Revision: April 4, 2017, 8:26 a.m.
HB 400 - AS AMENDED BY THE HOUSE
HOUSE BILL 400
AN ACT requiring the department of health and human services to develop a 10-year plan for mental health services.
SPONSORS: Rep. Danielson, Hills. 7
COMMITTEE: Health, Human Services and Elderly Affairs
This bill requires the department of health and human services to develop a comprehensive 10-year plan for the mental health system. Under this bill, the plan shall be submitted to the speaker of the house of representatives, the president of the senate, and the governor on or before July 1, 2018.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
8Mar2017... 0445h 17-0730
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Seventeen
Be it Enacted by the Senate and House of Representatives in General Court convened:
I. In 2008, the New Hampshire department of health and human services collaborated with the New Hampshire community behavioral health association to develop a 10-year plan for mental health services.
II. A task force issued “A Strategy for Restoration,” which included recommendations to address the services and supports needed to meet the needs of New Hampshire’s residents in need of mental health services. This report focused on the adult population. Many of the recommendations in the 2008 report were implemented.
III. However, in the intervening time, the state has experienced a number of changes that require a renewed look at the current gaps and the emerging models of care to most effectively serve adults and their families and to expand the plan to include children. These changes include the community mental health agreement, the Medicaid 1115 transformation waiver, and the system of care law.
IV. Therefore, the general court finds a need to continue the progress made regarding the delivery of mental health services by directing the department of health and human services to develop a comprehensive 10-year plan for mental health services in collaboration with the general court and key stakeholders.
I. The department of health and human services, division for behavioral health and division of public health services, shall develop a comprehensive 10-year plan for the mental health system. The 10-year strategy shall be founded on the principles of resiliency and recovery, evidence-based practice, effectiveness and efficiency. In developing the plan, the department shall consult with provider organizations and associations, advocates and policymakers. The department shall also conduct a needs assessment which includes:
(a) An inventory of existing services, including inpatient and outpatient services, housing supports, peer and family supports; and
(b) A gap analysis to determine the need versus the current capacity of services. The analysis shall take into account wait-times for services.
II. The plan shall:
(a) Focus on a population health approach, particularly regarding the integration of the mental health system with other systems of care, including, but not limited to medical services, substance use services and social services.
(b) Provide specific recommendations and steps to eliminate or reduce to the greatest extent practicable the number of persons waiting in hospital emergency departments and the resources necessary to implement those actions.
(c) Address a continuum of care, encompassing services and supports needed across the lifespan including:
(1) Establishing performance metrics to determine effectiveness of services.
(2) Including emergent models of care.
(3) Providing recommendations to policymakers on strategies to meet the goals of the plan.
(d) Develop a timeline representing the appropriate phasing of priorities.
III. The commissioner of the department of health and human services shall submit the plan to the speaker of the house of representatives, the president of the senate, and the governor on or before July 1, 2018. The department shall provide interim reports to the oversight committee on health and human services, established under RSA 126-A:13, on or before October 1, 2017 and on or before March 1, 2018. Thereafter, the department shall report quarterly to the health and human services oversight committee providing an update on the progress of the development and implementation of the plan.
3 New Section; Mobile Crisis Units. Amend RSA 135-C by inserting after section 19-a the following new section:
135-C:19-b Mobile Crisis Units. The department shall expand the use of mobile crisis units and designated receiving facilities to the extent practicable statewide.
HB 400- FISCAL NOTE
AS AMENDED BY THE HOUSE (AMENDMENT #2017-0445h)
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
Estimated Increase / (Decrease)
[ X ] General [ ] Education [ ] Highway [ X ] Other - Federal Funds
This bill requires the Department of Health and Human Services to develop a comprehensive 10-year plan for the state mental health system as well as expand the use of mobile crisis units and designated receiving facilities to the extent practicable. The Department states there are currently two mobile crisis units and four designated receiving facilities. The initial mobile crisis units start up costs were estimated to be $1.2 million each. Ongoing mobile crisis unit services are funded through Medicaid and designated receiving facilities receive an enhanced Medicaid rate. The Department states there would be an indeterminable increase to state expenditures and revenue to the extent providers would be willing to participate and Medicaid funds would be available in order to facilitate "practicable" expansion of these services and facilities. There is no fiscal impact to county or local entities.
Department of Health and Human Services