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1998 SESSION

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HB 428 Community services boards; comprehensive state plan.

Introduced by: Franklin P. Hall | all patrons    ...    notes | add to my profiles

SUMMARY:

Community services boards and behavioral health authorities; comprehensive state plan. Clarifies and redefines the role of community services boards (CSBs) and behavioral health authorities (BHAs) who are the local agencies responsible for the delivery of publicly funded mental health, mental retardation and substance abuse services. The bill clarifies that CSBs and behavioral health authorities are the single point of entry for individuals seeking such services and have the responsibility for arranging admission to and discharge from state facilities. Because local government relationships with and control over CSBs have evolved differently across the state, the bill now reflects the practice and distinguishes the three different types of community services boards as (i) "operating community services boards", (ii) "administrative policy boards" or (iii) "policy-advisory boards." Behavioral health authorities (BHAs) will henceforth have the same duties and responsibilities as an operating community services board. Appointments to CSBs and behavioral health authorities must consist of one-third identified consumers or family members of consumers, at least one of whom shall be a consumer receiving services. One or more members of the CSB may be nongovernmental service providers, and no more than two elected or appointed local government officials may be members. CSBs and behavioral health authorities will be responsible for the effective and efficient use of all state-controlled funds through a performance contract. The performance contract shall (i) delineate the respective responsibilities of the Department and the CSB; (ii) specify conditions that must be met for the receipt of state-controlled funds; (iii) identify the groups of consumers to be served with state-controlled funds; (iv) beginning on July 1, 2000, contain specific consumer outcome and provider performance measures, consumer satisfaction and consumer and family member participation and involvement indicators, and state facility bed utilization targets; (v) establish a procedure for informing the CSB or BHA of alleged defaults and the consequences of default; and (vi) include reporting requirements. The Department is given explicit authority to contract with other public agencies and with private nonprofit or for-profit organizations for local services when the CSB or BHA, after remediation efforts have proven unsuccessful, remains in substantial noncompliance with the performance contract. The Department shall develop and update biennially a six-year Comprehensive State Plan for mental health, mental retardation and substance abuse services. This bill is a recommendation of the HJR 240 (1996) Joint Subcommittee to Evaluate the Future Delivery of Publicly Funded Mental Health, Mental Retardation and Substance Abuse Services.


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