Concerning behavioral health system reform (O'Ban, Darneille, Braun)

Bi-partisan bill to reform behavioral health. Contains many provisions.

Most relevant is that it requires DSHS to “work with the University of Washington department of psychiatry and behavioral sciences to conduct an analysis and develop a plan to create a residency program at western and eastern state hospitals for psychiatric advanced registered nurse practitioners. The plan shall include an appraisal of risks, barriers, and benefits to implementation as well as an implementation timeline. The department must report to the office of financial management and relevant policy and fiscal committees of the legislature on findings and recommendations by December 15, 2017. ”

The amendments: -eliminate reporting requirements for community facilities certified to provide longterm involuntary treatment, but require DSHS to structure long-term treatment contracts to ensure access by DSHS to complete patient identification information, admission dates, and discharge dates;
-prohibit a managed care entity from using the authority to designate a treatment facility to delay the transfer of a patient to a state hospital or certified facility;
-expand AOT effective April 1, 2018, to include treatment for a substance use disorder;
-specify that a role of state hospital psychiatrists is to provide mentoring to psychiatric advanced registered nurse practitioners and expand the training program developed by DSHS and the University of Washington Department of Psychiatry to include input from appropriate schools of nursing and to accommodate physician assistants; and
-remove sections that would eliminate competency restoration treatment for defendants whose highest charge is a nonfelony offense and limit defendants whose highest offense is a Class C or nonviolent Class B felony to one period of competency restoration.

EFFECT OF STRIKER AMENDMENT: Makes technical amendments. Clarifies process for designation of a treatment facility for long-term involuntary care. Removes requirement for behavioral health organizations to coordinate delivery of community long-term treatment. Clarifies which discharge planning requirements applied to state hospitals also apply to community long-term involuntary treatment facilities. Exempts contract for consultant services from competitive solicitation requirements. Requires DSHS to also work with Washington State University to develop the training program for psychiatric advanced registered nurse practitioners and physician assistants. Requires DSHS and HCA to work through existing processes to develop performance terms for integrated managed care contracts. Requires DSHS and DOH to confer with hospitals to identify changes to laws and regulations necessary to address care delivery and cost-effective long-term involuntary treatment.

Hearing Date: Monday, March 20, 2017 -- 3:30 pm

WA State Legislature Link:    (opens a new browser tab)