SENATE BILL REPORT

SB 5488

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.

As of February 1, 2011

Title: An act relating to facilitating integration of behavioral health care into primary care by reducing regulatory barriers.

Brief Description: Facilitating integration of behavioral health care and primary care.

Sponsors: Senators Hatfield and Keiser.

Brief History:

Committee Activity: Health & Long-Term Care: 2/02/11.

SENATE COMMITTEE ON HEALTH & LONG-TERM CARE

Staff: Rhoda Donkin (786-7465)

Background: Cowlitz Comprehensive Healthcare is a collaborative effort of Cowlitz County Guidance Association, Drug Abuse Prevention Center, and Cowlitz Family Health Center. The partnership was officially established in 2004 to try to improve primary care, mental health, and substance abuse treatment to over half of the low-income individuals in Cowlitz County. The collaborative effort has sought to remove the separate administrative, funding, and practice silos that make health care inefficient, redundant, inaccessible, and not patient-centered. There is continued interest in finding solutions to the regulations, systems, funding sources, and other administrative practices that prevent the smooth integration of primary care and behavioral health for thousands of Cowlitz residents.

Summary of Bill: The Department of Health and the Department of Social and Health Services (DSHS) must examine the best regulatory practices to facilitate and support the integration of primary care and behavioral health care in a county in southwest Washington. A committee is authorized consisting of representatives of a public health agency, a mental health treatment agency, and a drug abuse prevention agency to study regulatory impacts of integrating care at mental health, chemical dependency, and federally qualified health centers.

The review includes streamlined electronic data management and reporting, consolidating licensing procedures, flexible funding opportunities, and simplified administrative procedures. The committee must submit a preliminary report to the Governor and the Legislature by December 1, 2011, with information on current regulatory barriers and timetables for taking action on the best regulatory practices to support integration. A final report is due December 1, 2012.

DSHS must complete the process it has undertaken for developing integrated rules or legislation for chemical dependency, problem gambling, and community mental health agencies by December 1, 2011, and to expand its process to include an analysis of the barriers to integration at federally qualified health centers seeking to offer integrated primary and behavioral care by December 1, 2012.

Appropriation: None.

Fiscal Note: Not requested.

Committee/Commission/Task Force Created: No.

Effective Date: Ninety days after adjournment of session in which bill is passed.