SB 237 — Revises provisions relating to crisis intervention. (BDR 39-312)

REQUIRESSenate TWO-THIRDSBill MAJORITYNo. VOTE (§ 1.5) EXEMPT (Reprinted with amendments adopted on April 17, 2023) FIRST REPRINT S.B.

237237–Committee SENATEon BHealth ILLNand O.Human Services CHAPTER..........

237–COMMITTEE ON H EALTH AND H UMAN SERVICES (O N BEHALF OF THE JOINT NTERIM S TANDING C OMMITTEE ON JUDICIARY ) M ARCH 8, 2023 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to crisis intervention.

(BDR 39-312) FISCAL NOTE:

Effect on Local Government:

No.

Effect on the State:

Yes.

~ EXPLANATION – Matter in bolded italics is new;

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

§ 251a) Existing state law requires the State Board of Health to adopt regulations to impose a surcharge on certain mobile communication services, IP-enabled voice services companies and providerslandline whotelephone provideservices. such services to collect the surcharge from customers and transfer the surcharge to the Division of Public and Behavioral Health of the Department of Health and Human Services.

Existing state law requires telecommunications companies and providers who provide such services to collect the surcharge from customers and transfer the surcharge to the Division of Public and Behavioral Health of the Department of Health and Human Services.

and (3) use the money in the Account to support the operation of a suicide prevention and mental health crisis hotline and the services provided to persons who access the hotline.implementation of that hotline through various activities.

(NRS 433.708)433.704) Section 1 of this bill adds a requirement for the Division to support the implementation of that hotline throughby varioussupporting activities.the provision of crisis stabilization services provided at hospitals that hold endorsements as crisis stabilization centers pursuant to existing law.

(NRS 433.704)449.0915) Section 11.5 of this bill addsremoves athe requirement forthat the DivisionBoard toadopt supportregulations establishing the implementationamount of that hotline by supporting the establishmentsurcharge and maintenanceinstead ofestablishes hospitals that holdamount endorsementsat as35 crisiscents stabilizationper centersline. pursuant to existing law.

(NRS 449.0915) Section 1.5 -also: *SB237_R1* – 2 – of this bill:

(1) authorizesrevises the Statedefinitions Board of Healthcertain toterms reviewthat andapply adjust,to by regulation, the surchargesurcharge; not more frequently than once every 5 years;

and (2) prescribesrequires proceduresthe annually to the Division the average number of lines that were subject to thert surcharge for calculatingeach month of the adjustedpreceding surcharge;year.

andSection (3)4 revisesof thethis telecommunicationsbill companiesdeclares andany providersregulations thatadopted collectby the surchargeBoard torelating reportthe annually to the Divisionsurcharge before the averageeffective numberdate of linesthis thatbill were subject to thebe surchargevoid. for each month of the preceding year.

Section 44.5 of this bill:bill requires telecommunications companies and providers that collect the surcharge to report to the Division on or before July 1, 2023, the average number of lines that met the requirements to be subject to the surcharge for each month of the 2022 calendar year.

(1)- declares82nd anySession regulations(2023) adopted– by2 the– BoardEXPLANATION relating– toMatter thein surchargebolded beforeitalics theis effectivenew; date of this bill to be void;

(2)matter prohibitsbetween thebrackets Board[omitted frommaterial] adjustingis thematerial surcharge telecommunications companies and providers that collect the surcharge to reportbe toomitted. the Division on or before July 1, 2023, the average number of lines that were subject to the surcharge for each month of the 2022 calendar year.

(b) Encouraging the establishment of and, to the extent that money is available, establishing mobile crisis teams to provide community-based intervention, including, without limitation, de- escalationor andotherwise stabilization,in fora personsbehavioral whohealth arecrisis consideringand suicideaccess orthe otherwisehotline;ide (c) Participating in aany behavioralcollection healthof crisisinformation andby accessthe Federal Government concerning the hotline;National Suicide Prevention Lifeline program;

(c) Participating in any collection of information by the Federal Government concerning the National Suicide Prevention Lifeline program;

[and] (e) Supporting the establishmentprovision andof maintenancecrisis ofstabilization services at hospitals that hold endorsements as crisis stabilization centers pursuant to NRS 449.0915;

- *SB237_R1* – 3 – (2) Any regulations necessary to allow for communication and sharing of information between persons and entities involved in responding to crises and emergencies in this State to facilitate the coordination of care for persons who are considering suicide or are otherwiseotherwi(3) inRegulations adefining behavioralthe healthterm crisis“person professionally and accessqualified in the hotline;field of behavioral health” for the purposes of this section.

and- (3)82nd RegulationsSession defining(2023) the– term3 “person– professionally2. qualified in the field of behavioral health” for the purposes of this section.

2.

(a) A team based in the jurisdiction that it serves which includes persons professionally qualified in the field of behavioral health and pro(b) A team established by a provider of emergency medical services that includes persons professionally qualified in the field of behavioral health and providers of peer recovery support services;

(b) A team established by a provider of emergency medical services that includes persons professionally qualified in the field of behavioral health and providers of peer recovery support services;

433.708to] 1.impose a surcharge of 35 cents for each line on [each] :ions (a) Each access line of each customer of a company that provides commercial mobile communication services or IP-enabled voice services in this State in accordance with 47 U.S.C.

The State Board of Health shall [adopt regulations to] impose a surcharge of 35 cents for each line, as adjusted in accordance with subsection 8, on [each] :

(a) Each access line of each customer of a company that provides commercial mobile communication services or IP-enabled voice services in this State in accordance with 47 U.S.C.

[Those] - *SB237_R1* – 4 – 2.

The amount of the surcharge must be sufficient to support the uses set forth in subsection- 2,82nd exceptSession that(2023) the– amount4 of– the surcharge must not exceed 35 cents for each access line or trunk line.line.ge must not 2.] on or before the last day of the month immediately following the month to which the surcharge applies.

2.] on or before the last day of the month immediately following the month to which the surcharge applies.

[4.]fiscal 5.year does not revert to the State General Fund but must be carried over into the next fiscal year.

Any money remaining in the Account at the end of each fiscal year does not revert to the State General Fund but must be carried over into the next fiscal year.

The State Board of Health:

(a) May review and adjust, by regulation, the amount of the surcharge imposed pursuant to subsection 1 not more frequently than once every 5 years;