Requires the department of social and health services to: (1) Charge certain behavioral health organizations or entities for each day of care provided at a state hospital;

(2) Evaluate its current staffing structure and assignment of work to increase its use of psychiatric advanced registered nurse practitioners;

(3) Hire psychiatric advanced registered nurse practitioners for vacant positions or to perform work and tasks that may be performed by other job classifications and professions at the state hospitals;

(4) Identify and discharge at least thirty patients at western state hospital to alternative settings; and

(5) In order to address safety at the state hospitals, examine staffing patterns, best practices, and discrepancies in staffing practices between the state hospitals and prevailing business practices in other hospitals, and adjust staffing practices where appropriate.

Requires a behavioral health organization to manage the utilization of long-term civil commitment beds purchased at a state hospital or other facility by patients within the catchment area of the behavioral health organization who receive civil commitments and ensure that the patients efficiently transition into the community.

Develops placement for geriatric and long-term care patients at western state hospital and reduces current demands on state hospital staff.