HB 1134 — Implementing the 988 behavioral health crisis response and suicide prevention system.

(((30)))(30) (31) "Licensed or certified behavioral health agency" means:

(a)p. An entity licensed or certified according to this chapter or chapter 71.05 RCW;

5 HB 1134 (a) An entity licensed or certified according to this chapter or chapter 71.05 RCW;

(((31)))(31) (32) "Licensed physician" means a person licensed to practice medicine or osteopathic medicine and surgery in the state of Washington.

(((32)))(32) (33) "Long-term inpatient care" means inpatient services for persons committed for, or voluntarily receiving intensive treatment for, periods of ninety days or greater under chapter 71.05 RCW.

(a) Services for individuals committed under chapter 71.05 RCW who are receiving services pursuant to a conditional release or a court-orderedcourt- ordered less restrictive alternative to detention;

(((33)))(33) (34) "Managed care organization" means an organization, having a certificate of authority or certificate of registration from the office of the insurance commissioner, that contracts with the authority under a comprehensive risk contract to provide prepaid p.health care services to enrollees under the authority's managed care programs under chapter 74.09 RCW.

6(34) SHB"Mental 1134 health carepeer-run servicesrespite center" means a peer-run program to enrolleesserve underindividuals thein authority'sneed managedof carevoluntary, programsshort-term, undernoncrisis chapterservices 74.09that RCW.focus on recovery and wellness.

(((34))) (35) "MentalMental health peer-run"treatment respiterecords" center"include meansregistration aand peer-runall programother torecords serveconcerning individualspersons inwho needare receiving or who at any time have received services for mental illness, which are maintained by the department of voluntary,social short-and term,health noncrisisservices or the authority, by behavioral health administrative services thatorganizations focusand ontheir recoverystaffs, by managed care organizations and wellness.their staffs, or by treatment facilities.

(((35))) (36) Mental health "treatment records" include registration and all other records concerning persons who are receiving or who at any time have received services for mental illness, which are maintained by the department of social and health services or the authority, by behavioral health administrative services organizations and their staffs, by managed care organizations and their staffs, or by treatment facilities.

(((36)))p. (37) "Mentally ill persons," "persons who are mentally ill," and "the mentally ill" mean persons and conditions defined in subsections (((2))) (3), (((12))) (13), (44), and (45) of this section.

(((37)6 "MobileHB rapid1134 response(36) crisis"Mentally team"ill meanspersons," a"persons team that provides professional on-site community-based intervention such as outreach, de-escalation, stabilization, resource connection, and follow-up support for individuals who are experiencingmentally aill," behavioraland health"the crisis,mentally thatill" shallmean includepersons certifiedand peerconditions counselorsdefined asin asubsections best(2), practice(12), to(44), the extent practicable based on workforce availability, and that(45) meets standards for response times established by the authority.)) (38) "Recovery" means a process of changethis throughsection. which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

(37) "Mobile rapid response crisis team" means a team that provides professional on-site community-based intervention such as outreach, de-escalation, stabilization, resource connection, and follow-up support for individuals who are experiencing a behavioral health crisis, that shall include certified peer counselors as a best practice to the extent practicable based on workforce availability, and that meets standards for response times established by the authority.

(38) "Recovery" means a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

or where the weight of the evidence from a systemic review supports sustained outcomes as described in subsection (((27)))(27) (28) of this section but does not meet the full criteria for evidence-based.

(40) "Residential services" means a complete range of residences and supports authorized by resource management services and which may involve a facility, a distinct part thereof, or services which p.support community living, for persons who are acutely mentally ill, adults who are chronically mentally ill, children who are severely emotionally disturbed, or adults who are seriously disturbed and determined by the behavioral health administrative services organization or managed care organization to be at risk of becoming acutely or chronically mentally ill.

7 SHB 1134 support community living, for persons who are acutely mentally ill, adults who are chronically mentally ill, children who are severely emotionally disturbed, or adults who are seriously disturbed and determined by the behavioral health administrative services organization or managed care organization to be at risk of becoming acutely or chronically mentally ill.

(41)p. "Resilience" means the personal and community qualities that enable individuals to rebound from adversity, trauma, tragedy, threats, or other stresses, and to live productive lives.

7 HB 1134 (41) "Resilience" means the personal and community qualities that enable individuals to rebound from adversity, trauma, tragedy, threats, or other stresses, and to live productive lives.

p.(a) Is gravely disabled or presents a likelihood of serious harm to himself or herself or others, or to the property of others, as a result of a mental disorder as defined in chapter 71.05 RCW;

8 SHB 1134 (a) Is gravely disabled or presents a likelihood of serious harm to himself or herself or others, or to the property of others, as a result of a mental disorder as defined in chapter 71.05 RCW;

(45) "Severely emotionally disturbed child" or "child who is severely emotionally disturbed" means a child who has been determined byp. the behavioral health administrative services organization or managed care organization, if applicable, to be experiencing a mental disorder as defined in chapter 71.34 RCW, including those mental disorders that result in a behavioral or conduct disorder, that is clearly interfering with the child's functioning in family or school or with peers and who meets at least one of the following criteria:

8 HB 1134 by the behavioral health administrative services organization or managed care organization, if applicable, to be experiencing a mental disorder as defined in chapter 71.34 RCW, including those mental disorders that result in a behavioral or conduct disorder, that is clearly interfering with the child's functioning in family or school or with peers and who meets at least one of the following criteria:

or p.(vi) Homelessness.

9 SHB 1134 (vi) Homelessness.

(47) "Substance use disorder" means a cluster of cognitive, behavioral, and physiological symptoms indicating that an individual continuesp. using the substance despite significant substance-related problems.

9 HB 1134 continues using the substance despite significant substance-related problems.

The secretary shall provide for deeming of licensed or certified behavioral health p.agencies as meeting state minimum standards as a result of accreditation by a recognized behavioral health accrediting body recognized and having a current agreement with the department.

10 SHB 1134 agencies as meeting state minimum standards as a result of accreditation by a recognized behavioral health accrediting body recognized and having a current agreement with the department.

(6)p. No licensed or certified behavioral health ((service provider)) agency may advertise or represent itself as a licensed or certified behavioral health ((service provider)) agency if approval has not been granted or has been denied, suspended, revoked, or canceled.

10 HB 1134 (6) No licensed or certified behavioral health ((service provider)) agency may advertise or represent itself as a licensed or certified behavioral health ((service provider)) agency if approval has not been granted or has been denied, suspended, revoked, or canceled.

p.(10) Licensed or certified behavioral health ((service providers)) agencies may not provide types of services for which the licensed or certified behavioral health ((service provider)) agency has not been certified.

11 SHB 1134 (10) Licensed or certified behavioral health ((service providers)) agencies may not provide types of services for which the licensed or certified behavioral health ((service provider)) agency has not been certified.

(12) Upon petition of the department and after a hearing held upon reasonable notice to the facility, the superior court may issue a warrant to an officer or employee of the department authorizing him or her to enter and inspect at reasonable times, and examine the books and accounts of, any licensed or certified behavioral health ((service provider)) agency refusing to consent to inspection or examinationp. by the department or which the department has reasonable cause to believe is operating in violation of this chapter.

11 HB 1134 examination by the department or which the department has reasonable cause to believe is operating in violation of this chapter.

p.(16) Any settlement agreement entered into between the department and licensed or certified behavioral health ((service providers)) agencies to resolve administrative complaints, license or certification violations, license or certification suspensions, or license or certification revocations may not reduce the number of violations reported by the department unless the department concludes, based on evidence gathered by inspectors, that the licensed or certified behavioral health ((service provider)) agency did not commit one or more of the violations.

12 SHB 1134 (16) Any settlement agreement entered into between the department and licensed or certified behavioral health ((service providers)) agencies to resolve administrative complaints, license or certification violations, license or certification suspensions, or license or certification revocations may not reduce the number of violations reported by the department unless the department concludes, based on evidence gathered by inspectors, that the licensed or certified behavioral health ((service provider)) agency did not commit one or more of the violations.

Transfers or sales to family members are prohibited in cases in which the purpose of the transfer or sale is top. avoid liability or reset the number of license or certification violations found before the transfer or sale.

12 HB 1134 to avoid liability or reset the number of license or certification violations found before the transfer or sale.

(18) Every licensed or certified outpatient behavioral health agency shall display the 988 crisis hotline number in common areas of the premises and include the number as a calling option on any phone message for persons calling the agency after business hours.

(19) Every licensed or certified inpatient or residential behavioral health agency must include the 988 crisis hotline number in the discharge summary provided to individuals being discharged from inpatient or residential services.

The department shall develop informational materials and a social media campaign related to the 988 crisis hotline, including call, text, and chat options, and other crisis hotline lines for veterans, p.American Indians and Alaska Natives, and other populations.

13 SHB 1134 American Indians and Alaska Natives, and other populations.

To tailor the messages of the informational materials and the social media campaign, the department must consult with tribes, the American Indian health commission of Washington state, the native and strong lifeline, the Washington state department of veterans affairs, and representatives of agricultural communities,communities. and persons with lived experience related to mental health issues, substance use disorder issues, a suicide attempt, or a suicide loss.

(1)(a) Each of the following professionals certified or licensed under Title 18 RCW shall, at least once every six years, complete trainingp. in suicide assessment, treatment, and management that is approved, in rule, by the relevant disciplining authority:

13 HB 1134 training in suicide assessment, treatment, and management that is approved, in rule, by the relevant disciplining authority:

p.(c) The training required by this subsection must be at least six hours in length, unless a disciplining authority has determined, under subsection (10)(b) of this section, that training that includes only screening and referral elements is appropriate for the profession in question, in which case the training must be at least three hours in length.

14 SHB 1134 (c) The training required by this subsection must be at least six hours in length, unless a disciplining authority has determined, under subsection (10)(b) of this section, that training that includes only screening and referral elements is appropriate for the profession in question, in which case the training must be at least three hours in length.

(A) An advanced trainingp. focused on suicide management, suicide care protocols, or effective treatments;

14 HB 1134 training focused on suicide management, suicide care protocols, or effective treatments;

p.(ii) Beginning July 1, 2021, a psychologist, a marriage and family therapist, a mental health counselor, an advanced social worker, an independent clinical social worker, a social worker associate-advanced, or a social worker associate-independent clinical exempt from his or her first training under (b)(i) of this subsection must comply with the requirements of (a)(ii) of this subsection for his or her first training after initial licensure.

15 SHB 1134 (ii) Beginning July 1, 2021, a psychologist, a marriage and family therapist, a mental health counselor, an advanced social worker, an independent clinical social worker, a social worker associate-advanced, or a social worker associate-independent clinical exempt from his or her first training under (b)(i) of this subsection must comply with the requirements of (a)(ii) of this subsection for his or her first training after initial licensure.

(b)p. A disciplining authority may exempt a professional from the training requirements of subsections (1) and (5) of this section if the professional has only brief or limited patient contact.

15 HB 1134 (b) A disciplining authority may exempt a professional from the training requirements of subsections (1) and (5) of this section if the professional has only brief or limited patient contact.

p.(vi) A physician licensed under chapter 18.71 RCW, other than a resident holding a limited license issued under RCW 18.71.095(3);

16 SHB 1134 (vi) A physician licensed under chapter 18.71 RCW, other than a resident holding a limited license issued under RCW 18.71.095(3);

(ii)p. A licensed pharmacist or a person holding a retired active pharmacist license must complete the one-time training by the end of the first full continuing education reporting period after January 1, 2017, or during the first full continuing education reporting period after initial licensure, whichever is later.

16 HB 1134 (ii) A licensed pharmacist or a person holding a retired active pharmacist license must complete the one-time training by the end of the first full continuing education reporting period after January 1, 2017, or during the first full continuing education reporting period after initial licensure, whichever is later.

(iv) A licensed optometrist or a licensed acupuncture and Eastern medicine practitioner, or a person holding a retired active license p.as an optometrist or an acupuncture and Eastern medicine practitioner, shall complete the one-time training by the end of the full continuing education reporting period after August 1, 2021, or during the first full continuing education reporting period after initial licensure, whichever is later.

17 SHB 1134 as an optometrist or an acupuncture and Eastern medicine practitioner, shall complete the one-time training by the end of the full continuing education reporting period after August 1, 2021, or during the first full continuing education reporting period after initial licensure, whichever is later.

Beginning July 1, 2021, for purposes of subsection (2)(a)(ii) of this section, the modelp. list must include advanced training and training in treatment modalities shown to be effective in working with people who are suicidal.

17 HB 1134 model list must include advanced training and training in treatment modalities shown to be effective in working with people who are suicidal.

By July 1, 2024, the minimum standards must be updated to require that both the six-hour and three-hour trainingsinstruction include content specific to the availability988 ofbehavioral andhealth thecrisis servicesresponse offeredand bysuicide theprevention 988system crisisin hotlineaccordance andwith recommendations from the behavioralUniversity healthof Washington crisis responsetraining and suicidesecondary preventiontrauma systemprogram andestablished bestin p.section 10 of this act.

18 SHB 1134 practices for assisting persons with accessing the 988 crisis hotline and the system.

Beginning September 1, 2024, trainings submitted to the department for review and approval must include the updated information in the minimum standards for the model list as well as all subsequent submissions.

The department shall add the training to the list only if the departmentp. determines that the training meets the minimum standards established in the rules adopted under (c) of this subsection.

18 HB 1134 department determines that the training meets the minimum standards established in the rules adopted under (c) of this subsection.

(7) The department shall provide the health profession training standards created in this section to the professional educator standards board as a model in meeting the requirements of RCW p.28A.410.226 and provide technical assistance, as requested, in the review and evaluation of educator training programs.

19 SHB 1134 28A.410.226 and provide technical assistance, as requested, in the review and evaluation of educator training programs.

(11)p. A state or local government employee is exempt from the requirements of this section if he or she receives a total of at least six hours of training in suicide assessment, treatment, and management from his or her employer every six years.

For19 purposesHB 1134 (11) A state or local government employee is exempt from the requirements of this subsection,section theif traininghe mayor beshe providedreceives ina onetotal of at least six -hourhours blockof ortraining mayin besuicide spreadassessment, amongtreatment, shorterand trainingmanagement sessionsfrom athis theor employer'sher discretion.employer every six years.

For purposes of this subsection, the training may be provided in one six-hour block or may be spread among shorter training sessions at the employer's discretion.

p.Sec.

20 SHB 1134 Sec.

(1) Establishing the state ((crisis call center)) designated 988 crisis ((call)) contact center hubs and enhancing the crisis response system will require collaborative work between the department and the authority within their respective roles.

The department shall have primary responsibility for establishing and designating the ((crisis call center)) designated 988 crisis ((call)) contact center hubs.

The authority shall have primary responsibility for developing and implementing the crisis response system and services to support the work of the ((crisis call center)) designated 988 crisis ((call)) contact center hubs.

The funding level shall be determined by considering standards and cost per call predictions provided by the administrator of the national suicide prevention lifeline, call volume predictions, guidancep. on crisis call center performance metrics, and necessary technology upgrades.

The20 departmentHB may1134 provideguidance fundingon tocrisis support 988 call centerscenter andperformance designatedmetrics, 988 contact hubs to enter into limited on-site partnerships with the public safety answering point to increase the coordination and transfernecessary oftechnology behavioralupgrades. health calls received by certified public safety telecommunicators that are better addressed by clinic interventions provided by the 988 system.

Tax(3) revenueThe maydepartment beshall usedadopt rules by ((July)) January 1, ((2023)) 2025, to supportestablish on-sitestandards partnerships.for designation of crisis call centers as designated 988 crisis ((call)) contact center hubs.

(3) The department shall adoptcollaborate ruleswith bythe ((July))authority Januaryand 1,other ((2023))agencies 2025, to establishassure standardscoordination forand designationavailability of crisisservices, calland centersshall consider national guidelines for behavioral health crisis care as ((crisisdetermined callby center))the designatedfederal 988substance contactabuse hubs.and mental health services administration, national behavioral health accrediting bodies, and national behavioral health provider associations to the extent they are appropriate, and recommendations from the crisis response improvement strategy committee created in RCW 71.24.892.

(4) The department shall collaboratedesignate withdesignated the988 authority and other agencies to assure coordination and availability of services, and shall consider national guidelines for behavioral health crisis care((call)) ascontact determinedcenter hubs by the((July)) federalJanuary substance1, abuse((2024)) and2026. mental health services administration, national behavioral health accrediting bodies, and national behavioral health provider associations to the extent they p.

21The SHBdesignated 1134988 arecrisis appropriate,((call)) contact center hubs shall provide crisis intervention services, triage, care coordination, referrals, and recommendationsconnections fromto individuals contacting the 988 crisis responsehotline improvementfrom strategyany committeejurisdiction createdwithin inWashington RCW24 71.24.892.hours a day, seven days a week, using the system platform developed under subsection (5) of this section.

(4)(a) TheTo departmentbe shalldesignated designateas ((crisisa call center)) designated 988 crisis ((call)) contact hubscenter byhub, ((July))the Januaryapplicant 1,must ((2024))demonstrate 2026.to the department the ability to comply with the requirements of this section and to contract to provide designated 988 crisis ((call)) contact center hub services.

The ((crisisdepartment callmay center))revoke designatedthe 988designation contactof hubsany shalldesignated provide988 crisis intervention((call)) services,contact triage,center carehub coordination,that referrals,fails and connections to individualssubstantially contactingcomply thewith 988 crisis hotline from any jurisdiction within Washington 24 hours a day, seven days a week, using the systemcontract. platform developed under subsection (5) of this section.

(a)(b) ToThe becontracts designatedentered asshall arequire ((crisis call center)) designated 988 contactcrisis hub,((call)) the applicant must demonstrate to the department the ability to comply with the requirements of this section and to contract to provide ((crisis call center)) designated 988 contact hubcenter services.hubs to:

The department may revoke the designation of any ((crisis call center)) designated 988 contact hub that fails to substantially comply with the contract.

(b) The contracts entered shall require designated ((crisis call center)) 988 contact hubs to:

(iii) Employ highly qualified, skilled, and trained clinical staff who have sufficient training and resources to provide empathy to callers in acute distress, de-escalate crises, assess behavioral healthp. disorders and suicide risk, triage to system partners for callers that need additional clinical interventions, and provide case management and documentation.

21 HB 1134 health disorders and suicide risk, triage to system partners for callers that need additional clinical interventions, and provide case management and documentation.

p.(iv) Prominently display 988 crisis hotline information on their websites, including a description of what the caller should expect when contacting the call center, a description of the various options available to the caller, including call lines specialized in the behavioral health needs of veterans, American Indian and Alaska Native persons, Spanish-speaking persons, and LGBTQ populations;

22(v) SHBCollaborate 1134with (iv)the Trainauthority, employees to screen persons contacting the designatednational 988suicide contactprevention hublifeline, to determine if they are associated with the agricultural community and ifveterans theycrisis preferline tonetworks be connected to aassure crisisconsistency hotlineof thatpublic specializesmessaging inabout working with members from the agricultural988 community.crisis hotline;

The(vi) trainingDevelop shalland preparesubmit staff to bethe abledepartment toprotocols providebetween appropriatethe assessments,designated interventions,988 crisis contact center hub and resources911 tocall memberscenters ofwithin the agriculturalregion community in awhich waythe thatdesignated maintainscrisis thecall anonymitycenter operates and receive approval of the personprotocols makingby contact;the department;

(v)(vii) ProminentlyDevelop display 988 crisis hotline information on their websites, including a description of what the caller should expect when contacting the call center and asubmit descriptionto of the variousauthority optionsprotocols availablerelated to the caller,dispatching includingof callmobile linesrapid specializedresponse incrisis theteams behavioraland healthreceive needsapproval of veterans,the Americanprotocols Indianby and Alaska Native persons, Spanish-speaking persons, LGBTQ populations, and persons connected with the agriculturalauthority; community;

(vi)and Collaborate(((v))) with(viii) theProvide authority,data theand nationalreports suicideand preventionparticipate lifeline,in evaluations and veteransrelated crisisquality lineimprovement networksactivities, according to assurestandards consistencyestablished ofby publicthe messagingdepartment aboutin thecollaboration 988with crisisthe hotline;authority.

((and(c) (v)))The (vii)department Develop and submitthe toauthority theshall departmentincorporate protocolsrecommendations betweenfrom the designatedcrisis 988response contactimprovement hubstrategy andcommittee 911created callunder centersRCW within71.24.892 the region in whichits theagreements with designated 988 crisis call((call)) contact center operateshubs, andas receiveappropriate. approval of the protocols by the department and the state 911 coordination office;

(viii) Develop, in collaboration with the region's behavioral health administrative services organizations, and jointly submit to the authority protocols related to the dispatching of 988 rapid response crisis teams and receive approval of the protocols by the authority;

(ix) Provide data and reports and participate in evaluations and related quality improvement activities, according to standards established by the department in collaboration with the authority.

The data must include deidentified information regarding the number of contacts connected to the agricultural community and the nature of those contacts;

and (x) If requested, enter into data-sharing agreements with the regional behavioral health administrative services organizations to provide 988 crisis hotline caller data and reports including, but not limited to, monthly call volume, answer rate, abandonment rate, answer time, and 988 rapid response crisis team data including dispatch time, arrival time, and disposition of the outreach for each p.

23 SHB 1134 call referred for outreach by each region.

The department and the authority shall establish requirements that the designated 988 contact hubs report the data identified in this subsection (4)(b)(x) to them for the purposes of monitoring the behavioral health crisis system, verifying 988 rapid response crisis team responsiveness, and informing policy on the status of the behavioral health crisis system.

(c) The department and the authority shall incorporate recommendations from the crisis response improvement strategy committee created under RCW 71.24.892 in its agreements with ((crisis call center)) designated 988 contact hubs, as appropriate.

The department and the authority must include the 988 call centers and designated 988 crisis contact center hubs in the decision-making processp. for selecting any technology platforms that will be used to operate the system.

No22 decisionsHB made1134 byprocess thefor departmentselecting orany thetechnology authorityplatforms shallthat interferewill withbe theused routingto ofoperate the 988 crisis hotline calls, texts, or chat as part of Washington's active agreement with the administrator of the national suicide prevention lifeline or 988 administrator that routes 988 contacts into Washington's system.

(a) A new technologically advanced behavioral health and suicide prevention crisis call center system platform using technology demonstrated to be interoperable across crisis and emergency response systems used throughout the state, such as 911 systems, emergency medical services systems, and other nonbehavioral health crisis services, for use in ((crisis call center)) designated 988 crisis ((call)) contact center hubs designated by the department under subsection (4) of this section.

and (b) A behavioral health integrated client referral system capable of providing system coordination information to ((crisis call center)) designated 988 crisis ((call)) contact center hubs and the other entities involved p.in behavioral health care.

24 SHB 1134 in behavioral health care.

and (B) Information necessary to enable the ((crisis call center)) designated 988 contact hub to actively collaborate with emergency departments, primary care providers and behavioral health providers within managed care organizations, behavioral health administrative services organizations, and other health care payers to establish a safety plan for the person in accordance with best practices and provide the next steps for the person's transition to follow-up noncrisis care.

To establish information-sharing guidelines that fulfill the intent of this section the authority shall consider input from the confidential information compliance and coordination subcommittee established under RCW 71.24.892;

(((b) The means to request deployment of appropriate crisis response services, which may include mobile rapid response crisis teams, co-responder teams, designated crisis responders, fire department mobile integrated health teams, or community assistance referral and educational services programs under RCW 35.21.930, according to best practice guidelines established by the authority, and track local response through global positioning technology;

2523 SHBHB 1134 (c)))(B) TheInformation meansnecessary to trackenable the outcomedesignated of988 thecrisis 988((call)) callcontact center hub to enableactively appropriatecollaborate followwith up,emergency cross-systemdepartments, coordination,primary care providers and accountability,behavioral includinghealth asproviders appropriate:within managed care organizations, behavioral health administrative services organizations, and other health care payers to establish a safety plan for the person in accordance with best practices and provide the next steps for the person's transition to follow-up noncrisis care.

To establish information-sharing guidelines that fulfill the intent of this section the authority shall consider input from the confidential information compliance and coordination subcommittee established under RCW 71.24.892;

(b) The means to request deployment of appropriate crisis response services, which may include mobile rapid response crisis teams, co-responder teams, designated crisis responders, fire department mobile integrated health teams, or community assistance referral and educational services programs under RCW 35.21.930, according to best practice guidelines established by the authority, and track local response through global positioning technology;

((and)) (c) The means to track the outcome of the 988 call to enable appropriate follow up, cross-system coordination, and accountability, including as appropriate:

and (iv) the means to verify and document whether the caller was successful in making the transition to appropriate noncrisis follow-up care indicated in the safety plan for the person, to be completed either by the care coordinator provided through the person's managed care organization, health plan, or behavioral health administrative services organization, or if such a care coordinator is not available or does not follow through, by the staff of the ((crisis call center)) designated 988 crisis ((call)) contact center hub;

(((d)))(d) (c) A means to facilitate actions to verify and document whether the person's transition to follow up noncrisis care was completed and services offered, to be performed by a care coordinator provided through the person's managed care organization, health plan, or behavioral health administrative services organization, or if such a carep. coordinator is not available or does not follow through, by the staff of the ((crisis call center)) designated 988 contact hub;

(((e)))24 (d)HB The1134 meanscare tocoordinator provideis geographically,not culturally,available andor linguisticallydoes appropriatenot servicesfollow tothrough, personsby whothe arestaff part of high-the riskdesignated populations988 orcrisis otherwise((call)) havecontact needcenter ofhub; specialized services or accommodations, and to document these services or accommodations;

and(e) (((f)))The (e)means Whento appropriate,provide consultationgeographically, withculturally, tribaland governmentslinguistically appropriate services to ensurepersons coordinatedwho careare inpart government-to-governmentof relationships,high- andrisk accesspopulations toor dedicatedotherwise have need of specialized services or accommodations, and to tribaldocument members.these services or accommodations;

(7) ((To implement this section the department and the(f) authorityWhen shallappropriate, collaborateconsultation with thetribal stategovernments enhancedto 911ensure coordinationcoordinated office,care emergencyin managementgovernment-to-government division,relationships, and militaryaccess department to developdedicated technology that is demonstrated to be interoperable between the 988 crisis hotline system and crisis and emergency response systems used throughout the state, such as 911 systems, emergency medical services systems, and other nonbehavioral health crisis services, as well as the national suicide prevention lifeline, to assuretribal cohesivemembers. interoperability, develop training programs and operations for both 911 public safety telecommunicators and crisis line workers, develop p.

26(7) SHBTo 1134implement this section the department and the authority shall collaborate with the state ((enhanced)) 911 coordination office, emergency management division, and military department to develop technology that is demonstrated to be interoperable between the 988 crisis hotline system and crisis and emergency response systems used throughout the state, such as 911 systems, emergency medical services systems, and other nonbehavioral health crisis services, as well as the national suicide prevention lifeline, to assure cohesive interoperability, develop training programs and operations for both 911 public safety telecommunicators and crisis line workers, develop suicide and other behavioral health crisis assessments and intervention strategies, and establish efficient and equitable access to resources via crisis hotlines.

(8)))(8) The authority shall:

(a) Collaborate with county authorities and behavioral health administrative services organizations to develop procedures to dispatch behavioral health crisis services in coordination with ((crisis call center)) designated 988 crisis ((call)) contact center hubs to effectuate the intent of this section;

(c)p. Create best practices guidelines by July 1, 2023, for deployment of appropriate and available crisis response services by ((crisis call center)) designated 988 contact hubs to assist 988 hotline callers to minimize nonessential reliance on emergency room services and the use of law enforcement, considering input from relevant stakeholders and recommendations made by the crisis response improvement strategy committee created under RCW 71.24.892;

25 HB 1134 (c) Create best practices guidelines by July 1, 2023, for deployment of appropriate and available crisis response services by designated 988 crisis ((call)) contact center hubs to assist 988 hotline callers to minimize nonessential reliance on emergency room services and the use of law enforcement, considering input from relevant stakeholders and recommendations made by the crisis response improvement strategy committee created under RCW 71.24.892;

((and))and (e) Establish guidelines to appropriately serve high-risk populations who request crisis services.

The authority shall design these guidelines to promote behavioral health equity for all populations with attention to circumstances of race, ethnicity, gender, socioeconomic status, sexual orientation, and geographic location, and include components such as training requirements for call response workers, policies for transferring such callers to an p.appropriate specialized center or subnetwork within or external to the national suicide prevention lifeline network, and procedures for referring persons who access the 988 crisis hotline to linguistically and culturally competent care.

27 SHB 1134 appropriate specialized center or subnetwork within or external to the national suicide prevention lifeline network, and procedures for referring persons who access the 988 crisis hotline to linguistically and culturally competent care;

and (f) Monitor trends in 988 crisis hotline caller data, as reported by designated 988 contact hubs in subsection (4)(b)(x) of this section and submit an annual report to the governor and the appropriate committees of the legislature summarizing the data and trends in the information beginning December 1, 2027.

(2) The ((officeoffice of financial management shall contract with the))the behavioral health institute at Harborview medical center ((to))to shall facilitate and provide staff support to the steering committee and to the crisis response improvement strategy committee.

(3) The behavioralsteering healthcommittee instituteshall mayconsist contractof forthe five members specified as serving on the provisionsteering ofcommittee thesein services.this subsection and p.

(3)26 TheHB steering1134 committee shall consist of the five members specified as serving on the steering committee in this subsection and one additional member who has been appointed to serve pursuant to the criteria in either (j), (k), (l), or (m) of this subsection.

p.(d) The Washington state insurance commissioner, or his or her designee;

28 SHB 1134 (d) The Washington state insurance commissioner, or his or her designee;

(p)p. A member representing the Washington council for behavioral health;

27 HB 1134 (p) A member representing the Washington council for behavioral health;

p.(v) A member representing law enforcement;

29 SHB 1134 (v) A member representing law enforcement;

(5) The steering committee must develop a comprehensive assessment of the behavioral health crisis response and suicide prevention services system by January 1, 2022, including an inventory of existing statewide and regional behavioral health crisis response, suicidep. prevention, and crisis stabilization services and resources, and taking into account capital projects which are planned and funded.

28 HB 1134 suicide prevention, and crisis stabilization services and resources, and taking into account capital projects which are planned and funded.

p.(c) A process for establishing outcome measures, benchmarks, and improvement targets, for the crisis response system;

30 SHB 1134 (c) A process for establishing outcome measures, benchmarks, and improvement targets, for the crisis response system;

An integrated 988 crisis hotline and ((crisis call center)) designated 988 crisis ((call)) contact center hubs;

((mobile))mobile 988 rapid response crisis teams;

(d) The necessary components of each of the new technologically advanced behavioral health crisis call center system platform and the newp. behavioral health integrated client referral system, as provided under RCW 71.24.890, for assigning and tracking response to behavioral health crisis calls and providing real-time bed and outpatient appointment availability to 988 operators, emergency departments, designated crisis responders, and other behavioral health crisis responders, which shall include but not be limited to:

(i)29 IdentificationHB of1134 thenew componentsbehavioral ((crisishealth callintegrated center))client thatreferral designatedsystem, 988as contactprovided hubunder staffRCW need71.24.890, tofor effectivelyassigning coordinateand crisistracking response servicesto behavioral health crisis calls and findproviding availablereal-time bedsbed and availableoutpatient primaryappointment careavailability to 988 operators, emergency departments, designated crisis responders, and other behavioral health outpatientcrisis appointments;responders, which shall include but not be limited to:

(i) Identification of the components that designated 988 crisis ((call)) contact center hub staff need to effectively coordinate crisis response services and find available beds and available primary care and behavioral health outpatient appointments;

p.(iii) Evaluation of whether bed tracking will improve access to all behavioral health bed types and other impacts and benefits;

31 SHB 1134 (iii) Evaluation of whether bed tracking will improve access to all behavioral health bed types and other impacts and benefits;

(f) A work plan to establish the capacity for the ((crisis call center)) designated 988 crisis ((call)) contact center hubs to integrate Spanish language interpreters and Spanish-speaking call center staff into their operations, and to ensure the availability of resources to meet the unique needs of persons in the agricultural community who are experiencing mental health stresses, which explicitly addresses concerns regarding confidentiality;

(g) A work plan with timelines to enhance and expand the availability of community-based ((mobile))mobile 988 rapid response crisis teams based in each region, including specialized teams as appropriate to respond to the unique needs of youth, including American Indian and Alaska Native youth and LGBTQ youth, and geriatric populations, including older adults of color and older adults with comorbid dementia;

(h)p. The identification of other personal and systemic behavioral health challenges which implementation of the 988 crisis hotline has the potential to address in addition to suicide response and behavioral health crises;

30 HB 1134 (h) The identification of other personal and systemic behavioral health challenges which implementation of the 988 crisis hotline has the potential to address in addition to suicide response and behavioral health crises;

(k) Appropriate allocation of crisis system funding responsibilities among medicaid managed care organizations, p.commercial insurers, and behavioral health administrative services organizations;

32 SHB 1134 commercial insurers, and behavioral health administrative services organizations;

(a) A Washington tribal 988 subcommittee, which shall examine and make recommendations with respect to the needs of tribes related to thep. 988 system, and which shall include representation from the American Indian health commission;

(b)31 AHB credentialing1134 andthe training988 subcommittee,system, to recommend workforce needs and requirementswhich necessaryshall toinclude implementrepresentation chapterfrom 302, Laws of 2021, including minimum education requirements such as whether it would be appropriate to allow ((crisis call center)) designated 988 contact hubs to employ clinical staff without a bachelor's degree or master's degree based on the person'sAmerican skillsIndian andhealth lifecommission; or work experience;

(b) A credentialing and training subcommittee, to recommend workforce needs and requirements necessary to implement chapter 302, Laws of 2021, including minimum education requirements such as whether it would be appropriate to allow designated 988 crisis ((call)) contact center hubs to employ clinical staff without a bachelor's degree or master's degree based on the person's skills and life or work experience;

(d) A cross-system crisis response collaboration subcommittee, to examine and define the complementary roles and interactions between ((mobile))mobile 988 rapid response crisis teams, designated crisis p.responders, law enforcement, emergency medical services teams, 911 and 988 operators, public and private health plans, behavioral health crisis response agencies, nonbehavioral health crisis response agencies, and others needed to implement chapter 302, Laws of 2021;

33 SHB 1134 responders, law enforcement, emergency medical services teams, 911 and 988 operators, public and private health plans, behavioral health crisis response agencies, nonbehavioral health crisis response agencies, and others needed to implement chapter 302, Laws of 2021;

(10)p. Legislative members of the crisis response improvement strategy committee shall be reimbursed for travel expenses in accordance with RCW 44.04.120.

32 HB 1134 (10) Legislative members of the crisis response improvement strategy committee shall be reimbursed for travel expenses in accordance with RCW 44.04.120.

The steering committee shall report the crisis response improvement strategy committee's further progress and the steering committee's recommendations related to ((crisisdesignated call988 center))crisis designated((call)) 988contact p.center hubs to the governor and appropriate policy and fiscal committees of the legislature by January 1, 2023, and January 1, 2024.

34 SHB 1134 contact hubs to the governor and appropriate policy and fiscal committees of the legislature by January 1, 2023, and January 1, 2024.

(2) Each ((crisis call center)) designated 988 crisis ((call)) contact center hub designated by the department under any contract or agreement pursuant top. chapter 302, Laws of 2021 shall be deemed to be an independent contractor, separate and apart from the department and the state.

33 HB 1134 to chapter 302, Laws of 2021 shall be deemed to be an independent contractor, separate and apart from the department and the state.

(1) By April 1, 2024, the authoritydepartment shall establish standards for the issuance of an endorsement to 988mobile rapid response crisis teams.

The endorsement indicates that the 988mobile rapid response crisis team has met standards identified by the authoritydepartment as necessary for being a primary response team for individuals determined by the dispatching designated 988 crisis contact center hub to be experiencing a significant behavioral health emergency that requires an urgent in-in-person person response.

(a) Minimum staffing requirements necessary to effectively respond in-person to individuals experiencing a significant p.behavioral health emergency;

35 SHB 1134 behavioral health emergency.

The team must include appropriately credentialed and supervised staff employed by a licensed or certified behavioral health agency and may include other personnel from participating entities listed in subsection (6) of this section.

The team shall include certified peer counselors as a best practice to the extent practicable based on workforce availability;

The standards must include vehicle and equipment requirements, including minimum requirements for vehicles and equipment to be able to safely transport the individual, as well as communication equipment standards.standards;

The vehicle standards must allow for an ambulance or aid vehicle licensed under chapter 18.73 RCW to be deemed to meet the standards;

and (d) Capabilities for meeting response times for various geographic parts of the region in which the 988mobile rapid response crisis team operates.

InThe orderdepartment toshall receivedetermine enhancedthe 988appropriate funding,response thetimes authoritywhich shall require the endorsed 988mobile rapid response crisis team:team to arrive to the individual's location no later than:

(i) Between January 1, 2025, through December 31,1, 2026:

(A) ToWithin arrive to the individual's location within 30 minutesminutes, of being dispatched by the designated 988 contact hub, at least 80 percent of the time in urban areas;

(B) ToWithin arrive to the individual's location within 40 minutesminutes, of being dispatched by the designated 988 contact hub, at least 80 percent of the time in suburban areas;

and (C) ToWithin be60 inminutes, route within 15 minutes of being dispatched by the designated 988 contact hub, at least 80 percent of the time in rural areas;

(A)p. To arrive to the individual's location within 20 minutes of being dispatched by the designated 988 contact hub, at least 80 percent of the time in urban areas;

(B)34 ToHB arrive1134 to(A) theWithin individual's20 locationminutes, within 30 minutes of being dispatched by the designated 988 contact hub, at least 80 percent of the time in suburbanurban areas;

and(B) p.Within 30 minutes, at least 80 percent of the time in suburban areas;

36and SHB 1134 (C) ToWithin be45 inminutes, route within 10 minutes of being dispatched by the designated 988 contact hub, at least 80 percent of the time in rural areas.

(2) Prior to issuing an initial endorsement or renewing an endorsement, the authoritydepartment shall conduct an on-site survey of the applicant's operation.

(4) The authoritydepartment shall establish forms, procedures, and fees for issuing and renewing an endorsement.

(5) The authoritydepartment shall establish procedures for the denial, suspension, or revocation of an endorsement.endorsement in accordance with RCW 43.70.115.

(6) The decision for a mobile rapid response crisis team mayto includebecome fireendorsed departments,is emergencyvoluntary medicaland services,does publicnot health,prohibit medicala facilities,nonendorsed nonprofitmobile organizations,rapid andresponse citycrisis team from participating in the crisis response system when responding to individuals who are not experiencing a significant behavioral health emergency that requires an urgent in-person response or countyresponding governmentsto asindividuals longwho asare theyexperiencing meeta thesignificant standards,behavioral providehealth dataemergency asthat required,requires andan collaborateurgent within-person partnersresponse inwhen thethere region.is not an endorsed mobile rapid response crisis team available.

TheA nonendorsed mobile rapid response crisis team mayis not includeeligible lawfor enforcementparticipation personnel.grants under subsection (8) of this section.

(7) The decisioncosts toassociated becomewith anendorsing endorsedmobile 988 rapid response crisis teamteams isshall voluntarybe andsupported doeswith notfunding prohibit a nonendorsed mobile response team from participating in the crisisstatewide response988 system when responding to individuals who are not experiencing a significant behavioral health emergencycrisis that requires an urgent in-person response orand respondingsuicide toprevention individualsline whoaccount areestablishing experiencingin aRCW significant82.86.050. behavioral health emergency that requires an urgent in-person response when there is not an endorsed 988 rapid response crisis team available.

A(8) nonendorsedThe authority shall establish an endorsed mobile rapid response crisis team isgrant notprogram eligiblewith forreceipts participationfrom grantsthe understatewide subsection988 (9)behavioral ofhealth thiscrisis section.response and suicide prevention line account.

(8) The costs associated with endorsing 988 rapid response crisis teams shall be supported with funding from the statewide 988 behavioral health crisis response and suicide prevention line account establishing in RCW 82.86.050.

(9) The authority shall establish an endorsed 988 rapid response crisis team grant program with receipts from the statewide 988 behavioral health crisis response and suicide prevention line account.

(a) Issue system expansion grants to support 988mobile rapid response crisis teams to meet the endorsement standards in locations in which there is a lack of such services;

(b) Issue technical assistance grants to endorsed 988mobile rapid response crisis teams that have experienced unique challenges in p.

3735 SHBHB 1134 meeting the endorsement standards and that are making good faith efforts to maintain compliance with endorsement standards;

and (c) Issue participation grants to endorsed 988mobile rapid response crisis teams, according to criteria developed by the authority, including criteria based on response volume and criteria that considers the unique characteristics of the response area, such as the rural nature of the area or the unique characteristics of the area, such as particular cultural and linguistic needs for serving the population.

(a) ((ensuring)) Ensuring the efficient and effective routing of calls made to the 988 crisis hotline to an appropriate crisis hotline center or ((crisis call center)) designated 988 crisis ((call)) contact center hub;

Ten percent of the annual receipts from the tax must be dedicated to the endorsed 988mobile rapid response crisis team grant program and endorsement activities in section 8 of this act, up to 30 percent of which is dedicated to 988mobile rapid response crisis teams affiliated with a tribe in Washington.

(1)(a)(1) The University of Washington schoolshall ofestablish sociala work,crisis intraining consultationand withsecondary thetrauma Washingtonprogram councilto forsupport behavioral health and the state'sdevelopment behavioralof healthhigh-quality administrativetraining services organizations, shall plan for regionalcrisis collaborationresponders amongto behavioralassist healthindividuals providersreceiving andcrisis firstresponse respondersservices workingthrough within the 988 crisisbehavioral responsehealth p.

3836 SHBHB 1134 crisis response and suicide prevention system,system standardizeand practicespreserve andthe protocols,well- andbeing developof apersons needsproviding assessmentcrisis forresponse trainings.services.

(b)(2) The Universitycrisis of Washington shall convene, at a minimum, the following key stakeholders to assist in developing an assessment of training needs, a mapping of current and futuresecondary fundedtrauma crisisprogram responseshall: providers, and a comprehensive review of all behavioral health training required in statute and in rule:

(i)(a) AtDevelop leasta twostatewide representatives988 frombehavioral thehealth crisis response and suicide prevention training strategy to address model practices for assuring that appropriate levels of evidence-based training are available to persons responding to behavioral health administrativecrises, including 988 call center personnel, designated 988 crisis contact center hub personnel, certified public safety telecommunicators, mobile rapid response crisis team personnel, emergency medical services organizations,personnel oneand fromlaw eachenforcement sidepersonnel who respond independently or as part of a collaborative response to persons experiencing a behavioral health crisis, the CascadeAmerican crest;Indian health commission of Washington state, the Washington state LGBTQ commission, the department of veterans affairs, and other entities with specific expertise in crisis response training and working with specific populations to be served by the behavioral health crisis response and suicide prevention system.

(ii)The Attraining leaststrategy threeshall crisisinclude servicesrecommendations providersfor identifiedrelevant bytopics of instruction for different persons responding to behavioral health crises, curriculum development, tailoring curricula to meet the Washingtonneeds councilof different populations, developing curricula to meet the specific needs of rural and agricultural communities, criteria to train persons to provide the training, appropriate timing in a person's professional development for behavioraloffering health,the onetraining, fromassuring eachthe sideavailability of the Cascadetraining crest,statewide, and oneways dedicatedfor agencies to servingincorporate communitiesthe training into credentialing and reimbursement standards and to maintain the currency of color;the curricula.

(iii)(i) AIn representativedeveloping ofthe statewide 988 behavioral health crisis response and suicide prevention training strategy, the crisis training and secondary trauma program shall engage with interested parties, including representatives of crisis call centers;centers in Washington, behavioral health providers, the state 911 coordinator, the department of health, the health care authority, behavioral health administrative services organizations, the criminal justice training commission, emergency medical personnel, the Washington association of sheriffs and police chiefs, and other interested parties who may provide expertise necessary to developing the training strategy.

(iv) At least two members who are persons with lived experience related to mental health issues, substance use disorder issues, a suicide attempt, or a suicide loss;

and (v) A representative of a statewide organization of field experts consisting of first responders, behavioral health professionals, and project managers working in co-response programs in Washington.

(c) When making recommendations on future crisis provider training needs related to serving persons with developmental disabilities, veterans, American Indians and Alaska Native populations, LGBTQ populations, and persons connected with the agricultural community, the University of Washington school of social work must solicit public comment on the needs assessment from advocates from those populations and others as deemed appropriate by the stakeholder group, including persons with lived experience related to mental health issues, substance use disorder issues, a suicide attempt, or a suicide loss.

(d) The training needs assessment, mapping of crisis providers, and research on existing training requirements must be completed by June 30, 2024.

(2) The University of Washington school of social work, in collaboration with the stakeholder group established in subsection (1) of this section, shall develop recommendations for establishing crisis workforce and resilience training collaboratives that would offer voluntary regional trainings for behavioral health providers, peers, first responders, co-responders, 988 contact center personnel, designated 988 contact hub personnel, 911 operators, and interested p.

39 SHB 1134 members of the public, specific to a geographic region and the population they serve as informed by the needs assessment.

The collaboratives shall encourage the development of foundational and advanced skills and practices in crisis response as well as foster regional collaboration.

The recommendations must:

(a) Include strategies for better coordination and integration of 988-specific training into the broader scope of behavioral health trainings that are already required;

(b) Identify effective trainings to explain how the 988 system works with the 911 emergency response system, trauma-informed care, secondary trauma, suicide protocols and practices for crisis responders, supervisory best practices for first responders, lethal means safety, violence assessments, cultural competency, and essential care for serving individuals with serious mental illness, substance use disorder, or co-occurring disorders;

(c) Identify best practice approaches to working with veterans, intellectually and developmentally disabled populations, youth, LGBTQ populations, communities of color, agricultural communities, and American Indian and Alaska Native populations;

(d) Identify ways to provide the designated 988 contact hubs and other crisis providers with training that is tailored to the agricultural community using training that is agriculture-specific with information relating to the stressors unique to persons connected with the agricultural community such as weather conditions, financial obligations, market conditions, and other relevant issues.

When developing the recommendations, consideration must be given to national experts, such as the AgriSafe network and other entities;

(e) Identify ways to promote a better informed and more involved community on topics related to the behavioral health crisis system by increasing public access to and participation in trainings on the topics identified in (b) and (c) of this subsection (2), including through remote audiovisual technology;

(f) Establish suggested protocols for ways to sustain the collaboratives as new endorsed 988 rapid response crisis teams, co- responder teams, and crisis facilities are funded and operationalized;

(g) Discuss funding needs to sustain the collaboratives and support participation in attending the trainings;

and (h) Offer a potential timeline for implementing the collaboratives on a region-by-region basis.

4037 SHBHB 1134 (3)(ii) The Universitycrisis oftraining Washingtonand schoolsecondary oftrauma socialprogram work shall submit athe reportfinal onstatewide 988 behavioral health crisis response and suicide prevention training strategy to the itemscrisis developedresponse improvement strategy committee established in thisRCW section71.24.892 by December 1, 2023, for inclusion in its January 1, 2024, final report to the governor and the appropriate policy and fiscal committees of the legislaturelegislature; by December 31, 2024.

Prior(b) toProvide submissiontraining ofsupport theto report,regional thebehavioral Universityhealth ofentities, Washingtonincluding schoolbehavioral ofhealth socialadministrative workservices shallorganizations, consultto withassure theregional departmentcoordination of healthtraining andfor providers in the healthcrisis careresponse authority.continuum.

NEWTraining SECTION.shall be made available by January 1, 2024, and be made available to 988 call center personnel, designated 988 crisis contact center hub personnel, certified public safety telecommunicators, triage facility personnel, crisis stabilization unit personnel, mobile rapid response crisis team personnel, and emergency medical services personnel and law enforcement personnel who respond as part of a collaborative response to persons experiencing a behavioral health crisis.

Training shall address topics including cultural competency, best practice approaches to working with veterans, intellectually and developmentally disabled populations, youth, LGBTQ populations, agricultural communities, and American Indian and Alaska Native populations, and coordination with call lines for American Indian and Alaska Native populations;

(c) Offer an annual training conference in crisis response and secondary trauma;

and (d) By June 30, 2025, develop and regionally implement, in coordination with the behavioral health administrative services organizations, a course for mobile rapid response crisis team personnel and emergency medical services personnel and law enforcement personnel who respond independently or as part of a collaborative response to persons experiencing a behavioral health crisis.

The course shall address topics including safety while responding to a call to a 988 call center or designated 988 crisis contact center hub, basic verbal deescalation, basic suicide brief interventions, best practices in follow-up care, state laws and resources related to the Washington 988 behavioral health crisis response and suicide prevention system, and secondary trauma.

p.

38 HB 1134 NEW SECTION.

(1) No act or omission related to the dispatching decisions of any 988 crisis call center staff or designated 988 crisis contact center hub staff with 988mobile rapid response crisis team dispatching responsibilities done or omitted in good faith within the scope of the individual's employment responsibilities with the 988 crisis call center or designated 988 crisis contact center hub and in accordance with dispatching procedures adopted both by the behavioral health administrative services organization and the 988 crisis call center or the designated 988 crisis contact center hub and approved by the authority shall impose liability upon:

(a) The clinical staff of the 988 crisis call center or designated 988 crisis contact center hub or their clinical supervisors;

(b) The 988 crisis call center or designated 988 crisis contact center hub or its officers, staff, or employees;

(c) Any member of a 988mobile rapid response crisis team;

(1) No act or omission of any certified public safety telecommunicator or 988 crisis call center staff or designated 988 crisis contact center hub staff related to the transfer of calls from the 911 line to the 988 crisis hotline or from the 988 crisis hotline to the 911 line, done or omitted in good faith, within the scope of the certified public safety telecommunicator's employment responsibilities with the public safety answering point and the 988 p.crisis call center or designated 988 crisis contact center hub and in accordance with call system transfer protocols adopted by both the department of health and the emergency management division shall impose liability upon:

41 SHB 1134 crisis call center or designated 988 contact hub and in accordance with call system transfer protocols adopted by both the department of health and the emergency management division shall impose liability upon:

(b)p. The public safety answering point or its officers, staff, or employees;

(c)39 TheHB clinical1134 staff(b) ofThe thepublic 988safety crisisanswering callpoint center or designatedits 988officers, contactstaff, hub or theiremployees; clinical supervisors;

(d)(c) The clinical staff of the 988 crisis call center or designated 988 crisis contact center hub or itstheir officers,clinical staff,supervisors; or employees;

or(d) (e)The Any988 membercrisis ofcall acenter 988or rapiddesignated response988 crisis team.contact center hub or its officers, staff, or employees;

or (e) Any member of a mobile rapid response crisis team.

4240 SHBHB 1134