Session of 2000
         
HOUSE BILL No. 3040
         
By Committee on Appropriations
         
3-15
         

10             AN  ACT concerning mental health centers; amending K.S.A. 39-1604
11             and 75-3307b and repealing the existing sections.
12      
13       Be it enacted by the Legislature of the State of Kansas:
14             Section  1. K.S.A. 39-1604 is hereby amended to read as follows: 39-
15       1604. (a) On or before October 1, 1991, and in accordance with rules and
16       regulations adopted under K.S.A. 39-1603 and amendments thereto, the
17       secretary shall develop and adopt a state assessment of needs and a plan
18       to develop and operate a state system to provide mental health services
19       for persons who are residents of Kansas, including all targeted population
20       members designated by rules and regulations adopted by the secretary.
21       The plan for the state system shall include coordinating and assisting in
22       the provision of community based mental health services in the service
23       delivery areas of mental health centers, including the services provided
24       by state psychiatric hospitals and the provision of state financial assistance.
25       On or before March 1, 1992, the secretary shall adopt a state plan for an
26       integrated system to coordinate and assist in the provision of community
27       based mental health services within Kansas. The assessment of needs and
28       plan for the state shall be reviewed and updated by the secretary on an
29       annual basis.
30             (b) The secretary shall assist and coordinate the development by each
31       mental health center of a community assessment of needs and a plan for
32       the community system to provide community based mental health serv-
33       ices for persons who reside in the service delivery area of the mental
34       health center, including all targeted population members. The secretary
35       shall review and approve, or return, with recommendations for revision
36       and resubmittal, all such assessments of needs and plans in accordance
37       with criteria prescribed by rules and regulations adopted under K.S.A.
38       39-1603 and amendments thereto. If necessary services for a service de-
39       livery area cannot be provided by the mental health center or in order to
40       ensure that a continuum of services will be provided in a service delivery
41       area, the secretary may require the provision of services for a service
42       delivery area through contracts between two or more mental health cen-
43       ters. In order to assure equity in funding for community mental health


2

  1       centers providing mental health services intended to be funded by this
  2       act, the secretary shall enter into contracts with nonparticipating com-
  3       munity mental health centers who have not contracted to be an affiliate
  4       with the participating community mental health center. In such instances,
  5       the secretary shall be responsible for the determination of the allocation
  6       of funds as between or among the community mental health centers.
  7             (c) For purposes of selecting a community mental health center to
  8       provide children's mental health services when more than one licensed
  9       community mental health center exists in a community mental health
10       catchment area, the secretary shall review proposals from each center as
11       to how the community mental health center would serve children by pro-
12       viding a full array of community based services for children, adolescents
13       and their families. The business plan for the community mental health
14       center that is selected to provide children's mental health services should
15       identify how services and funding will be coordinated among key con-
16       stituencies including, but not limited to schools, the juvenile justice au-
17       thority, private contractors and other community service providers. The
18       plan should include aggressive billing of third party payers including med-
19       icaid as well as a cost/benefit analysis methodology for assuring the in-
20       clusion of the most efficient community services providers.
21             (c) (d) Each mental health center shall annually review and update
22       such assessment of needs and plan for the service delivery area. If the
23       assessment of needs or the plan for the community system to provide
24       community based mental health services are not in compliance with the
25       criteria prescribed by rules and regulations under K.S.A. 39-1603 and
26       amendments thereto, the secretary shall withhold all or part of the state
27       financial assistance provided to the mental health center.
28             (d) (e) On or before October 1, 1991, and annually on or before such
29       date thereafter, each mental health center shall submit a coordinated
30       services plan addressing the service needs of the targeted population to
31       the secretary of social and rehabilitation services for review and approval.
32       The annual coordinated services plan shall be developed according to the
33       standards established by rules and regulations adopted by the secretary
34       of social and rehabilitation services.
35             Sec.  2. K.S.A. 75-3307b is hereby amended to read as follows: 75-
36       3307b. (a) The enforcement of the laws relating to the hospitalization of
37       mentally ill persons of this state in a psychiatric hospital and the diagnosis,
38       care, training or treatment of persons in community mental health centers
39       or facilities for the mentally ill, mentally retarded or other handicapped
40       persons is entrusted to the secretary of social and rehabilitation services.
41       The secretary may adopt rules and regulations on the following matters,
42       so far as the same are not inconsistent with any laws of this state:
43             (1) The licensing, certification or accrediting of private hospitals as


3

  1       suitable for the detention, care or treatment of mentally ill persons, and
  2       the withdrawal of licenses granted for causes shown;
  3             (2) the forms to be observed relating to the hospitalization, admission,
  4       transfer, custody and discharge of patients;
  5             (3) the visitation and inspection of psychiatric hospitals and of all
  6       persons detained therein;
  7             (4) the setting of standards, the inspection and the licensing of all
  8       community mental health centers which receive or have received any
  9       state or federal funds, and the withdrawal of licenses granted for causes
10       shown;
11             (5) the setting of standards, the inspection and licensing of all facili-
12       ties for the mentally ill, mentally retarded or other developmentally dis-
13       abled persons receiving assistance through the department of social and
14       rehabilitation services which receive or have received after June 30, 1967,
15       any state or federal funds, or facilities where mentally ill, mentally re-
16       tarded or other developmentally disabled persons reside who require su-
17       pervision or require limited assistance with the taking of medication, and
18       the withdrawal of licenses granted for causes shown. The secretary may
19       adopt rules and regulations that allow the facility to assist a resident with
20       the taking of medication when the medication is in a labeled container
21       dispensed by a pharmacist. No license for a residential facility for eight
22       or more persons may be issued under this paragraph unless the secretary
23       of health and environment has approved the facility as meeting the li-
24       censing standards for a lodging establishment under the food service and
25       lodging act. No license for a residential facility for the elderly or for a
26       residential facility for persons with disabilities not related to mental illness
27       or mental retardation, or both, or related conditions shall be issued under
28       this paragraph;
29             (6) reports and information to be furnished to the secretary by the
30       superintendents or other executive officers of all psychiatric hospitals,
31       community mental health centers or facilities for the mentally retarded
32       and facilities serving other handicapped persons receiving assistance
33       through the department of social and rehabilitation services.
34             (b) An entity holding a license as a community mental health center
35       under paragraph (4) of subsection (a) on the day immediately preceding
36       the effective date of this act, but which does not meet the definition of a
37       community mental health center set forth in this act, shall continue to be
38       licensed as a community mental health center as long as the entity remains
39       affiliated with a licensed community mental health center and continues
40       to meet the licensing standards established by the secretary, but which
41       does not meet the definition of a participating community mental health
42       center set forth in this act, shall continue to be licensed as a community
43       mental health center as long as the center continues to meet the licensing


4

  1       standards established by the secretary
  2       Sec.  3. K.S.A. 39-1604 and 75-3307b are hereby repealed.
  3        Sec.  4. This act shall take effect and be in force from and after its
  4       publication in the statute book.