AB 47 — Makes an appropriation to the Division of Public and Behavioral Health of the Department of Health and Human Services to establish a pilot program to address behavioral health crisis response in certain counties. (BDR S-501)

(Reprinted with amendments adopted on April 22, 2019) FIRST REPRINT A.B.

DepartmentExisting oflaw Healthrequires andthe HumanDivision Servicesof toPublic performand certainBehavioral dutiesHealth relatingof to the provision of mental health services in this State.

(1) by asomeone mannerother thatthan isa safelaw andenforcement dignified.officer;

Additionally,(2) thewithin pilot program provides for anin initial in-person response to a mentalreasonable healthtime; crisis by trained emergency medical personnel or law enforcement officers working in collaboration with a mental health professional, either in person or through telehealth.

and (3) in initial in-person response to a mental health crisis by trained emergency medical an personnel or law enforcement officers working in collaboration with a mental health professional, either in person or through telehealth.

- *AB47**AB47_R1* – 2 – THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

“Mental health professional” meansmeans: a psychiatrist, a psychologist, a physician assistant under the supervision of a psychiatrist or an advanced practice registered nurse or clinical social worker who has the psychiatric training and experience necessary for the advanced practice registered nurse or clinical social worker to be authorized to make the certifications described in NRS 433A.170, 433A.195 and 433A.200.

1.

A psychiatrist, a psychologist, a physician assistant under the supervision of a psychiatrist or an advanced practice registered nurse or clinical social worker who has the psychiatric training and experience necessary for the advanced practice registered nurse or clinical social worker to be authorized to make the certifications described in NRS 433A.170, 433A.195 and 433A.200;

and 2.

If the scope of practice of a clinical professional counselor or marriage and family therapist is expanded during the 80th Session of the Legislature to include the diagnosis and treatment of a psychotic disorder, a clinical professional counselor or marriage and family therapist, as applicable.

The Division of Public and Behavioral Health of the Departmentbehavioral ofhealth Healthpolicy andboard Humanestablished Servicesby NRS 433.429 for the rural behavioral health region created by NRS 433.428, shall establish a pilot program to respond to persons suffering from mental health crises in counties whose population is less than 55,000.

(a) The transportation of a person with mental illness who is detained pursuant to NRS 433A.150 to a mental health facility by someone other than a law enforcement officerofficer, including, without limitation, a nongovernmental entity authorized by NRS 433A.160 to transport such a person to a mental health facility and approved by the Division, within a reasonable time and in a manner that is safe and dignified;

- *AB47_R1* – 3 – (b) An initial, in-person response to a person suffering from a mental health crisis by an emergency medical attendant or law enforcement officer who has received crisis intervention team training;

The follow-up response must be designed to address the ongoing needs of the person who suffered - *AB47* – 3 – the mental health crisis for care and support in a manner that, to the extent possible, allows the person to remain in the least restrictive setting possible.

The Division shallshall: update the Legislative Committee on Health Care not less than 3 times during the 2019-2020 interim and upon request concerning the progress of the pilot program established pursuant to subsection 1.

(a) Enter into one or more contracts with community-based organizations to provide the services described in subsection 1;

(b) In collaboration with those community-based organizations, determine the sites from which the services described in subsection 1 will be provided;

(c) Periodically evaluate the pilot program established pursuant to subsection 1, including, without limitation, by identifying the strengths and weaknesses of the pilot program, any recommended improvements to the pilot program and any changes in the outcomes of persons who receive services through the pilot program, and post a report of the evaluation on an Internet website maintained by the Division;

and (d) Update the Legislative Committee on Health Care not less than 3 times during the 2019-2020 interim and upon request concerning the progress of the pilot program established pursuant to subsection 1.

(b) “Telehealth”“Population” has the meaning ascribed to it in NRS 629.515.0.050.

(c) “Telehealth” has the meaning ascribed to it in NRS 629.515.

and - *AB47_R1* – 4 – (2) Provide the services described in paragraph (c) of subsection 1 of section 5 of this act.

(c) $200,000 to support fourthree case managers to provide the thisservices act.describeddescribed in paragraph (d) of subsection 1 of section 5 of (d)thi(d) $75,000$50,000 for the costs of travel and supplies needed to carry out2.heAny remaining balance of the appropriation made by subsection 1 of this section must not be committed for expenditurecase aftermanagers Juneand 30,mental 2021,health byprofessionals the entity to whichprovide the appropriationservices isdescribed made or any entity to which money from the appropriation is granted or otherwise transferred in anysection manner,5 and any portion of thethis appropriatedact. money remaining must not be spent for any purpose after September 17, 2021, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2021.

(e) $25,000 for the costs of activities necessary to evaluate the pilot program established pursuant to section 5 of this act.

2.

Any remaining balance of the appropriation made by subsection 1 of this section must not be committed for expenditure after June 30, 2021, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2021, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2021.

H - *AB47**AB47_R1*