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Implementing recommendations from the children's mental health work group (Senn, Dent, Kagi)

Requires the state health care authority to: (1) Oversee the coordination of resources and services through the managed health care system for children who are eligible for medical assistance and have been identified as requiring mental health treatment; and (2) Require universal screening and provider payment for depression for certain children. Requires the department of early learning to establish a child care consultation program linking child care providers with resources for caring for infants and young children who present behavioral concerns. Requires educational service districts to establish a lead staff person for mental health. Requires the office of the superintendent of public instruction to employ a children's mental health services coordinator. Requires the health workforce council to collect and analyze workforce survey and administrative data for clinicians qualified to provide children's mental health services.

Requires Washington State University to offer one, and the University of Washington to offer one additional, twenty-four month residency position that is approved by the accreditation council for graduate medical education to a resident specializing in child and adolescent psychiatry. Requires a behavioral health organization to reimburse a provider for a behavioral health service provided to certain covered persons.

1ST SUBSTITUTE COMPARED TO ORIGINAL (Early Learning and Human Services Committtee):
Tribal organizations are included as entities for which the HCA must oversee the coordination of children's mental health treatment resources and services. The BHOs must develop adequate capacity to facilitate children's mental health treatment services by undertaking specified activities. Provider payment for depression screening is required for children ages 12-18 and may be provided by primary care providers, public health nurses, and other providers in a clinical setting. The HCA must require provider payment for maternal depression screening for mothers of children ages 0-5 beginning January 1, 2018, and subject to the availability of funds.

The child care consultation program administered by the DEL is changed to focus on trauma informed care and to be made available to participants in the Early Achievers program. The ESDs must facilitate partnerships with community mental health agencies and other providers. The workforce survey conducted by the Workforce Board must collect survey and administrative data related to the race and ethnicity of providers, languages spoken by providers, the ages of patients served, provider use of screening tools and assessments that are culturally relevant and linguistically valid and appropriate, and the amount of culturally relevant training that providers receive. The DSHS must consult with the HCA when adopting rules related to reimbursement for behavioral health services provided through telemedicine. The requirement for the DSHS to determine the annual cost of operating the Partnership Access Line (PAL) and collecting proportional cost shares from health carriers is removed.


2ND SUBSTITUTE (Appropriations) COMPARED TO 1ST SUBSTITUTE (Early Learning & Human Services):
The Health Care Authority (HCA) must reimburse providers for maternal depression screening for mothers of children ages birth to 1-year-old rather than children ages birth to 5 years old. Language is added to clarify that depression screenings for youth ages 12-18 occur on an annual basis. The requirements for managed health care and behavioral health organizations to ensure that an individual has completed a mental health appointment and to track the individual's utilization of services are removed. The HCA must report on languages spoken by children's mental health providers as part of the annual report on available
providers.

Educational Service Districts (ESDs) are no longer required to employ a mental health lead. The requirement for the Office of the Superintendent of Public Instruction (OSPI) to designate one ESD as a "lighthouse" to provide technical assistance to other ESDs is also removed. Instead, OSPI must produce a case study of an ESD that is successfully delivering and coordinating children's mental health activities and services. The case study and recommendations for replicating the model are due to the Governor and Legislature by December 1, 2018.

The Department of Early Learning (DEL) is no longer required to develop an Early Childhood Mental Health Training and Consultation Program. The DEL must establish a Child Care Consultation Program to link child care providers with evidence-based, traumainformed, and best-practice resources regarding caring for infants and young children who present behavioral concerns or symptoms of trauma. The DEL may contract with an entity with expertise in child development and early learning to provide the program.

The Workforce Training and Education Coordinating Board is no longer required to collect and report on workforce survey and administrative data for children's mental health clinicians. The 24-month child and adolescent psychiatry residency at the University of Washington is removed.

A null and void clauses is added, making the bill null and void unless funded in the budget

Hearing Date: Tuesday, March 14, 2017 -- 1:30 pm

WA State Legislature Link:
http://app.leg.wa.gov/billsummary?BillNumber=1713&Year=2017    (opens a new browser tab)