This bill amends the Social Welfare Act by adding sections 109w and 109x, which establish a framework for funding certified community behavioral health clinics through a prospective payment system. The Department of Health and Human Services is tasked with developing this payment system in compliance with federal law, ensuring it is implemented by October 1, 2027. The bill outlines requirements for the payment system, including adherence to federal methodologies, the establishment of penalties for violations, and the necessity for legislative appropriations to fund the program. It also defines what constitutes a certified community behavioral health clinic and the payment methodology involved.

Additionally, section 109x introduces a review and approval process for new certified community behavioral health clinic sites, effective January 1, 2028. This process is designed to prevent unnecessary duplication of services and ensure appropriate distribution of behavioral health services. The Department will evaluate applications based on factors such as community need, existing service capacity, and potential oversaturation of providers. Priority will be given to applications from community mental health services programs, which must operate any newly approved clinics directly or under formal agreements.

Statutes affected:
Senate Introduced Bill: 400.1, 400.119