Rep. Norm Thurston — Voting Record

Bill

Number

H.B. 66 Third Substitute (2023GS)

Sponsor

Rep. Eliason, S.

Final action

Governor Signed 3/15/2023

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• requires the Behavioral Health Crisis Response Commission (commission) to make recommendations regarding, and the Division of Integrated Healthcare to administer grant programs for the development of:
• mobile crisis outreach teams;
• one behavioral health receiving center in a county of the third class; and
• a virtual crisis outreach team that will primarily serve counties of the third, fourth, fifth, or sixth class;
• requires the Division of Integrated Healthcare to consult with the commission regarding use of funds from the Statewide Behavioral Health Crisis Response Account, and amends provisions related to the use of those funds;
• amends provisions regarding the membership of the commission;
• repeals outdated language and makes corresponding modifications;
• directs the commission to coordinate services by local mental health crisis lines and mobile crisis outreach teams;
• extends the sunset of the commission to December 31, 2026, and modifies corresponding and related sunset provisions;
• provides sunset dates for the mobile crisis outreach team and virtual crisis outreach team grant programs;
• repeals codified title provisions; and
• makes technical corrections.

Every vote on this bill

Bill text

BEHAVIORAL HEALTH CRISIS RESPONSE COMMISSION
AMENDMENTS
GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Steve Eliason
Senate Sponsor: 
Chris H. Wilson
Cosponsors:
Melissa G. Ballard
Scott H. Chew
Jennifer Dailey-Provost
Michael J. Petersen
Christine F. Watkins
Ryan D. Wilcox
LONG TITLE
General Description:
This bill amends provisions related to the Behavioral Health Crisis Response
Commission.
Highlighted Provisions:
This bill:
▸ requires the Behavioral Health Crisis Response Commission (commission) to make
recommendations regarding, and the Division of Integrated Healthcare to administer
grant programs for the development of:
• mobile crisis outreach teams;
• one behavioral health receiving center in a county of the third class; and
• a virtual crisis outreach team that will primarily serve counties of the third,
fourth, fifth, or sixth class;
▸ requires the Division of Integrated Healthcare to consult with the commission
regarding use of funds from the Statewide Behavioral Health Crisis Response
Account, and amends provisions related to the use of those funds;
▸ amends provisions regarding the membership of the commission;
▸ repeals outdated language and makes corresponding modifications;
▸ directs the commission to coordinate services by local mental health crisis lines and
mobile crisis outreach teams;
▸ extends the sunset of the commission to December 31, 2026, and modifies
corresponding and related sunset provisions;
▸ provides sunset dates for the mobile crisis outreach team and virtual crisis outreach
team grant programs;
▸ repeals codified title provisions; and
▸ makes technical corrections.
Money Appropriated in this Bill:
None
Other Special Clauses:
This bill provides a special effective date.
Utah Code Sections Affected:
AMENDS:
62A-15-118
, as enacted by Laws of Utah 2020, Chapter 303
62A-15-123
, as last amended by Laws of Utah 2022, Chapter 187
63C-18-202
, as last amended by Laws of Utah 2021, Chapter 76
63C-18-203
, as last amended by Laws of Utah 2021, Chapter 76
63I-1-226
, as last amended by Laws of Utah 2022, Chapters 194, 206, 224, 253, 255,
347, and 451
63I-1-262
, as last amended by Laws of Utah 2022, Chapters 34, 35, 149, 257, and 335
63I-1-263
, as last amended by Laws of Utah 2022, Chapters 23, 34, 68, 153, 218, 236,
249, 274, 296, 313, 361, 362, 417, 419, and 472
ENACTS:
62A-15-116.5
, Utah Code Annotated 1953
62A-15-125
, Utah Code Annotated 1953
REPEALS:
63C-18-201
, as enacted by Laws of Utah 2017, Chapter 23
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 
62A-15-116.5
 is enacted to read:
 62A-15-116.5.
Mobile Crisis Outreach Team Grant Program.
(1) As used in this section, "commission" means the Behavioral Health Crisis
Response Commission established in Section 
63C-18-202
.
(2) The commission shall provide recommendations and the division shall award
grants for the development of up to five mobile crisis outreach teams.
(3) A mobile crisis outreach team that is awarded a grant under Subsection (2) shall
provide mental health crisis services 24 hours per day, seven days per week, and every day of
the year.
(4) The division shall prioritize the award of a grant described in Subsection (2) to
entities based on:
(a) the outstanding need for crisis outreach services within the area the proposed
mobile crisis outreach team will serve; and
(b) the capacity for implementation of the proposed mobile crisis outreach team in
accordance with the division's established standards and requirements for mobile crisis
outreach teams.
(5) (a) In consultation with the commission, the division shall make rules, in
accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, for the
application and award of the grants described in Subsection (2).
(b) (i) The rules created under Subsection (5)(a) shall implement a funding structure
for a mobile crisis outreach team developed using a grant awarded under this section.
(ii) The funding structure described in Subsection (5)(b)(i) shall provide for tiers and
phases of shared funding coverage between the state and counties.
Section 2. Section 
62A-15-118
 is amended to read:
62A-15-118.
Behavioral Health Receiving Center Grant Program.
(1) As used in this section:
(a) "Behavioral health receiving center" means a 23-hour nonsecure program or facility
that is responsible for, and provides mental health crisis services to, an individual experiencing
a mental health crisis.
(b) "Commission" means the Behavioral Health Crisis Response Commission
established in Section 
63C-18-202
.
[
(b)
] 
(c)
 "Project" means a behavioral health receiving center project described in
[
Subsection (2)(a)
] 
Subsection (2) or (3)(a)
.
(2) [
(a) (i)
] Before July 1, 2020, the division shall issue a request for proposals in
accordance with this section to award a grant to one or more counties of the first or second
class, as classified in Section 
17-50-501
, to[
, except as provided in Subsection (2)(a)(ii),
]
develop and implement a behavioral health receiving center.
[
(ii) A grant awarded under Subsection (2)(a)(i) may not be used to purchase land for
the behavioral health receiving center.
]
[
(b) The division shall award all grants under this section before December 31, 2020.
]
(3) (a) Before July 1, 2023, the division shall issue a request for proposals in
accordance with this section to award a grant to one county of the third class, as classified in
Section 
17-50-501
, to develop and implement a behavioral health receiving center.
(b) Subject to appropriations by the Legislature, the division shall award grants under
this Subsection (3) before December 31, 2023.
(c) The commission shall provide recommendations to the division regarding the
development and implementation of a behavioral health receiving center.
[
(3)
] 
(4)
 The purpose of a project is to:
(a) increase access to mental health crisis services for individuals in the state who are
experiencing a mental health crisis; and
(b) reduce the number of individuals in the state who are incarcerated or in a hospital
emergency room while experiencing a mental health crisis.
[
(4)
] 
(5)
 An application for a grant under this section shall:
(a) identify the population to which the behavioral health receiving center will provide
mental health crisis services;
(b) identify the type of mental health crisis services the behavioral health receiving
center will provide;
(c) explain how the population described in Subsection [
(4)(a)
] 
(5)(a)
 will benefit from
the provision of mental health crisis services;
(d) provide details regarding:
(i) how the proposed project plans to provide mental health crisis services;
(ii) how the proposed project will ensure that consideration is given to the capacity of
the behavioral health receiving center;
(iii) how the proposed project will ensure timely and effective provision of mental
health crisis services;
(iv) the cost of the proposed project;
(v) any existing or planned contracts or partnerships between the applicant and other
individuals or entities to develop and implement the proposed project;
(vi) any plan to use funding sources in addition to a grant under this section for the
proposed project;
(vii) the sustainability of the proposed project; and
(viii) the methods the proposed project will use to:
(A) protect the privacy of each individual who receives mental health crisis services
from the behavioral health receiving center;
(B) collect nonidentifying data relating to the proposed project; and
(C) provide transparency on the costs and operation of the proposed project; and
(e) provide other information requested by the division to ensure that the proposed
project satisfies the criteria described in Subsection [
(5)
] 
(7)
.
[
(5)
] 
(6) A recipient of a grant under this section shall enroll as a Medicaid provider
and meet minimum standards of care for behavioral health receiving centers established by the
division.
(7)
 In evaluating an application for the grant, the division shall consider:
(a) the extent to which the proposed project will fulfill the purposes described in
Subsection [
(3)
] 
(4)
;
(b) the extent to which the population described in Subsection [
(4)(a)
] 
(5)(a)
 is likely to
benefit from the proposed project;
(c) the cost of the proposed project;
(d) the extent to which any existing or planned contracts or partnerships between the
applicant and other individuals or entities to develop and implement the project, or additional
funding sources available to the applicant for the proposed project, are likely to benefit the
proposed project; and
(e) the viability and innovation of the proposed project.
[
(6) Before June 30, 2021, the division shall report to the Health and Human Services
Interim Committee regarding:
]
[
(a) each county awarded a grant under this section; and
]
[
(b) the details of each project.
]
[
(7)
] 
(8)
 Before June 30, 2023, the division shall report to the Health and Human
Services Interim Committee regarding:
(a) data gathered in relation to each project 
described in Subsection (2)
;
(b) knowledge gained relating to the provision of mental health crisis services in a
behavioral health receiving center;
(c) recommendations for the future use of mental health crisis services in behavioral
health receiving centers; [
and
]
(d) obstacles encountered in the provision of mental health crisis services in a
behavioral health receiving center[
.
]
; and
(e) recommendations for appropriate Medicaid reimbursement for rural behavioral
health receiving centers.
(9) (a) In consultation with the commission, the division shall make rules, in
accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, for the
application and award of a grant under this section.
(b) (i) The rules created under Subsection (9)(a) shall:
(A) implement a funding structure for a behavioral health receiving center developed
using a grant awarded under this section;
(B) include implementation standards and minimum program requirements for a
behavioral health receiving center developed using a grant awarded under this section,
including minimum guidelines and standards of care, and minimum staffing requirements; and
(C) require a behavioral health receiving center developed using a grant awarded under
this section to operate 24 hours per day, seven days per week, and every day of the year.
(ii) The funding structure described in Subsection (9)(b)(i)(A) shall provide for tiers
and phases of shared funding coverage between the state and counties.
(10) Before June 30, 2024, the division shall report to the Health and Human Services
Interim Committee regarding:
(a) grants awarded under Subsection (3)(a); and
(b) the details of each project described in Subsection (3)(a).
(11) Before June 30, 2026, the division shall provide a report to the Health and Human
Services Interim Committee that includes:
(a) data gathered in relation to each project described in Subsection (3)(a); and
(b) an update on the items described in Subsections (8)(b) through (d).
Section 3. Section 
62A-15-123
 is amended to read:
62A-15-123.
Statewide Behavioral Health Crisis Response Account -- Creation --
Administration -- Permitted uses -- Reporting.
(1) There is created a restricted account within the General Fund known as the
"Statewide Behavioral Health Crisis Response Account," consisting of:
(a) money appropriated or otherwise made available by the Legislature; and
(b) contributions of money, property, or equipment from federal agencies, political
subdivisions of the state, or other persons.
(2) (a) Subject to appropriations by the Legislature and any contributions to the account
described in Subsection (1)(b), the division shall disburse funds in the account only for the
purpose of support or implementation of services or enhancements of those services in order to
rapidly, efficiently, and effectively deliver 988 services in the state.
(b) Funds distributed from the account to county local mental health and substance
abuse authorities for the provision of crisis services are not subject to the 20% county match
described in Sections 
17-43-201
 and 
17-43-301
.
(c) [
Except as provided in Subsection (2)(d), the division shall prioritize expending
funds from the account as follows
] 
After consultation with the Behavioral Health Crisis
Response Commission created in Section 
63C-18-202
, and local substance use authorities and
local mental health authorities described in Sections 
17-43-201
 and 
17-43-301
, the division
shall expend funds from the account on any of the following programs
:
(i) the Statewide Mental Health Crisis Line, as defined in Section 
62A-15-1301
,
including coordination with 911 emergency service, as defined in Section 
69-2-102
, and
coordination with local substance abuse authorities as described in Section 
17-43-201
, and
local mental health authorities, described in Section 
17-43-301
;
[
(ii) mitigation of any negative impacts on 911 emergency service from 988 services;
]
[
(iii)
] 
(ii)
 mobile crisis outreach teams as defined in Section 
62A-15-1401
, distributed
in accordance with rules made by the division in accordance with Title 63G, Chapter 3, Utah
Administrative Rulemaking Act;
[
(iv)
] 
(iii)
 behavioral health receiving centers as defined in Section 
62A-15-118
;
[
(v)
] 
(iv)
 stabilization services as described in Section 
62A-1-104
; [
and
]
[
(vi)
] 
(v)
 mental health crisis services provided by local substance abuse authorities as
described in Section 
17-43-201
 and local mental health authorities described in Section
17-43-301
 to provide prolonged mental health services for up to 90 days after the day on which
an individual experiences a mental health crisis[
.
]
;
(vi) crisis intervention training for first responders, as that term is defined in Section
78B-4-501
;
(vii) crisis worker certification training for first responders, as that term is defined in
Section 
78B-4-501
;
(viii) frontline support for the SafeUT Crisis Line; or
(ix) suicide prevention gatekeeper training for first responders, as that term is defined
in Section 
78B-4-501
.
(d) If the Legislature appropriates money to the account for a purpose described in
Subsection (2)(c), the division shall use the appropriation for that purpose.
(3) Subject to appropriations by the Legislature and any contributions to the account
described in Subsection (1)(b), the division may expend funds in the account for administrative
costs that the division incurs related to administering the account.
(4) The division director shall submit and make available to the public a report before
December of each year to the Behavioral Health Crisis Response Commission, as defined in
Section 
63C-18-202
, the Social Services Appropriations Subcommittee, and the Legislative
Management Committee that includes:
(a) the amount of each disbursement from the account;
(b) the recipient of each disbursement, the goods and services received, and a
description of the project funded by the disbursement;
(c) any conditions placed by the division on the disbursements from the account;
(d) the anticipated expenditures from the account for the next fiscal year;
(e) the amount of any unexpended funds carried forward;
(f) the number of Statewide Mental Health Crisis Line calls received;
(g) the progress towards accomplishing the goals of providing statewide mental health
crisis service; and
(h) other relevant justification for ongoing support from the account.
(5) Notwithstanding Subsection (2)(c), allocations made to local substance use
authorities and local mental health authorities for behavioral health receiving centers or mobile
crisis outreach teams before the end of fiscal year 2023 shall be maintained through fiscal year
2027, subject to appropriation.
(6) (a) As used in this Subsection (6):
(i) "Health benefit plan" means the same as that term is defined in Section 
31A-1-301
.
(ii) "Mental health service provider" means a behavioral health receiving center or
mobile crisis outreach team.
(b) The department shall coordinate with each mental health service provider that
receives state funds to determine which health benefit plans, if any, have not contracted or have
refused to contract with the mental health service provider at usual and customary rates for the
services provided by the mental health service provider.
(c) In each year that the department identifies a health benefit plan that meets the
description in Subsection (6)(b), the department shall provide a report on the information
gathered under Subsection (6)(b) to the Health and Human Services Interim Committee at or
before the committee's October meeting.
Section 4. Section 
62A-15-125
 is enacted to read:
 62A-15-125.
Virtual crisis outreach team grant program.
(1) As used in this section:
(a) "Certified peer support specialist" means the same as that term is defined in Section
62A-15-1301
.
(b) "Commission" means the Behavioral Health Crisis Response Commission
established in Section 
63C-18-202
.
(c) "Committee" means the Health and Human Services Interim Committee.
(d) "Mobile crisis outreach team" means the same as that term is defined in Section
62A-15-1401
.
(e) "Virtual crisis outreach program" means a program that provides the following
real-time services 24 hours per day, seven days per week, and every day of the year:
(i) crisis support, by a qualified mental or behavioral health professional, to law
enforcement officers; and
(ii) peer support services, by a certified peer support specialist, to individuals
experiencing behavioral health crises.
(2) In consultation with the commission and in accordance with the requirements of
this section, the division shall award a grant for the development of a virtual crisis outreach
program that primarily serves counties of the third, fourth, fifth, or sixth class.
(3) The division shall prioritize the award of the grant described in Subsection (2)
based on the extent to which providing the grant to the applicant will increase the provision of
crisis support and peer support services in areas:
(a) with frequent mental or behavioral health provider shortages; and
(b) where only one mobile crisis outreach team is available to serve multiple counties
of the third, fourth, fifth, or sixth class.
(4) When not providing crisis support or peer support services to law enforcement or
individuals in a county of the third, fourth, fifth, or sixth class, the virtual crisis outreach
program developed using a grant under this section shall provide support services as needed to
mobile crisis outreach teams in counties of the first or second class.
(5) In consultation with the commission, the division may make rules, in accordance
with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, for the application and award
of the grant described in Subsection (2).
(6) Before June 30, 2024, the division shall submit a written report to the committee
regarding the virtual crisis outreach program developed using the grant awarded under this
section.
(7) Before June 30, 2026, the division shall submit a written report to the committee
regarding:
(a) data gathered in relation to the rural virtual crisis outreach team developed using the
grant awarded under this section;
(b) knowledge gained relating to the provision of virtual crisis outreach services;
(c) recommendations for the future use of virtual crisis outreach services; and
(d) obstacles encountered in the provision of virtual crisis outreach services.
Section 5. Section 
63C-18-202
 is amended to read:
63C-18-202.
Commission established -- Members.
(1) There is created the Behavioral Health Crisis Response Commission, composed of
the following members:
(a) the executive director of the [
University Neuropsychiatric Institute
] 
Huntsman
Mental Health Institute
;
(b) the governor or the governor's designee;
(c) the director of the [
Division
] 
Office
 of Substance [
Abuse
] 
Use
 and Mental Health;
(d) one representative of the Office of the Attorney General, appointed by the attorney
general;
(e) the executive director of the Department of Health and Human Services or the
executive director's designee;
[
(e)
] 
(f)
 one member of the public, appointed by the chair of the commission and
approved by the commission;
[
(f)
] 
(g)
 two individuals who are mental or behavioral health clinicians licensed to
practice in the state, appointed by the chair of the commission and approved by the
commission, at least one of whom is an individual who:
(i) is licensed as a physician under:
(A) Title 58, Chapter 67, Utah Medical Practice Act;
(B) Title 58, Chapter 67b, Interstate Medical Licensure Compact; or
(C) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
(ii) is board eligible for a psychiatry specialization recognized by the American Board
of Medical Specialists or the American Osteopathic Association's Bureau of Osteopathic
Specialists;
[
(g)
] 
(h)
 one individual who represents a county of the first or second class, appointed
by the Utah Association of Counties;
[
(h)
] 
(i)
 one individual who represents a county of the third, fourth, or fifth class,
appointed by the Utah Association of Counties;
[
(i)
] 
(j)
 one individual who represents the Utah Hospital Association, appointed by the
chair of the commission;
[
(j)
] 
(k)
 one individual who represents law enforcement, appointed by the chair of the
commission;
[
(k)
] 
(l)
 one individual who has lived with a mental health disorder, appointed by the
chair of the commission;
[
(l)
] 
(m)
 one individual who represents an integrated health care system that:
(i) is not affiliated with the chair of the commission; and
(ii) provides inpatient behavioral health services and emergency room services to
individuals in the state;
[
(m)
] 
(n)
 one individual who represents an accountable care organization, as defined in
Section 
26-18-423
, with a statewide membership base;
[
(n) three members of the House of Representatives, appointed by the speaker of the
House of Representatives, no more than two of whom may be from the same political party;
]
[
(o) three members of the Senate, appointed by the president of the Senate, no more
than two of whom may be from the same political party;
]
[
(p)
] 
(o)
 one individual who represents 911 call centers and public safety answering
points, appointed by the chair of the commission;
[
(q)
] 
(p)
 one individual who represents Emergency Medical Services, appointed by the
chair of the commission;
[
(r)
] 
(q)
 one individual who represents the mobile wireless service provider industry,
appointed by the chair of the commission;
[
(s)
] 
(r)
 one individual who represents rural telecommunications providers, appointed
by the chair of the commission;
[
(t)
] 
(s)
 one individual who represents voice over internet protocol and land line
providers, appointed by the chair of the commission; [
and
]
[
(u)
] 
(t)
 one individual who represents the Utah League of Cities and Towns, appointed
by the [
chair of the commission.
] 
Utah League of Cities and Towns; and
(u) three or six legislative members, the number of which shall be decided jointly by
the speaker of the House of Representatives and the president of the Senate, appointed as
follows:
(i) if the speaker of the House of Representatives and the president of the Senate jointly
decide to appoint three legislative members to the commission, the speaker shall appoint one
member of the House of Representatives, the president shall appoint one member of the Senate,
and the speaker and the president shall jointly appoint one legislator from the minority party; or
(ii) if the speaker of the House of Representatives and the president of the Senate
jointly decide to appoint six legislative members to the commission:
(A) the speaker of the House of Representatives shall appoint three members of the
House of Representatives, no more than two of whom may be from the same political party;
and
(B) the president of the Senate shall appoint three members of the Senate, no more than
two of whom may be from the same political party.
[
(2) On December 31, 2022:
]
[
(a) the number of members described in Subsection (1)(n) and the number of members
described in Subsection (1)(o) is reduced to one, with no restriction relating to party
membership; and
]
[
(b) the members described in Subsections (1)(p) through (u) are removed from the
commission.
]
[
(3)
] 
(2)
 (a) [
The
] 
Except as provided in Subsection (2)(d), the
 executive director of the
[
University Neuropsychiatric Institute
] 
Huntsman Mental Health Institute
 is the chair of the
commission.
(b) The chair of the commission shall appoint a member of the commission to serve as
the vice chair of the commission, with the approval of the commission.
(c) The chair of the commission shall set the agenda for each commission meeting.
(d) If the executive director of the Huntsman Mental Health Institute is not available to
serve as the chair of the commission, the commission shall elect a chair from among the
commission's members.
[
(4)
] 
(3)
 (a) A majority of the members of the commission constitutes a quorum.
(b) The action of a majority of a quorum constitutes the action of the commission.
[
(5)
] 
(4)
 (a) Except as provided in Subsection [
(5)(b)
] 
(4)(b)
, a member may not
receive compensation, benefits, per diem, or travel expenses for the member's service on the
commission.
(b) Compensation and expenses of a member who is a legislator are governed by
Section 
36-2-2
 and Legislative Joint Rules, Title 5, Legislative Compensation and Expenses.
[
(6)
] 
(5)
 The Office of the Attorney General shall provide staff support to the
commission.
Section 6. Section 
63C-18-203
 is amended to read:
63C-18-203.
Commission duties -- Reporting requirements.
(1) The commission shall:
(a) identify a method to integrate existing local mental health crisis lines to ensure each
individual who accesses a local mental health crisis line is connected to a qualified mental or
behavioral health professional, regardless of the time, date, or number of individuals trying to
simultaneously access the local mental health crisis line;
(b) study how to establish and implement a statewide mental health crisis line and a
statewide warm line, including identifying:
(i) a statewide phone number or other means for an individual to easily access the
statewide mental health crisis line, including a short code for text messaging and a three-digit
number for calls;
(ii) a statewide phone number or other means for an individual to easily access the
statewide warm line, including a short code for text messaging and a three-digit number for
calls;
(iii) a supply of:
(A) qualified mental or behavioral health professionals to staff the statewide mental
health crisis line; and
(B) qualified mental or behavioral health professionals or certified peer support
specialists to staff the statewide warm line; and
(iv) a funding mechanism to operate and maintain the statewide mental health crisis
line and the statewide warm line;
(c) coordinate with local mental health authorities in fulfilling the commission's duties
described in Subsections (1)(a) and (b); [
and
]
(d) recommend standards for the certifications described in Section 
62A-15-1302
; and
(e) coordinate services provided by local mental health crisis lines and mobile crisis
outreach teams, as defined in Section 
62A-15-1401
.
(2) [
In preparation for the implementation of the statewide 988 hotline, the
] 
The
commission shall study and make recommendations regarding:
(a) crisis line practices and needs, including:
(i) quality and timeliness of service;
(ii) service volume projections;
(iii) a statewide assessment of crisis line staffing needs, including required
certifications; and
(iv) a statewide assessment of technology needs;
(b) primary duties performed by crisis line workers;
(c) coordination or redistribution of secondary duties performed by crisis line workers,
including responding to non-emergency calls;
(d) [
establishing a
] 
operating the
 statewide 988 hotline:
(i) in accordance with federal law;
(ii) [
that ensures
] 
to ensure
 the efficient and effective routing of calls to an appropriate
crisis center; and
(iii) [
that includes
] 
to
 directly [
responding
] 
respond
 to calls with trained personnel and
the provision of acute mental health, crisis outreach, and stabilization services;
(e) opportunities to increase operational and technological efficiencies and
effectiveness between 988 and 911, utilizing current technology;
(f) needs for interoperability partnerships and policies related to 911 call transfers and
public safety responses;
(g) standards for statewide mobile crisis outreach teams, including:
(i) current models and projected needs;
(ii) quality and timeliness of service;
(iii) hospital and jail diversions; and
(iv) staffing and certification;
(h) resource centers, including:
(i) current models and projected needs; and
(ii) quality and timeliness of service;
(i) policy considerations related to whether the state should:
(i) manage, operate, and pay for a complete behavioral health system; or
(ii) create partnerships with private industry; and
(j) sustainable funding source alternatives, including:
(i) charging a 988 fee, including a recommendation on the fee amount;
(ii) General Fund appropriations;
(iii) other government funding options;
(iv) private funding sources;
(v) grants;
(vi) insurance partnerships, including coverage for support and treatment after initial
call and triage; and
(vii) other funding resources.
[
(3) The commission shall:
]
[
(a) before December 31, 2021, present an initial report on the matters described in
Subsection (2), including any proposed legislation, to the Executive Appropriations
Committee; and
]
[
(b) before December 31, 2022, present a final report on the items described in
Subsection (2), including any proposed legislation, to the Executive Appropriations
Committee.
]
[
(4) The duties described in Subsection (2) are removed on December 31, 2022.
]
[
(5)
] 
(3)
 The commission may conduct other business related to the commission's
duties described in this section.
[
(6)
] 
(4)
 The commission shall consult with the [
Division
] 
Office
 of Substance [
Abuse
]
Use
 and Mental Health regarding
:
(a)
 the standards and operation of the statewide mental health crisis line and the
statewide warm line, in accordance with Title 62A, Chapter 15, Part 13, Statewide Mental
Health Crisis Line and Statewide Warm Line
; and
(b) the incorporation of the statewide mental health crisis line and the statewide warm
line into behavioral health systems throughout the state
.
(5) Beginning in 2023, by no later than the last interim meeting of the Health and
Human Services Interim Committee each calendar year, the commission shall report to the
Health and Human Services Interim Committee on the matters described in Subsections (1) and
(2), including any recommendations, legislation proposals, and opportunities for behavioral
health crisis response system improvement.
Section 7. Section 
63I-1-226
 is amended to read:
63I-1-226.
Repeal dates: Title 26 through 26B.
(1) Section 
26-1-7.5
, which creates the Utah Health Advisory Council, is repealed July
1, 2025.
(2) Section 
26-1-40
 is repealed July 1, 2022.
(3) Section 
26-1-41
 is repealed July 1, 2026.
(4) Section 
26-1-43
 is repealed December 31, 2025.
(5) Section 
26-7-10
 is repealed July 1, 2025.
(6) Subsection 
26-7-11
(5), regarding reports to the Legislature, is repealed July 1,
2028.
(7) Section 
26-7-14
 is repealed December 31, 2027.
(8) Section 
26-8a-603
 is repealed July 1, 2027.
(9) Title 26, Chapter 9f, Utah Digital Health Service Commission Act, is repealed July
1, 2025.
(10) Subsection 
26-10-6
(5), which creates the Newborn Hearing Screening Committee,
is repealed July 1, 2026.
(11) Section 
26-10b-106
, which creates the Primary Care Grant Committee, is repealed
July 1, 2025.
(12) Subsection 
26-15c-104
(3), relating to a limitation on the number of
microenterprise home kitchen permits that may be issued, is repealed July 1, 2022.
(13) Subsection 
26-18-2.6
(9), which addresses reimbursement for dental hygienists, is
repealed July 1, 2028.
(14) Section 
26-18-27
 is repealed July 1, 2025.
(15) Section 
26-18-28
 is repealed June 30, 2027.
(16) Title 26, Chapter 18, Part 2, Drug Utilization Review Board, is repealed July 1,
2027.
(17) Subsection 
26-18-418
(2), the language that states "and the Behavioral Health
Crisis Response Commission created in Section 
63C-18-202
" is repealed [
July 1, 2023
]
December 31, 2026
.
(18) Section 
26-33a-117
 is repealed December 31, 2023.
(19) Title 26, Chapter 33a, Utah Health Data Authority Act, is repealed July 1, 2024.
(20) Title 26, Chapter 36b, Inpatient Hospital Assessment Act, is repealed July 1,
2024.
(21) Title 26, Chapter 36c, Medicaid Expansion Hospital Assessment Act, is repealed
July 1, 2024.
(22) Title 26, Chapter 36d, Hospital Provider Assessment Act, is repealed July 1, 2024.
(23) Section 
26-39-201
, which creates the Residential Child Care Licensing Advisory
Committee, is repealed July 1, 2024.
(24) Section 
26-39-405
, Drinking water quality in child care centers, is repealed July 1,
2027.
(25) Section 
26-40-104
, which creates the Utah Children's Health Insurance Program
Advisory Council, is repealed July 1, 2025.
(26) Section 
26-50-202
, which creates the Traumatic Brain Injury Advisory
Committee, is repealed July 1, 2025.
(27) Title 26, Chapter 54, Spinal Cord and Brain Injury Rehabilitation Fund and
Pediatric Neuro-Rehabilitation Fund, is repealed January 1, 2025.
(28) Title 26, Chapter 66, Early Childhood Utah Advisory Council, is repealed July 1,
2026.
(29) Title 26, Chapter 68, COVID-19 Vaccine Restrictions Act, is repealed July 1,
2024.
(30) Section 
26-69-406
 is repealed July 1, 2025.
(31) Subsection 
26B-1-204
(2)(i), related to the Residential Child Care Licensing
Advisory Committee, is repealed July 1, 2024.
(32) Subsection 
26B-1-204
(2)(k), related to the Primary Care Grant Committee, is
repealed July 1, 2025.
Section 8. Section 
63I-1-262
 is amended to read:
63I-1-262.
Repeal dates: Title 62A.
(1) Section 
62A-3-209
 is repealed July 1, 2023.
(2) Sections 
62A-5a-101
, 
62A-5a-102
, 
62A-5a-103
, and 
62A-5a-104
, which create the
Coordinating Council for Persons with Disabilities, are repealed July 1, 2027.
(3) Subsections 
62A-15-116
(1) and (5), the language that states "In consultation with
the Behavioral Health Crisis Response Commission, established in Section 
63C-18-202
," is
repealed [
January 1, 2023
] 
December 31, 2026
.
(4) Section 
62A-15-116.5
 is repealed December 31, 2026.
[
(4)
] 
(5)
 Section 
62A-15-118
 is repealed December 31, [
] 
.
(6) Subsection 
62A-15-123
(4), the language that states "the Behavioral Health Crisis
Response Commission, as defined in Section 63C-18-202," is repealed December 31, 2026.
[
(5)
] 
(7)
 Section 
62A-15-124
 is repealed December 31, 2024.
(8) Section 
62A-15-125
 is repealed December 31, 2026.
[
(6)
] 
(9)
 Section 
62A-15-605
, which creates the Forensic Mental Health Coordinating
Council, is repealed July 1, 2023.
[
(7)
] 
(10)
 Subsections 
62A-15-1100
(1) and 
62A-15-1101
(9), in relation to the Utah
Substance Use and Mental Health Advisory Council, are repealed January 1, 2033.
[
(8)
] 
(11)
 In relation to the Behavioral Health Crisis Response Commission, on [
July 1,
] 
December 31, 2026
:
(a) Subsections 
62A-15-1301
(2) and 
62A-15-1401
(1) are repealed;
(b) Subsection 
62A-15-1302
(1)(b), the language that states "and in consultation with
the commission" is repealed;
(c) Subsection 
62A-15-1303
(1), the language that states "In consultation with the
commission," is repealed;
(d) Subsection 
62A-15-1402
(2)(a), the language that states "With recommendations
from the commission," is repealed; [
and
]
(e) Subsection 
62A-15-1702
(6) is repealed
; and
(f) Subsection 
62A-15-1903
(3)(b)(iv) is repealed
.
Section 9. Section 
63I-1-263
 is amended to read:
63I-1-263.
Repeal dates: Titles 63A to 63N.
(1) Subsection 
63A-5b-405
(5), relating to prioritizing and allocating capital
improvement funding, is repealed July 1, 2024.
(2) Section 
63A-5b-1003
, State Facility Energy Efficiency Fund, is repealed July 1,
2023.
(3) Sections 
63A-9-301
 and 
63A-9-302
, related to the Motor Vehicle Review
Committee, are repealed July 1, 2023.
(4) In relation to the Utah Transparency Advisory Board, on January 1, 2025:
(a) Section 
63A-18-102
 is repealed;
(b) Section 
63A-18-201
 is repealed; and
(c) Section 
63A-18-202
 is repealed.
(5) Title 63C, Chapter 4a, Constitutional and Federalism Defense Act, is repealed July
1, 2028.
(6) Title 63C, Chapter 6, Utah Seismic Safety Commission, is repealed January 1,
2025.
(7) Title 63C, Chapter 12, Snake Valley Aquifer Advisory Council, is repealed July 1,
2024.
(8) Title 63C, Chapter 17, Point of the Mountain Development Commission Act, is
repealed July 1, 2023.
(9) Title 63C, Chapter 18, Behavioral Health Crisis Response Commission, is repealed
[
July 1, 2023
] 
December 31, 2026
.
(10) Title 63C, Chapter 23, Education and Mental Health Coordinating Council, is
repealed July 1, 2026.
(11) Title 63C, Chapter 27, Cybersecurity Commission, is repealed July 1, 2032.
(12) Title 63C, Chapter 28, Ethnic Studies Commission, is repealed July 1, 2026.
(13) Section 
63G-6a-805
, which creates the Purchasing from Persons with Disabilities
Advisory Board, is repealed July 1, 2026.
(14) Title 63G, Chapter 21, Agreements to Provide State Services, is repealed July 1,
2028.
(15) Title 63H, Chapter 4, Heber Valley Historic Railroad Authority, is repealed July 1,
2024.
(16) Title 63H, Chapter 8, Utah Housing Corporation Act, is repealed July 1, 2026.
(17) Subsection 
63J-1-602.1
(17), relating to the Nurse Home Visiting Restricted
Account, is repealed July 1, 2026.
(18) Subsection 
63J-1-602.2
(6), referring to dedicated credits to the Utah Marriage
Commission, is repealed July 1, 2023.
(19) Subsection 
63J-1-602.2
(7), referring to the Trip Reduction Program, is repealed
July 1, 2022.
(20) Subsection 
63J-1-602.2
(26), related to the Utah Seismic Safety Commission, is
repealed January 1, 2025.
(21) Title 63L, Chapter 11, Part 4, Resource Development Coordinating Committee, is
repealed July 1, 2027.
(22) In relation to the Utah Substance Use and Mental Health Advisory Council, on
January 1, 2033:
(a) Sections 
63M-7-301
, 
63M-7-302
, 
63M-7-303
, 
63M-7-304
, and 
63M-7-306
 are
repealed;
(b) Section 
63M-7-305
, the language that states "council" is replaced with
"commission";
(c) Subsection 
63M-7-305
(1)(a) is repealed and replaced with:
"(1) "Commission" means the Commission on Criminal and Juvenile Justice."; and
(d) Subsection 
63M-7-305
(2) is repealed and replaced with:
"(2) The commission shall:
(a) provide ongoing oversight of the implementation, functions, and evaluation of the
Drug-Related Offenses Reform Act; and
(b) coordinate the implementation of Section 
77-18-104
 and related provisions in
Subsections 
77-18-103
(2)(c) and (d).".
(23) The Crime Victim Reparations and Assistance Board, created in Section
63M-7-504
, is repealed July 1, 2027.
(24) Title 63M, Chapter 11, Utah Commission on Aging, is repealed July 1, 2026.
(25) Title 63N, Chapter 1b, Part 4, Women in the Economy Subcommittee, is repealed
January 1, 2025.
(26) Title 63N, Chapter 2, Part 2, Enterprise Zone Act, is repealed July 1, 2028.
(27) Section 
63N-2-512
, related to the Hotel Impact Mitigation Fund, is repealed July
1, 2028.
(28) Title 63N, Chapter 3, Part 9, Strategic Innovation Grant Pilot Program, is repealed
July 1, 2027.
(29) Title 63N, Chapter 3, Part 11, Manufacturing Modernization Grant Program, is
repealed July 1, 2025.
(30) In relation to the Rural Employment Expansion Program, on July 1, 2023:
(a) Title 63N, Chapter 4, Part 4, Rural Employment Expansion Program, is repealed;
and
(b) Subsection 
63N-4-805
(5)(b), referring to the Rural Employment Expansion
Program, is repealed.
(31) In relation to the Board of Tourism Development, on July 1, 2025:
(a) Subsection 
63N-2-511
(1)(b), which defines "tourism board," is repealed;
(b) Subsections 
63N-2-511
(3)(a) and (5), the language that states "tourism board" is
repealed and replaced with "Utah Office of Tourism";
(c) Subsection 
63N-7-101
(1), which defines "board," is repealed;
(d) Subsection 
63N-7-102
(3)(c), which requires the Utah Office of Tourism to receive
approval from the Board of Tourism Development, is repealed; and
(e) Title 63N, Chapter 7, Part 2, Board of Tourism Development, is repealed.
(32) Subsection 
63N-8-103
(3)(c), which allows the Governor's Office of Economic
Opportunity to issue an amount of tax credit certificates only for rural productions, is repealed
on July 1, 2024.
Section 10. 
Repealer.
This bill repeals:
Section 
63C-18-201
,
Title.
Section 11. 
Effective date.
If approved by two-thirds of all the members elected to each house, this bill takes effect
upon approval by the governor, or the day following the constitutional time limit of Utah
Constitution, Article VII, Section 8, without the governor's signature, or in the case of a veto,
the date of veto override.