Revised Code of Washington
Chapter 71.24 - Community Behavioral Health Services Act.
71.24.015 - Legislative intent—Community behavioral health system.

RCW 71.24.015
Legislative intent—Community behavioral health system.

It is the intent of the legislature to establish a community behavioral health system which shall help people experiencing mental illness or a substance use disorder to retain a respected and productive position in the community. This will be accomplished through programs that focus on resilience and recovery, and practices that are evidence-based, research-based, consensus-based, or, where these do not exist, promising or emerging best practices, which provide for:
(1) Access to behavioral health services for adults with mental illness and children with mental illness, emotional disturbances, or substance use disorders, that recognize the special needs of underserved populations, including minorities, children, older adults, individuals with disabilities, and low-income persons. Access to mental health and substance use disorder services shall not be limited by a person's history of confinement in a state, federal, or local correctional facility. It is also the purpose of this chapter to promote the early identification of children with mental illness and to ensure that they receive the mental health care and treatment which is appropriate to their developmental level. This care should improve home, school, and community functioning, maintain children in a safe and nurturing home environment, and should enable treatment decisions to be made in response to clinical needs in accordance with sound professional judgment while also recognizing parents' rights to participate in treatment decisions for their children;
(2) The involvement of persons with mental illness or substance use disorder, their family members, and advocates in designing and implementing behavioral health services that reduce unnecessary hospitalization and incarceration and promote recovery and employment. To improve the quality of services available and promote the rehabilitation, recovery, and reintegration of persons with mental illness or substance use disorder, consumer and advocate participation in behavioral health services is an integral part of the community behavioral health system and shall be supported;
(3) Accountability of efficient and effective services through state-of-the-art outcome and performance measures and statewide standards for monitoring client and system outcomes, performance, and reporting of client and system outcome information. These processes shall be designed so as to maximize the use of available resources for direct care of people with a mental illness and to assure uniform data collection across the state;
(4) Minimum service delivery standards;
(5) Priorities for the use of available resources for the care of individuals with mental illness or substance use disorder consistent with the priorities defined in the statute;
(6) Coordination of services within the department of social and health services, the authority, the department, the department of children, youth, and families, and the office of the superintendent of public instruction, and among state mental hospitals, tribes, residential treatment facilities, county authorities, behavioral health administrative services organizations, managed care organizations, community behavioral health services, and other support services, which shall to the maximum extent feasible also include the families of individuals with mental illness or substance use disorder, and other service providers, including Indian health care providers; and
(7) Coordination of services aimed at reducing duplication in service delivery and promoting complementary services among all entities that provide behavioral health services to adults and children.
It is the policy of the state to encourage the provision of a full range of treatment and rehabilitation services in the state for mental disorders, or substance use disorders, including services operated by consumers and advocates. The legislature intends to encourage the development of regional behavioral health services with adequate local flexibility to assure eligible people in need of care access to the least-restrictive treatment alternative appropriate to their needs, and the availability of treatment components to assure continuity of care. The legislature hereby finds and declares that sound fiscal management requires vigilance to ensure that funds appropriated by the legislature for the provision of needed community behavioral health system services are ultimately expended solely for the purpose for which they were appropriated, and not for any other purpose.
It is further the intent of the legislature to integrate the provision of services to provide continuity of care through all phases of treatment. To this end, the legislature intends to promote active engagement with persons with mental illness and collaboration between families and service providers.

[ 2019 c 325 § 1002; 2018 c 201 § 4001; 2014 c 225 § 6; 2005 c 503 § 1. Prior: 2001 c 334 § 6; 2001 c 323 § 1; 1999 c 214 § 7; 1991 c 306 § 1; 1989 c 205 § 1; 1986 c 274 § 1; 1982 c 204 § 2.]
NOTES:

Effective date—2019 c 325: See note following RCW 71.24.011.


Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.


Correction of references—2005 c 503: "The code reviser shall replace all references to "county designated mental health professional" with "designated mental health professional" in the Revised Code of Washington." [ 2005 c 503 § 16.]


Savings—2005 c 503: "This act does not affect any existing right acquired or liability or obligation incurred under the sections amended or repealed in this act or under any rule or order adopted under those sections, nor does it affect any proceeding instituted under those sections." [ 2005 c 503 § 17.]


Severability—2005 c 503: "If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected." [ 2005 c 503 § 18.]


Effective date—2001 c 334: "This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately [May 15, 2001]." [ 2001 c 334 § 10.]


Intent—Effective date—1999 c 214: See notes following RCW 72.09.370.


Conflict with federal requirements—1991 c 306: "If any part of this act is found to be in conflict with federal requirements that are a prescribed condition to the allocation of federal funds to the state, the conflicting part of this act is inoperative solely to the extent of the conflict and with respect to the agencies directly affected, and this finding does not affect the operation of the remainder of this act in its application to the agencies concerned. The rules under this act shall meet federal requirements that are a necessary condition to the receipt of federal funds by the state.
However, if any part of this act conflicts with such federal requirements, the state appropriation for mental health services provided to children whose mental disorders are discovered under screening through the federal Title XIX early and periodic screening, diagnosis, and treatment program shall be provided through the division of medical assistance and no state funds appropriated to the division of mental health shall be expended or transferred for this purpose." [ 1991 c 306 § 7.]


Effective date—1986 c 274 §§ 1, 2, 3, 5, and 9: "Sections 1, 2, 3, 5, and 9 of this act shall take effect on July 1, 1987." [ 1986 c 274 § 11.]

Structure Revised Code of Washington

Revised Code of Washington

Title 71 - Behavioral Health

Chapter 71.24 - Community Behavioral Health Services Act.

71.24.011 - Short title.

71.24.015 - Legislative intent—Community behavioral health system.

71.24.016 - Intent—Management of services—Work group on long-term involuntary inpatient care integration.

71.24.025 - Definitions.

71.24.030 - Grants, purchasing of services, for community behavioral health programs.

71.24.035 - Director's powers and duties as state behavioral health authority.

71.24.037 - Licensed or certified behavioral health agencies and providers—Minimum standards—Investigations and enforcement actions—Inspections.

71.24.045 - Behavioral health administrative services organization powers and duties.

71.24.061 - Children's mental health provider networks—Children's mental health evidence-based practice institute—Partnership access line pilot programs—Report to legislature.

71.24.062 - Psychiatry consultation line—Implementation.

71.24.063 - Partnership access lines—Psychiatric consultation lines—Data collection.

71.24.064 - Partnership access lines—Psychiatric consultation lines—Funding—Performance measures.

71.24.066 - Partnership access line pilot programs—Determination to be made permanent—Long-term funding.

71.24.067 - Partnership access lines—Psychiatric consultation lines—Review.

71.24.068 - Telebehavioral health access account.

71.24.100 - County-run behavioral health administrative services organizations—Joint operating agreements—Requirements.

71.24.115 - Recovery navigator programs—Reports.

71.24.125 - Grant program—Treatment services—Regional access standards.

71.24.135 - Expanded recovery support services program—Regional expanded recovery plans.

71.24.145 - Homeless outreach stabilization transition program—Psychiatric outreach—Contingency management resources—Substance misuse prevention effort—Grants.

71.24.155 - Grants to behavioral health administrative services, managed care organizations, and Indian health care providers—Accounting.

71.24.160 - Proof as to uses made of state funds—Use of maintenance of effort funds.

71.24.200 - Expenditures of county funds subject to county fiscal laws.

71.24.215 - Sliding-scale fee schedules for clients receiving behavioral health services.

71.24.220 - State grants may be withheld for noncompliance with chapter or related rules.

71.24.240 - Eligibility for funding—Community behavioral health program plans to be approved by director prior to submittal to federal agency.

71.24.250 - Behavioral health administrative services organizations—Receipt of gifts and grants.

71.24.260 - Waiver of postgraduate educational requirements—Mental health professionals.

71.24.300 - Behavioral health administrative services organizations—Advisory boards—Inclusion of tribes—Roles and responsibilities.

71.24.335 - Reimbursement for behavioral health services provided through telemedicine or store and forward technology—Coverage requirements—Audio-only telemedicine.

71.24.350 - Behavioral health ombuds office.

71.24.370 - Behavioral health services contracts—Limitation on state liability.

71.24.380 - Purchase of behavioral health services—Managed care contracting—Requirements.

71.24.381 - Contracting for crisis services and medically necessary physical and behavioral health services.

71.24.383 - Managed care organization contracting—Requirements.

71.24.385 - Behavioral health administrative services and managed care organizations—Mental health and substance use disorder treatment programs—Development and design requirements.

71.24.400 - Streamlining delivery system—Finding.

71.24.405 - Streamlining delivery system.

71.24.415 - Streamlining delivery system—Authority duties to achieve outcomes.

71.24.420 - Expenditure of funds for operation of service delivery system—Appropriation levels—Outcome and performance measures—Report.

71.24.430 - Coordination of services for behavioral health clients—Collaborative service delivery.

71.24.435 - Behavioral health system—Improvement strategy.

71.24.450 - Offenders with mental illnesses—Findings and intent.

71.24.455 - Offenders with mental illnesses—Contracts for specialized access and services.

71.24.460 - Offenders with mental illnesses—Report to legislature.

71.24.470 - Reentry community services program—Contract for case management—Use of appropriated funds.

71.24.480 - Reentry community services program—Limitation on liability due to treatment—Reporting requirements.

71.24.490 - Evaluation and treatment services—Capacity needs—Behavioral health administrative services and managed care organizations.

71.24.500 - Written guidance and trainings—Managed care—Incarcerated and involuntarily hospitalized persons.

71.24.510 - Integrated comprehensive screening and assessment process—Implementation.

71.24.520 - Substance use disorder program authority.

71.24.525 - Agreements authorized under the interlocal cooperation act.

71.24.530 - Local funding and donative funding requirements—Facilities, plans, programs.

71.24.535 - Duties of authority.

71.24.540 - Drug courts.

71.24.545 - Comprehensive program for treatment—Regional facilities.

71.24.546 - Substance use recovery services plan—Substance use recovery services advisory committee—Rules—Report.

71.24.550 - City, town, or county without facility—Contribution of liquor taxes prerequisite to use of another's facility.

71.24.555 - Liquor taxes and profits—City and county eligibility conditioned.

71.24.560 - Opioid treatment programs—Pregnant individuals—Information and education.

71.24.565 - Acceptance for approved treatment—Rules.

71.24.570 - Emergency service patrol—Establishment—Rules.

71.24.575 - Criminal laws limitations.

71.24.580 - Criminal justice treatment account.

71.24.585 - Opioid and substance use disorder treatment—State response.

71.24.587 - Opioid use disorder treatment—Possession or use of lawfully prescribed medication—Declaration by state.

71.24.589 - Substance use disorders—Law enforcement assisted diversion—Pilot project.

71.24.590 - Opioid treatment—Program licensing or certification by department, department duties—Use of medications by program—Definition.

71.24.593 - Opioid use disorder treatment—Care of individuals and their newborns—Authority recommendations required.

71.24.594 - Opioid overdose reversal medications—Education—Distribution—Labeling—Liability.

71.24.595 - Statewide treatment and operating standards for opioid treatment programs—Evaluation and report.

71.24.597 - Opioid overdose reversal medication—Coordinated purchasing and distribution.

71.24.598 - Drug overdose response team.

71.24.599 - Opioid use disorder—City and county jails—Funding.

71.24.600 - Inability to contribute to cost of services no bar to admission—Authority may limit admissions for nonmedicaid clients.

71.24.605 - Fetal alcohol screening and assessment services.

71.24.610 - Interagency agreement on fetal alcohol exposure programs.

71.24.615 - Chemical dependency treatment expenditures—Prioritization.

71.24.618 - Withdrawal management services—Substance use disorder treatment services—Prior authorization—Utilization review—Medical necessity review.

71.24.625 - Uniform application of chapter—Training for designated crisis responders.

71.24.630 - Integrated, comprehensive screening and assessment process for substance use and mental disorders.

71.24.640 - Standards for certification or licensure of evaluation and treatment facilities.

71.24.645 - Standards for certification or licensure of crisis stabilization units.

71.24.647 - Standards for certification or licensure of triage facilities.

71.24.648 - Standards for certification or licensure of intensive behavioral health treatment facilities.

71.24.649 - Standards for certification or licensure of mental health peer-run respite centers.

71.24.650 - Standards for certification or licensure of a clubhouse.

71.24.660 - Recovery residences—Referrals by licensed or certified service providers.

71.24.665 - Psychiatric treatment, evaluation, and bed utilization for American Indians and Alaska Natives—Report by authority.

71.24.700 - Long-term inpatient care and mental health placements—Contracting with community hospitals and evaluation and treatment facilities.

71.24.710 - Reentry services—Work group.

71.24.715 - Reentry services—Waiver application.

71.24.720 - Less restrictive alternative treatment—Transition teams.

71.24.845 - Transfer of clients between behavioral health administrative services organizations—Uniform transfer agreement.

71.24.850 - Regional service areas—Report—Managed care integration.

71.24.852 - Intensive behavioral health treatment facilities—Resident rights and access to ombuds services—Recommendations to governor and legislature.

71.24.855 - Finding—Intent—State hospitals.

71.24.861 - Behavioral health system coordination committee.

71.24.870 - Behavioral health services—Adoption of rules—Audit.

71.24.872 - Regulatory parity between primary care and behavioral health care settings—Initial documentation requirements for patients—Administrative burdensomeness.

71.24.880 - Interlocal leadership structure—Transition to fully integrated managed care within a regional service area.

71.24.885 - Medicaid rate increases—Review authority—Reporting.

71.24.887 - Training support grants for community mental health providers—Behavioral health workforce pilot program.

71.24.890 - National 988 system—Crisis call center hubs—Technology and platform development—Agency collaboration.

71.24.892 - National 988 system—Crisis response improvement strategy committee—Membership—Steering committee—Reports.

71.24.893 - National 988 system—Crisis response improvement strategy steering committee.

71.24.894 - National 988 system—Department reporting—Audit.

71.24.896 - National 988 system—Duties owed to public—Independent contractors.

71.24.898 - National 988 system—Technical and operational plan.

71.24.905 - Co-response services.

71.24.910 - Balance billing violations—Discipline.