2022 -- S 2469 SUBSTITUTE A

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LC005287/SUB A

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2022

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A N   A C T

RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND

HOSPITALS -- COMMUNITY MENTAL HEALTH SERVICES

     

     Introduced By: Senators Miller, DiMario, DiPalma, and Valverde

     Date Introduced: March 01, 2022

     Referred To: Senate Health & Human Services

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 40.1-8.5 of the General Laws entitled "Community Mental Health

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Services" is hereby amended by adding thereto the following section:

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     40.1-8.5-8. Certified community behavioral health clinics.

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     (a) The executive office of health and human services is authorized and directed to submit

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to the Secretary of the United States Department of Health and Human Services a state plan

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amendment for the purposes of establishing Certified Community Behavioral Health Clinics in

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accordance with Section 223 of the federal Protecting Access to Medicare Act of 2014.

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     (b) The executive office of health and human services shall amend its Title XIX state plan

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pursuant to Title XIX [42 U.S.C. § 1396 et seq.] and Title XXI [42 U.S.C § 1397 et seq.] of the

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Social Security Act as necessary to cover all required services for persons with mental health and

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substance use disorders at a certified community behavioral health clinic through a daily or monthly

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bundled payment methodology that is specific to each organization’s anticipated costs and inclusive

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of all required services within Section 223 of the federal Protecting Access to Medicare Act of 2014

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and additional services identified by the department of behavioral healthcare, developmental

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disabilities and hospitals. Such certified community behavioral health clinics shall adhere to the

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federal model, including payment structures and rates.

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     (c) A certified community behavioral health clinic means any licensed community mental

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health center as defined by title 40.1 that meets the federal certification criteria of Section 223 of

 

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the Protecting Access to Medicare Act of 2014 and additional criteria as defined by the department

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of behavioral healthcare, developmental disabilities and hospitals including, but not limited to,

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these services:

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     (1) Outpatient mental health and substance use services;

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     (2) Twenty-four (24) hour mobile crisis response and hotline services;

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     (3) Screening, assessment, and diagnosis, including risk assessments;

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     (4) Person-centered treatment planning;

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     (5) Primary care screening and monitoring of key indicators of health risks;

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     (6) Targeted case management;

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     (7) Psychiatric rehabilitation services;

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     (8) Peer support and family supports;

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     (9) Medication-assisted treatment;

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     (10) Assertive community treatment; and

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     (11) Community-based mental health care for military service members and veterans.

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     (d) Subject to the approval from the United States Department of Health and Human

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Services’ Centers for Medicaid and Medicare Services, the certified community behavioral health

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clinic model pursuant to this chapter, shall be established by January 1, 2023, and include any

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enhanced Medicaid match for required services or populations served.

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     SECTION 2. This act shall take effect upon passage and be subject to approval from the

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United States Department of Health and Human Services' Center for Medicaid and Medicare

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Services.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND

HOSPITALS -- COMMUNITY MENTAL HEALTH SERVICES

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     This act would authorize and direct the executive office of health and human services to

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submit to the Secretary of the United States Department of Health and Human Services a state plan

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amendment for the purposes of establishing certified community behavioral health clinics in our

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state.

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     This act would take effect upon passage and be subject to approval from the United States

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Department of Health and Human Services' Center for Medicaid and Medicare Services.

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