S.F. 2161 Section 1. CHILDREN’S MENTAL HEALTH CRISIS SERVICES —— 1 PLANNING GRANTS. There is appropriated from the general fund 2 of the state to the department of human services for the fiscal 3 year beginning July 1, 2016, and ending June 30, 2017, the 4 following amount, or so much thereof as is necessary, to be 5 used for the purposes designated: 6 To contract for planning grants for the development and 7 implementation of children’s mental health crisis services: 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 300,000 9 1. The department of human services shall establish 10 a request for proposals process, in cooperation with the 11 departments of public health and education and the judicial 12 branch, which shall be based upon recommendations for 13 children’s mental health crisis services described in the 14 children’s mental health and well-being workgroup final report 15 submitted to the department on December 15, 2015. 16 2. Planning grants shall be awarded to two lead entities. 17 Each lead entity should be a member of a specifically 18 designated coalition of three to four other entities that 19 propose to serve different geographically defined areas of 20 the state, but a lead entity shall not be a mental health and 21 disability services region. 22 3. The request for proposals shall require each grantee to 23 develop a plan for children’s mental health crisis services for 24 the grantee’s defined geographic area that includes all of the 25 following: 26 a. Identification of the existing children’s mental health 27 crisis services in the defined area. 28 b. Identification of gaps in children’s mental health 29 crisis services in the defined area. 30 c. A plan for collection of data that demonstrates the 31 effects of children’s mental health crisis services through the 32 collection of outcome data and surveys of the children affected 33 and their families. 34 d. A method for using federal, state, and other funding 35 -1- LSB 5510SV (1) 86 rh/nh 1/ 6

S.F. 2161 including funding currently available, to implement and support 1 children’s mental health crisis services. 2 e. Utilization of collaborative processes developed from 3 the recommendations from the children’s mental health and 4 well-being workgroup final report submitted to the department 5 on December 15, 2015. 6 f. A recommendation for any additional state funding needed 7 to establish a children’s mental health crisis service system 8 in the defined area. 9 g. A recommendation for statewide standard requirements for 10 children’s mental health crisis services, as defined in the 11 children’s mental health and well-being workgroup final report 12 submitted to the department of human services on December 15, 13 2015, including but not limited to all of the following: 14 (1) Standardized primary care practitioner screenings. 15 (2) Standardized mental health crisis screenings. 16 (3) Standardized mental health and substance use disorder 17 assessments. 18 (4) Requirements for certain inpatient psychiatric 19 hospitals and psychiatric medical institutions for children to 20 accept and treat all children regardless of the acuity of their 21 condition. 22 4. Each grantee shall submit a report to the department by 23 December 15, 2016. The department shall combine the essentials 24 of each report and shall submit a report to the general 25 assembly by January 15, 2017, regarding the department’s 26 conclusions and recommendations. 27 Sec. 2. CHILDREN’S WELL-BEING LEARNING LABS. The 28 department of human services, utilizing existing departmental 29 resources and with the continued assistance of a private child 30 welfare foundation focused on improving child well-being, shall 31 study and collect data on emerging, collaborative efforts 32 in existing programs engaged in addressing well-being for 33 children with complex needs and their families in communities 34 across the state. The department shall establish guidelines 35 -2- LSB 5510SV (1) 86 rh/nh 2/ 6

S.F. 2161 based upon recommendations in the children’s mental health and 1 well-being workgroup final report submitted to the department 2 on December 15, 2015, to select three to five such programs 3 to be designated learning labs to enable the department 4 to engage in a multi-site learning process during the 2016 5 calendar year with a goal of creating an expansive structured 6 learning network. The department shall submit a report with 7 recommendations including lessons learned, suggested program 8 design refinements, and implications for funding, policy 9 changes, and best practices to the general assembly by January 10 15, 2017. 11 Sec. 3. DEPARTMENT OF HUMAN SERVICES —— ADDITIONAL 12 STUDY REPORTS. The department of human services shall, in 13 consultation with the department of public health, the mental 14 health and disability services commission, and the mental 15 health planning council, submit a report with recommendations 16 to the general assembly by December 15, 2016, regarding all of 17 the following: 18 1. The creation and implementation of a statewide 19 children’s mental health crisis service system to include but 20 not be limited to an inventory of all current children’s mental 21 health crisis service systems in the state including children’s 22 mental health crisis service system telephone lines. The 23 report shall include recommendations regarding proposed changes 24 to improve the effectiveness of and access to children’s mental 25 health crisis services. 26 2. The development and implementation of a children’s 27 mental health public education and awareness campaign that 28 targets the reduction of stigma for children with mental 29 illness and that supports children with mental illness and 30 their families in seeking effective treatment. The plan shall 31 include potential methods for funding such a campaign. 32 Sec. 4. CHILDREN’S MENTAL HEALTH AND WELL-BEING ADVISORY 33 COMMITTEE. The department of human services shall create and 34 provide support to a children’s mental health and well-being 35 -3- LSB 5510SV (1) 86 rh/nh 3/ 6

S.F. 2161 advisory committee to continue the coordinated efforts of 1 the children’s mental health subcommittee and the children’s 2 well-being subcommittee of the children’s mental health 3 and well-being workgroup. Consideration shall be given to 4 continued service by members of the children’s mental health 5 and well-being workgroup created pursuant to 2015 Iowa Acts, 6 ch. 137, and representatives from the departments of human 7 services, public health, and education; the judicial branch; 8 and other appropriate stakeholders designated by the director. 9 The advisory committee shall do all of the following: 10 1. Provide guidance regarding implementation of the 11 recommendations in the children’s mental health and well-being 12 workgroup final report submitted to the department on December 13 15, 2015, and subsequent reports required by this Act. 14 2. Select and study additional children’s well-being 15 learning labs to assure a continued commitment to joint 16 learning and comparison for all learning lab sites. 17 EXPLANATION 18 The inclusion of this explanation does not constitute agreement with 19 the explanation’s substance by the members of the general assembly. 20 This bill relates to children’s mental health and well-being 21 and makes appropriations. 22 CHILDREN’S MENTAL HEALTH CRISIS SERVICES —— PLANNING GRANTS. 23 The bill appropriates $300,000 from the general fund of the 24 state to the department of human services for FY 2016-2017 25 to contract for planning grants for the development and 26 implementation of children’s mental health crisis services. 27 The department is directed to establish a request for proposals 28 process, in cooperation with the departments of public 29 health and education and the judicial branch, which shall 30 be based upon recommendations for children’s mental health 31 crisis services described in the children’s mental health and 32 well-being workgroup final report submitted to the department 33 on December 15, 2015. Each grantee is required to develop 34 a plan for children’s mental health crisis services for 35 -4- LSB 5510SV (1) 86 rh/nh 4/ 6

S.F. 2161 the grantee’s defined geographic area that includes certain 1 requirements relating to existing children’s mental health 2 crisis services in the grantee’s geographic area. The plan 3 shall also include a recommendation for certain statewide 4 standard requirements for children’s mental health crisis 5 services. Each grantee is required to submit a report to 6 the department and the department is directed to combine 7 the essentials of each report and shall submit a report 8 to the general assembly by January 15, 2017, regarding the 9 department’s conclusions and recommendations. 10 CHILDREN’S WELL-BEING LEARNING LABS. The department 11 of human services is directed to study and collect data on 12 emerging, collaborative efforts in existing programs engaged 13 in addressing well-being for children with complex needs and 14 their families in communities across the state. The department 15 is required to establish guidelines based upon recommendations 16 in the children’s mental health and well-being workgroup final 17 report submitted to the department on December 15, 2015, to 18 select three to five such programs to be designated learning 19 labs to enable the department to engage in a multi-site 20 learning process during the 2016 calendar year with a goal 21 of creating an expansive structured learning network. The 22 department is required to submit a report with recommendations 23 to the general assembly by January 15, 2017. 24 DEPARTMENT OF HUMAN SERVICES —— ADDITIONAL STUDY REPORTS. 25 The department of human services, in consultation with the 26 department of public health, the mental health and disability 27 services commission, and the mental health planning council, 28 is required to submit a report with recommendations to the 29 general assembly by December 15, 2016, regarding the creation 30 and implementation of a statewide children’s mental health 31 crisis service system and the development and implementation 32 of a children’s mental health public education and awareness 33 campaign. 34 CHILDREN’S MENTAL HEALTH AND WELL-BEING ADVISORY COMMITTEE. 35 -5- LSB 5510SV (1) 86 rh/nh 5/ 6

S.F. 2161 The department of human services is directed to create and 1 provide support to a children’s mental health and well-being 2 advisory committee with consideration given to continued 3 service by members of the children’s mental health and 4 well-being workgroup, and others, to provide guidance regarding 5 implementation of the recommendations in the children’s mental 6 health and well-being workgroup final report and subsequent 7 reports required by the bill, and select and study additional 8 children’s well-being learning labs. 9 -6- LSB 5510SV (1) 86 rh/nh 6/ 6