Sec. 301. Crisis response continuum of care
1,015 words·~5 min read·
/bill/117/hr/7116/ih/section-301·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Subpart 3 of part B of title V of the Public Health Service Act ( 42 U.S.C. 290bb–31 et seq. ), as amended by section 106, is further amended by adding at the end the following: The Secretary shall establish standards for a continuum of care for use by health care providers and communities in responding to individuals, including children and adolescents, experiencing mental health crises, substance related crises, and crises arising from co-occurring disorders (referred to in this section as the crisis response continuum ). The standards established under subsection
(a)shall define— minimum requirements of core crisis services, as determined by the Secretary, to include requirements that each entity that furnishes such services should— not require prior authorization from an insurance provider nor referral from a health care provider prior to the delivery of services; serve all individuals regardless of age or ability to pay; operate 24 hours a day, 7 days a week, and provide care to all individuals; and provide care and support through resources described in paragraph (2)(A) until the individual has been stabilized or transfer the individual to the next level of crisis care; and psychiatric stabilization, including the point at which a case may be closed for— individuals screened over the phone; and individuals stabilized on the scene by mobile teams. The Secretary shall identify the essential functions of each service in the crisis response continuum, which shall include at least the following: Identification of resources for referral and enrollment in continuing mental health, substance use, or other human services relevant for the individual in crisis where necessary. Delineation of access and entry points to services within the crisis response continuum. Development of and adherence to protocols and agreements for the transfer and receipt of individuals to and from other segments of the crisis response continuum segments as needed, and from outside referrals including health care providers, law enforcement, EMS, fire, education institutions, and community-based organizations. Description of the qualifications of crisis services staff, including roles for physicians, licensed clinicians, case managers, and peers (in accordance with State licensing requirements or requirements applicable to Tribal health professionals). Requirements for the convening of collaborative meetings of crisis response service providers, first responders, such as paramedics and law enforcement, and community partners (including National Suicide Prevention Lifeline or 9–8–8 call centers, 9–1–1 public service answering points, and local mental health and substance use disorder treatment providers) operating in a common region for the discussion of case management, best practices, and general performance improvement. Such standards shall include definitions of— adequate volume of services to meet population need; appropriate timely response; and capacity to meet the needs of different patient populations who may experience a mental health or substance use crisis, including children, families, and all age groups, cultural and linguistic minorities, individuals with co-occurring mental health and substance use disorders, individuals with cognitive disabilities, individuals with developmental delays, and individuals with chronic medical conditions and physical disabilities. The Secretary shall designate entities charged with the oversight and accreditation of entities within the crisis response continuum. Not later than 1 year after the date of enactment of this title, the Secretary shall establish the standards under this section. The Secretary, directly or through grants, contracts, or interagency agreements, shall collect data and conduct evaluations with respect to the provision of services and programs offered on the crisis response continuum for purposes of assessing the extent to which the provision of such services and programs meet certain objectives and outcomes measures as determined by the Secretary. Such objectives shall include— a reduction in reliance on law enforcement response to individuals in crisis who would be more appropriately served by a mobile crisis team capable of responding to mental health and substance related crises; a reduction in boarding or extended holding of patients in emergency room facilities who require further psychiatric care, including care for substance use disorders; evidence of adequate access to crisis care centers and crisis bed services; and evidence of adequate linkage to appropriate post-crisis care and longitudinal treatment for mental health or substance use disorder when relevant. The Secretary shall carry out this subsection through notice and comment rulemaking, following a request for information from stakeholders. The crisis response continuum consists of at least the following components: Regional clinically managed crisis call centers that provide telephonic crisis intervention capabilities. Such centers should meet National Suicide Prevention Lifeline operational guidelines regarding suicide risk assessment and engagement and offer air traffic control-quality coordination of crisis care in real-time. Teams of providers that are available to reach any individual in the service area in their home, workplace, school, physician’s office or outpatient treatment setting, or any other community-based location of the individual in crisis in a timely manner. Subacute inpatient facilities and other facilities specified by the Secretary that provide short-term observation and crisis stabilization services to all referrals, including the following services: A direct care service that provides individuals in severe distress with up to 23 consecutive hours of supervised care to assist with deescalating the severity of their crisis or need for urgent care in a subacute inpatient setting. A direct care service that assists with deescalating the severity of an individual’s level of distress or need for urgent care associated with a substance use or mental health disorder in a residential setting. Ambulatory services available 12–24 hours per day, 7 days a week, where individuals experiencing crisis can walk in without an appointment to receive crisis assessment, crisis intervention, medication, and connection to continuity of care. The Secretary shall specify additional facilities and health care providers as part of the crisis response continuum, as the Secretary determines appropriate. Subject to paragraph (2), the standards established under this section are minimum standards and nothing in this section may be construed to preclude a State from establishing additional standards, so long as such standards are not inconsistent with the requirements of this section or other applicable law. The Secretary shall establish a process under which a State may request a waiver or modification of a standard established under this section. .
Connections1 off-index
1 reference not yet in our index
- 42 USC 290bb–31
Citation graph
cites case law
Sec. 301
Crisis response continuum of care
Cite42 USC 290bb–31
Cites 1Cited by 0 across 0 sources