Strike everything after the enacting clause and insert the following:

NEW SECTION.  Sec. 1.  "(1) The health care authority shall convene the University of Washington, Seattle children's hospital, medicaid managed care organizations, organizations connecting families to children's mental health services and providers, health insurance carriers as defined in RCW 48.44.010, and the office of the insurance commissioner to recommend:

(a) An alternative funding model for the partnership access line; and

(b) A strategy to ensure that expanded services for the partnership access line identified in subsection (2) of this section do not duplicate existing requirements for medicaid managed care organizations as required by RCW 74.09.492.

(2) The funding model must identify potential sources to support:

(a) Current partnership access line services for primary care providers;

(b) An expansion of partnership access line services to include consultation services for primary care providers treating depression in pregnant women and new mothers; and

(c) An expansion of partnership access line services to include referrals to children's mental health services and other resources for parents and guardians with concerns related to their child's mental health.

(3) In the development of the alternative funding model, the authority and office of the insurance commissioner must:

(a) Consider a mechanism that determines the annual cost of operating the partnership access line and collects a proportional share of the program cost from each health insurance carrier; and

(b) Differentiate between partnership access line activities eligible for medicaid funding from other nonmedicaid eligible activities.

(4) By December 1, 2018, the authority must recommend a plan to the appropriate committees of the legislature, and the children's mental health work group created in chapter . . ., Laws of 2018 (Engrossed Second Substitute House Bill No. 2779), if chapter . . ., Laws of 2018 (Engrossed Second Substitute House Bill No. 2779) is enacted by the effective date of this section.

(5) This section expires December 30, 2018.

Sec. 2.  RCW 71.24.061 and 2014 c 225 s 35 are each amended to read as follows:

(1) The department shall provide flexibility in provider contracting to behavioral health organizations for children's mental health services. Beginning with 2007-2009 biennium contracts, behavioral health organization contracts shall authorize behavioral health organizations to allow and encourage licensed community mental health centers to subcontract with individual licensed mental health professionals when necessary to meet the need for an adequate, culturally competent, and qualified children's mental health provider network.

(2) To the extent that funds are specifically appropriated for this purpose or that nonstate funds are available, a children's mental health evidence-based practice institute shall be established at the University of Washington division of public behavioral health and justice policy. The institute shall closely collaborate with entities currently engaged in evaluating and promoting the use of evidence-based, research-based, promising, or consensus-based practices in children's mental health treatment, including but not limited to the University of Washington department of psychiatry and behavioral sciences, ((children's hospital and regional medical center)) Seattle children's hospital, the University of Washington school of nursing, the University of Washington school of social work, and the Washington state institute for public policy. To ensure that funds appropriated are used to the greatest extent possible for their intended purpose, the University of Washington's indirect costs of administration shall not exceed ten percent of appropriated funding. The institute shall:

(a) Improve the implementation of evidence-based and research-based practices by providing sustained and effective training and consultation to licensed children's mental health providers and child-serving agencies who are implementing evidence-based or researched-based practices for treatment of children's emotional or behavioral disorders, or who are interested in adapting these practices to better serve ethnically or culturally diverse children. Efforts under this subsection should include a focus on appropriate oversight of implementation of evidence-based practices to ensure fidelity to these practices and thereby achieve positive outcomes;

(b) Continue the successful implementation of the "partnerships for success" model by consulting with communities so they may select, implement, and continually evaluate the success of evidence-based practices that are relevant to the needs of children, youth, and families in their community;

(c) Partner with youth, family members, family advocacy, and culturally competent provider organizations to develop a series of information sessions, literature, and online resources for families to become informed and engaged in evidence-based and research-based practices;

(d) Participate in the identification of outcome-based performance measures under RCW 71.36.025(2) and partner in a statewide effort to implement statewide outcomes monitoring and quality improvement processes; and

(e) Serve as a statewide resource to the department and other entities on child and adolescent evidence-based, research-based, promising, or consensus-based practices for children's mental health treatment, maintaining a working knowledge through ongoing review of academic and professional literature, and knowledge of other evidence-based practice implementation efforts in Washington and other states.

(3) To the extent that funds are specifically appropriated for this purpose, the ((department)) health care authority in collaboration with the ((evidence-based practice institute)) University of Washington department of psychiatry and behavioral sciences and Seattle children's hospital shall:

(a) Implement a ((pilot)) program to support primary care providers in the assessment and provision of appropriate diagnosis and treatment of children with mental and behavioral health disorders and track outcomes of this program;

(ii) Facilitate referrals to children's mental health services and other resources for parents and guardians with concerns related to the mental health of the parent or guardian's child. Facilitation activities include assessing the level of services needed by the child; within seven days of receiving a call from a parent or guardian, identifying mental health professionals who are in-network with the child's health care coverage who are accepting new patients and taking appointments; coordinating contact between the parent or guardian and the mental health professional; and providing postreferral reviews to determine if the child has outstanding needs. In conducting its referral activities, the program shall collaborate with existing databases and resources to identify in-network mental health professionals.

(c) The program activities described in (a) and (b)(i) of this subsection shall be designed to promote more accurate diagnoses and treatment through timely case consultation between primary care providers and child psychiatric specialists, and focused educational learning collaboratives with primary care providers.

(6) The health care authority shall enforce requirements in managed care contracts to ensure care coordination and network adequacy issues are addressed in order to remove barriers to access to mental health services identified in the report described in subsection (4) of this section."

Correct the title.

EFFECT: (1) Requires the Health Care Authority to convene a work group of specified organizations to recommend:

(a) An alternative funding model for the Partnership Access Line (PAL); and

(b) A strategy to ensure that expanded PAL services do not duplicate existing Managed Care Organization requirements.

(2) Adds the Office of the Insurance Commissioner and organizations connecting families to children's mental health services and providers to the group making recommendations.

(3) Removes the pilot designation for the existing PAL consultation services.

(4) Delays the implementation of the PAL for Moms and Kids pilot program until January 1, 2019.

(5) Delays the first annual report from the HCA on data for the PAL and the PAL for Moms and Kids programs until December 30, 2019.