SB 156 — Revises provisions relating to crisis stabilization centers. (BDR 40-488)

REQUIRESSenate TWO-THIRDSBill MAJORITYNo. VOTE (§ 1 + NRS 439.150) (Reprinted with amendments adopted on April 14, 2021) FIRST REPRINT S.B.

156156–Committee SENATEon BHealth ILLNand O.Human Services CHAPTER..........

156–COMMITTEE ON H EALTH AND H UMAN SERVICES M ARCH 1, 2021 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to crisis stabilization centers.

(BDR 40-488) FISCAL NOTE:

Effect on Local Government:

May have Fiscal Impact.

Effect on the State:

Yes.

~ EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

Existing law authorizes the Division of Public and Behavioral Health of the Department of Health and Human Services to issue an endorsement as a crisis stabilization center to the holder of a license to operate a psychiatric hospital that meets certain requirements, including, without limitation, providing crisis stabilization services.

(1) de-escalate or stabilize a behavioral crisis;facility or hospital when appropriate.

and(NRS (2)449.0915) avoidSection admission1 of this billlth expands the authority of the Division to issue an endorsement as a patientcrisis stabilization center by authorizing the Division to anotherissue inpatientsuch mentalan healthendorsement facilityto orthe holder of a license to operate any hospital whenthat appropriate.meets the requirements for the endorsement.

(NRSExisting 449.0915)law Sectionauthorizes 1the State Board of thisHealth billto expandsimpose thefees authorityfor oflicensing by the Division and, thus, the State Board will be authorized to issueimpose a fee for the issuance or renewal of an endorsement as a crisis stabilization center byissuExisting authorizinglaw therequires Divisionan toapplicant issuefor suchrenewal of an endorsement as a crisis stabilization center to thebe endorsement.accredited by certain organizations.

Existing(NRS law449.0915) authorizesSection the1 Stateexpands Board of Health to impose fees for licensing by the Divisionlist and,of thus,authorized theaccrediting Stateorganizations Boardand willexempts berural authorizedhospitals tofrom impose a fee for the issuanceaccreditation orrequirement. renewal of an endorsement as a crisis stabilization center issued to a hospital pursuant to section 1.

(NRSUnder 439.150)existing Existinglaw, lawthe requiresDepartment anis applicantrequired forto renewaltake ofany action necessary to ensure that crisis stabilization services provided at a psychiatric hospital that holds an endorsement as a crisis stabilization center toare bereimbursable accreditedunder byMedicaid. certain organizations.

(NRS 449.0915) hospitals from the accreditation requirement.editing organizations and exempts rural Under existing law, the Department is required to take any action necessary to ensure that crisis stabilization services provided at aany psychiatric hospital that holds an endorsement as a crisis stabilization centercenter. are reimbursable under Medicaid.

(NRS 422.27238) Section 2 of this bill expands this requirement to include crisis stabilization center.s provided at any hospital that holds an endorsement as a crisis - *SB156_R1* – 2 – Existing law requires a health maintenance organization or managed care organization that provides health care services to recipients of Medicaid or enrollees in the Children’s Health Insurance Program to negotiate in good faith to include a psychiatric hospital that holds an endorsement as a crisis stabilization center in the network of providers under contract to provide services to such persons.changes to these provisions of existing law to reflect that any hospital meeting the requirements for the endorsement may obtain an endorsement as a crisis stabilization center.

(NRS- 695C.194,81st 695G.320)Session Sections(2021) 3– and2 4– ofEXPLANATION this– billMatter makein conformingbolded changesitalics tois thesenew; provisions of existing law to reflect that any hospital meeting the stabilization center.endorsement may obtain an endorsement as a crisis THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

matter between brackets [omitted material] is material to be omitted.

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

An endorsement as a crisis stabilization center may only be issued if the [psychiatric] hospital to which the endorsement will apply:

if the [psychiatric] hospital to which the endorsement will (a) [Does not exceed a capacity of 16 beds or constitute an institution for mental diseases, as defined in 42 U.S.C.

- *SB156_R1* – 3 – [(d)] (c) Employs qualified persons to provide peer support services, as defined in NRS 449.01566, when appropriate;

[(e)] (d) Uses a data management tool to collect and maintain data relating to admissions, discharges, diagnoses and long-term outcomes for recipients of crisis stabilization services;

(1)- The81st race,Session ethnicity,(2021) gender,– socioeconomic3 status,– sexual orientation or place of residence of the patient;omic status, sexual (2) Any social conditions that affect the patient;

(2) Any social conditions that affect the patient;

Crisis stabilization services that may be provided pursuant to paragraphpar(a) [(c)]Case (b)management ofservices, subsectionincluding, 3 may include, without limitation:limitation,tion:

(a) Case management services, including, without limitation, such services to assist patients to obtain housing, food, primary health care and other basic needs;

and (d) Coordination of aftercare for patients, including, without limitation, at least one follow-up contact with a patient not later than 72 hours after the patient is discharged.

and (b) Proof that the [psychiatric] hospital is a rural hospital or is accredited by the Commission on Accreditation of RehabilitationRehabilitationl or is Facilities [, or its successor organization,] , the Center for Improvement in Healthcare Quality, DNV GL Healthcare, the Accreditation Commission for Health Care or the Joint Commission, or [its] their successor [organization.] organizations.

- *SB156_R1* – 4 – 6.

- 81st Session (2021) – 4 – (a) De-escalate or stabilize a behavioral crisis, including, without limitation, a behavioral health crisis experienced by a person with a co-occurring substance use disorder;

422.27238 The Department shall take any action necessary to ensure that crisis stabilization services provided at a [psychiatric] hospital [established] with an endorsement as a crisis stabilization center pursuant to NRS 449.0915 are reimbursable under Medicaid to the same extent as if the services were provided in anotheranotherd covered facility.

H~~~~~ 21 - *SB156_R1*81st Session (2021)