Bill Text: MI HB5832 | 2019-2020 | 100th Legislature | Introduced
Bill Title: Mental health: facilities; crisis stabilization units; create. Amends secs. 100a, 100b, 161, 409 & 439 of 1074 PA 258 (MCL 330.1100a et seq.) & adds ch. 9A.
Spectrum: Partisan Bill (Republican 3-0)
Status: (Passed) 2020-12-31 - Assigned Pa 402'20 [HB5832 Detail]
Download: Michigan-2019-HB5832-Introduced.html
HOUSE BILL NO. 5832
June 04, 2020, Introduced by Reps. Whiteford,
Brann and Kahle and referred to the Committee on Health Policy.
A bill to amend 1974 PA 258, entitled
"Mental health code,"
by amending sections 100a, 100b, 161, 409, and 439 (MCL 330.1100a, 330.1100b, 330.1161, 330.1409, and 330.1439), section 100a as amended by 2018 PA 595, section 100b as amended by 2014 PA 200, section 161 as amended by 2012 PA 500, section 409 as amended by 2018 PA 593, and section 439 as added by 1986 PA 118, and by adding chapter 9A.
the people of the state of michigan enact:
Sec. 100a. (1) "Abilities" means the
qualities, skills, and competencies of an individual that reflect the individual's
talents and acquired proficiencies.
(2) "Abuse"
means nonaccidental physical or emotional harm to a recipient, or sexual
contact with or sexual penetration of a recipient as those terms are defined in
section 520a of the Michigan penal code, 1931 PA 328, MCL 750.520a, that is
committed by an employee or volunteer of the department, a community mental
health services program, or a licensed hospital or by an employee or volunteer
of a service provider under contract with the department, community mental
health services program, or licensed hospital.
(3) "Adaptive
skills" means skills in 1 or more of the following areas:
(a) Communication.
(b) Self-care.
(c) Home living.
(d) Social skills.
(e) Community use.
(f) Self-direction.
(g) Health and safety.
(h) Functional academics.
(i) Leisure.
(j) Work.
(4) "Adult foster
care facility" means an adult foster care facility licensed under the
adult foster care facility licensing act, 1979 PA 218, MCL 400.701 to 400.737.
(5) "Alcohol and
drug abuse counseling" means the act of counseling, modification of
substance use disorder related behavior, and prevention techniques for
individuals with substance use disorder, their significant others, and
individuals who could potentially develop a substance use disorder.
(6) "Applicant"
means an individual or his or her legal representative who makes a request for
mental health services.
(7) "Approved
service program" means a substance use disorder services program licensed
under part 62 of the public health code, 1978 PA 368, MCL 333.6230 to 333.6251,
to provide substance use disorder treatment and rehabilitation services by the
department-designated community mental health entity and approved by the
federal government to deliver a service or combination of services for the
treatment of incapacitated individuals.
(8) "Assisted
outpatient treatment" or "AOT" means the categories of
outpatient services ordered by the court under section 468 or 469a. Assisted
outpatient treatment may include a case management plan and case management
services to provide care coordination under the supervision of a psychiatrist
and developed in accordance with person-centered planning under section 712.
Assisted outpatient treatment may also include 1 or more of the following
categories of services: medication; periodic blood tests or urinalysis to
determine compliance with prescribed medications; individual or group therapy;
day or partial day programming activities; vocational, educational, or
self-help training or activities; assertive community treatment team services;
alcohol or substance use disorder treatment and counseling and periodic tests
for the presence of alcohol or illegal drugs for an individual with a history
of alcohol abuse or substance use disorder; supervision of living arrangements;
and any other services within a local or unified services plan developed under
this act that are prescribed to treat the individual's mental illness and to
assist the individual in living and functioning in the community or to attempt
to prevent a relapse or deterioration that may reasonably be predicted to
result in suicide, the need for hospitalization, or serious violent behavior.
The medical review and direction included in an assisted outpatient treatment plan
shall be provided under the supervision of a psychiatrist.
(9) "Board"
means the governing body of a community mental health services program.
(10) "Board of
commissioners" means a county board of commissioners.
(11) "Center"
means a facility operated by the department to admit individuals with
developmental disabilities and provide habilitation and treatment services.
(12)
"Certification" means formal approval of a program by the department
in accordance with standards developed or approved by the department.
(13) "Child
abuse" and "child neglect" mean those terms as defined in
section 2 of the child protection law, 1975 PA 238, MCL 722.622.
(14) "Child and
adolescent psychiatrist" means 1 or more of the following:
(a) A physician who has
completed a residency program in child and adolescent psychiatry approved by
the Accreditation Council for Graduate Medical Education or the American
Osteopathic Association, or who has completed 12 months of child and adolescent
psychiatric rotation and is enrolled in an approved residency program as
described in this subsection.
(b) A psychiatrist
employed by or under contract as a child and adolescent psychiatrist with the
department or a community mental health services program on March 28, 1996, who
has education and clinical experience in the evaluation and treatment of
children or adolescents with serious emotional disturbance.
(c) A psychiatrist who
has education and clinical experience in the evaluation and treatment of
children or adolescents with serious emotional disturbance who is approved by
the director.
(15) "Children's
diagnostic and treatment service" means a program operated by or under
contract with a community mental health services program, that provides
examination, evaluation, and referrals for minors, including emergency
referrals, that provides or facilitates treatment for minors, and that has been
certified by the department.
(16) "Community
mental health authority" means a separate legal public governmental entity
created under section 205 to operate as a community mental health services
program.
(17) "Community
mental health organization" means a community mental health services
program that is organized under the urban cooperation act of 1967, 1967 (Ex
Sess) PA 7, MCL 124.501 to 124.512.
(18) "Community
mental health services program" means a program operated under chapter 2
as a county community mental health agency, a community mental health
authority, or a community mental health organization.
(19) "Consent"
means a written agreement executed by a recipient, a minor recipient's parent,
a recipient's legal representative with authority to execute a consent, or a
full or limited guardian authorized under the estates and protected individuals
code, 1998 PA 386, MCL 700.1101 to 700.8206, with the authority to consent, or
a verbal agreement of a recipient that is witnessed and documented by an
individual other than the individual providing treatment.
(20) "County
community mental health agency" means an official county or multicounty
agency created under section 210 that operates as a community mental health
services program and that has not elected to become a community mental health
authority or a community mental health organization.
(21)
"Crisis stabilization unit" means a unit that provides unscheduled
activities that are provided in response to a crisis situation as well as
services either as a prescreening unit established under section 409 or
according to a certification issued under chapter 9A, in any event a unit
providing clinical services designed to prevent or ameliorate a behavioral
health crisis or reduce acute symptoms on an immediate, intensive, and
time-limited basis.
(22)
(21) "Department" means the department of health
and human services.
(23)
(22) "Department-designated community mental health
entity" means the community mental health authority, community mental
health organization, community mental health services program, county community
mental health agency, or community mental health regional entity designated by
the department to represent a region of community mental health authorities,
community mental health organizations, community mental health services
programs, or county community mental health agencies.
(24)
(23) "Dependent living setting" means all of the
following:
(a) An adult foster care
facility.
(b) A nursing home
licensed under part 217 of the public health code, 1978 PA 368, MCL 333.21701
to 333.21799e.
(c) A home for the aged
licensed under part 213 of the public health code, 1978 PA 368, MCL 333.21301
to 333.21335.
(25)
(24) "Designated representative" means any of the
following:
(a) A registered nurse or
licensed practical nurse licensed or otherwise authorized under part 172 of the
public health code, 1978 PA 368, MCL 333.17201 to 333.17242.
(b) A paramedic licensed
or otherwise authorized under part 209 of the public health code, 1978 PA 368,
MCL 333.20901 to 333.20979.
(c) A physician's
assistant licensed or otherwise authorized under part 170 or 175 of the public
health code, 1978 PA 368, MCL 333.17001 to 333.17084 333.17097 and 333.17501 to 333.17556.
(d) An individual
qualified by education, training, and experience who performs acts, tasks, or
functions under the supervision of a physician.
(26)
(25) "Developmental disability" means either of
the following:
(a) If applied to an
individual older than 5 years of age, a severe, chronic condition that meets
all of the following requirements:
(i) Is attributable to a mental or physical impairment or a
combination of mental and physical impairments.
(ii) Is manifested
before the individual is 22 years old.
(iii) Is likely to
continue indefinitely.
(iv) Results in
substantial functional limitations in 3 or more of the following areas of major
life activity:
(A) Self-care.
(B) Receptive and expressive language.
(C) Learning.
(D) Mobility.
(E) Self-direction.
(F) Capacity for independent living.
(G) Economic self-sufficiency.
(v) Reflects the
individual's need for a combination and sequence of special, interdisciplinary,
or generic care, treatment, or other services that are of lifelong or extended
duration and are individually planned and coordinated.
(b) If applied to a minor from birth to 5 years of age, a
substantial developmental delay or a specific congenital or acquired condition
with a high probability of resulting in developmental disability as defined in
subdivision (a) if services are not provided.
(27) (26) "Director" means the director of the
department or his or her designee.
(28) (27) "Discharge" means an absolute,
unconditional release of an individual from a facility by action of the
facility or a court.
(29) (28) "Eligible minor" means an individual
less than 18 years of age who is recommended in the written report of a
multidisciplinary team under rules promulgated by the department of education
to be classified as 1 of the following:
(a) Severely mentally impaired.
(b) Severely multiply impaired.
(c) Autistic impaired and receiving special education
services in a program designed for the autistic impaired under subsection (1) of R
340.1758 of the Michigan Administrative Code or in a program designed for the
severely mentally impaired or severely multiply impaired.
(30) (29) "Emergency situation" means a
situation in which an individual is experiencing a serious mental illness or a
developmental disability, or a minor is experiencing a serious emotional
disturbance, and 1 of the following applies:
(a) The individual can reasonably be expected within the near
future to physically injure himself, herself, or another individual, either
intentionally or unintentionally.
(b) The individual is unable to provide himself or herself
food, clothing, or shelter or to attend to basic physical activities such as
eating, toileting, bathing, grooming, dressing, or ambulating, and this
inability may lead in the near future to harm to the individual or to another
individual.
(c) The individual has mental illness that has impaired his
or her judgment so that the individual is unable to understand his or her need
for treatment and presents a risk of harm.
(31) (30) "Executive director" means an
individual appointed under section 226 to direct a community mental health
services program or his or her designee.
Sec. 100b. (1) "Facility" Except as otherwise provided in this
subsection, "facility" means a residential facility for
the care or treatment of individuals with serious mental illness, serious
emotional disturbance, or developmental disability that is either a state
facility or a licensed facility.
Facility includes a preadmission screening unit established under section 409
that is operating a crisis stabilization unit.
(2) "Family" as used in sections 156 to 161 means
an eligible minor and his or her parent or legal guardian.
(3) "Family member" means a parent, stepparent, spouse,
sibling, child, or grandparent of a primary consumer, or an individual upon
whom a primary consumer is dependent for at least 50% of his or her financial
support.
(4) "Federal funds" means funds received from the
federal government under a categorical grant or similar program and does not
include federal funds received under a revenue sharing arrangement.
(5) "Functional impairment" means both of the
following:
(a) With regard to serious emotional disturbance, substantial
interference with or limitation of a minor's achievement or maintenance of 1 or
more developmentally appropriate social, behavioral, cognitive, communicative,
or adaptive skills.
(b) With regard to serious mental illness, substantial
interference or limitation of role functioning in 1 or more major life
activities including basic living skills such as eating, bathing, and dressing;
instrumental living skills such as maintaining a household, managing money,
getting around the community, and taking prescribed medication; and functioning
in social, vocational, and educational contexts.
(6) "Guardian" means a person appointed by the
court to exercise specific powers over an individual who is a minor, legally
incapacitated, or developmentally disabled.
(7) "Hospital" or "psychiatric hospital"
means an inpatient program operated by the department for the treatment of
individuals with serious mental illness or serious emotional disturbance or a
psychiatric hospital or psychiatric unit licensed under section 137.
(8) "Hospital director" means the chief
administrative officer of a hospital or his or her designee.
(9) "Hospitalization" or "hospitalize"
means to provide treatment for an individual as an inpatient in a hospital.
(10) "Incapacitated" means that an individual, as a
result of the use of alcohol or other drugs, is unconscious or has his or her
mental or physical functioning so impaired that he or she either poses an
immediate and substantial danger to his or her own health and safety or is
endangering the health and safety of the public.
(11) "Individual plan of services" or "plan of
services" means a written individual plan of services developed with a
recipient as required by section 712.
(12) "Intellectual disability" means a condition
manifesting before the age of 18 years that is characterized by significantly
subaverage intellectual functioning and related limitations in 2 or more
adaptive skills and that is diagnosed based on the following assumptions:
(a) Valid assessment considers cultural and linguistic
diversity, as well as differences in communication and behavioral factors.
(b) The existence of limitation in adaptive skills occurs
within the context of community environments typical of the individual's age
peers and is indexed to the individual's particular needs for support.
(c) Specific adaptive skill limitations often coexist with
strengths in other adaptive skills or other personal capabilities.
(d) With appropriate supports over a sustained period, the
life functioning of the individual with an intellectual disability will
generally improve.
(13) "Licensed facility" means a facility licensed
by the department under section 137 or an adult foster care facility.
(14) "Licensed psychologist" means a doctoral level
psychologist licensed under section 18223(1) of the public health code, 1978 PA
368, MCL 333.18223.
(15) "Medical director" means a psychiatrist
appointed under section 231 to advise the executive director of a community
mental health services program.
(16) "Mental health professional" means an
individual who is trained and experienced in the area of mental illness or
developmental disabilities and who is 1 of the following:
(a) A physician.
(b) A psychologist.
(c) A registered professional nurse licensed or otherwise
authorized to engage in the practice of nursing under part 172 of the public
health code, 1978 PA 368, MCL 333.17201 to 333.17242.
(d) A licensed master's social worker licensed or otherwise
authorized to engage in the practice of social work at the master's level under
part 185 of the public health code, 1978 PA 368, MCL 333.18501 to 333.18518.
(e) A licensed professional counselor licensed or otherwise
authorized to engage in the practice of counseling under part 181 of the public
health code, 1978 PA 368, MCL 333.18101 to 333.18117.
(f) A marriage and family therapist licensed or otherwise
authorized to engage in the practice of marriage and family therapy under part
169 of the public health code, 1978 PA 368, MCL 333.16901 to 333.16915.
(17) "Minor" means an individual under the age of
18 years.
(18) "Multicultural services" means specialized
mental health services for multicultural populations such as African-Americans,
Hispanics, Native Americans, Asian and Pacific Islanders, and
Arab/Chaldean-Americans.
(19) "Neglect" means an act or failure to act
committed by an employee or volunteer of the department, a community mental
health services program, or a licensed hospital; a service provider under
contract with the department, a community mental health services program, or a
licensed hospital; or an employee or volunteer of a service provider under
contract with the department, a community mental health services program, or a
licensed hospital, that denies a recipient the standard of care or treatment to
which he or she is entitled under this act.
Sec. 161. In conjunction with community mental health
services programs, the department shall must conduct
annually and forward to the governor and the house of representatives and senate appropriations
committees, and the senate and house of representatives committees with legislative
oversight of human services and mental health, an evaluation of the family
support subsidy program that shall include, but is not limited to, all of the
following:
(a) The impact of the
family support subsidy program upon children covered by this act in facilities
and residential care programs including, to the extent possible, sample case
reviews of families who choose not to participate.
(b) Case reviews of
families who voluntarily terminate participation in the family support subsidy
program for any reason, particularly when if the
eligible minor is placed out of the family home, including the involvement of
the department and community mental health services programs in offering
suitable alternatives.
(c) Sample assessments of
families receiving family support subsidy payments including adequacy of
subsidy and need for services not available.
(d) The efforts to
encourage program participation of eligible families.
(e) The geographic
distribution of families receiving subsidy payments and, to the extent
possible, eligible minors presumed to be eligible for family support subsidy
payments.
(f) Programmatic and
legislative recommendations to further assist families in providing care for
eligible minors.
(g) Problems that arise
in identifying eligible minors through diagnostic evaluations performed under
rules promulgated by the department of education.
(h) The number of beds
reduced in state facilities and foster care facilities serving severely
mentally, multiply, and autistic impaired children when the children return
home to their natural families as a result of the family support subsidy program.
(i) Caseload figures by eligibility category as described in section 100a(28).100a(29).
Sec. 409. (1) Each
community mental health services program shall establish 1 or more preadmission
screening units with 24-hour availability to provide assessment and screening
services for individuals being considered for admission into hospitals, or assisted
outpatient treatment programs,
or crisis services on a voluntary basis. The community mental
health services program shall employ mental health professionals or licensed
bachelor's social workers licensed under part 185 of the public health code,
1978 PA 368, MCL 333.18501 to 333.18518, to provide the preadmission screening
services or contract with another agency that meets the requirements of this
section. Preadmission screening unit staff shall be supervised by a registered
professional nurse or other mental health professional possessing at least a
master's degree.
(2) Each community mental health services program shall
provide the address and telephone number of its preadmission screening unit or
units to law enforcement agencies, the department, the court, and hospital
emergency rooms.
(3) A preadmission screening unit shall assess an individual
being considered for admission into a hospital operated by the department or
under contract with the community mental health services program. If the
individual is clinically suitable for hospitalization, the preadmission
screening unit shall authorize voluntary admission to the hospital.
(4) If the preadmission screening unit of the community
mental health services program denies hospitalization, the individual or the
person making the application may request a second opinion from the executive
director. The executive director shall arrange for an additional evaluation by
a psychiatrist, other physician, or licensed psychologist to be performed
within 3 days, excluding Sundays and legal holidays, after the executive
director receives the request. If the conclusion of the second opinion is
different from the conclusion of the preadmission screening unit, the executive
director, in conjunction with the medical director, shall make a decision based
on all clinical information available. The executive director's decision shall
be confirmed in writing to the individual who requested the second opinion, and
the confirming document shall include the signatures of the executive director
and medical director or verification that the decision was made in conjunction
with the medical director. If an individual is assessed and found not to be
clinically suitable for hospitalization, the preadmission screening unit shall
provide appropriate referral services.
(5) If an individual is assessed and found not to be
clinically suitable for hospitalization, the preadmission screening unit shall
provide information regarding alternative services and the availability of
those services, and make appropriate referrals.
(6) A preadmission screening unit shall assess and examine,
or refer to a hospital for examination, an individual who is brought to the preadmission screening
unit by a peace officer or ordered by a court to be examined. If the individual
meets the requirements for hospitalization, the preadmission screening unit
shall designate the hospital to which the individual shall be admitted. The
preadmission screening unit shall consult with the individual and, if the
individual agrees, it shall the preadmission screening unit must consult
with the individual's family member of choice, if available, as to the
preferred hospital for admission of the individual.
(7) A preadmission screening unit may operate a crisis
stabilization unit under chapter 9A. A preadmission screening unit may provide
crisis services to an individual, who by assessment and screening, is found to
be a person requiring treatment. In this event, crisis services may be provided
for a period of up to 72 hours unless 1 of the following applies:
(a) The individual is no longer a person requiring treatment.
(b) A transfer to an inpatient bed is completed.
(c) The individual voluntarily agrees to continue receiving
services longer than 72 hours and the health professional in charge believes it
appropriate that the individual continue receiving services.
(d) An order for involuntary treatment of the individual has
been issued under section 281b, 281c, former 433, or 434.
(8) A preadmission screening unit operating a crisis
stabilization unit under chapter 9A may also offer crisis services to an
individual who is not a person requiring treatment, but who is seeking crisis
services on a voluntary basis.
(9) (7) If the individual chooses a hospital not under
contract with a community mental health services program, and the hospital
agrees to the admission, the preadmission screening unit shall refer the
individual to the hospital that is requested by the individual. Any financial
obligation for the services provided by the hospital shall be satisfied from
funding sources other than the community mental health services program, the
department, or other state or county funding.
Sec. 439. (1) A cause of action shall is not be cognizable in a court of this state against
a person who in good faith files a petition under this chapter alleging that an
individual is a person requiring treatment, unless the petition is filed as the
result of an act or omission amounting to gross negligence or willful and
wanton misconduct.
(2) A cause of action is not cognizable against a
preadmission screening unit or its employees or contractors or a crisis
stabilization unit or its employees or contractors, who in good faith makes a
determination as to whether an individual is a person requiring treatment or
not, unless the determination is the result of an act or omission amounting to
gross negligence or willful and wanton misconduct.
Chapter 9A
CRISIS STABILIZATION UNITS
Sec. 971. (1) The department shall
provide for certification of crisis stabilization units under this chapter to
provide crisis services in a community-based setting. An individual receiving
services in a crisis stabilization unit is a recipient of mental health
services under chapter 7 and is afforded all rights afforded to a recipient of
mental health services.
(2)
Crisis services include clinical services as a short-term alternative to
inpatient psychiatric hospitalization provided by a mental health professional under
the supervision of a psychiatrist in the least restrictive environment as
determined by the mental health professional. The primary objective of crisis
services is prompt assessment, stabilization, and determination of the
appropriate level of care. The main desired outcome of crisis services is to
avoid unnecessary hospitalization for an individual whose crisis may resolve
with time, observation, and treatment.
Sec. 972. The department shall
establish minimum standards and requirements for certifying a crisis
stabilization unit. Standards and requirements include, but are not limited to,
the following:
(a)
A standard requiring the capacity to carry out emergency receiving and
evaluating functions but not to the extent that brings the crisis stabilization
unit under the provisions of section 1867 of the social security act, 42 USC
1395dd.
(b)
Standards requiring implementation of voluntary and involuntary admission
consistent with section 409.
(c)
A prohibition from holding itself out as a hospital or from billing for
hospital or inpatient services.
(d)
Standards regarding maximum length of stay at a crisis stabilization unit.
(e)
Standards of billing for services rendered at a crisis stabilization unit.
(f)
Physician oversight requirements.
(g)
Nursing services.
(h)
Staff to client ratios.
(i)
Standards requiring implementation and posting of recipients' rights under
chapter 7.
(j)
Safety and emergency protocols.
(k)
Pharmacy services.
(l) Standards addressing administration
of medication.
(m)
Standards for reporting to the department.
(n)
Standards regarding a departmental complain process and procedure affording
patients the right to file complaints for failure to provide services in
accordance with required certification standards. The complaint process and
procedure must be established and maintained by the department, must remain
separate and distinct from providers delivering services under this chapter,
and must not be a function delegated to a community mental health services
program or an entity under contract with a community mental health services
program. The complaint process must provide for a system of appeals and
administrative finality.
Sec. 973. Unless licensed under part
62 of the public health code, 1978 PA 368, MCL 333.6230 to 333.6251, a crisis
stabilization unit that is not also a preadmission screening unit shall not
provide substance use disorder services described in chapter 2A under this
certification without first obtaining the required license. If substance use
disorder prevention services or substance use disorder treatment and
rehabilitation services, or both, are provided, the crisis stabilization unit must
obtain a license as required under section 6233 of the public health code, 1978
PA 368, MCL 333.6233.
Sec. 974. (1) An entity must not
operate as a crisis stabilization unit without having a certification issued
under this chapter. A crisis stabilization unit operated by a preadmission
screening unit under section 409 is exempt from obtaining and maintaining certification
under this chapter but must comply with all standards, policies, procedures,
and guidelines set forth by the department that are applicable to crisis stabilization
units. A preadmission screening unit operating a crisis stabilization unit is
also exempt from obtaining a license under section 6233 of the public health
code, 1978 PA 368, MCL 333.6233.
(2)
An application for certification to operate a crisis stabilization unit must be
submitted to the department in the manner prescribed by the department.
Sec. 975. (1) The department must
issue a certification to an applicant who meets all the standards and
requirements set forth by the department for certifying a crisis stabilization
unit.
(2)
A certification issued under this chapter is not transferable to another crisis
stabilization unit for the purpose of facilitating a change in location or a
change in the governing body.
Sec. 976. Each certified crisis
stabilization unit must allow an authorized department representative to enter
upon and inspect all of the premises for which a certification has been granted
or applied for under this chapter.
Sec. 977. (1) The department may deny
an application for certification under this chapter that does not meet all the
standards and requirements set forth by the department for a crisis
stabilization unit. The department may suspend or revoke a certification that
has been issued under this chapter if an applicant or a certified crisis
stabilization unit violates a provision of this chapter or a standard or
requirement set forth by the department under this chapter.
(2)
Before an order is entered denying a certification application or suspending or
revoking a certification previously granted, the applicant or party with a
certification must have an opportunity for a hearing. A hearing under this
section is subject to the provisions governing a contested case under the administrative
procedures act of 1969, 1969 PA 306, MCL 24.201 to 24.328.
Sec. 978. A crisis stabilization unit certified
under this chapter is exempt from the requirement of obtaining a certificate of
need.
Sec. 979. A crisis stabilization unit
must obtain and maintain accreditation from 1 of the following within 3 years
after initial certification or within 3 years after the effective date of the
amendatory act that added this chapter:
(a)
Behavioral health care accreditation for crisis stabilization from the Joint
Commission on Accreditation of Healthcare Organizations.
(b)
Behavioral health accreditation for crisis stabilization by the Commission on
Accreditation of Rehabilitation Facilities, CARF International.
(c) Accreditation from an organization with similar standards as the organizations described in subdivisions (a) and (b) that is approved by the director.
