HR 268 — A Resolution directing the Joint State Government Commission to study the impact of this Commonwealth's current behavioral health needs and behavioral health care system capacity on hospital emergency departments and patient health.

PRIOR PRINTER'S NO.

1578 PRINTER'STHE NO.GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE RESOLUTION Session of No.

1817268 THE2019 GENERALINTRODUCED ASSEMBLYBY OFSTRUZZI, PENNSYLVANIAHOHENSTEIN, HOUSEULLMAN, SCHLOSSBERG, MERSKI AND JOHNSON-HARRELL, APRIL 29, 2019 REFERRED TO COMMITTEE ON HEALTH, APRIL 29, 2019 A RESOLUTION SessionDirecting ofthe No.Joint State Government Commission to study the and behavioral health care system capacity on hospitalh needs emergency departments and patient health.

268 2019 INTRODUCED BY STRUZZI, HOHENSTEIN, ULLMAN, SCHLOSSBERG, MERSKI, JOHNSON-HARRELL AND GILLEN, APRIL 29, 2019 AS REPORTED FROM COMMITTEE ON HEALTH, HOUSE OF REPRESENTATIVES, AS AMENDED, MAY 14, 2019 A RESOLUTION Dirimpact of this Commonwealth's current behavioral health needs and behavioral health care system capacity on hospital emergency departments and patient health.

and be it further RESOLVED, That the Joint State Government Commission study how current Federal and State laws and regulations impact the ability of this Commonwealth's health care system AND PROVIDERS <-- to treat behavioral health and physical health issues;

and be it further RESOLVED, That the Joint State Government Commission study the prevalence of psychiatric boarding, which is the holding of <-- patients in hospital emergency departments for more than a 24- hour period after a patient has been admitted but not physically transferred to an inpatient unitunit; ENCOMPASSES THE TIME PERIOD IN <-- A HOSPITAL EMERGENCY DEPARTMENT AFTER MEDICAL STABILIZATION OF A PATIENT IN NEED OF PSYCHIATRIC CARE AND PRIOR TO THE ADMISSION OR TRANSFER OF THAT PATIENT TO AN INPATIENT PSYCHIATRIC BED;

and be it further RESOLVED, That the Joint State Government Commission study 20190HR0268PN1817 - 2 - this Commonwealth's current behavioral health care treatment needs to determine the impact of psychiatric boarding on this Commonwealth's behavioral health care system and patients;

and be it further RESOLVED, That the study include recommendations to ensure that this Commonwealth's health care providers are able to 20190HR0268PN1578 - 2 - adequately treat patients with co-occurring behavioral health and physical health issues;

(4) A representative of a rural hospital recommended by <-- the Hospital and Healthsystem Association of Pennsylvania.

20190HR0268PN1817 - 3 - (11) A representative recommended by the Pennsylvania Recovery Organizations Alliance.

20190HR0268PN1578 - 3 - (14) A representative recommended by the Pennsylvania Psychiatric Leadership Council.

(17) Any (4)other Arepresentatives REPRESENTATIVEfrom RECOMMENDEDother BYorganizations THEthat DEPARTMENTare OFdeemed <--appropriate HEALTH.by the Joint State Government Commission;

(5)and Abe REPRESENTATIVEit OFfurther ARESOLVED, RURALThat HOSPITALthe RECOMMENDEDJoint BYState THEGovernment HOSPITALCommission ANDissue HEALTHSYSTEMa ASSOCIATIONreport OFwith PENNSYLVANIA.its findings and recommendations to all of the following:

(6)(1) AThe REPRESENTATIVEHealth OFand ANHuman URBANServices HOSPITALCommittee RECOMMENDEDof BYthe THESenate. HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA.

(7) A REPRESENTATIVE OF A SUBURBAN HOSPITAL RECOMMENDED BY THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA.

(8) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA COLLEGE OF EMERGENCY PHYSICIANS.

(9) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA MEDICAL SOCIETY.

(10) A REPRESENTATIVE OF A BEHAVIORAL HEALTH MANAGED CARE ORGANIZATION.

(11) A PHYSICIAN WHO IS A MEMBER OF THE PENNSYLVANIA PSYCHIATRIC SOCIETY.

(12) A PHYSICIAN RECOMMENDED BY THE PENNSYLVANIA SOCIETY 20190HR0268PN1817 - 4 - OF ADDICTION MEDICINE.

(13) A REPRESENTATIVE RECOMMENDED BY THE DRUG AND ALCOHOL SERVICE PROVIDERS ORGANIZATION OF PENNSYLVANIA.

(14) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA RECOVERY ORGANIZATIONS ALLIANCE.

(15) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA ASSOCIATION OF COUNTY DRUG AND ALCOHOL ADMINISTRATORS.

(16) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA ORGANIZATION FOR THE NATIONAL ALLIANCE ON MENTAL ILLNESS.

(17) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA ASSOCIATION OF COUNTY ADMINISTRATORS OF MENTAL HEALTH AND DEVELOPMENTAL SERVICES.

(18) A REPRESENTATIVE RECOMMENDED BY THE REHABILITATION AND COMMUNITY PROVIDERS ASSOCIATION.

(19) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA PSYCHIATRIC LEADERSHIP COUNCIL.

(20) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA MENTAL HEALTH CONSUMERS' ASSOCIATION.

(21) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA STATE NURSES ASSOCIATION.

(22) A REPRESENTATIVE RECOMMENDED BY THE PENNSYLVANIA OSTEOPATHIC MEDICAL ASSOCIATION.

(23) ANY other representatives from other organizations that are deemed appropriate by the Joint State Government Commission;

and be it further RESOLVED, That the Joint State Government Commission issue a report with its findings and recommendations WITHIN 12 MONTHS OF <-- THE PASSAGE OF THIS RESOLUTION to all of the following:

(1) The Health and Human Services Committee of the 20190HR0268PN1817 - 5 - Senate.

20190HR0268PN181720190HR0268PN1578 - 64 -