Full Text of HB1364 103rd General Assembly
HB1364eng 103RD GENERAL ASSEMBLY |
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| 1 | | AN ACT concerning government.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 1. Short title. This Act may be cited as the 9-8-8 | 5 | | Suicide and Crisis Lifeline Workgroup Act. | 6 | | Section 5. Findings. The General Assembly finds that: | 7 | | (1) In the summer of 2022, 31% of Illinois adults | 8 | | experienced symptoms of anxiety or depression more than half | 9 | | of the days of each week, which is an increase of 20% since | 10 | | 2019. | 11 | | (2) Suicide is the third leading cause of death in | 12 | | Illinois for young adults who are 15 to 34 years of age, and it | 13 | | is the 11th leading cause of death for all Illinoisans. In | 14 | | 2021, 1,488 Illinois lives were lost to suicide, and an | 15 | | estimated 376,000 adults had thoughts of suicide. | 16 | | (3) Historically, people in Illinois and nationwide have | 17 | | had few and fragmented options to call upon during a mental | 18 | | health crisis and have relied upon 9-1-1 and various privately | 19 | | funded crisis lines for help. | 20 | | (4) In July 2022, Illinois joined the nation in launching | 21 | | the 9-8-8 Suicide and Crisis Lifeline, a universal 3-digit | 22 | | dialing code for a national suicide prevention and mental | 23 | | health hotline, meant to offer 24-hour-a-day, 7-day-a-week |
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| 1 | | access to trained counselors who can help people experiencing | 2 | | mental health-related distress. | 3 | | (5) Congress delegated to the states significant | 4 | | decision-making responsibility for structuring and funding the | 5 | | states' 9-8-8 call center networks. | 6 | | (6) States had limited data on which to base their initial | 7 | | decisions because the Substance Abuse and Mental Health | 8 | | Services Administration's projections of future increases in | 9 | | call volumes varied widely, and there was no national | 10 | | best-practice model for the number and organization of 9-8-8 | 11 | | call centers. | 12 | | (7) The Substance Abuse and Mental Health Services | 13 | | Administration described the 2022 launch of 9-8-8 as being | 14 | | just the first step toward reimagining our country's mental | 15 | | health crisis system and stipulated that long-term | 16 | | transformation will rely on the willingness of states and | 17 | | territories to build and invest strategically in every level | 18 | | of the continuum of mental health crisis care over the next | 19 | | several years. | 20 | | (8) In 2023, the General Assembly and other State leaders | 21 | | can assess the first year of operations of the 9-8-8 call | 22 | | center system, identify legislative solutions to any funding | 23 | | and programmatic gaps that are emerging, and set the course | 24 | | for Illinois to eventually lead the country in providing | 25 | | quality and accessible 9-8-8 care and in connecting | 26 | | individuals with the mental health resources necessary to |
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| 1 | | sustain long-term recovery. | 2 | | (9) The launch of the 9-8-8 Suicide and Crisis Lifeline | 3 | | has created a once-in-a-generation opportunity to improve | 4 | | mental health crisis care in Illinois. | 5 | | (10) Illinois' success or failure in building a | 6 | | high-quality call center network in the initial years will be | 7 | | an important factor in determining whether 9-8-8 is perceived | 8 | | as a trusted resource in the State. | 9 | | (11) Illinois' success or failure in building a | 10 | | high-quality 9-8-8 call center network will disproportionately | 11 | | affect Black, Brown, and other marginalized residents who are | 12 | | most likely to rely on crisis services to access mental health | 13 | | care and are most likely to be criminalized or harmed by the | 14 | | existing crisis response system. | 15 | | Section 10. Suicide and Crisis Lifeline Workgroup. | 16 | | (a) The Department of Human Services, Division of Mental | 17 | | Health, shall convene a working group that includes: | 18 | | (1) bicameral, bipartisan members of the General | 19 | | Assembly; | 20 | | (2) at least one representative from the Department of | 21 | | Human Services, Division of Substance Use Prevention and | 22 | | Recovery; the Department of Public Health; the Department | 23 | | of Healthcare and Family Services; and the Department of | 24 | | Insurance; | 25 | | (3) the State's Chief Behavioral Health Officer; |
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| 1 | | (4) the Director of the Children's Behavioral Health | 2 | | Transformation Initiative; | 3 | | (5) service providers from the regional and statewide | 4 | | 9-8-8 call centers; | 5 | | (6) representatives of organizations that represent | 6 | | people with mental health conditions or substance use | 7 | | disorders; | 8 | | (7) representatives of organizations that operate an | 9 | | Illinois social services helpline or crisis line other | 10 | | than 9-8-8, including veterans' crisis services; | 11 | | (8) more than one individual with personal or family | 12 | | lived experience of a mental health condition or substance | 13 | | use disorder; | 14 | | (9) experts in research and operational evaluation; | 15 | | and | 16 | | (10) and any other person or persons as determined by | 17 | | the Department of Human Services, Division of Mental | 18 | | Health. | 19 | | (b) On or before December 31, 2023, the Department of | 20 | | Human Services, Division of Mental Health, shall submit a | 21 | | report to the General Assembly regarding the Workgroup's | 22 | | findings under Section 15 related to the 9-8-8 call system.
| 23 | | Section 15. Responsibilities; action plan. | 24 | | (a) The Workforce has the following responsibilities: | 25 | | (1) to review existing information about the first |
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| 1 | | year of 9-8-8 call center operations in Illinois, | 2 | | including, but not limited to, state-level and | 3 | | county-level use data, progress around the federal | 4 | | measures of success determined by the Substance Abuse and | 5 | | Mental Health Services Administration, and research | 6 | | conducted by any State-contracted partners around cost | 7 | | projections, best-practice standards, and geographic | 8 | | needs; | 9 | | (2) to review other states' models and emerging best | 10 | | practices around structuring 9-8-8 call center networks, | 11 | | with an emphasis on promoting high-quality phone | 12 | | interventions, coordination with other crisis lines and | 13 | | crisis services, and connection to community-based support | 14 | | for those in need; | 15 | | (3) to review governmental infrastructures created in | 16 | | other states to promote sustainability and quality in | 17 | | 9-8-8 call centers and crisis system operations; | 18 | | (4) to review changes and new initiatives that have | 19 | | been advanced by the Substance Abuse and Mental Health | 20 | | Services Administration and Vibrant Emotional Health since | 21 | | Vibrant transitioned to 9-8-8 in July 2022, such as new | 22 | | training curricula for call takers and new technology | 23 | | platforms; | 24 | | (5) to consider input from call center personnel, | 25 | | providers, and advocates about strengths, weaknesses, and | 26 | | service gaps in Illinois; and |
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| 1 | | (6) to develop an action plan with recommendations to | 2 | | the General Assembly that include the following: | 3 | | (A) a future structure for a network of 9-8-8 call | 4 | | centers in Illinois that will best promote equity, | 5 | | quality, and connection to care; | 6 | | (B) metrics that Illinois should use to measure | 7 | | the success of our statewide system in promoting | 8 | | equity, quality, and connection to care and a system | 9 | | to measure those metrics, considering the metrics | 10 | | imposed by the Substance Abuse and Mental Health | 11 | | Services Administration as only a starting point for | 12 | | measurement of success in Illinois; | 13 | | (C) recommendations to further fund and strengthen | 14 | | the rest of Illinois' behavioral health services and | 15 | | crisis assistance programs based on lessons learned | 16 | | from 9-8-8 use; and | 17 | | (D) recommendations on a long-term governmental | 18 | | infrastructure to provide advice and recommendations | 19 | | necessary to sustainably implement and monitor the | 20 | | progress of the 9-8-8 Suicide and Crisis Lifeline in | 21 | | Illinois and to make recommendations for the statewide | 22 | | improvement of behavioral health crisis response and | 23 | | suicide prevention services in the State. | 24 | | The action plan shall be approved by a majority of | 25 | | Workgroup members. | 26 | | (b) Nothing in the action plan filed under this Section |
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| 1 | | shall be construed to supersede the recommendations of the | 2 | | Statewide Advisory Committee or Regional Advisory Committees | 3 | | created by the Community Emergency Services and Support Act. | 4 | | Section 20. Repeal. This Act is repealed on January 1, | 5 | | 2025. | 6 | | Section 99. Effective date. This Act takes effect upon | 7 | | becoming law. |
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