     behavioral health receiving center;
162          (c) recommendations for the future use of mental health crisis services in behavioral
163     health receiving centers; [and]
164          (d) obstacles encountered in the provision of mental health crisis services in a
165     behavioral health receiving center[.]; and
166          (e) recommendations for appropriate Medicaid reimbursement for rural behavioral
167     health receiving centers.
168          (9) (a) In consultation with the commission, the division shall make rules, in
169     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, for the
170     application and award of a grant under this section.
171          (b) (i) The rules created under Subsection (9)(a) shall:
172          (A) implement a funding structure for a behavioral health receiving center developed
173     using a grant awarded under this section;
174          (B) include implementation standards and minimum program requirements for a
175     behavioral health receiving center developed using a grant awarded under this section,
176     including minimum guidelines and standards of care, and minimum staffing requirements; and
177          (C) require a behavioral health receiving center developed using a grant awarded under
178     this section to operate 24 hours day, seven days per week, and every day of the year.
179          (ii) The funding structure described in Subsection (9)(b)(i)(A) shall provide for tiers
180     and phases of shared funding coverage between the state and counties.
181          (10) Before June 30, 2024, the division shall report to the Health and Human Services
182     Interim Committee regarding:
183          (a) grants awarded under Subsection (3)(a); and
184          (b) the details of each project described in Subsection (3)(a).
185          (11) Before June 30, 2026, the division shall provide a report to the Health and Human
186     Services Interim Committee that includes:
187          (a) data gathered in relation to each project described in Subsection (3)(a); and
188          (b) an update on the items described in Subsections (8)(b) through (d).
189          Section 3. Section 62A-15-123 is amended to read:
190          62A-15-123. Statewide Behavioral Health Crisis Response Account -- Creation --
191     Administration -- Permitted uses -- Reporting.
192          (1) There is created a restricted account within the General Fund known as the
193     "Statewide Behavioral Health Crisis Response Account," consisting of:
194          (a) money appropriated or otherwise made available by the Legislature; and
195          (b) contributions of money, property, or equipment from federal agencies, political
196     subdivisions of the state, or other persons.
197          (2) (a) Subject to appropriations by the Legislature and any contributions to the account
198     described in Subsection (1)(b), the division shall disburse funds in the account only for the
199     purpose of support or implementation of services or enhancements of those services in order to
200     rapidly, efficiently, and effectively deliver 988 services in the state.
201          (b) Funds distributed from the account to county local mental health and substance
202     abuse authorities for the provision of crisis services are not subject to the 20% county match
203     described in Sections 17-43-201 and 17-43-301.
204          (c) [Except as provided in Subsection (2)(d), the division shall prioritize expending
205     funds from the account as follows] After consultation with the Behavioral Health Crisis
206     Response Commission created in Section 63C-18-202, and local substance use authorities and
207     local mental health authorities described in Sections 17-43-201 and 17-43-301, the division
208     shall expend funds from the account on any of the following programs:
209          (i) the Statewide Mental Health Crisis Line, as defined in Section 62A-15-1301,
210     including coordination with 911 emergency service, as defined in Section 69-2-102, and
211     coordination with local substance abuse authorities as described in Section 17-43-201, and
212     local mental health authorities, described in Section 17-43-301;
213          [(ii) mitigation of any negative impacts on 911 emergency service from 988 services;]
214          [(iii)] (ii) mobile crisis outreach teams as defined in Section 62A-15-1401, distributed
215     in accordance with rules made by the division in accordance with Title 63G, Chapter 3, Utah
216     Administrative Rulemaking Act;
217          [(iv)] (iii) behavioral health receiving centers as defined in Section 62A-15-118;
218          [(v)] (iv) stabilization services as described in Section 62A-1-104; [and]
219          [(vi)] (v) mental health crisis services provided by local substance abuse authorities as
220     described in Section 17-43-201 and local mental health authorities described in Section
221     17-43-301 to provide prolonged mental health services for up to 90 days after the day on which
222     an individual experiences a mental health crisis[.];
223          (vi) crisis intervention training for first responders, as that term is defined in Section
224     78B-4-501;
225          (vii) crisis worker certification training for first responders, as that term is defined in
226     Section 78B-4-501;
227          (viii) frontline support for the SafeUT Crisis Line; or
228          (ix) suicide prevention gatekeeper training for first responders, as that term is defined
229     in Section 78B-4-501.
230          (d) If the Legislature appropriates money to the account for a purpose described in
231     Subsection (2)(c), the division shall use the appropriation for that purpose.
232          (3) Subject to appropriations by the Legislature and any contributions to the account
233     described in Subsection (1)(b), the division may expend funds in the account for administrative
234     costs that the division incurs related to administering the account.
235          (4) The division director shall submit and make available to the public a report before
236     December of each year to the Behavioral Health Crisis Response Commission, as defined in
237     Section 63C-18-202, the Social Services Appropriations Subcommittee, and the Legislative
238     Management Committee that includes:
239          (a) the amount of each disbursement from the account;
240          (b) the recipient of each disbursement, the goods and services received, and a
241     description of the project funded by the disbursement;
242          (c) any conditions placed by the division on the disbursements from the account;
243          (d) the anticipated expenditures from the account for the next fiscal year;
244          (e) the amount of any unexpended funds carried forward;
245          (f) the number of Statewide Mental Health Crisis Line calls received;
246          (g) the progress towards accomplishing the goals of providing statewide mental health
247     crisis service; and
248          (h) other relevant justification for ongoing support from the account.
249          (5) Notwithstanding Subsection (2)(c), allocations made to local substance use
250     authorities and local mental health authorities for behavioral health receiving centers or mobile
251     crisis outreach teams before the end of fiscal year 2023 shall be maintained through fiscal year
252     2027, subject to appropriation.
253          (6) (a) As used in this Subsection (6):
254          (i) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
255          (ii) "Mental health service provider" means a behavioral health receiving center or
256     mobile crisis outreach team.
257          (b) The department shall coordinate with each mental health service provider that
258     receives state funds to determine which health benefit plans, if any, have not contracted or have
259     refused to contract with the mental health service provider at usual and customary rates for the
260     services provided by the mental health service provider.
261          (c) In each year that the department identifies a health benefit plan that meets the
262     description in Subsection (6)(b), the department shall provide a report on the information
263     gathered under Subsection (6)(b) to the Health and Human Services Interim Committee at or
264     before the committee's October meeting.
265          Section 4. Section 62A-15-125 is enacted to read:
266          62A-15-125. Virtual crisis outreach team grant program.
267          (1) As used in this section:
268          (a) "Certified peer support specialist" means the same as that term is defined in Section
269     62A-15-1301.
270          (b) "Commission" means the Behavioral Health Crisis Response Commission
271     established in Section 63C-18-202.
272          (c) "Committee" means the Health and Human Services Interim Committee.
273          (d) "Mobile crisis outreach team" means the same as that term is defined in Section
274     62A-15-1401.
275          (e) "Virtual crisis outreach program" means a program that provides the following
276     real-time services 24 hours per day, seven days per week, and every day of the year:
277          (i) crisis support, by a qualified mental or behavioral health professional, to law
278     enforcement officers; and
279          (ii) peer support services, by a certified peer support specialist, to individuals
280     experiencing behavioral health crises.
281          (2) In consultation with the commission and in accordance with the requirements of
282     this section, the division shall award a grant for the development of a virtual crisis outreach
283     program that primarily serves counties of the third, fourth, fifth, or sixth class.
284          (3) The division shall prioritize the award of the grant described in Subsection (2)
285     based on the extent to which providing the grant to the applicant will increase the provision of
286     crisis support and peer support services in areas:
287          (a) with frequent mental or behavioral health provider shortages; and
288          (b) where only one mobile crisis outreach team is available to serve multiple counties
289     of the third, fourth, fifth, or sixth class.
290          (4) When not providing crisis support or peer support services to law enforcement or
291     individuals in a county of the third, fourth, fifth, or sixth class, the virtual crisis outreach
292     program developed using a grant under this section shall provide support services as needed to
293     mobile crisis outreach teams in counties of the first or second class.
294          (5) In consultation with the commission, the division may make rules, in accordance
295     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, for the application and award
296     of the grant described in Subsection (2).
297          (6) Before June 30, 2024, the division shall submit a written report to the committee
298     regarding the virtual crisis outreach program developed using the grant awarded under this
299     section.
300          (7) Before June 30, 2026, the division shall submit a written report to the committee
301     regarding:
302          (a) data gathered in relation to the rural virtual crisis outreach team developed using the
303     grant awarded under this section;
304          (b) knowledge gained relating to the provision of virtual crisis outreach services;
305          (c) recommendations for the future use of virtual crisis outreach services; and
306          (d) obstacles encountered in the provision of virtual crisis outreach services.
307          Section 5. Section 63C-18-202 is amended to read:
308          63C-18-202. Commission established -- Members.
309          (1) There is created the Behavioral Health Crisis Response Commission, composed of
310     the following members:
311          (a) the executive director of the [University Neuropsychiatric Institute] Huntsman
312     Mental Health Institute;
313          (b) the governor or the governor's designee;
314          (c) the director of the [Division] Office of Substance [Abuse] Use and Mental Health;
315          (d) one representative of the Office of the Attorney General, appointed by the attorney
316     general;
317          (e) the executive director of the Department of Health and Human Services or the
318     executive director's designee;
319          [(e)] (f) one member of the public, appointed by the chair of the commission and
320     approved by the commission;
321          [(f)] (g) two individuals who are mental or behavioral health clinicians licensed to
322     practice in the state, appointed by the chair of the commission and approved by the
323     commission, at least one of whom is an individual who:
324          (i) is licensed as a physician under:
325          (A) Title 58, Chapter 67, Utah Medical Practice Act;
326          (B) Title 58, Chapter 67b, Interstate Medical Licensure Compact; or
327          (C) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
328          (ii) is board eligible for a psychiatry specialization recognized by the American Board
329     of Medical Specialists or the American Osteopathic Association's Bureau of Osteopathic
330     Specialists;
331          [(g)] (h) one individual who represents a county of the first or second class, appointed
332     by the Utah Association of Counties;
333          [(h)] (i) one individual who represents a county of the third, fourth, or fifth class,
334     appointed by the Utah Association of Counties;
335          [(i)] (j) one individual who represents the Utah Hospital Association, appointed by the
336     chair of the commission;
337          [(j)] (k) one individual who represents law enforcement, appointed by the chair of the
338     commission;
339          [(k)] (l) one individual who has lived with a mental health disorder, appointed by the
340     chair of the commission;
341          [(l)] (m) one individual who represents an integrated health care system that:
342          (i) is not affiliated with the chair of the commission; and
343          (ii) provides inpatient behavioral health services and emergency room services to
344     individuals in the state;
345          [(m)] (n) one individual who represents an accountable care organization, as defined in
346     Section 26-18-423, with a statewide membership base;
347          [(n) three members of the House of Representatives, appointed by the speaker of the
348     House of Representatives, no more than two of whom may be from the same political party;]
349          [(o) three members of the Senate, appointed by the president of the Senate, no more
350     than two of whom may be from the same political party;]
351          [(p)] (o) one individual who represents 911 call centers and public safety answering
352     points, appointed by the chair of the commission;
353          [(q)] (p) one individual who represents Emergency Medical Services, appointed by the
354     chair of the commission;
355          [(r)] (q) one individual who represents the mobile wireless service provider industry,
356     appointed by the chair of the commission;
357          [(s)] (r) one individual who represents rural telecommunications providers, appointed
358     by the chair of the commission;
359          [(t)] (s) one individual who represents voice over internet protocol and land line
360     providers, appointed by the chair of the commission; [and]
361          [(u)] (t) one individual who represents the Utah League of Cities and Towns, appointed
362     by the [chair of the commission.] Utah League of Cities and Towns; and
363          (u) three or six legislative members, the number of which shall be decided jointly by
364     the speaker of the House of Representatives and the president of the Senate, appointed as
365     follows:
366          (i) if the speaker of the House of Representatives and the president of the Senate jointly
367     decide to appoint three legislative members to the commission, the speaker shall appoint one
368     member of the House of Representatives, the president shall appoint one member of the Senate,
369     and the speaker and the president shall jointly appoint one legislator from the minority party; or
370          (ii) if the speaker of the House of Representatives and the president of the Senate
371     jointly decide to appoint six legislative members to the commission:
372          (A) the speaker of the House of Representatives shall appoint three members of the
373     House of Representatives, no more than two of whom may be from the same political party;
374     and
375          (B) the president of the Senate shall appoint three members of the Senate, no more than
376     two of whom may be from the same political party.
377          [(2) On December 31, 2022:]
378          [(a) the number of members described in Subsection (1)(n) and the number of members
379     described in Subsection (1)(o) is reduced to one, with no restriction relating to party
380     membership; and]
381          [(b) the members described in Subsections (1)(p) through (u) are removed from the
382     commission.]
383          [(3)] (2) (a) [The] Except as provided in Subsection (2)(d), the executive director of the
384     [University Neuropsychiatric Institute] Huntsman Mental Health Institute is the chair of the
385     commission.
386          (b) The chair of the commission shall appoint a member of the commission to serve as
387     the vice chair of the commission, with the approval of the commission.
388          (c) The chair of the commission shall set the agenda for each commission meeting.
389          (d) If the executive director of the Huntsman Mental Health Institute is not available to
390     serve as the chair of the commission, the commission shall elect a chair from among the
391     commission's members.
392          [(4)] (3) (a) A majority of the members of the commission constitutes a quorum.
393          (b) The action of a majority of a quorum constitutes the action of the commission.
394          [(5)] (4) (a) Except as provided in Subsection [(5)(b)] (4)(b), a member may not
395     receive compensation, benefits, per diem, or travel expenses for the member's service on the
396     commission.
397          (b) Compensation and expenses of a member who is a legislator are governed by
398     Section 36-2-2 and Legislative Joint Rules, Title 5, Legislative Compensation and Expenses.
399          [(6)] (5) The Office of the Attorney General shall provide staff support to the
400     commission.
401          Section 6. Section 63C-18-203 is amended to read:
402          63C-18-203. Commission duties -- Reporting requirements.
403          (1) The commission shall:
404          (a) identify a method to integrate existing local mental health crisis lines to ensure each
405     individual who accesses a local mental health crisis line is connected to a qualified mental or
406     behavioral health professional, regardless of the time, date, or number of individuals trying to
407     simultaneously access the local mental health crisis line;
408          (b) study how to establish and implement a statewide mental health crisis line and a
409     statewide warm line, including identifying:
410          (i) a statewide phone number or other means for an individual to easily access the
411     statewide mental health crisis line, including a short code for text messaging and a three-digit
412     number for calls;
413          (ii) a statewide phone number or other means for an individual to easily access the
414     statewide warm line, including a short code for text messaging and a three-digit number for
415     calls;
416          (iii) a supply of:
417          (A) qualified mental or behavioral health professionals to staff the statewide mental
418     health crisis line; and
419          (B) qualified mental or behavioral health professionals or certified peer support
420     specialists to staff the statewide warm line; and
421          (iv) a funding mechanism to operate and maintain the statewide mental health crisis
422     line and the statewide warm line;
423          (c) coordinate with local mental health authorities in fulfilling the commission's duties
424     described in Subsections (1)(a) and (b); [and]
425          (d) recommend standards for the certifications described in Section 62A-15-1302; and
426          (e) coordinate services provided by local mental health crisis lines and mobile crisis
427     outreach teams, as defined in Section 62A-15-1401.
428          (2) [In preparation for the implementation of the statewide 988 hotline, the] The
429     commission shall study and make recommendations regarding:
430          (a) crisis line practices and needs, including:
431          (i) quality and timeliness of service;
432          (ii) service volume projections;
433          (iii) a statewide assessment of crisis line staffing needs, including required
434     certifications; and
435          (iv) a statewide assessment of technology needs;
436          (b) primary duties performed by crisis line workers;
437          (c) coordination or redistribution of secondary duties performed by crisis line workers,
438     including responding to non-emergency calls;
439          (d) [establishing a] operating the statewide 988 hotline:
440          (i) in accordance with federal law;
441          (ii) [that ensures] to ensure the efficient and effective routing of calls to an appropriate
442     crisis center; and
443          (iii) [that includes] to directly [responding] respond to calls with trained personnel and
444     the provision of acute mental health, crisis outreach, and stabilization services;
445          (e) opportunities to increase operational and technological efficiencies and
446     effectiveness between 988 and 911, utilizing current technology;
447          (f) needs for interoperability partnerships and policies related to 911 call transfers and
448     public safety responses;
449          (g) standards for statewide mobile crisis outreach teams, including:
450          (i) current models and projected needs;
451          (ii) quality and timeliness of service;
452          (iii) hospital and jail diversions; and
453          (iv) staffing and certification;
454          (h) resource centers, including:
455          (i) current models and projected needs; and
456          (ii) quality and timeliness of service;
457          (i) policy considerations related to whether the state should:
458          (i) manage, operate, and pay for a complete behavioral health system; or
459          (ii) create partnerships with private industry; and
460          (j) sustainable funding source alternatives, including:
461          (i) charging a 988 fee, including a recommendation on the fee amount;
462          (ii) General Fund appropriations;
463          (iii) other government funding options;
464          (iv) private funding sources;
465          (v) grants;
466          (vi) insurance partnerships, including coverage for support and treatment after initial
467     call and triage; and
468          (vii) other funding resources.
469          [(3) The commission shall:]
470          [(a) before December 31, 2021, present an initial report on the matters described in
471     Subsection (2), including any proposed legislation, to the Executive Appropriations
472     Committee; and]
473          [(b) before December 31, 2022, present a final report on the items described in
474     Subsection (2), including any proposed legislation, to the Executive Appropriations
475     Committee.]
476          [(4) The duties described in Subsection (2) are removed on December 31, 2022.]
477          [(5)] (3) The commission may conduct other business related to the commission's
478     duties described in this section.
479          [(6)] (4) The commission shall consult with the [Division] Office of Substance [Abuse]
480     Use and Mental Health regarding:
481          (a) the standards and operation of the statewide mental health crisis line and the
482     statewide warm line, in accordance with Title 62A, Chapter 15, Part 13, Statewide Mental
483     Health Crisis Line and Statewide Warm Line; and
484          (b) the incorporation of the statewide mental health crisis line and the statewide warm
485     line into behavioral health systems throughout the state.
486          (5) Beginning in 2023, by no later than the last interim meeting of the Health and
487     Human Services Interim Committee each calendar year, the commission shall report to the
488     Health and Human Services Interim Committee on the matters described in Subsections (1) and
489     (2), including any recommendations, legislation proposals, and opportunities for behavioral
490     health crisis response system improvement.
491          Section 7. Section 63I-1-226 is amended to read:
492          63I-1-226. Repeal dates: Title 26 through 26B.
493          (1) Section 26-1-7.5, which creates the Utah Health Advisory Council, is repealed July
494     1, 2025.
495          (2) Section 26-1-40 is repealed July 1, 2022.
496          (3) Section 26-1-41 is repealed July 1, 2026.
497          (4) Section 26-1-43 is repealed December 31, 2025.
498          (5) Section 26-7-10 is repealed July 1, 2025.
499          (6) Subsection 26-7-11(5), regarding reports to the Legislature, is repealed July 1,
500     2028.
501          (7) Section 26-7-14 is repealed December 31, 2027.
502          (8) Section 26-8a-603 is repealed July 1, 2027.
503          (9) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
504     1, 2025.
505          (10) Subsection 26-10-6(5), which creates the Newborn Hearing Screening Committee,
506     is repealed July 1, 2026.
507          (11) Section 26-10b-106, which creates the Primary Care Grant Committee, is repealed
508     July 1, 2025.
509          (12) Subsection 26-15c-104(3), relating to a limitation on the number of
510     microenterprise home kitchen permits that may be issued, is repealed July 1, 2022.
511          (13) Subsection 26-18-2.6(9), which addresses reimbursement for dental hygienists, is
512     repealed July 1, 2028.
513          (14) Section 26-18-27 is repealed July 1, 2025.
514          (15) Section 26-18-28 is repealed June 30, 2027.
515          (16) Title 26, Chapter 18, Part 2, Drug Utilization Review Board, is repealed July 1,
516     2027.
517          (17) Subsection 26-18-418(2), the language that states "and the Behavioral Health
518     Crisis Response Commission created in Section 63C-18-202" is repealed [July 1, 2023]
519     December 31, 2026.
520          (18) Section 26-33a-117 is repealed December 31, 2023.
521          (19) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2024.
522          (20) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1,
523     2024.
524          (21) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is repealed
525     July 1, 2024.
526          (22) Title 26, Chapter 36d, Hospital Provider Assessment Act, is repealed July 1, 2024.
527          (23) Section 26-39-201, which creates the Residential Child Care Licensing Advisory
528     Committee, is repealed July 1, 2024.
529          (24) Section 26-39-405, Drinking water quality in child care centers, is repealed July 1,
530     2027.
531          (25) Section 26-40-104, which creates the Utah Children's Health Insurance Program
532     Advisory Council, is repealed July 1, 2025.
533          (26) Section 26-50-202, which creates the Traumatic Brain Injury Advisory
534     Committee, is repealed July 1, 2025.
535          (27) Title 26, Chapter 54, Spinal Cord and Brain Injury Rehabilitation Fund and
536     Pediatric Neuro-Rehabilitation Fund, is repealed January 1, 2025.
537          (28) Title 26, Chapter 66, Early Childhood Utah Advisory Council, is repealed July 1,
538     2026.
539          (29) Title 26, Chapter 68, COVID-19 Vaccine Restrictions Act, is repealed July 1,
540     2024.
541          (30) Section 26-69-406 is repealed July 1, 2025.
542          (31) Subsection 26B-1-204(2)(i), related to the Residential Child Care Licensing
543     Advisory Committee, is repealed July 1, 2024.
544          (32) Subsection 26B-1-204(2)(k), related to the Primary Care Grant Committee, is
545     repealed July 1, 2025.
546          Section 8. Section 63I-1-262 is amended to read:
547          63I-1-262. Repeal dates: Title 62A.
548          (1) Section 62A-3-209 is repealed July 1, 2023.
549          (2) Sections 62A-5a-101, 62A-5a-102, 62A-5a-103, and 62A-5a-104, which create the
550     Coordinating Council for Persons with Disabilities, are repealed July 1, 2027.
551          (3) Subsections 62A-15-116(1) and (5), the language that states "In consultation with
552     the Behavioral Health Crisis Response Commission, established in Section 63C-18-202," is
553     repealed [January 1, 2023] December 31, 2026.
554          (4) Section 62A-15-116.5 is repealed December 31, 2026.
555          [(4)] (5) Section 62A-15-118 is repealed December 31, [2023] 2026.
556          (6) Subsection 62A-15-123(4), the language that states "the Behavioral Health Crisis
557     Response Commission, as defined in Section 63C-18-202," is repealed December 31, 2026.
558          [(5)] (7) Section 62A-15-124 is repealed December 31, 2024.
559          (8) Section 62A-15-125 is repealed December 31, 2026.
560          [(6)] (9) Section 62A-15-605, which creates the Forensic Mental Health Coordinating
561     Council, is repealed July 1, 2023.
562          [(7)] (10) Subsections 62A-15-1100(1) and 62A-15-1101(9), in relation to the Utah
563     Substance Use and Mental Health Advisory Council, are repealed January 1, 2033.
564          [(8)] (11) In relation to the Behavioral Health Crisis Response Commission, on [July 1,
565     2023] December 31, 2026:
566          (a) Subsections 62A-15-1301(2) and 62A-15-1401(1) are repealed;
567          (b) Subsection 62A-15-1302(1)(b), the language that states "and in consultation with
568     the commission" is repealed;
569          (c) Subsection 62A-15-1303(1), the language that states "In consultation with the
570     commission," is repealed;
571          (d) Subsection 62A-15-1402(2)(a), the language that states "With recommendations
572     from the commission," is repealed; [and]
573          (e) Subsection 62A-15-1702(6) is repealed; and
574          (f) Subsection 62A-15-1903(3)(b)(iv) is repealed.
575          Section 9. Section 63I-1-263 is amended to read:
576          63I-1-263. Repeal dates: Titles 63A to 63N.
577          (1) Subsection 63A-5b-405(5), relating to prioritizing and allocating capital
578     improvement funding, is repealed July 1, 2024.
579          (2) Section 63A-5b-1003, State Facility Energy Efficiency Fund, is repealed July 1,
580     2023.
581          (3) Sections 63A-9-301 and 63A-9-302, related to the Motor Vehicle Review
582     Committee, are repealed July 1, 2023.
583          (4) In relation to the Utah Transparency Advisory Board, on January 1, 2025:
584          (a) Section 63A-18-102 is repealed;
585          (b) Section 63A-18-201 is repealed; and
586          (c) Section 63A-18-202 is repealed.
587          (5) Title 63C, Chapter 4a, Constitutional and Federalism Defense Act, is repealed July
588     1, 2028.
589          (6) Title 63C, Chapter 6, Utah Seismic Safety Commission, is repealed January 1,
590     2025.
591          (7) Title 63C, Chapter 12, Snake Valley Aquifer Advisory Council, is repealed July 1,
592     2024.
593          (8) Title 63C, Chapter 17, Point of the Mountain Development Commission Act, is
594     repealed July 1, 2023.
595          (9) Title 63C, Chapter 18, Behavioral Health Crisis Response Commission, is repealed
596     [July 1, 2023] December 31, 2026.
597          (10) Title 63C, Chapter 23, Education and Mental Health Coordinating Council, is
598     repealed July 1, 2026.
599          (11) Title 63C, Chapter 27, Cybersecurity Commission, is repealed July 1, 2032.
600          (12) Title 63C, Chapter 28, Ethnic Studies Commission, is repealed July 1, 2026.
601          (13) Section 63G-6a-805, which creates the Purchasing from Persons with Disabilities
602     Advisory Board, is repealed July 1, 2026.
603          (14) Title 63G, Chapter 21, Agreements to Provide State Services, is repealed July 1,
604     2028.
605          (15) Title 63H, Chapter 4, Heber Valley Historic Railroad Authority, is repealed July 1,
606     2024.
607          (16) Title 63H, Chapter 8, Utah Housing Corporation Act, is repealed July 1, 2026.
608          (17) Subsection 63J-1-602.1(17), relating to the Nurse Home Visiting Restricted
609     Account, is repealed July 1, 2026.
610          (18) Subsection 63J-1-602.2(6), referring to dedicated credits to the Utah Marriage
611     Commission, is repealed July 1, 2023.
612          (19) Subsection 63J-1-602.2(7), referring to the Trip Reduction Program, is repealed
613     July 1, 2022.
614          (20) Subsection 63J-1-602.2(26), related to the Utah Seismic Safety Commission, is
615     repealed January 1, 2025.
616          (21) Title 63L, Chapter 11, Part 4, Resource Development Coordinating Committee, is
617     repealed July 1, 2027.
618          (22) In relation to the Utah Substance Use and Mental Health Advisory Council, on
619     January 1, 2033:
620          (a) Sections 63M-7-301, 63M-7-302, 63M-7-303, 63M-7-304, and 63M-7-306 are
621     repealed;
622          (b) Section 63M-7-305, the language that states "council" is replaced with
623     "commission";
624          (c) Subsection 63M-7-305(1)(a) is repealed and replaced with:
625          "(1) "Commission" means the Commission on Criminal and Juvenile Justice."; and
626          (d) Subsection 63M-7-305(2) is repealed and replaced with:
627          "(2) The commission shall:
628          (a) provide ongoing oversight of the implementation, functions, and evaluation of the
629     Drug-Related Offenses Reform Act; and
630          (b) coordinate the implementation of Section 77-18-104 and related provisions in
631     Subsections 77-18-103(2)(c) and (d).".
632          (23) The Crime Victim Reparations and Assistance Board, created in Section
633     63M-7-504, is repealed July 1, 2027.
634          (24) Title 63M, Chapter 11, Utah Commission on Aging, is repealed July 1, 2026.
635          (25) Title 63N, Chapter 1b, Part 4, Women in the Economy Subcommittee, is repealed
636     January 1, 2025.
637          (26) Title 63N, Chapter 2, Part 2, Enterprise Zone Act, is repealed July 1, 2028.
638          (27) Section 63N-2-512, related to the Hotel Impact Mitigation Fund, is repealed July
639     1, 2028.
640          (28) Title 63N, Chapter 3, Part 9, Strategic Innovation Grant Pilot Program, is repealed
641     July 1, 2027.
642          (29) Title 63N, Chapter 3, Part 11, Manufacturing Modernization Grant Program, is
643     repealed July 1, 2025.
644          (30) In relation to the Rural Employment Expansion Program, on July 1, 2023:
645          (a) Title 63N, Chapter 4, Part 4, Rural Employment Expansion Program, is repealed;
646     and
647          (b) Subsection 63N-4-805(5)(b), referring to the Rural Employment Expansion
648     Program, is repealed.
649          (31) In relation to the Board of Tourism Development, on July 1, 2025:
650          (a) Subsection 63N-2-511(1)(b), which defines "tourism board," is repealed;
651          (b) Subsections 63N-2-511(3)(a) and (5), the language that states "tourism board" is
652     repealed and replaced with "Utah Office of Tourism";
653          (c) Subsection 63N-7-101(1), which defines "board," is repealed;
654          (d) Subsection 63N-7-102(3)(c), which requires the Utah Office of Tourism to receive
655     approval from the Board of Tourism Development, is repealed; and
656          (e) Title 63N, Chapter 7, Part 2, Board of Tourism Development, is repealed.
657          (32) Subsection 63N-8-103(3)(c), which allows the Governor's Office of Economic
658     Opportunity to issue an amount of tax credit certificates only for rural productions, is repealed
659     on July 1, 2024.
660          Section 10. Repealer.
661          This bill repeals:
662          Section 63C-18-201, Title.
663          Section 11. Effective date.
664          If approved by two-thirds of all the members elected to each house, this bill takes effect
665     upon approval by the governor, or the day following the constitutional time limit of Utah
666     Constitution, Article VII, Section 8, without the governor's signature, or in the case of a veto,
667     the date of veto override.