This bill amends the Social Welfare Act to introduce new sections 109w and 109x, which establish a framework for funding certified community behavioral health clinics through a prospective payment system. Under section 109w, the Department of Health and Human Services is required to develop this payment system in compliance with federal law, ensuring it is implemented by October 1, 2027. The bill outlines various requirements for the payment system, including compliance with 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.

Section 109x introduces a review and approval process for new certified community behavioral health clinic sites, which will begin on January 1, 2028. This process is designed to prevent unnecessary duplication of services and ensure appropriate distribution of behavioral health services. The Department will consider factors such as the need for additional services, existing capacity, and potential oversaturation of providers in a geographic area when reviewing applications. Priority will be given to applications from community mental health services programs, and any newly approved sites must operate under the governance of these programs.

Statutes affected:
House Introduced Bill: 400.1, 400.119