5918-S AMS SNYD S2411.1
SSB 5918 - S AMD 110
By Senator Snyder
PULLED 3/10/95
On page 8, after line 34, insert the following:
"Sec. 5. RCW 71.24.300 and 1994 c 204 s 2 are each amended to read as follows:
A county authority or a
group of county authorities ((whose combined population is no less than
forty thousand)) may enter into a joint operating agreement to form a
regional support network. Upon the request of a tribal authority or
authorities within a regional support network the joint operating agreement or
the county authority shall allow for the inclusion of the tribal authority to
be represented as a party to the regional support network. The roles and
responsibilities of the county and tribal authorities shall be determined by
the terms of that agreement including a determination of membership on the
governing board and advisory committees, the number of tribal representatives
to be party to the agreement, and the provisions of law and shall assure the
provision of culturally competent services to the tribes served. The state
mental health authority may not determine the roles and responsibilities of
county authorities as to each other under regional support networks by rule,
except to assure that all duties required of regional support networks are
assigned and that a single authority has final responsibility for all available
resources and performance under the regional support network's contract with
the secretary.
(1) Regional support
networks shall within three months of recognition submit an overall six‑year
operating and capital plan, timeline, and budget and submit progress reports
and an updated two‑year plan biennially thereafter, to assume within
available resources all of the following duties ((by July 1, 1995)),
instead of those presently assigned to counties under RCW 71.24.045(1):
(a) Administer and provide for the availability of all resource management services, residential services, and community support services.
(b) Administer and provide for the availability of all investigation, transportation, court‑related, and other services provided by the state or counties pursuant to chapter 71.05 RCW.
(c) ((By July 1,
1993,)) Provide within the boundaries of each regional support
network evaluation and treatment services for at least eighty‑five
percent of persons detained or committed for periods up to seventeen days
according to chapter 71.05 RCW. Regional support networks with populations of
less than one hundred fifty thousand may contract to purchase evaluation and
treatment services from other networks. Insofar as the original intent of
serving persons in the community is maintained, the secretary is authorized to
approve exceptions on a case-by-case basis to the requirement to provide
evaluation and treatment services within the boundaries of each regional
support network. Such exceptions are limited to contracts with neighboring or
contiguous regions. For regional support networks that are created after June
30, 1991, the requirements of (c) of this subsection must be met by July 1, ((1995))
1996.
(d) ((By July 1,
1993,)) Administer a portion of funds appropriated by the
legislature to house mentally ill persons in state institutions from counties
within the boundaries of any regional support network, with the exception of
mentally ill offenders, and provide for the care of all persons needing
evaluation and treatment services for periods up to seventeen days according to
chapter 71.05 RCW in appropriate residential services, which may include state
institutions. The regional support networks shall reimburse the state for use
of state institutions at a rate equal to that assumed by the legislature when
appropriating funds for such care at state institutions during the biennium
when reimbursement occurs. The duty of a state hospital to accept persons for
evaluation and treatment under chapter 71.05 RCW is limited by the
responsibilities assigned to regional support networks under this section. For
regional support networks that are created after June 30, 1991, the
requirements of (d) of this subsection must be met by July 1, ((1995)) 1996.
(e) Administer and provide for the availability of all other mental health services, which shall include patient counseling, day treatment, consultation, education services, employment services as defined in RCW 71.24.035, and mental health services to children as provided in this chapter.
(f) Establish standards and procedures for reviewing individual service plans and determining when that person may be discharged from resource management services.
(2) Regional support networks shall assume all duties assigned to county authorities by this chapter and chapter 71.05 RCW.
(3) A regional support network may request that any state‑owned land, building, facility, or other capital asset which was ever purchased, deeded, given, or placed in trust for the care of the mentally ill and which is within the boundaries of a regional support network be made available to support the operations of the regional support network. State agencies managing such capital assets shall give first priority to requests for their use pursuant to this chapter.
(4) Each regional support network shall appoint a mental health advisory board which shall review and provide comments on plans and policies developed under this chapter. The composition of the board shall be broadly representative of the demographic character of the region and the mentally ill persons served therein. Length of terms of board members shall be determined by the regional support network.
(5) Regional support networks shall assume all duties specified in their plans and joint operating agreements through biennial contractual agreements with the secretary. Such contracts may include agreements to provide periods of stable community living and work or other day activities for specific chronically mentally ill persons who have completed commitments at state hospitals on ninety‑day or one hundred eighty‑day civil commitments or who have been residents at state hospitals for no less than one hundred eighty days within the previous year. Periods of stable community living may involve acute care in local evaluation and treatment facilities but may not involve use of state hospitals.
(6) Counties or groups
of counties participating in a regional support network are not subject to RCW
71.24.045(((7)))(6). The office of financial management shall
consider information gathered in studies required in this chapter and
information about the experience of other states to propose a mental health
services administrative cost lid to the 1993 legislature which shall include
administrative costs of licensed service providers, the state psychiatric
hospitals and the department.
(7) ((By November 1,
1991, and)) As part of each biennial plan ((thereafter,))
each regional support network shall establish and submit to the state,
procedures and agreements to assure access to sufficient additional local
evaluation and treatment facilities to meet the requirements of this chapter
while reducing short‑term admissions to state hospitals. These shall be
commitments to construct and operate, or contract for the operation of,
freestanding evaluation and treatment facilities or agreements with local
evaluation and treatment facilities which shall include (a) required admission
and treatment for short‑term inpatient care for any person enrolled in
community support or residential services, (b) discharge planning procedures,
(c) limitations on admissions or transfers to state hospitals, (d) adequate
psychiatric supervision, (e) prospective payment methods, and (f) contractual
assurances regarding referrals to local evaluation and treatment facilities
from regional support networks.
(8) Regional support networks may receive technical assistance from the housing trust fund and may identify and submit projects for housing and housing support services to the housing trust fund established under chapter 43.185 RCW. Projects identified or submitted under this subsection must be fully integrated with the regional support network six‑year operating and capital plan, timeline, and budget required by subsection (1) of this section."
Renumber the remaining section consecutively.
On page 8, line 35, strike "This act is" and insert "Sections 1 through 4 of this act are"
SSB 5918 - S AMD
By Senator Snyder
On page 1, beginning on line 2 of the title, strike "and 71.24.415" and insert "71.24.415, and 71.24.300"
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