Washington State

House of Representatives

Office of Program Research

BILL

ANALYSIS

Early Learning & Human Services Committee

HB 1645

This analysis was prepared by non-partisan legislative staff for the use of legislative members in their deliberations. This analysis is not a part of the legislation nor does it constitute a statement of legislative intent.

Brief Description: Transferring certification responsibilities for chemical dependency treatment programs from the department of social and health services to the department of health.

Sponsors: Representatives Green, Hinkle, Goodman, Cody and Kenney.

Brief Summary of Bill

  • Transfers to the Department of Health (DOH) all powers, duties, and functions of the Department of Social and Health Services regarding certification of chemical dependency treatment programs.

  • Allows a chemical dependency treatment program to be certified by the DOH if the treatment program provides proof of accreditation by an organization that has standards substantially equivalent to those of the DOH.

Hearing Date: 2/15/11

Staff: Linda Merelle (786-7092).

Background:

All programs that provide chemical dependency services must obtain certification from the Department of Social and Health Services (DSHS). Chemical dependency treatment programs provide for the care, treatment, or rehabilitation of people with alcoholism or drug dependency. These programs may either be public or private entities. A program must be certified by the DSHS for each of the chemical dependency services that it provides. These chemical dependency services may include: detoxification services, residential treatment services, outpatient treatment services, assessment services, and information and assistance services.

The DSHS's standards for providing chemical dependency assessments require that in cases where a diagnostic interview determines that the individual needs chemical dependency treatment, a chemical dependency professional or supervised trainee must evaluate the assessment using patient placement criteria. Patient placement criteria are based upon criteria for the admission, continued service, and discharge of patients as published by the American Society of Addiction Medicine. The DSHS is responsible for the approval of non-residential chemical dependency treatment facilities. Residential treatment programs that plan to undergo a remodel of their facility or to relocate the facility must get approval from the Department of Health before relocation or remodeling.

A chemical dependency treatment provider who wishes to become certified must complete an application provided by the DSHS.

The following are some of the duties assigned to the DSHS regarding alcohol and substance abuse services:

Summary of Bill:

Under this bill, all of the powers, duties, and functions of the DSHS regarding certification of chemical dependency treatment programs are transferred to the Department of Health (DOH).

The DOH will adopt rules establishing standards for treatment programs and develop an application form for applicants to obtain an initial certification to operate a treatment program or to renew a certification. Treatment programs that have already been approved by the Division of Behavioral Health and Recovery Services are subject to inspection by the DOH according to an established schedule. Upon the expiration of the certification of a treatment program approved by the DSHS, the treatment program must apply to the Secretary of Health for renewal of the certification. In adopting rules to implement the provisions of the bill, the Secretary of the DOH must consider rules already adopted by the DSHS.

Responsibility Retained by the Department of Social and Health Services.

The responsibilities regarding alcohol and substance abuse treatment other than the certification of treatment providers remains with the DSHS.

Acceptance of an Inspection by an Entity other than the Department of Health.

If a public or private treatment program submits proof of accreditation by an organization that the DOH has determined to have standards that are substantially equivalent to its own standards, the DOH must deem that such treatment program has met the inspection standards required under the bill. To be certified after having been inspected by an entity other than the DOH, the treatment program must provide the DOH with documentation of the inspection within 30 days of learning the results, and it must have satisfactorily completed an inspection by the DOH within the previous 12 months. The DOH may still inspect a treatment program at any time in the course of investigating a complaint.

Effective Dates.

As of July 1, 2012, the DSHS no longer will issue new or renewal certifications to treatment programs that were certified prior to July 1, 2012. Until July 1, 2013, an approved treatment program means a program certified by either the DOH or the DSHS.

The transfer of the responsibility of the certification of chemical dependency treatment programs takes effect July 1, 2012. As of July 1, 2013, an approved chemical dependency treatment program must be certified by the Department of Health.

Appropriation: None.

Fiscal Note: Requested on January 28, 2011.

Effective Date: This bill takes effect 90 days after adjournment of the session in which the bill is passed, except for sections 1 through 9, 11, and 13 through 16, relating to the transfer of the authority of the Department of Health to certify chemical dependency treatment programs, which take effect July 1, 2012; and sections 10 and 12, relating to programs solely certified by the Department of Health, which take effect July 2, 2013.