AB 201 — Revises provisions relating to planning for the provision of behavioral health care. (BDR 39-325)

(1)and The(2) costsRecommendations thatfor are projected to be avoided through the expenditurereinvestment of federalsuch andavoided statecosts moneyin onaccordance thewith children’ssubparagraph behavioral(2) health system of careparagraph during(c); the immediately following 2 years;

and - *AB201_R1* – 4 – (2) Recommendations for the reinvestment of such avoided costs in accordance with subparagraph (2) of paragraph (c);

(c) Services for children in a behavioral health crisis, including,for withoutin-home limitation,stabilization;ion, mobile crisis services and services for(d) in-homeServices stabilization;to promote the coordination of behavioral health care between families and providers, including, without limitation, high fidelity wraparound;

(d) Services to promote the coordination of behavioral health care between families and providers, including, without limitation, high fidelity wraparound;

- 82nd Session (2023) – 4 – (b) “High fidelity wraparound” means an evidence-based, structured and team-oriented process for developing and implementing a plan to meet all of the behavioral health needs of a child with complex behavioral health issues in collaboration withwitSecs. the family of the child.

Sec.3-5.

3.

4.

(Deleted by amendment.) Sec.

5.

(Deleted by amendment.) Sec.

The Commission shall appoint a subcommittee on the mental health of children to review the findings and recommendations [ofof each mental health consortium]consortium submitted by mental health consortia pursuant to NRS 433B.335 and to create a statewide plan for the provision of mental health services to - *AB201_R1* – 5 – children.

The members of the subcommittee must include, without limitation:limitation, two members recommended by and upon agreement of the mental health consortia established pursuant to NRS 433B.333.

(a) The Chair of the statewide mental health consortium established pursuant to subsection 4 of NRS 433B.333;

and (b) A member of the statewide mental health consortium appointed pursuant to subparagraph (2) of paragraph (c) of subsection 4 of NRS 433B.333, other than the Chair of the statewide mental health consortium.

(1) The behavioral health region;health needs of adults and children in the (2) Any progress, problems or proposed plans relating to the provision of behavioral health services and methods to improve the provision of behavioral health services in the behavioral health region;

(2) Any progress, problems or proposed plans relating to the provision of behavioral health services and methods to improve the provision of behavioral health services in the behavioral health region;

(b)- Promote82nd improvementsSession (2023) – 5 – services in the deliverybehavioral health region.ry of behavioral health (c) Coordinate and exchange information with the other policy boards to provide unified and coordinated recommendations to the Department, the Division , the Division of Child and Family Services and the Commission regarding behavioral health services in the behavioral health region.

(c) Coordinate and exchange information with the other policy boards to provide unified and coordinated recommendations to the Department, the Division , the Division of Child and Family Services and the Commission regarding behavioral health services in the behavioral health region.

- *AB201_R1* – 6 – (e) To the extent feasible, establish an organized, sustainable and accurate electronic repository of data and information concerning behavioral health and behavioral health services in the behavioral health region that is accessible to members of the public on an Internet website maintained by the policy board.

(f) To the extent feasible, track and compile data concerning persons placed on a mental health crisis hold pursuant to NRSNRSing 433A.160, persons admitted to mental health facilities and hospitals under an emergency admission pursuant to NRS 433A.162, persons admitted to mental health facilities under an involuntary court- ordered admission pursuant to NRS 433A.200 to 433A.330, inclusive, and persons ordered to receive assisted outpatient treatment pursuant to NRS 433A.335 to 433A.345, inclusive, in the behavioral health region, including, without limitation:

(g) If a data dashboard is established pursuant to NRS 439.245, use the data dashboard to review access by different groups and populations in this State to behavioral health services provided throughto telehealth,make assuch definedaccess inmore NRSequitable.RS 629.515, and evaluate policies (h) Identify and coordinate with other entities in the behavioral health region and this State that address issues relating to makebehavioral health to increase awareness of such accessissues moreand equitable.avoid duplication of efforts.

(h) Identify and coordinate with other entities in the behavioral health region and this State that address issues relating to behavioral health to increase awareness of such issues and avoid duplication of efforts.

(1)- The82nd specificSession behavioral(2023) health– needs6 of– the behavioral health region;

specific behavioral health needs of the behavioral (2) A description of the methods used by the policy board to collect and analyze data concerning the behavioral health needs and problems of the behavioral health region and gaps in behavioral health services which are available in the behavioral health region, including, without limitation, a list of all sources of such data used by the policy board;

and - *AB201_R1* – 7 – (4) The data compiled pursuant to paragraph (f) and any conclusions that the policy board has derived from such data.

[to the Commission.] 3.Services” means the Division of Child and Family Services of the Department.

AsSecs. used in this section, “Division of Child and Family Services” means the Division of Child and Family Services of the Department.

Sec.9, 10 and 10.5.

9.

10.

(Deleted by amendment.) Sec.

10.5.

NRS 433B.333 is hereby amended to read as follows:

433B.333 1.

A mental health consortium is hereby established in each of the following jurisdictions:

(a) A county whose population is 100,000 or more;

and (b) The region consisting of all counties whose population are less than 100,000.

2.

In a county whose population is 100,000 or more, such a consortium must consist of at least the following persons appointed by the Administrator:

(a) A representative of the Division;

(b) A representative of the agency which provides child welfare services;

(c) A representative of the Division of Health Care Financing and Policy of the Department;

(d) A representative of the board of trustees of the school district in the county;

(e) A representative of the local juvenile probation department;

(f) A representative of the local chamber of commerce or business community;

(g) A private provider of mental health care;

(h) A provider of foster care;

(i) A parent of a child with an emotional disturbance;

and (j) A representative of an agency which provides services for the treatment and prevention of substance use disorders.

3.

In the region consisting of counties whose population are less than 100,000, such a consortium must consist of at least the following persons appointed by the Administrator:

(a) A representative of the Division of Public and Behavioral Health of the Department;

(b) A representative of the agency which provides child welfare services in the region;

(c) A representative of the Division of Health Care Financing and Policy of the Department;

- *AB201_R1* – 8 – (d) A representative of the boards of trustees of the school districts in the region;

(e) A representative of the local juvenile probation departments;

(f) A representative of the chambers of commerce or business community in the region;

(g) A private provider of mental health care;

(h) A provider of foster care;

(i) A parent of a child with an emotional disturbance;

and (j) A representative of an agency which provides services for the treatment and prevention of substance use disorders.

4.

A statewide mental health consortium is hereby established to represent all mental health consortia established by subsection 1.

The statewide mental health consortium must consist of:

(a) The Administrator as an ex officio, nonvoting member.

The Administrator may designate an alternate who is an employee of the Division or another person to attend any meeting of the consortium in his or her place.

(b) The following voting members:

(1) A representative of the Division of Health Care Financing and Policy of the Department, appointed by the Administrator of that Division;

(2) A representative of the Department of Education, appointed by the Superintendent of Public Instruction;

and (3) A representative of the Division of Child and Family Services of the Department, appointed by the Administrator.

(c) The following voting members, appointed by the mental health consortium established by subsection 1 of which they are a member:

(1) Not more than three members from each mental health consortium established by subsection 1;

and (2) In addition to the members appointed pursuant to subparagraph (1), one parent or legal guardian of a child with an emotional disturbance from each mental health consortium established by subsection 1.

5.

The statewide mental health consortium established pursuant to subsection 4 shall annually elect a Chair from among its voting members.

Sec.

Each mental health consortium established [pursuantpursuant to]to by subsection 1 of NRS 433B.333 shall prepare and submit to the Director of the Department and the Administrator a long-term strategic plan for the provision of mental health services to children with emotional disturbance in the jurisdiction of the consortium.

A plan submitted pursuant to this section is valid for 10 - *AB201_R1* – 9 – years after the date of submission, and each consortium shall submit a new plan upon its expiration.

In preparing the long-term strategic plan pursuant to subsection 1, each mental health consortium established by subsection 1 of NRS 433B.333 must be guided by the following principles:

(a) The system of mental health services set forth in the plan should be centered on children with emotional disturbance and their families, with the needs and strengths of those children and their families dictating the types and mix of services provided.

(c)- The82nd systemSession of(2023) mental– health7 services– should be community- based and flexible, with accountability and the focus of the services at the local level.

(h) Mental health services should be provided to children with emotional disturbance in a sensitive manner that is responsive to cultural and gender-based differences and the special needs of the children.chi3.

3.The long-term strategic plan prepared pursuant to subsection must include:

The long-term strategic plan prepared pursuant to subsection 1 must include:

- *AB201_R1* – 10 – (f) The manner in which the costs for those services will be allocated;

(g)services;e The mechanisms to manage the money provided for those services;(h) Documentation of the number of children with emotional disturbance who are not currently being provided services, the costs to provide services to those children, the obstacles to providing services to those children and recommendations for removing those obstacles;

(h) Documentation of the number of children with emotional disturbance who are not currently being provided services, the costs to provide services to those children, the obstacles to providing services to those children and recommendations for removing those obstacles;

and (j)- The82nd mannerSession in(2023) which– family8 members– of eligible children and other persons may be involved in the treatment of the children.

On or before January 31 of each even-numbered year, each mental health consortium established by subsection 1 of NRS 433B.333 shall submit to the Director of the Department , the Administrator and the Commission:

In preparing the biennial budget request for the Department, the Director of the Department shall consider the list of priorities and any request for an allocation submitted pursuant to subsection 4 by each mental health consortiumconsortium. [.] established by subsection 1 of NRS 433B.333.

On or before September 30 of each even-numbered year, the Director of the Department shall submit to each mental health consortium established by subsection 1 of NRS 433B.333 a report which includes a description of:

On or before January 31 of each odd-numbered year, each mental health consortium established by subsection 1 of - *AB201_R1* – 11 – NRS 433B.333 shall submit to the Director of the Department , the Administrator and the Commission:

(a) A report regarding the status of the long-term strategic plan submitted pursuant to subsection 1, including, without limitation, thethe(b) statusA description of theany strategies,revisions goalsto andthe serviceslong-term includedstrategic in the plan;

(b) A description of any revisions to the long-term strategic plan adopted by the consortium during the immediately preceding year;

Sec.Secs.

11.3.11.3, 11.6, 12, 12.3 and 12.5.

NRS(Deleted 433B.337by isamendment.) hereby- amended82nd toSession read(2023) as– follows:9 – Sec.

433B.337 1.

A mental health consortium established by subsection 1 of NRS 433B.333 may:

(a) Participate in activities within the jurisdiction of the consortium to:

(1) Implement the provisions of the long-term strategic plan established by the consortium pursuant to NRS 433B.335;

and (2) Improve the provision of mental health services to children with emotional disturbance and their families, including, without limitation, advertising the availability of mental health services and carrying out a demonstration project relating to mental health services.

(b) Take other action to carry out its duties set forth in this section and NRS 433B.335 and 433B.339.

2.

The statewide mental health consortium established by subsection 4 of NRS 433B.333 shall:

(a) Represent all mental health consortia established by subsection 1 of NRS 433B.333 before the Legislature, Commission and Department.

(b) Review, make recommendations for and approve programs proposed by the Division to prevent placing children in facilities located outside of the home or home state of the child for the treatment of emotional disturbance, substance use disorders or co- occurring disorders.

(c) Evaluate the future needs of this State concerning the treatment of children with emotional disturbance, substance use disorders or co-occurring disorders and develop ways to improve the treatment currently provided.

(d) Take any other action necessary to promote the mental health of children in this State.

3.

The statewide mental health consortium established by subsection 4 of NRS 433B.333 may:

- *AB201_R1* – 12 – (a) Create a document that consolidates the strategies, goals and services in the long-term strategic plan prepared by each mental health consortium pursuant to NRS 433B.335.

(b) Take such other action as is necessary to represent all mental health consortia established by subsection 1 of NRS 433B.333.

4.

To the extent practicable, a mental health consortium established by subsection 1 of NRS 433B.333 and the statewide mental health consortium established by subsection 4 of NRS 433B.333 shall coordinate with the Department to avoid duplicating or contradicting the efforts of the Department to provide mental health services to children with emotional disturbance and their families.

Sec.

11.6.

NRS 433B.339 is hereby amended to read as follows:

433B.339 1.

A mental health consortium established by subsection 1 of NRS 433B.333 and the statewide mental health consortium established by subsection 4 of NRS 433B.333 may:

(a) Enter into contracts and agreements to carry out the provisions of this section , [and] NRS [433B.335 and] 433B.337 [;] and , if applicable, NRS 433B.335;

and (b) Apply for and accept gifts, grants, donations and bequests from any source to carry out the provisions of this section , [and] NRS [433B.335 and] 433B.337 [.] and, if applicable, NRS 433B.335.

2.

Any money collected pursuant to subsection 1:

(a) Must be deposited in the State Treasury and accounted for separately in the State General Fund;

and (b) Except as otherwise provided by the terms of a specific gift, grant, donation or bequest, must only be expended, under the direction of the consortium which deposited the money, to carry out the provisions of this section , [and] NRS [433B.335 and] 433B.337 [.] and, if applicable, NRS 433B.335.

3.

The Administrator shall administer the account maintained for each consortium.

4.

Any interest or income earned on the money in an account maintained pursuant to this section must be credited to the account and does not revert to the State General Fund at the end of a fiscal year.

5.

Any claims against an account maintained pursuant to this section must be paid as other claims against the State are paid.

Sec.

12.

(Deleted by amendment.) - *AB201_R1* – 13 – Sec.

12.3.

Chapter 218D of NRS is hereby amended by adding thereto a new section to read as follows:

1.

For a regular session, the statewide mental health consortium established by subsection 4 of NRS 433B.333 and each mental health consortium established by subsection 1 of NRS 433B.333 may request the drafting of not more than one legislative measure which relates to matters within the scope of the consortium.

2.

Any such request must be submitted to the Legislative Counsel on or before September 1 preceding a regular session.

3.

Each request made pursuant to this section must be on a form prescribed by the Legislative Counsel.

A legislative measure requested pursuant to this section must be prefiled on or before the third Wednesday in November preceding a regular session.

A legislative measure that is not prefiled on or before that day shall be deemed withdrawn.

Sec.

12.5.

NRS 218D.100 is hereby amended to read as follows:

218D.100 1.

The provisions of NRS 218D.100 to 218D.220, inclusive, apply to requests for the drafting of legislative measures for a regular session.

2.

Except as otherwise provided by a specific statute, joint rule or concurrent resolution, the Legislative Counsel shall not honor a request for the drafting of a legislative measure if the request:

(a) Exceeds the number of requests authorized by NRS 218D.100 to 218D.220, inclusive, and section 12.3 of this act for the requester;

or (b) Is submitted by an authorized nonlegislative requester pursuant to NRS 218D.175 to 218D.220, inclusive, and section 12.3 of this act but is not in a subject related to the function of the requester.

3.

The Legislative Counsel shall not:

(a) Honor a request to change the subject matter of a request for the drafting of a legislative measure after it has been submitted for drafting.

(b) Honor a request for the drafting of a legislative measure which has been combined in violation of Section 17 of Article 4 of the Nevada Constitution.

Sec.

- *AB201_R1* – 14 – 1.

(Deleted by amendment.) Sec.Committee on Senior Citizens, Veterans and Adults With Specialtive Needs created by NRS 218E.750 shall study the feasibility of formulating and operating a comprehensive plan to provide behavioral health services in this State.

13.5.In conducting the study, the Committee may collaborate with:

1.

During the 2023-2024 interim, the Joint Interim Standing Committee on Health and Human Services shall study the feasibility of formulating and operating a comprehensive plan to provide behavioral health services for adults and children in this State.

In conducting the study, the Joint Interim Standing Committee may collaborate with:

(b) AnyPersonnel mentalof healththe consortiumDepartment establishedof byHealth NRSand 433B.333,Human asServices amendedor byany sectiondivision 10.5thereof; of this act;

(c) PersonnelAny ofregional thebehavioral Departmenthealth ofpolicy Healthboard andcreated Humanby ServicesNRS or433.429; any division thereof;

and (d) Any regionalother behavioralstate healthor policylocal boardgovernmental createdentity bythat NRSprovides 433.429;or performs duties relating to behavioral health services in this State.

and (e) Any other state or local governmental entity that provides behavioral health services in this State.

On or before September 1, 2024, the JointLegislative Interim Standing Committee on HealthSenior Citizens, Veterans and HumanAdults ServicesWith Special Needs shall submit a report of the results of the study conducted pursuant to subsection 1 and recommendations for legislation resulting from the study to:

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