Joint Legislative Oversight Committee on Mental Health, Developmental Disabilities, and Substance Abuse Services : report to the ... regular session of the ... General Assembly.

              JOINT LEGISLATIVE OVERSIGHT COMMITTEE
ON
MENTAL HEALTH, DEVELOPMENTAL DISABILITIES,
AND SUBSTANCE ABUSE SERVICES
REPORT TO THE 2011 REGULAR SESSION
OF THE
2011 GENERAL ASSEMBLY
A LIMITED NUMBER OF COPIES OF THIS REPORT ARE AVAILABLE
FOR DISTRIBUTION THROUGH THE LEGISLATIVE LIBRARY
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THE REPORT IS ALSO AVAILABLE ONLINE:
http://www.ncga.state.nc.us/Library/index.html
i
JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON MENTAL HEALTH,
DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE SERVICES
State Legislative Building
Raleigh, North Carolina 27601
Senator Martin Nesbitt, Co-Chair Representative Verla Insko, Co-Chair
February 1, 2011
TO THE MEMBERS OF THE 2011 GENERAL ASSEMBLY:
The Joint Legislative Oversight Committee on Mental Health, Developmental
Disabilities, and Substance Abuse Services submits this report for your
consideration.
Respectfully,
_______________________________
Sen. Martin Nesbitt, Co-Chair
_______________________________
Rep. Verla Insko, Co-Chair

ii
JOINT LEGISLATIVE OVERSIGHT COMMITTEE
ON MENTAL HEALTH, DEVELOPMENTAL DISABILITIES,
AND SUBSTANCE ABUSE SERVICES
MEMBERS, 2010-2011
Senator Martin Nesbitt – Co-Chair
300 Legislative Office Building
Raleigh, NC 27603
O: 715-3001 Email: Martinn@ncleg.net
Representative Verla Insko – Co-Chair
307B1 Legislative Office Building
Raleigh, NC 27603
O: 733-7208 Email: verlai@ncleg.net
Senator Austin Allran
516 Legislative Office Building
Raleigh, NC 27603
O: 733-5876 Email: Austina@ncleg.net
Representative Martha Alexander
2208 Legislative Building
Raleigh, NC 27601
O: 733-5807 Email: Marthaa@ncleg.net
Senator Bob Atwater
312 Legislative Office Building
Raleigh, NC 27603
O: 715-3036 Email: Boba@ncleg.net
Representative Jeffrey Barnhart
608 Legislative Office Building
Raleigh, NC 27603
O: 715-2009 Email: Jeffba@ncleg.net
Senator Doug Berger
526 Legislative Office Building
Raleigh, NC 27603
O: 715-8363 Email: Dougb@ncleg.net
Representative Van Braxton: Advisory Member
2219 Legislative Building
Raleigh, NC 27601
O: 715-3017 Email: Vanb@ncleg.net
Senator Charlie Dannelly
2010 Legislative Building
Raleigh, NC 27601
O: 733-5955 Email: Charlied@ncleg.net
Representative William Brisson: Advisory Member
1325 Legislative Building
Raleigh, NC 27601
O: 733-5772 Email: Williambr@ncleg.net
Senator James Forrester
1129 Legislative Building
Raleigh, NC 27601
O: 715-3050 Email: Jamesf@ncleg.net
Representative Beverly Earle
634 Legislative Office Building
Raleigh, NC 27603
O: 715-2530 Email: Beverlye@ncleg.net
Senator Eleanor Gates Kinnaird
2108 Legislative Building
Raleigh, NC 27601
O: 733-5804 Email: elliek@ncleg.net
Representative Bob England
303 Legislative Office Building
Raleigh, NC 27603
O: 733-5749 Email: Bobe@ncleg.net
Senator William Purcell
625 Legislative Office Building
Raleigh, NC 27603
O: 733-5953 Email: Williamp@ncleg.net
Representative Jean Farmer-Butterfield
528 Legislative Office Building
Raleigh, NC 27603
O: 733-5898 Email: Jeanf@ncleg.net
Senator Larry Shaw – Advisory Member
311 Legislative Office Building
Raleigh, NC 27603
O: 733-9349 Email: Larrys@ncleg.net
Representative Carolyn Justus
1023 Legislative Building
Raleigh, NC 27601
O: 733-5956 Email: Carolynj@ncleg.net
Representative Fred Steen
514 Legislative Office Building
Raleigh, NC 27603
O: 733-5881 Email: Fredst@ncleg.net
iii
COMMITTEE STAFF
Shawn Parker, Research Division Lisa Hollowell, Fiscal Research
O: 733-2578 Email: shawnp@ncleg.net O: 733-4910 Email: Lisah@ncleg.net
Joyce Jones, Bill Drafting Janice Paul, Research Division
O: 733-6660 Email: joycej@ncleg.net O: 733-2578 Email: Janice.paul@ncleg.net
Susan Barham, Research Division Rennie Hobby, Committee Assistant
O: 733-2578 Email: Susanb@ncleg.net O: 733-5639 Email: mentalhealthca@ncleg.net
TABLE OF CONTENTS
Page
Letter of Transmittal ............................................................................................................ i
Committee Membership and Staff...................................................................................... ii
Preface .................................................................................................................................. 1
Committee Proceedings....................................................................................................... 2
Committee Recommendations ............................................................................................ 6
Appendix .............................................................................................................................. 11

1
PREFACE
The Joint Legislative Oversight Committee on Mental Health, Developmental
Disabilities, and Substance Abuse Services (LOC) is established in Article 27 of
Chapter 120 of the General Statutes. The LOC is charged with continually
examining system-wide issues that affect the development, financing,
administration, and delivery of mental health, developmental disabilities, and
substance abuse services, including issues related to governance, accountability
and service quality.
The LOC consists of sixteen members, eight appointed by the President Pro
Tempore of the Senate and eight appointed by the Speaker of the House of
Representatives. The members appointed by the President Pro Tempore must
include all of the following: at least two members of the Senate Committee on
Appropriations, the Chair of the Senate Appropriations Committee on Human
Resources, and at least two members of the minority party. The members
appointed by the Speaker of the House must include all of the following: at least
two members of the House Committee on Appropriations, the Co-Chairs of the
House of Representatives Appropriations Subcommittee on Health and Human
Services, and at least two members of the minority party. Advisory members may
also serve on the LOC. The Co-Chairs for 2010-2011 are Senator Martin Nesbitt
and Representative Verla Insko.
2
COMMITTEE PROCEEDINGS
The Joint Legislative Oversight Committee on Mental Health, Developmental
Disabilities, and Substance Abuse Services (LOC) met five times during the 2010-
2011 interim. The LOC heard from the individuals listed below during the
specified meeting dates. Detailed minutes and information from each LOC
meeting are available in the Legislative Library.
September 8, 2010
Lanier Cansler, Secretary, Department of Health and Human Services,
provided a brief update on current issues.
Lisa Hollowell, Fiscal Research Division and Joyce Jones, Bill Drafting
Division, provided an overview of 2010 Legislative actions related to
mental health.
Dr. Craigan Gray, MD, Director, Division of Medical Assistance,
Department of Health and Human Services, provided an update on
expenditures and utilization tracking.
Michael Watson, Deputy Secretary, Department of Health and Human
Services, discussed community supports and gave an update on Critical
Access Behavioral Health Agencies (CABHAs).
Mark O’Donnell, Program Manager, Division of Mental Health,
Developmental Disabilities, and Substance Abuse Services gave a report on
the status of the changes to Level III and IV facilities for children.
Roy Wilson, Director, East Carolina Behavioral Health; Lisa Bonnett,
Executive Director of the Recovery Education Unit, East Carolina
Behavioral Health; and Cindy Ehlers, Assistant Area Director for Clinical
Services provided information on the Second Mile Project.
October 13, 2010
Dr. Craigan Gray, MD, Director, Division of Medical Assistance,
Department of Health and Human Services, provided an update on
expenditures and utilization tracking.
3
Rose Burnette, DD Project Manager, Division of Mental Health,
Developmental Disabilities, and Substance Abuse Services, Department of
Health and Human Services provided an overview of the Supports
Intensity Scale (SIS) assessment tool pilot.
Beth Melcher, Ph.D., Assistant Secretary for Mental Health, Developmental
Disabilities, and Substance Abuse Services Development, Department of
Health and Human Services discussed independent assessments for mental
health services.
Luckey Welsh, Director of State Operated Services, Department of Health
and Human Services provided an update on Dorothea Dix Hospital.
Pam Silberman, JD, DrPH, President and CEO, Institute of Medicine,
Publisher, NC Medical Journal presented an overview of national health
reform and the impact of reform on mental health, developmental
disabilities, and substance abuse services.
Sabrina Russell-Holloman, Guilford Center Behavioral Health and
Disability Services; Mary Lee, Transitional Living, Youth Villages; and
Annie Smith, State Director, Youth Villages discussed the benefits of Youth
Villages Transitional Living Program.
Steve Jordan, Director, Division of Mental Health, Developmental
Disabilities, and Substance Abuse Services, Department of Health and
Human Services presented an analysis of the effectiveness of single stream
funding.
November 9, 2010
Lanier Cansler, Secretary, Department of Health and Human Services
discussed the closure of Dorothea Dix Hospital.
Kelly Crosbie, LCSW, Behavioral Health Manager, Division of Medical
Assistance, Department of Health and Human Services provided an update
on expenditures and utilization tracking.
Mr. Mike Kupecki, Assistant Area Director, East Carolina Behavioral
Health provided a brief history of the Treatment Accountability for Safer
Communities (TASC).
Michael Gray the Vice President of Region 3 TASC, Partnership for Drug
Free NC, and Vice President of National TASC described the organization’s
4
work with individuals with behavioral health issues involved in the
criminal justice system.
Karen V. Chapple, Executive Vice President of Coastal Horizons Center and
Immediate Past President of National TASC provided an overview of the
demographics of the clients served including their risks and needs.
Mr. Mike Watson, Deputy Secretary for Health Services, Department of
Health and Human Services gave an update on the success of three-way
contracts between local hospitals, Local management entities (LMEs), and
the Department of Health and Human Services.
Steve Jordan, Director, Division of Mental Health, Developmental
Disabilities, & Substance Abuse Services, Department of Health and
Human Services presented an ICF-MR cost analysis and comparison with
CAP/MR-DD services.
Rose Burnette, Developmental Disabilities (DD) Project Manager, Division
of Mental Health, Developmental Disabilities, & Substance Abuse Services,
Department of Health and Human Services gave an overview of the DD
Waiting List and an update on CAP-MR/DD Tiered Waivers.
December 8, 2010
Lanier Cansler, Secretary, Department of Health and Human Services
discussed ways the Department could achieve budgetary savings.
Peter E. Rives, Care Coordination Manager, CenterPointe Human Services
LME addressed post-hospitalization continuity of care.
Luckey Welsh, Director of State Operated Facilities, Department of Health
and Human Services and Dr. Jeff Holden, Special Services Director,
Murdoch Center provided a presentation on State Operated Developmental
Centers.
Shawn Parker, Legislative Analyst, Research Division, provided members
with an overview of previous presentations for their consideration in
preparing the final report to the General Assembly in January.
Beth Melcher, Ph.D, Assistant Secretary for Mental Health, Developmental
Disabilities, and Substance Abuse Service Development, Department of
Health and Human Services addressed Mobile Crisis services.
5
Steve Jordan, Director, Division of Mental Health, Developmental
Disabilities, & Substance Abuse Services, Department of Health and
Human Services presented a follow up presentation on the ICF-MR cost
analysis and comparison with CAP/MRDD services.
Kelly Crosbie, LCSW, Behavioral Health Manager, Division of Medical
Assistance, Department of Health and Human Services discussed changes
to Medicaid Utilization Review and presented an update on the Medicaid
Waiver for Traumatic Brain Injury.
January 12, 2011
Lanier Cansler, Secretary, Department of Health and Human Services,
presented the Department of Health and Human Services provided a brief
update on current issues.
Beth Melcher, Ph.D., Assistant Secretary for Mental Health, Developmental
Disabilities and Substance Abuse Services provided an update on CABHAs.
Ellen S. Holliman, Area Director, Durham Center discussed LME Medicaid
Utilization Management.
Deborah Carroll, Ph.D., Head of Early Intervention Branch, Women &
Children's Health Section, Division of Public Health and Rose Burnette, DD
Project Manager, Division of Mental Health, Developmental Disabilities &
Substance Abuse Services presented an overview of residential services for
children ages 0-6 with developmental disabilities.
LOC staff presented a review of the LOC’s draft report; the LOC adopted
the report as amended.
6
COMMITTEE RECOMMENDATIONS
The Joint Legislative Oversight Committee on Mental Health, Developmental
Disabilities, and Substance Abuse Services makes the following recommendations
to the 2011 Session of the 2011 General Assembly:
1. Utilization Review by LME
The LOC recommends that the General Assembly enact legislation that
requires the Department of Health and Human Services to provide a report, no
later than September 2012, on the implementation of Utilization Review (UR)
for the CAP-MR/DD waiver by four designated LMEs. The report must
contain a cost comparison between the external contract and the LMEs to
include training, monitoring and operation of the UR. The report must also
include numbers of persons served and description of accountability measures
to assure the accuracy of UR decisions.
2011-MGz-13
2. TBI Waiver
The LOC recommends that the General Assembly enact legislation that
requires the Department of Health and Human Services, by October 2011, to
develop and submit to CMS an application to operate a TBI Medicaid Waiver.
The development of this waiver should be in concert and with the advice and
guidance of the NC TBI Advisory Council. Funds sufficient to provide the
match for this waiver are to be identified prior to the development of the
waiver application and from those already appropriated state funds earmarked
to be used to serve persons with TBI. Attention should be paid to the slot
formula with regard to the funds available for this waiver.
2011-MGz-14
3. Local Inpatient Psychiatric Beds
The LOC recommends the General Assembly appropriate an additional $10
million for the expansion of local inpatient psychiatric beds to allow purchase
of additional beds out in the community. The Department of Health and
Human Services must report on the number, use, and cost of these beds on a
semi-annual basis beginning on October 1, 2012.
2011-MGz-15
7
4. Implementation of the CABHA Model
The LOC recommends the General Assembly enact legislation that requires
Department of Health and Human Services to report to the LOC by July 1, 2011
on the criteria and process being used to evaluate the fiscal, organizational and
programmatic efficacy of the implementation of the CABHA model. Beginning
on October 1, 2011 and semi-annually thereafter, the Department of Health and
Human Services must report to the LOC on the results obtained from these
measures.
2011-MGz-16
5. Reports from the Department of Health and Human Services
The LOC recommends that the General Assembly enact legislation that directs
the Department of Health and Human Services to develop and submit the
following reports. All reports are to be provided to the LOC or any Committee
that takes the place of the LOC:
By September 1, 2011 the Department shall report on deaths that have
occurred within state MH-DD-SA facilities, and, if known, the death of any
former client of a facility who dies within 14 days of release from the
facility
Annually, beginning October 1, 2011, the Department must provide a status
report on the expenditures and balance in the Mental Health Trust Fund
Annually, beginning July 1, 2011, the Department must report on the
strategic plan regarding how state and local resources shall be organized
and used to provide services to persons with mental illness, developmental
disabilities or substance abuse disease. The report must include criteria for
the allocation of dollars, restrictions on how these dollars may be used,
guidelines for utilization of funds and list of expenditures.
Annually, beginning May 1, 2011, the Department shall collect and report
on LME fund balances.
Biannual report beginning January 1, 2012 the Department shall report on
Statewide System Performance to include the following criteria:
o Access to Services
o Individualized Planning and Supports
o Promotion of Best Practices
o Consumer-Friendly Outcomes
o Quality Management Systems
o System Efficiency and Effectiveness
o Equitable Allocation of Resources
o Prevention and Early Intervention
8
o Statewide System of Crisis Response for Adults and Children
o Management of the Utilization of State Facilities
2011-MGz-19
6. Expansion of the 1915b/c Waiver
In the continuing effort to manage care and costs, the LOC recommends that
the General Assembly enact legislation that requires the Department of Health
and Human Services to continue the expansion of the B-C Medicaid waiver.
The structure and operation of the waiver sites must be those that are
allowable within Medicaid regulations and that are determined to cost the state
the least and provide outcomes equal to or better than those achieved via the
current system.
2011-MGz-18
7. Status and Use of Hospital Emergency Departments
The LOC recommends that the General Assembly enact legislation that
requires the Department of Health and Human Services to provide to the LOC
a comprehensive statewide report on the status of the use of hospital
emergency departments by persons with mental illness no later than
September 1, 2011. This report must include numbers of persons, geographic
location, as well as average and range of length of stay. The report must also
contain a comprehensive plan for the reduction in length of stay.
2011-MGz-17
8. Resource Allocation Plan for Persons with Developmental Disabilities
The LOC recommends that the General Assembly enact legislation to reuire the
Department of Health and Human Services to provide a comprehensive plan
for the fair and equitable allocation of resources for all persons with
developmental disability by July 1, 2011. The allocation model shall be based
on a reliable and valid statewide assessment of intensity of need of each
person. These assessments must be administered by those who are not
engaged in the delivery of services or who directly allocate resources. As part
of the plan the Department shall include a standardized formula for the use of
these data to determine eligibility for type and degree and array of services to
include DD Center and private ICF-MR facilities. The Department shall renew
the CAP-MR/DD waiver with the two currently operational tiers. The plan for
allocation of resources shall begin implementation by January 1, 2012, and be
fully implemented across the state no later than July 1, 2013. The Department
9
shall report to the LOC on the implementation process semi-annually
beginning October 1, 2011.
2011-MGz-23
9. Residential Placements for Children with Developmental Delay or
Intellectual and Developmental Disability Aged 0-6
The LOC recommends that the General Assembly enact legislation that
requires the Department of Health and Human Services to report by
September 1, 2011 to the LOC on a comprehensive review of the current
congregate residential placements for children with developmental delay or
intellectual and developmental disability aged 0-6 to include the newly
transferred DD Center ICF-MR beds. This report must include an overview of
all service options for this group of children now and as they move through
school age.
2011-MGz-24
10. Revise Developmental Disabilities Waiting List Process
The LOC recommends that the General Assembly enact legislation that
requires the Department of Health and Human Services to revise the
Developmental Disabilities Waiting List process to assure that results of the
process yield a simple, non-duplicated count of children and adults with
ID/DD across the state waiting for federally and state-funded services. The list
must be research-based to assure that the data collected reflect an accurate
picture of those waiting for the categories of services currently available in NC.
The collected data must show the number of persons who are potentially
eligible for the CAP-MR/DD waiver. The Department of Health and Human
Services must report to the LOC on the revised process for collection of this
data no later than September 1, 2011. The Department of Health and Human
Services must report annually to the LOC beginning September 30, 2012 using
the data collected to determine geographic, age, and disability service gaps,
and report on plans to address any gaps.
2011-MGz-25
11. Step-down Unit for the BART Program
The LOC recommends that the General Assembly enact legislation that directs
the Department of Health and Human Services to coordinate with the
leadership of the Murdoch Developmental Center and its advisory committee
to identify funding for the implementation of a step-down unit for the BART
program. A report on the progress toward identifying funding and moving
10
forward to develop this step-down unit shall be provided to the LOC on
October 1, 2011 and quarterly thereafter until the unit is established.
2011-MGz-26
12. Uniform Use of Evidence-Based Practices Across All State Operated
Psychiatric Hospitals
The LOC recommends that the General Assembly enact legislation that
requires the Department of Health and Human Services to report by
September 1, 2011, and annually thereafter, to the LOC on the progress in the
uniform use of evidence-based practices across all state operated psychiatric
hospitals.
2011-MGz-27
13. DHHS Report on Clubhouse Model
The LOC recommends that the General Assembly enact legislation that
requires the Department of Health and Human Services to report on services
provided by clubhouse program.
2011-MGz-29
11
APPENDIX
Copies of the proposed legislation begin on the following page.
12
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
H/S D
BILL DRAFT 2011-MGz-13* [v.5] (01/14)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/20/2011 1:15:08 PM
Short Title: Report on Transfer of CAP-MR/DD UR to LMEs. (Public)
Sponsors: Representative Insko./Senator Nesbitt.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 REPORT ON THE IMPLEMENTATION OF UTILIZATION REVIEW BY
4 DESIGNATED LOCAL MANAGEMENT ENTITIES FOR SERVICES PROVIDED
5 UNDER THE COMMUNITY ALTERNATIVES PROGRAM FOR PERSONS WITH
6 MENTAL RETARDATION OR DEVELOPMENTAL DISABILITIES, AS
7 RECOMMENDED BY THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON
8 MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE
9 SERVICES.
10 The General Assembly of North Carolina enacts:
11 SECTION 1. By September 1, 2012, the Division of Mental Health,
12 Developmental Disabilities, and Substance Abuse Services of the Department of Health and
13 Human Services shall submit a report to the House of Representatives Appropriations
14 Subcommittee on Health and Human Services, the Senate Appropriations Committee on Health
15 and Human Services, the Fiscal Research Division, and the Joint Legislative Oversight
16 Committee on Mental Health, Developmental Disabilities, and Substance Abuse Services on
17 the implementation of utilization review by designated local management entities for services
18 provided under the CAP-MR/DD Medicaid Waiver. The report shall include at least all of the
19 following:
20 (1) A comparison of the training, monitoring, and operating costs associated
21 with (i) transferring the utilization review function to Crossroads Behavioral
22 Health Center, Eastpointe, The Durham Center, and Pathways LME (the
23 four designated LMEs) and (ii) maintaining the statewide vendor contract in
24 effect for utilization review prior to the transfer of this function to the four
25 designated LMEs.
26 (2) Information on the number of CAP-MR/DD recipients who received
27 utilization review services from the four designated LMEs between January
28 1, 2011, and January 1, 2012.
29 (3) A description of the accountability measures used by the four designated
30 LMEs to ensure the accuracy of utilization review decisions.
31 SECTION 2. This act is effective when it becomes law.
32
13
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
H/S D
BILL DRAFT 2011-MGz-14* [v.3] (01/14)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/20/2011 1:36:25 PM
Short Title: Apply for TBI Medicaid Waiver. (Public)
Sponsors: Representative Insko./Senator Nesbitt.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 APPLY FOR A TRAUMATIC BRAIN INJURY MEDICAID WAIVER, AS
4 RECOMMENDED BY THE LEGISLATIVE OVERSIGHT COMMITTEE ON MENTAL
5 HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE
6 SERVICES.
7 The General Assembly of North Carolina enacts:
8 SECTION 1. The Department of Health and Human Services, in consultation with
9 the North Carolina Traumatic Brain Injury Advisory Council, shall develop and apply to the
10 Centers for Medicare and Medicaid Services (CMS) for a 1915(c) waiver to permit persons
11 who sustain traumatic brain injuries to access home and community-based Medicaid services.
12 The Department shall not submit the application to CMS unless the General Assembly
13 identifies a source of funding sufficient to provide the match for this proposed waiver from
14 State appropriations earmarked for persons with traumatic brain injury. In determining the
15 number of slots and the slot allocation formula for this proposed waiver, the Department shall
16 consider the amount of funding identified by the General Assembly for this purpose.
17 SECTION 2. This act is effective when it becomes law.
18
14
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
S/H D
BILL DRAFT 2011-MGz-15* [v.3] (1/18)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/27/2011 11:49:37 AM
Short Title: Expand Inpatient Psychiatric Beds/Funds. (Public)
Sponsors: Senator Nesbitt./Representative Insko.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO APPROPRIATE ADDITIONAL FUNDS FOR THE EXPANSION OF LOCAL
3 INPATIENT PSYCHIATRIC BEDS OR BED DAYS, AS RECOMMENDED BY THE
4 LEGISLATIVE OVERSIGHT COMMITTEE ON MENTAL HEALTH,
5 DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE SERVICES.
6 The General Assembly of North Carolina enacts:
7 SECTION 1. There is appropriated from the General Fund to the Department of Health and
8 Human Services, Division of Mental Health, Developmental Disabilities, and Substance Abuse
9 Services, (Division) the sum of thirty-nine million one hundred twenty-one thousand six
10 hundred forty-four dollars ($39,121,644) for the 2011-2012 fiscal year for the purchase of fifty
11 additional local inpatient psychiatric beds or bed days. These beds or bed days shall be
12 distributed across the State in LME catchment areas and according to need as determined by
13 the Department. The Department shall enter into contracts with the LMEs and community
14 hospitals for the management of these beds or bed days. The Department shall work to ensure
15 that these contracts are awarded equitably around all regions of the State. Local inpatient
16 psychiatric beds or bed days shall be managed and controlled by the LME, including the
17 determination of which local or State hospital the individual should be admitted to pursuant to
18 an involuntary commitment order. Funds shall not be allocated to LMEs but shall be held in a
19 statewide reserve at the Division of Mental Health, Developmental Disabilities, and Substance
20 Abuse Services to pay for services authorized by the LMEs and billed by the hospitals through
21 the LMEs. LMEs shall remit claims for payment to the Division within 15 working days of
22 receipt of a clean claim from the hospital and shall pay the hospital within 30 working days of
23 receipt of payment from the Division. If the Department determines (i) that an LME is not
24 effectively managing the beds or bed days for which it has responsibility, as evidenced by beds
25 or bed days in the local hospital not being utilized while demand for services at the State
26 psychiatric hospitals has not reduced, or (ii) the LME has failed to comply with the prompt
27 payment provisions of this subsection, the Department may contract with another LME to
28 manage the beds or bed days, or, notwithstanding any other provision of law to the contrary,
29 may pay the hospital directly. The Department shall develop reporting requirements for LMEs
30 regarding the utilization of the beds or bed days. Funds appropriated in this section for the
31 purchase of local inpatient psychiatric beds or bed days shall be used to purchase additional
32 beds or bed days not currently funded by or through LMEs and shall not be used to supplant
33 other funds available or otherwise appropriated for the purchase of psychiatric inpatient
15
services under contract with community hospitals, including beds or 1 bed days being purchased
2 through Hospital Utilization Pilot funds appropriated in S.L. 2007-323. Not later than March 1,
3 2011, the Department shall report to the House of Representatives Appropriations
4 Subcommittee on Health and Human Services, the Senate, the Joint Legislative Oversight
5 Committee on Mental Health, Developmental Disabilities, and Substance Abuse Services, and
6 the Fiscal Research Division on a uniform system for beds or bed days purchased (i) with local
7 funds, (ii) from existing State appropriations, (iii) under the Hospital Utilization Pilot, and (iv)
8 purchased using funds appropriated under this subsection.
9 SECTION 2. This act becomes effective July 1, 2011.
10
16
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
H/S D
BILL DRAFT 2011-MGz-16* [v.3] (1/18)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/20/2011 2:37:23 PM
Short Title: Evaluate Efficacy of CABHA Model. (Public)
Sponsors: Representative Insko./Senator Nesbitt.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 EVALUATE AND REPORT SEMI-ANNUALLY ON THE EFFICACY OF THE
4 CRITICAL ACCESS BEHAVIORAL HEALTH AGENCY MODEL, AS
5 RECOMMENDED BY THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON
6 MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE
7 SERVICES.
8 The General Assembly of North Carolina enacts:
9 SECTION 1.(a) By July 1, 2011, the Division of Mental Health, Developmental
10 Disabilities, and Substance Abuse Services of the Department of Health and Human Services
11 (Division) shall report to the Joint Legislative Oversight Committee on Mental Health,
12 Developmental Disabilities, and Substance Abuse Services on the criteria and processes used
13 by the Division to evaluate the fiscal, organizational and programmatic efficacy of
14 implementing the Critical Access Behavioral Health Agency (CABHA) category of provider
15 agency.
16 SECTION 1.(b) Beginning October 1, 2011, and every six months thereafter, the
17 Division shall submit a report to the Joint Legislative Oversight Committee on Mental Health,
18 Developmental Disabilities, and Substance Abuse Services evaluating the fiscal, organizational,
19 and programmatic efficacy of the CABHA category of provider agency using the criteria and
20 processes identified by the Division in the report authorized by Section 1.(a) of this act.
21 SECTION 2. This act is effective when it becomes law.
22
17
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
S/H D
BILL DRAFT 2011-MGz-19* [v.3] (01/19)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/27/2011 11:42:15 AM
Short Title: Modify MHDDSAS Reporting Requirements. (Public)
Sponsors: Senator Nesbitt./Representative Insko.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO MODIFY DEPARTMENT OF HEALTH AND HUMAN SERVICES
3 REPORTING REQUIREMENTS PERTAINING TO MENTAL HEALTH,
4 DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE SERVICES, AS
5 RECOMMENDED BY THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON
6 MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE
7 SERVICES.
8 The General Assembly of North Carolina enacts:
9 SECTION 1.(a) The Department of Health and Human Services shall submit the
10 following reports to the Joint Legislative Oversight Committee on Mental Health,
11 Developmental Disabilities, and Substance Abuse Services:
12 (1) By September 1, 2011, a report summarizing for the one-year period
13 preceding the date of the report, the deaths of clients of a State facility that
14 primarily provides services for the care, treatment, habilitation, or
15 rehabilitation of individuals with a mental illness, developmental disability,
16 or substance abuse disorder (State facility) and, if known, the deaths of
17 former clients of a State facility whose deaths occurred within fourteen days
18 of discharge from the State facility.
19 (2) Beginning January 1, 2011, and annually thereafter, a report on a strategic
20 plan for organizing State and local resources to fund services provided to
21 individuals with a mental illness, developmental disability, or substance
22 abuse disorder. The report shall include criteria for the allocation of funds,
23 guidelines for utilization of funds, restrictions on use of funds, and a list of
24 expenditures.
25 SECTION 1.(b) G.S. 143C-9-2(d) reads as rewritten:
26 "(d) Beginning July 1, 2007, October 1, 2011, the Secretary of the Department of Health
27 and Human Services shall report annually to the Joint Legislative Oversight Committee on
28 Mental Health, Developmental Disabilities, and Substance Abuse Services and the Fiscal
29 Research Division on the balance of the Trust Fund and the expenditures made during the
30 preceding fiscal year from the Trust Fund. The report shall identify each expenditure by
31 recipient and purpose and shall indicate the authority under subsection (b) of this section for the
32 expenditure."
33 SECTION 1.(c) G.S. 10.19A(c) of S.L. 2009-451 reads as rewritten:
18
"SECTION 10.19A.(d) The Department of Health and Human Services, 1 Division of
2 Mental Health, Developmental Disabilities, and Substance Abuse Services, shall require
3 quarterly reporting from LMEs in the format required under subsection (a) of this section. The
4 Department of Health and Human Services shall report the results of the quarterly reports to the
5 Joint Legislative Oversight Committee on Mental Health, Developmental Disabilities, and
6 Substance Abuse Services, the House of Representatives Appropriations Subcommittee on
7 Health and Human Services, the Senate Appropriations Committee on Health and Human
8 Services, and the Fiscal Research Division on or before May 1, 2010.May 1, 2011, and
9 annually thereafter."
10 SECTION 1.(e) G. S. 122C-102(c) reads as rewritten:
11 "(c) State Performance Measures. – The State Plan shall also include a mechanism for
12 measuring the State's progress towards increased performance on the following matters: access
13 to services, consumer-focused outcomes, individualized planning and supports, promotion of
14 best practices, quality management systems, system efficiency and effectiveness, and
15 prevention and early intervention. Beginning October 1, 2006, equitable allocation of
16 resources, prevention and early intervention, statewide system of crisis response for adults and
17 children, and management of the utilization of State facilities. Beginning January 1, 2012, and
18 every six months thereafter, the Secretary shall report to the General Assembly and the Joint
19 Legislative Oversight Committee on Mental Health, Developmental Disabilities, and Substance
20 Abuse Services, on the State's progress in these performance areas."
21 SECTION 2. This act is effective when it becomes law.
22
19
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
H/S D
BILL DRAFT 2011-MGz-18* [v.5] (1/18)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/25/2011 10:01:01 AM
Short Title: Allow Expansion of Capitated Waiver. (Public)
Sponsors: Representative Insko./Senator Nesbitt.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO ALLOW THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 EXPAND THE CAPITATED 1915(B)/(C) MEDICAID WAIVER TO ADDITIONAL
4 LOCAL MANAGEMENT ENTITY CATCHMENT AREAS, AS RECOMMENDED BY
5 THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON MENTAL HEALTH,
6 DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE SERVICES.
7 The General Assembly of North Carolina enacts:
8 SECTION 1. Notwithstanding any law to the contrary, the Department of Health
9 and Human Services may expand the capitated 1915(b)/(c) Medicaid waiver to any additional
10 local management entity catchment area upon demonstrating to the satisfaction of the General
11 Assembly that the expansion (i) is allowable under Medicaid (ii) will result in savings to the
12 State and (iii) will provide outcomes equal to or better than those that could be achieved
13 without the proposed expansion.
14 SECTION 2. This act is effective when it becomes law.
15
20
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
S/H D
BILL DRAFT 2011-MGz-17* [v.5] (1/18)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/20/2011 5:29:14 PM
Short Title: Report on MH Services Provided by Hosp. ER's. (Public)
Sponsors: Senator Nesbitt./Representative Insko.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 REPORT ON THE UTILIZATION OF HOSPITAL EMERGENCY DEPARTMENTS BY
4 INDIVIDUALS DIAGNOSED WITH MENTAL ILLNESS AND TO DEVELOP A
5 COMPREHENSIVE PLAN FOR REDUCING THE LENGTH OF STAYS FOR
6 INDIVIDUALS WITH MENTAL ILLNESS ADMITTED TO HOSPITAL EMERGENCY
7 DEPARTMENTS, AS RECOMMENDED BY THE JOINT LEGISLATIVE OVERSIGHT
8 COMMITTEE ON MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND
9 SUBSTANCE ABUSE SERVICES.
10 The General Assembly of North Carolina enacts:
11 SECTION 1. By September 1, 2011, the Division of Mental Health,
12 Developmental Disabilities, and Substance Abuse Services of the Department of Health and
13 Human Services shall submit a report on the utilization of hospital emergency departments by
14 individuals with mental illness to the Joint Legislative Oversight Committee on Mental Health,
15 Developmental Disabilities, and Substance Abuse Services. The report shall include a
16 comprehensive statewide analysis of the number of times between January 1, 2011, and June
17 30, 2011, individuals diagnosed with a mental illness utilized hospital emergency departments,
18 broken down by geographic location, average length of stay, and range in lengths of stay. The
19 report shall also include a comprehensive plan for reducing the length of stays for individuals
20 with mental illness admitted to hospital emergency departments.
21 SECTION 2. This act is effective when it becomes law.
22
21
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
H/S D
BILL DRAFT 2011-MGz-23* [v.6] (01/20)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/27/2011 3:00:46 PM
Short Title: Develop Plan for Allocating DD Resources. (Public)
Sponsors: Representative Insko./Senator Nesbitt.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 DEVELOP A COMPREHENSIVE STATEWIDE PLAN FOR THE FAIR AND
4 EQUITABLE ALLOCATION OF RESOURCES FOR INDIVIDUALS WITH
5 DEVELOPMENTAL DISABILITIES; TO REPORT ON IMPLEMENTATION OF THE
6 PLAN; AND TO APPLY FOR RENEWAL OF THE CAP-MR/DD WAIVER, AS
7 RECOMMENDED BY THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON
8 MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE
9 SERVICES.
10 The General Assembly of North Carolina enacts:
11 SECTION 1.(a) By July 1, 2011, the Department of Health and Human Services,
12 Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, shall
13 develop and submit to the House of Representatives Appropriations Subcommittee on Health
14 and Human Services, the Senate Appropriations Committee on Health and Human Services, the
15 Fiscal Research Division, and the Joint Legislative Oversight Committee on Mental Health,
16 Developmental Disabilities, and Substance Abuse Services a comprehensive statewide plan for
17 the fair and equitable allocation of resources for all individuals eligible for developmental
18 disability services. The plan shall contain all of the following:
19 (1) A resource allocation model based on the results of the Supports Intensity
20 Scale (SIS) or another standardized, reliable, and valid assessment tool for
21 the determination of intensity of need. The plan for administration of the
22 selected assessment tool must (i) require qualified persons who are not
23 engaged in the delivery of any developmental disability services to
24 administer the selected assessment tool and (ii) include operational
25 guidelines for quality assurance and reliability in the administration of the
26 assessment.
27 (2) A standardized formula for the use of the results of the SIS or other
28 assessment tool data to determine eligibility for type, degree, and array of
29 services, including services provided through State developmental centers
30 and private ICF-MR facilities.
31 SECTION 1.(b) The Department shall begin implementing the comprehensive
32 statewide plan developed pursuant to Section 1.(a) of this act by January 1, 2012, and shall
33 achieve full implementation of the plan by July 1, 2013. Beginning October 1, 2011, and every
22
six months thereafter, the Department shall report to the House 1 of Representatives
2 Appropriations Subcommittee on Health and Human Services, the Senate Appropriations
3 Committee on Health and Human Services, the Fiscal Research Division, and the Joint
4 Legislative Oversight Committee on Mental Health, Developmental Disabilities, and Substance
5 Abuse Services on the implementation status of the comprehensive statewide plan developed
6 pursuant to Section 1.(a) of this section.
7 SECTION 1.(c) The Department of Health and Human Services shall renew the
8 CAP-MR/DD Waiver with the two tiers currently in operation. Subject to approval by the Joint
9 Legislative Oversight Committee on Mental Health, Developmental Disabilities, and Substance
10 Abuse Services (LOC), the Department may apply to the Centers for Medicare and Medicaid
11 Services (CMS) to add additional tiers to the CAP-MR/DD Waiver.
12 SECTION 2. This act is effective when it becomes law.
13
23
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
S/H D
BILL DRAFT 2011-MGz-24* [v.3] (01/20)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/27/2011 12:09:56 PM
Short Title: Evaluate DD Residential Options for Children. (Public)
Sponsors: Senator Nesbitt./Representative Insko.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 EVALUATE AND REPORT ON RESIDENTIAL PLACEMENT OPTIONS FOR
4 YOUNG CHILDREN WITH DEVELOPMENTAL DISABILITIES, AS
5 RECOMMENDED BY THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON
6 MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE
7 SERVICES.
8 The General Assembly of North Carolina enacts:
9 SECTION 1. The Department of Health and Human Services, Division of Mental
10 Health, Developmental Disabilities, and Substance Abuse Services, shall conduct a
11 comprehensive review of current congregate residential placements for children from birth to
12 six years of age who have a developmental delay, intellectual disability, or developmental
13 disability. The review shall include newly transferred Developmental Day Center ICF-MR
14 beds. By September 1, 2011, the Division shall submit a report of its findings to the Joint
15 Legislative Oversight Committee on Mental Health, Developmental Disabilities, and Substance
16 Abuse Services. The report shall include an overview of all services available for this
17 population of children (i) through age six and (ii) after age six.
18 SECTION 2. This act is effective when it becomes law.
19
24
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
H/S D
BILL DRAFT 2011-MGz-25* [v.5] (01/20)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/25/2011 4:18:56 PM
Short Title: Revise DD Waiting List Process. (Public)
Sponsors: Representative Insko./Senator Nesbitt.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 STUDY AND REPORT ON A REVISED PROCESS FOR COLLECTING DATA TO
4 DEVELOP A WAITING LIST OF PERSONS WITH INTELLECTUAL OR
5 DEVELOPMENTAL DISABILITIES, AS RECOMMENDED BY THE JOINT
6 LEGISLATIVE OVERSIGHT COMMITTEE ON MENTAL HEALTH,
7 DEVELOPMENTAL DISABILITIES, AND SUBSTANCE ABUSE SERVICES.
8 The General Assembly of North Carolina enacts:
9 SECTION 1.(a) By September 1, 2011, the Department of Health and Human
10 Services (Department) shall study and submit a report to the Joint Legislative Oversight
11 Committee on Mental Health, Developmental Disabilities, and Substance Abuse Services on a
12 revised process for collecting data to develop a waiting list of persons with intellectual or
13 developmental disabilities that are waiting for specific services. The revised process shall
14 ensure all of the following:
15 (1) A simple, non-duplicated count of children and adults with intellectual or
16 developmental disabilities across the State who are waiting for federally and
17 State-funded services.
18 (2) A research-based waiting list supported by data that accurately reflects the
19 number of individuals waiting for categories of services currently available
20 in this State.
21 (3) Data showing the number of individuals who are potentially eligible to
22 receive services under the CAP-MR/DD Waiver.
23 SECTION 1.(b) Beginning September 30, 2012, and annually thereafter, the
24 Department shall submit a report to the Joint Legislative Oversight Committee on Mental
25 Health, Developmental Disabilities, and Substance Abuse Services on the waiting list data
26 collected from each local management entity (LME). The report shall include (i) an analysis of
27 any service gaps revealed by the data, broken down by geographic location, age, and disability
28 and (ii) plans to address these service gaps.
29 SECTION 2. This act is effective when it becomes law.
30
25
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
S/H D
BILL DRAFT 2011-MGz-26* [v.5] (01/20)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/27/2011 1:18:37 PM
Short Title: Funds for Step-Down Unit for BART Program. (Public)
Sponsors: Senator Nesbitt./Representative Insko.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 IDENTIFY AND REPORT ON FUNDING AVAILABLE FOR THE ESTABLISHMENT
4 OF A STEP-DOWN UNIT FOR THE BEHAVIORALLY ADVANCED RESIDENTIAL
5 TREATMENT PROGRAM, AS RECOMMENDED BY THE JOINT LEGISLATIVE
6 OVERSIGHT COMMITTEE ON MENTAL HEALTH, DEVELOPMENTAL
7 DISABILITIES, AND SUBSTANCE ABUSE SERVICES.
8 The General Assembly of North Carolina enacts:
9 SECTION 1. The Department of Health and Human Services, Division of Mental
10 Health, Developmental Disabilities, and Substance Abuse Services (Division), in consultation
11 with the leadership and advisory committee of the Murdoch Developmental Center, shall
12 identify funding sources available to establish a unit providing step down services from the
13 Behaviorally Advanced Residential Treatment (BART) Program. By October 1, 2011, and
14 quarterly thereafter until a BART step-down unit is established, the Division shall report to the
15 Legislative Oversight Committee on Mental Health, Developmental Disabilities, and Substance
16 Abuse Services on the progress towards identifying funding for, and establishing, the
17 step-down unit.
18 SECTION 2. This act is effective when it becomes law.
19
26
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
S/H D
BILL DRAFT 2011-MGz-27* [v.3] (01/20)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/25/2011 4:18:05 PM
Short Title: Evidence-Based Pract. in Psych. Hospitals. (Public)
Sponsors: Senator Nesbitt./Representative Insko.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 REPORT ON THE PROGRESS TOWARDS IMPLEMENTING AND UTILIZING
4 UNIFORM EVIDENCE-BASED PRACTICES ACROSS ALL STATE PSYCHIATRIC
5 HOSPITALS, AS RECOMMENDED BY THE JOINT LEGISLATIVE OVERSIGHT
6 COMMITTEE ON MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND
7 SUBSTANCE ABUSE SERVICES.
8 The General Assembly of North Carolina enacts:
9 SECTION 1. By September 1, 2011, and annually thereafter, the Department of
10 Health and Human Services shall report to the Senate Appropriations Subcommittee on Health
11 and Human Services, the House of Representatives Appropriations Subcommittee on Health
12 and Human Services, and the Joint Legislative Oversight Committee on Mental Health,
13 Developmental Disabilities, and Substance Abuse Services on the progress achieved in
14 implementing and utilizing uniform evidence-based practices across all State psychiatric
15 hospitals.
16 SECTION 2. This act is effective when it becomes law.
17
27
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2011
S/H D
BILL DRAFT 2011-MGz-29* [v.1] (01/25)
(THIS IS A DRAFT AND IS NOT READY FOR INTRODUCTION)
1/25/2011 5:40:47 PM
Short Title: Report on NC Clubhouse Programs. (Public)
Sponsors: Senator Nesbitt./Representative Insko.
Referred to:
A 1 BILL TO BE ENTITLED
2 AN ACT TO REQUIRE THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO
3 REPORT ON THE SERVICES PROVIDED BY CLUBHOUSE PROGRAMS IN THIS
4 STATE, AS RECOMMENDED BY THE JOINT LEGISLATIVE OVERSIGHT
5 COMMITTEE ON MENTAL HEALTH, DEVELOPMENTAL DISABILITIES, AND
6 SUBSTANCE ABUSE SERVICES.
7 The General Assembly of North Carolina enacts:
8 SECTION 1. By September 1, 2011, the Department of Health and Human
9 Services shall submit a report on this State's Clubhouse Programs to the Joint Legislative
10 Oversight Committee on Mental Health, Developmental Disabilities, and Substance Abuse
11 Services. The report shall include all of the following:
12 (1) A description of the types of Clubhouse Programs available in this State.
13 (2) The specific services available in each type of Clubhouse Program available
14 in this State.
15 (3) The actual cost of services provided by each type of Clubhouse Program
16 available in this State.
17 (4) The current reimbursement rate for services provided by Clubhouse
18 Programs available in this State.
19 SECTION 2. This act is effective when it becomes law.
20
28