SB 5516 — Establishing a behavioral health innovation and integration campus within the University of Washington school of medicine.

S-2094.1SUBSTITUTEZ-0418.1SENATE SENATE BILL 5516State of Washington66th Legislature2019 Regular SessionBySenateSessionBySenators Behavioral Health Subcommittee to Health & Long Term Care (originally sponsored by Senators Cleveland, Becker, Palumbo, Frockt, Dhingra, Darneille, Braun, Randall, Rivers, O'Ban, Keiser, Conway, Van De Wege, Wagoner, Das, Pedersen, Takko, Hunt, Zeiger, Carlyle, Liias, and Hasegawa;

by request of Office of the Governor)READGovernorRead FIRSTfirst TIMEtime 02/22/19.AN01/23/19.Referred to Committee on Health & Long Term Care.AN ACT Relating to establishing a behavioral health innovation and integration campus within the University of Washington school of medicine;

adding a new section to chapter 36.70A RCW;

The legislature further finds that there is a need for a trained workforce that is experienced in fully integrated care and able to address a full range of needs, including primary care, mental health, and substance use disorder, and suicide prevention, in all health care specialties.

The legislature further finds that there is a need to support rural and otherwise underserved communities around the state with timely telepsychiatrytelehealth specialty consultation.The legislature further finds that the University of Washington school of medicine department of psychiatry and behavioral sciences is a nationally competitive program and has the expertise to establish innovative clinical inpatient and outpatient care for individuals with behavioral health needs while at the same time training the next generation of behavioral health providers, including primary care professionals, in inpatient and outpatient settings.

The legislature further finds that the University of Washington school of medicine department of psychiatry and behavioral sciences, along with the University of Washington schools of nursing, social work, pharmacy, public health, the department of psychology, and other relevant disciplines, are especially well-situated to take on the task of developing this transformational service-oriented programming.Therefore,programing.Therefore, the legislature intends to partner with the University of Washington to develop plans for the creation of the University of Washington behavioral health innovation and integration campus to increase access to behavioral health services in the state.

Planning for the teaching campus should alsoinclude: include capacity to provide inpatient care for up to one hundred fifty individuals who receive extended inpatient psychiatric care at western state hospital under the state's involuntary treatment act, chapter 71.05 RCW.NEW SECTION.  Sec.

(1) Strengthening the nationally competitive psychiatry residency program to bring more psychiatrists to the state of Washington and training them to work with rural and otherwise underserved communities and populations;

(2) training other health care providers, such as primary care doctors, nurse practitioners, physician assistants, social workers, counselors, and peers, to work in teams that can address the physical, psychological, and social needs of individuals and families;

and (3) expanding the telepsychiatry consultation program.

Planning for the campus should also include capacity to provide inpatient care for up to one hundred fifty individuals who currently receive extended inpatient psychiatric care at western state hospital under the state's involuntary treatment act, chapter 71.05 RCW.NEW SECTION.  Sec.

A new section is added to chapter 28B.20 RCW to read as follows:(1)follows:A A behavioral health innovation and integration campus is created within the University of Washington school of medicine.

The training must use current best practices, including best practices in suicide prevention, and encourage innovation of future best practices in order to provide behavioral health care across the entire spectrum of health care providers.(2)providers.NEW The siting and design for the new campus should take into account local community needs and resources, with attention to diversity and cultural competence, a focus on training and supporting the next generation of health care providers, and close coordination with existing local and regional programs, clinics, and resources.NEW SECTION.  Sec.

(1) The University of Washington school of medicine shall consult with collective bargaining representatives of the University of Washington health system workforce and report to the office of financial management and the appropriate committees of the legislature by December 1, 2019, with plans on development and siting of a teaching hospital to provide inpatient care for up to one hundred fifty individuals to receive care under chapter 71.05 RCW.(2) The plan may also include:(a)include: Adding psychiatry residency training slots focused on community psychiatry services to bring more psychiatrists to the state of Washington and train them to work with rural and otherwise underserved communities and populations;(b) Expanding telepsychiatry consultation programs and initiating telepsychiatry consultations to community-based hospitals, clinics, housing programs, nursing homes, and other facilities;(c) Initiating a fellowship program for family physicians or other primary care providers interested in treating patients with behavioral health needs;(d) Initiating a residency program for advanced practice psychiatric nurses and advanced registered nurse practitioners interested in community psychiatry;(e) Creating practicum, internship, and residency opportunities in the community behavioral health system;(f) Developing integrated workforce development programs for new or existing behavioral health providers, in partnership with training programs for health professionals, such as primary care physicians, nurses, nurse practitioners, physician assistants, medical assistants, social workers, mental health providers, chemical dependency providers, peers, and other health care workers, that prepare behavioral health providers to work in teams using evidence-based integrated care that addresses the physical, psychological, and social needs of individuals and families;(g) Expanding the University of Washington forefront suicide prevention's efforts as a center of excellence to serve the state in providing technical assistance for suicide prevention and community-based programs;

and(h)(a) IncorporatingAdding transitionalpsychiatry servicesresidency fortraining mentalslots healthfocused andon substancecommunity usepsychiatry disorderservices; needs, such as peer and family bridger and navigator programs, and transitional care programs, from acute care to nursing homes, enhanced services facilities, supportive housing, recovery residences, and other community-based settings.NEW SECTION.  Sec.

4.(b) initiating telehealth consultation to community-based hospitals, clinics, housing programs, nursing homes, and other facilities;

A(c) newinitiating sectiona isfellowship addedprogram tofor chapterfamily 36.70Aphysicians RCWor toother readprimary ascare follows:Forproviders purposesinterested ofin sitingtreating andthe otherpatients landwith use planning, the behavioral health teachingneeds; hospital under sections 2 and 3 of this act is an allowable use in cities with a population of six hundred thousand or more.

No(d) localinitiating comprehensivea planresidency orprogram developmentfor regulationadvanced maypractice precludepsychiatric thenurses sitingand ofadvanced theregistered behavioralnurse healthpractitioners teachinginterested hospital in citiescommunity withpsychiatry; a population of six hundred thousand or more.--- END ---

and (e) developing integrated workforce development programs for new or existing behavioral health providers in partnership with training programs for nurses, nurse practitioners, medical assistants, social workers, other health care workers, and other workforce development efforts.--- END ---