SB 1369 — 988 Mental Health Lifeline; defining terms; suicide prevention and crisis service activities; standards; rules; creating the 988 Lifeline Revolving Fund; declaring funds appropriated. Effective date.

in which first responders, sometimes including law enforcement officers, are partnered with behavioral health professionals as an effective way to respond to behavioral health crises and other situations involving unmet behavioral health needs;

8.

"Crisis stabilization services" reflect a range of models and care to support individuals through emergent and urgent behavioral health needs.

Crisis stabilization services involve facility-, home-, and community-based services that provide access to care and stabilization for adults and youth in crisis.

Crisis stabilization services are delivered across a continuum of care that includes no barrier, low barrier, and referral-based services;

9.

"Mobile crisis team" means a multidisciplinary behavioral health team that includes at least one behavioral health care professional who is capable of conducting an assessment of the individual, in accordance with the professional's permitted scope of practice under state law, and other professionals or paraprofessionals with appropriate expertise in behavioral health or mental health crisis response, including nurses, social workers, peer support specialists, and others, whose members are trained in trauma-informed care, de-escalation strategies, and harm reduction;

that is able to respond in a timely manner and, where appropriate, provide screening and assessment;

stabilization and de-escalation;

and coordination with, and referrals to, health, social, and other SB1369 HFLR Page 4 BOLD FACE denotes Committee Amendments.

services and supports as needed;

that maintains relationships with relevant community partners, including medical and behavioral;

and 10.

"Urgent Recovery Center" is an ambulatory setting that offers safe and time-limited services and supports to individuals experiencing behavioral health crisis.

This setting is an alternative to the use of hospital emergency departments or more intensive crisis services.

SECTION 2.

NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 12-201 of Title 43A, unless there is created a duplication in numbering, reads as follows:

A.

The State of Oklahoma shall designate the Department of Mental Health and Substance Abuse Services to have primary oversight over the suicide prevention and crisis service activities and essential coordination with designated 988 Lifeline Crisis Centers to provide crisis intervention services and crisis care coordination to individuals accessing the 988 Mental Health Lifeline program from any jurisdiction within Oklahoma twenty-four (24) hours a day, seven (7) days a week.

TheNO. Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) shall have primary oversight of suicide prevention and crisis service activities.

C.1369 Page 1 Department for the purpose provided for in this section.

TheExpenditures designatedfrom 988the Lifelinefund Crisisshall Centersbe shallmade meetupon 988warrants Lifelineissued Programby requirementsthe andState bestTreasurer practicesagainst guidelinesclaims forfiled operational,as performanceprescribed by law with the Director of the Office of Management and clinicalEnterprise standards.Services for approval and payment.

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D.This act shall become effective July 1, 2026.

The ODMHSAS shall use its authority to promulgate rules and regulations to allow appropriate information sharing and communication between and across crisis and emergency response systems for the purpose of real-time crisis care coordination including, but not limited to, deployment of crisis and outgoing services and linked, flexible services specific to crisis response.

E.

The state or related public health authority shall assure active collaborations and coordination of service linkages between the designated centers and crisis receiving and stabilization services for individuals accessing the 988 Lifeline through appropriate information sharing regarding availability of services.

F.

The state or related public health authority and designated 988 Lifeline Crisis Centers shall utilize technology to enhance communication and coordination in the delivery of behavioral health crisis services, and for data collection, analysis and sharing.

NEWIt LAWbeing Aimmediately newnecessary sectionfor the preservation of lawthe topublic bepeace, codifiedhealth inor thesafety, Oklahomaan Statutesemergency asis Sectionhereby 12-202declared ofto Titleexist, 43A,by unlessreason therewhereof isthis createdact ashall duplicationtake effect and be in numbering,full readsforce asfrom follows:and after its passage and approval.

TherePassed is hereby created in the StateSenate Treasury a revolving fund for the Department25th day of MentalMarch, Health2026. and Substance Abuse Services to be designated the "988 Lifeline Revolving Fund".

ThePresiding fundOfficer shallof bethe aSenate continuingPassed fund,the notHouse subject to fiscal year limitations, and shall consist of allRepresentatives monies received by the Department____ asday directedof by__________, law,2026. or by grants or gifts to support the Lifeline.

AllPresiding moniesOfficer accruingof SB1369the HFLRHouse Pageof 6Representatives BOLDENGR. FACE denotes Committee Amendments.

toS. the credit of said fund are hereby appropriated and may be budgeted and expended by the Department of Mental Health and Substance Abuse Services for the purpose of staffing, supporting, and operating the 988 Lifeline system created and maintained in the National Suicide Hotline Designation Act of 2020, the Federal Communication Commission's rules adopted July 16, 2020, and October 17, 2024, and the National Guidelines for a Behavioral Health Coordinated System of Crisis Care.

ExpendituresB. from said fund shall be made upon warrants issued by the State Treasurer against claims filed as prescribed by law with the Director of the Office of Management and Enterprise Services for approval and payment.

SECTIONNO. 4.

NEW1369 LAWPage A2 new section of law to be codified in the Oklahoma Statutes as Section 12-203 of Title 43A, unless there is created a duplication in numbering, reads as follows:

The State of Oklahoma shall implement strategies to ensure that the behavioral health crisis service system is adequately funded, including mechanisms for reimbursement of behavioral health crisis response, but not limited to:

1.

Ensuring that to the extent available any necessary federal approvals are obtained and federal financial participation is available and is not otherwise jeopardized, seeking to maximize all available federal funding sources for the purposes of behavioral health crisis services and administrative activities related to 988 implementation, including:

SB1369 HFLR Page 7 BOLD FACE denotes Committee Amendments.

a.

federal Medicaid reimbursement for services, b.

federal Medicaid reimbursement for administrative expenses, including the development and maintenance of information technology;

and supporting implementation of the behavioral health crisis continuum through Medicaid and the Children's Health Insurance Program (CHIP) through Section 5124 of the Consolidated Appropriations Act of 2023 (CAA, 2023), and c.

federal grants;

2.

Exercising the full authority of the Oklahoma Insurance Department and Oklahoma Health Care Authority to verify reimbursement to certified community behavioral health clinics and state-operated urgent recovery centers and crisis stabilization units for medically necessary behavioral health crisis services, like mobile crisis response and crisis stabilization services, by health care service plans and disability insurers, and consistent with the requirements of the federal Mental Health Parity and Addiction Equity Act of 2008 in accordance with the amendments made to the law in 2021, and pursuant to the No Surprises Act and its implementing regulations.

SECTION 5.

This act shall become effective November 1, 2026.

COMMITTEE REPORT BY:

COMMITTEE ON APPROPRIATIONS AND BUDGET, dated 04/14/2026 - DO PASS, As Amended and Coauthored.

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