1 Appropriation to the Department of Health and Human Services for Child Welfare Behavioral Health Services. Lapse Extension. Amend 2019, 346:347 to read as follows:

346:347 Appropriation; Department of Health and Human Services; Child Welfare Behavioral Health Services. The sum of $6,084,000 for the fiscal year ending June 30, 2020, and the sum of $13,164,000 for the fiscal year ending June 30, 2021, are hereby appropriated to the department of health and human services for the purposes of sections 330-346 of this act. Notwithstanding RSA 14:30-a, VI, the department may accept and expend any federal fund match to the appropriation in this section without prior approval of this fiscal committee of the general court. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated.

2 Annual Report on State Mental Health Plan; Child Welfare Component. Amend RSA 126-A:5, XXXIII to read as follows:

XXXIII. On or before September 1, 2019, the commissioner shall submit a report on the New Hampshire 10-year mental health plan of 2018 containing the priorities for implementation of the plan to the oversight committee on health and human services, established under RSA 126-A:13, the chairpersons of the house and senate policy committees with jurisdiction over health and human services matters, the president of the senate, the speaker of the house of representatives, and the governor . The commissioner shall submit a report on or before September 1, 2020 and annually thereafter on the status of the implementation of the 10-year mental health plan including, but not limited to, unmet benchmarks and recommendations for any necessary barrier resolution or necessary adjustments or modifications to the plan to better serve New Hampshire citizens, to the oversight committee on health and human services and the chairpersons of the house and senate policy committees with jurisdiction over health and human services matters. The annual report shall include any recommendations by the commissioner for legislation as needed or appropriate in achieving important benchmarks in fully implementing the 10-year mental health plan.

3 Repeal. RSA 135-F:6, relative to reporting requirements on the system of care for children's mental health, is repealed.

4 System of Care for Children's Mental Health; Duties of the Commissioner of Health and Human Services; Reference Change. Amend the introductory paragraph of RSA 135-F:4, II to read as follows:

II. Develop a plan for full establishment and maintenance of a system of care. Such plan shall be reviewed and amended annually. It shall include sufficient detail to allow compliance with the reporting requirements of RSA 135-F:6 , and shall address at least the following elements:

5 System of Care for Children's Mental Health; Duties of the Commissioner of the Department of Education; Reference Change. Amend the introductory paragraph of RSA 135-F:5, II to read as follows:

II. Develop a plan for full support and participation of the department of education in the establishment and maintenance of a system of care. Such plan shall be reviewed and amended annually. It shall include sufficient detail to allow compliance with the reporting requirements of RSA 135-F:6 , and shall address at least the following elements:

6 Department of Health and Human Services; Contracts and Procurement Unit; Positions Established. There are hereby established within the department of health and human services for the biennium ending June 30, 2023, 8 full-time, classified positions in the office of business operations, contracts and procurement unit.

7 Appropriation; Department of Health and Human Services; Contracts and Procurement Unit. The sum of $644,260 for the fiscal year ending June 30, 2022, and the sum of $810,607 for the fiscal year ending June 30, 2023, are hereby appropriated to the department of health and human services for the purpose of funding positions in the office of business operations, contracts and procurement unit. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated.

8 Effective Date. This act shall take effect June 30, 2021.

1 Appropriation to the Department of Health and Human Services for Child Welfare Behavioral Health Services. Lapse Extension. Amend 2019, 346:347 to read as follows:

346:347 Appropriation; Department of Health and Human Services; Child Welfare Behavioral Health Services. The sum of $6,084,000 for the fiscal year ending June 30, 2020, and the sum of $13,164,000 for the fiscal year ending June 30, 2021, are hereby appropriated to the department of health and human services for the purposes of sections 330-346 of this act. The $13,164,000 appropriation for fiscal year 2021 shall not lapse until June 30, 2022. Notwithstanding RSA 14:30-a, VI, the department may accept and expend any federal fund match to the appropriation in this section without prior approval of this fiscal committee of the general court. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated.

2 Annual Report on State Mental Health Plan; Child Welfare Component. Amend RSA 126-A:5, XXXIII to read as follows:

XXXIII. (a) On or before September 1, 2019, the commissioner shall submit a report on the New Hampshire 10-year mental health plan of 2018 containing the priorities for implementation of the plan to the oversight committee on health and human services, established under RSA 126-A:13, the chairpersons of the house and senate policy committees with jurisdiction over health and human services matters, the president of the senate, the speaker of the house of representatives, the governor , and the office of the child advocate established inRSA 21-V . The commissioner shall submit a report on or before September 1, 2020 and annually thereafter on the status of the implementation of the 10-year mental health plan including, but not limited to, unmet benchmarks and recommendations for any necessary barrier resolution or necessary adjustments or modifications to the plan to better serve New Hampshire citizens, to the oversight committee on health and human services and the chairpersons of the house and senate policy committees with jurisdiction over health and human services matters. The annual report shall include any recommendations by the commissioner for legislation as needed or appropriate in achieving important benchmarks in fully implementing the 10-year mental health plan.

(b) As part of the annual report required by this paragraph, the commissioner of the department of health and human services, in conjunction with the commissioner of the department of education, shall issue a joint report on the implementation of 2019, 44 (SB 14), relative to child welfare. This portion of the report shall address in detail the implementation status of each section of 2019, 44 (SB 14) and include all information related to progress toward full implementation of a system of care under RSA 135-F. The report shall also address the following:

(1) The total cost of children's behavioral health services.

(2) The identification of barriers and service gaps in the array of children's behavioral health services, along with a description of efforts and plans to fill those gaps.

(3) The availability of mobile crisis and stabilization services in each part of the state and plans to fill any gaps.

(4) Changes to statutes, administrative rules, policies, practices, and managed care and provider contracts which will be necessary to fully implement the system of care.

(5) Shortfalls in workforce sufficiency affecting full implementation of the system of care as well as efforts and plans for addressing those shortfalls.

(6) Numbers of children and youth awaiting services in various categories.

(7) Plans to coordinate the system of care with existing efforts addressing early childhood interventions, primary prevention, and primary care integration.

(8) Plans to develop and/or coordinate a cross-system assessment tool and data collection system to measure outcomes, including but not limited to status upon exit from the system of care, measured treatment results, recidivism, and other returns to the service system.

3 Repeal. RSA 135-F:6, relative to reporting requirements on the system of care for children's mental health, is repealed.

4 System of Care for Children's Mental Health; Duties of the Commissioner of Health and Human Services; Reference Change. Amend the introductory paragraph of RSA 135-F:4, II to read as follows:

II. Develop a plan for full establishment and maintenance of a system of care. Such plan shall be reviewed and amended annually. It shall include sufficient detail to allow compliance with the reporting requirements of RSA 126-A:5, XXXIII , and shall address at least the following elements:

5 System of Care for Children's Mental Health; Duties of the Commissioner of the Department of Education; Reference Change. Amend the introductory paragraph of RSA 135-F:5, II to read as follows:

II. Develop a plan for full support and participation of the department of education in the establishment and maintenance of a system of care. Such plan shall be reviewed and amended annually. It shall include sufficient detail to allow compliance with the reporting requirements of RSA 126-A:5, XXXIII , and shall address at least the following elements:

6 Department of Health and Human Services; Contracts and Procurement Unit; Positions Established. There are hereby established within the department of health and human services for the biennium ending June 30, 2023, 8 full-time, classified positions in the office of business operations, contracts and procurement unit.

7 Appropriation; Department of Health and Human Services; Contracts and Procurement Unit. The sum of $644,260 for the fiscal year ending June 30, 2022, and the sum of $810,607 for the fiscal year ending June 30, 2023, are hereby appropriated to the department of health and human services for the purpose of funding positions in the office of business operations, contracts and procurement unit. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated.

8 Effective Date. This act shall take effect June 30, 2021.