HB 1813-1_ Filed 02/27/2001, 11:03


Text Box

Adopted Rejected


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COMMITTEE REPORT


                                                        YES:

11

                                                        NO:
0

MR. SPEAKER:
    Your Committee on       Public Health     , to which was referred       House Bill 1813     , has had the same under consideration and begs leave to report the same back to the House with the recommendation that said bill be amended as follows:

SOURCE: Page 43, line 17; (01)AM181309.43. -->     Page 43, between lines 17 and 18, begin a new paragraph and insert:
SOURCE: IC 12-21-2-3; (01)AM181309.56. -->     "SECTION 56. IC 12-21-2-3 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 3. (a) In addition to the general authority granted to the director under IC 12-8-8 , the director shall do the following:
        (1) Organize the division, create the appropriate personnel positions, and employ personnel necessary to discharge the statutory duties and powers of the division or a bureau of the division.
        (2) Subject to the approval of the state personnel department, establish personnel qualifications for all deputy directors, assistant directors, bureau heads, and superintendents.
        (3) Subject to the approval of the budget director and the

governor, establish the compensation of all deputy directors, assistant directors, bureau heads, and superintendents.
        (4) Study the entire problem of mental health, mental illness, and addictions existing in Indiana.
        (5) Adopt rules under IC 4-22-2 for the following:
            (A) Standards for the operation of private institutions that are licensed under IC 12-25 for the diagnosis, treatment, and care of individuals with psychiatric disorders, addictions, or other abnormal mental conditions.
            (B) Licensing supervised group living facilities described in IC 12-22-2-3 for individuals who are mentally ill.
            (C) Certifying community residential programs described in IC 12-22-2-3 for individuals who are mentally ill.
            (D) Certifying community mental health centers to operate in Indiana.
        (6) Institute programs, in conjunction with an accredited college or university and with the approval, if required by law, of the commission for higher education under IC 20-12-0.5 , for the instruction of students of mental health and other related occupations. The programs may be designed to meet requirements for undergraduate and postgraduate degrees and to provide continuing education and research.
        (7) Develop programs to educate the public in regard to the prevention, diagnosis, treatment, and care of all abnormal mental conditions.
        (8) Make the facilities of the Larue D. Carter Memorial Hospital available for the instruction of medical students, student nurses, interns, and resident physicians under the supervision of the faculty of the Indiana University School of Medicine for use by the school in connection with research and instruction in psychiatric disorders.
        (9) Institute a stipend program designed to improve the quality and quantity of staff that state institutions employ.
        (10) Establish, supervise, and conduct community programs, either directly or by contract, for the diagnosis, treatment, and prevention of psychiatric disorders.
        (11) Adopt rules under IC 4-22-2 concerning the records and data to be kept concerning individuals admitted to state institutions, community mental health centers, or managed care providers.


        (12) Establish, maintain, and reallocate before July 1, 1996, one-third (1/3), and before January 1, 1998, the remaining two-thirds (2/3) of the following:
            (A) long term care service settings; and
            (B) state operated long term care inpatient beds;
        designed to provide services for patients with long term psychiatric disorders as determined by the quadrennial actuarial study under IC 12-21-5-1.5 (9). A proportional number of long term care service settings and inpatient beds must be located in an area that includes a consolidated city and its adjacent counties.
        (13) Compile information and statistics concerning the ethnicity and gender of a program or service recipient.
         (14) Establish standards for each element of the continuum of care for community mental health centers and managed care providers.
    (b) As used in this section, "long term care service setting" means the following:
        (1) The anticipated duration of the patient's mental health setting is more than twelve (12) months.
        (2) Twenty-four (24) hour supervision of the patient is available.
        (3) A patient in the long term care service setting receives:
            (A) active treatment if appropriate for a patient with a chronic and persistent mental disorder or chronic addictive disorder;
            (B) case management services from a state approved provider; and
            (C) maintenance of care under the direction of a physician.
        (4) Crisis care is available.
    (c) Funding for services under subsection (a)(12) shall be provided by the division through the reallocation of existing appropriations. The need of the patients is a priority for services. The division shall adopt rules to implement subsection (a)(12) before July 1, 1995.".
SOURCE: Page 80, line 10; (01)AM181309.80. -->     Page 80, after line 10, begin a new paragraph and insert:
SOURCE: ; (01)AM181309.114. -->     "SECTION 114. [EFFECTIVE UPON PASSAGE] (a) This SECTION does not affect the distribution of county funds to a managed care provider or community mental health center located in a county having a population of more than seven hundred

thousand (700,000).
    (b) The division of mental health may not enter into a contract:
        (1) before July 1, 2003; and
        (2) for the provision of services;
with a new managed care provider or community mental health center that is not providing service as of the effective date of this SECTION.
    (c) The division of mental health shall adopt standards required under IC 12-21-2-3 (14), as amended by this act, before July 1, 2003.
    (d) Notwithstanding subsection (b), before July 1, 2001, the division of mental health may enter into a contract for the provision of managed care or other services with a community mental health center that was certified by the division of mental health after December 31 1999, but before July 1, 2001.
    (e) This SECTION expires July 1, 2003.

SOURCE: ; (01)AM181309.115. -->     SECTION 115. An emergency is declared for this act.".
    Renumber all SECTIONS consecutively.
    (Reference is to HB 1813 as introduced.)

and when so amended that said bill do pass.

__________________________________

Representative Brown C


AM181309/DI 77    2001