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28          ▸     repeals outdated language and makes corresponding modifications;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

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