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To amend sections 340.01, 340.03, 340.08, 340.09, | 1 |
340.15, 5119.01, 5119.21, 5119.22, 5119.23, | 2 |
5119.25, and 5119.34 and to enact sections | 3 |
340.092, 340.20, 340.201, 5119.221, 5119.222, and | 4 |
5119.362 of the Revised Code, and to repeal | 5 |
Section 327.83 of Am. Sub. H.B. 59 of the 130th | 6 |
General Assembly, to establish requirements for | 7 |
boards of alcohol, drug addiction, and mental | 8 |
health services regarding treatment services for | 9 |
opioid and co-occurring drug addiction; to require | 10 |
adoption of rules regarding intake and resumption | 11 |
of service procedures for community alcohol and | 12 |
drug addiction services providers; to help defray | 13 |
payroll costs associated with a court's employment | 14 |
of drug court case managers; to provide a state | 15 |
share of the capital costs of recovery housing | 16 |
projects; and to make appropriations. | 17 |
Section 1. That sections 340.01, 340.03, 340.08, 340.09, | 18 |
340.15, 5119.01, 5119.21, 5119.22, 5119.23, 5119.25, and 5119.34 | 19 |
be amended and sections 340.092, 340.20, 340.201, 5119.221, | 20 |
5119.222, and 5119.362 of the Revised Code be enacted to read as | 21 |
follows: | 22 |
Sec. 340.01. (A) As used in this chapter | 23 |
(1) "Addiction," "addiction services," "alcohol and drug | 24 |
addiction services," "community addiction services provider," | 25 |
"community alcohol and drug addiction services provider," | 26 |
"community mental health services provider," "drug addiction," | 27 |
"gambling addiction services," "mental health services," and | 28 |
"mental illness" have the same meanings as in section 5119.01 of | 29 |
the Revised Code. | 30 |
(2) "Recovery housing" means housing for individuals | 31 |
recovering from drug addiction that provides an alcohol and | 32 |
drug-free living environment, peer support, assistance with | 33 |
obtaining drug addiction services, and other drug addiction | 34 |
recovery assistance. | 35 |
(B) An alcohol, drug addiction, and mental health service | 36 |
district shall be established in any county or combination of | 37 |
counties having a population of at least fifty thousand to provide | 38 |
addiction services and mental health services. With the approval | 39 |
of the director of mental health and addiction services, any | 40 |
county or combination of counties having a population of less than | 41 |
fifty thousand may establish such a district. Districts comprising | 42 |
more than one county shall be known as joint-county districts. | 43 |
The board of county commissioners of any county participating | 44 |
in a joint-county district may submit a resolution requesting | 45 |
withdrawal from the district together with a comprehensive plan or | 46 |
plans that are in compliance with rules adopted by the director of | 47 |
mental health and addiction services under section 5119.22 of the | 48 |
Revised Code, and that provide for the equitable adjustment and | 49 |
division of all services, assets, property, debts, and | 50 |
obligations, if any, of the joint-county district to the board of | 51 |
alcohol, drug addiction, and mental health services, to the boards | 52 |
of county commissioners of each county in the district, and to the | 53 |
54 | |
service district may withdraw from the district without the | 55 |
consent of the director of mental health and addiction services | 56 |
nor earlier than one year after the submission of such resolution | 57 |
unless all of the participating counties agree to an earlier | 58 |
withdrawal. Any county withdrawing from a joint-county district | 59 |
shall continue to have levied against its tax list and duplicate | 60 |
any tax levied by the district during the period in which the | 61 |
county was a member of the district until such time as the levy | 62 |
expires or is renewed or replaced. | 63 |
Sec. 340.03. (A) Subject to rules issued by the director of | 64 |
mental health and addiction services after consultation with | 65 |
relevant constituencies as required by division (A)(10) of section | 66 |
5119.21 of the Revised Code, the board of alcohol, drug addiction, | 67 |
and mental health services shall: | 68 |
(1) Serve as the community addiction and mental health | 69 |
services planning agency for the county or counties under its | 70 |
jurisdiction, and in so doing it shall: | 71 |
(a) Evaluate the need for facilities and community addiction | 72 |
and mental health services; | 73 |
(b) In cooperation with other local and regional planning and | 74 |
funding bodies and with relevant ethnic organizations, assess the | 75 |
community addiction and mental health needs, evaluate strengths | 76 |
and challenges, and set priorities for community addiction and | 77 |
mental health services, including treatment and prevention. When | 78 |
the board sets priorities for the operation of addiction services, | 79 |
the board shall consult with the county commissioners of the | 80 |
counties in the board's service district regarding the services | 81 |
described in section 340.15 of the Revised Code and shall give | 82 |
priority to those services, except that those services shall not | 83 |
have a priority over services provided to pregnant women under | 84 |
programs developed in relation to the mandate established in | 85 |
section 5119.17 of the Revised Code; | 86 |
(c) In accordance with guidelines issued by the director of | 87 |
mental health and addiction services after consultation with board | 88 |
representatives, annually develop and submit to the department of | 89 |
mental health and addiction services a community addiction and | 90 |
mental health services plan listing community addiction and mental | 91 |
health services needs, including the needs of all residents of the | 92 |
district currently receiving inpatient services in state-operated | 93 |
hospitals, the needs of other populations as required by state or | 94 |
federal law or programs, the needs of all children subject to a | 95 |
determination made pursuant to section 121.38 of the Revised Code, | 96 |
and priorities for facilities and community addiction and mental | 97 |
health services during the period for which the plan will be in | 98 |
effect. | 99 |
In alcohol, drug addiction, and mental health service | 100 |
districts that have separate alcohol and drug addiction services | 101 |
and community mental health boards, the alcohol and drug addiction | 102 |
services board shall submit a community addiction services plan | 103 |
and the community mental health board shall submit a community | 104 |
mental health services plan. Each board shall consult with its | 105 |
counterpart in developing its plan and address the interaction | 106 |
between the local addiction services and mental health services | 107 |
systems and populations with regard to needs and priorities in | 108 |
developing its plan. | 109 |
The department shall approve or disapprove the plan, in whole | 110 |
or in part, according to the criteria developed pursuant to | 111 |
section 5119.22 of the Revised Code. Eligibility for state and | 112 |
federal funding shall be contingent upon an approved plan or | 113 |
relevant part of a plan. | 114 |
If a board determines that it is necessary to amend a plan | 115 |
that has been approved under this division, the board shall submit | 116 |
a proposed amendment to the director. The director may approve or | 117 |
disapprove all or part of the amendment. The director shall inform | 118 |
the board of the reasons for disapproval of all or part of an | 119 |
amendment and of the criteria that must be met before the | 120 |
amendment may be approved. The director shall provide the board an | 121 |
opportunity to present its case on behalf of the amendment. The | 122 |
director shall give the board a reasonable time in which to meet | 123 |
the criteria, and shall offer the board technical assistance to | 124 |
help it meet the criteria. | 125 |
The board shall operate in accordance with the plan approved | 126 |
by the department. | 127 |
(d) Promote, arrange, and implement working agreements with | 128 |
social agencies, both public and private, and with judicial | 129 |
agencies. | 130 |
(2) Investigate, or request another agency to investigate, | 131 |
any complaint alleging abuse or neglect of any person receiving | 132 |
services from a community addiction or mental health services | 133 |
provider certified under section 5119.36 of the Revised Code or | 134 |
alleging abuse or neglect of a resident receiving addiction | 135 |
services or with mental illness or severe mental disability | 136 |
residing in a residential facility licensed under section 5119.34 | 137 |
of the Revised Code. If the investigation substantiates the charge | 138 |
of abuse or neglect, the board shall take whatever action it | 139 |
determines is necessary to correct the situation, including | 140 |
notification of the appropriate authorities. Upon request, the | 141 |
board shall provide information about such investigations to the | 142 |
department. | 143 |
(3) For the purpose of section 5119.36 of the Revised Code, | 144 |
cooperate with the director of mental health and addiction | 145 |
services in visiting and evaluating whether the services of a | 146 |
community addiction or mental health services provider satisfy the | 147 |
certification standards established by rules adopted under that | 148 |
section; | 149 |
(4) In accordance with criteria established under division | 150 |
(E) of section 5119.22 of the Revised Code, conduct program audits | 151 |
that review and evaluate the quality, effectiveness, and | 152 |
efficiency of services provided through its community addiction | 153 |
and mental health contracted services and submit its findings and | 154 |
recommendations to the department of mental health and addiction | 155 |
services; | 156 |
(5) In accordance with section 5119.34 of the Revised Code, | 157 |
review an application for a residential facility license and | 158 |
provide to the department of mental health and addiction services | 159 |
any information about the applicant or facility that the board | 160 |
would like the department to consider in reviewing the | 161 |
application; | 162 |
(6) Audit, in accordance with rules adopted by the auditor of | 163 |
state pursuant to section 117.20 of the Revised Code, at least | 164 |
annually all programs and services provided under contract with | 165 |
the board. In so doing, the board may contract for or employ the | 166 |
services of private auditors. A copy of the fiscal audit report | 167 |
shall be provided to the director of mental health and addiction | 168 |
services, the auditor of state, and the county auditor of each | 169 |
county in the board's district. | 170 |
(7) Recruit and promote local financial support for addiction | 171 |
and mental health services from private and public sources; | 172 |
(8)(a) Enter into contracts with public and private | 173 |
facilities for the operation of facility services and enter into | 174 |
contracts with public and private community addiction and mental | 175 |
health service providers for the provision of community addiction | 176 |
and mental health services. The board may not contract with a | 177 |
residential facility subject to section 5119.34 of the Revised | 178 |
Code unless the facility is licensed by the director of mental | 179 |
health and addiction services and may not contract with a | 180 |
community addiction or mental health services provider to provide | 181 |
community addiction or mental health services unless the services | 182 |
are certified by the director of mental health and addiction | 183 |
services under section 5119.36 of the Revised Code. Section 307.86 | 184 |
of the Revised Code does not apply to contracts entered into under | 185 |
this division. In contracting with a community addiction or mental | 186 |
health services provider, a board shall consider the cost | 187 |
effectiveness of services provided by that provider and the | 188 |
quality and continuity of care, and may review cost elements, | 189 |
including salary costs, of the services to be provided. A | 190 |
utilization review process may be established as part of the | 191 |
contract for services entered into between a board and a community | 192 |
addiction or mental health services provider. The board may | 193 |
establish this process in a way that is most effective and | 194 |
efficient in meeting local needs. | 195 |
If either the board or a facility or community addiction or | 196 |
mental health services provider with which the board contracts | 197 |
under this division proposes not to renew the contract or proposes | 198 |
substantial changes in contract terms, the other party shall be | 199 |
given written notice at least one hundred twenty days before the | 200 |
expiration date of the contract. During the first sixty days of | 201 |
this one hundred twenty-day period, both parties shall attempt to | 202 |
resolve any dispute through good faith collaboration and | 203 |
negotiation in order to continue to provide services to persons in | 204 |
need. If the dispute has not been resolved sixty days before the | 205 |
expiration date of the contract, either party may notify the | 206 |
department of mental health and addiction services of the | 207 |
unresolved dispute. The director may require both parties to | 208 |
submit the dispute to a third party with the cost to be shared by | 209 |
the board and the facility or provider. The third party shall | 210 |
issue to the board, the facility or provider, and the department | 211 |
recommendations on how the dispute may be resolved twenty days | 212 |
prior to the expiration date of the contract, unless both parties | 213 |
agree to a time extension. The director shall adopt rules | 214 |
establishing the procedures of this dispute resolution process. | 215 |
(b) With the prior approval of the director of mental health | 216 |
and addiction services, a board may operate a facility or provide | 217 |
a community addiction or mental health service as follows, if | 218 |
there is no other qualified private or public facility or | 219 |
community addiction or mental health services provider that is | 220 |
immediately available and willing to operate such a facility or | 221 |
provide the service: | 222 |
(i) In an emergency situation, any board may operate a | 223 |
facility or provide a community addiction or mental health service | 224 |
in order to provide essential services for the duration of the | 225 |
emergency; | 226 |
(ii) In a service district with a population of at least one | 227 |
hundred thousand but less than five hundred thousand, a board may | 228 |
operate a facility or provide a community addiction or mental | 229 |
health service for no longer than one year; | 230 |
(iii) In a service district with a population of less than | 231 |
one hundred thousand, a board may operate a facility or provide a | 232 |
community addiction or mental health service for no longer than | 233 |
one year, except that such a board may operate a facility or | 234 |
provide a community addiction or mental health service for more | 235 |
than one year with the prior approval of the director and the | 236 |
prior approval of the board of county commissioners, or of a | 237 |
majority of the boards of county commissioners if the district is | 238 |
a joint-county district. | 239 |
The director shall not give a board approval to operate a | 240 |
facility or provide a community addiction or mental health service | 241 |
under division (A)(8)(b)(ii) or (iii) of this section unless the | 242 |
director determines that it is not feasible to have the department | 243 |
operate the facility or provide the service. | 244 |
The director shall not give a board approval to operate a | 245 |
facility or provide a community addiction or mental health service | 246 |
under division (A)(8)(b)(iii) of this section unless the director | 247 |
determines that the board will provide greater administrative | 248 |
efficiency and more or better services than would be available if | 249 |
the board contracted with a private or public facility or | 250 |
community addiction or mental health services provider. | 251 |
The director shall not give a board approval to operate a | 252 |
facility previously operated by a person or other government | 253 |
entity unless the board has established to the director's | 254 |
satisfaction that the person or other government entity cannot | 255 |
effectively operate the facility or that the person or other | 256 |
government entity has requested the board to take over operation | 257 |
of the facility. The director shall not give a board approval to | 258 |
provide a community addiction or mental health service previously | 259 |
provided by a community addiction or mental health services | 260 |
provider unless the board has established to the director's | 261 |
satisfaction that the provider cannot effectively provide the | 262 |
service or that the provider has requested the board take over | 263 |
providing the service. | 264 |
The director shall review and evaluate a board's operation of | 265 |
a facility and provision of community addiction or mental health | 266 |
service under division (A)(8)(b) of this section. | 267 |
Nothing in division (A)(8)(b) of this section authorizes a | 268 |
board to administer or direct the daily operation of any facility | 269 |
or community addiction or mental health services provider, but a | 270 |
facility or provider may contract with a board to receive | 271 |
administrative services or staff direction from the board under | 272 |
the direction of the governing body of the facility or provider. | 273 |
(9) Approve fee schedules and related charges or adopt a unit | 274 |
cost schedule or other methods of payment for contract services | 275 |
provided by community addiction or mental health services | 276 |
providers in accordance with guidelines issued by the department | 277 |
as necessary to comply with state and federal laws pertaining to | 278 |
financial assistance; | 279 |
(10) Submit to the director and the county commissioners of | 280 |
the county or counties served by the board, and make available to | 281 |
the public, an annual report of the services under the | 282 |
jurisdiction of the board, including a fiscal accounting; | 283 |
(11) Establish, to the extent resources are available, a full | 284 |
spectrum of care for all levels of treatment services for opioid | 285 |
and co-occurring drug addiction and a continuum of care | 286 |
287 | |
treatment, support, and rehabilitation services and opportunities. | 288 |
The essential elements of the full spectrum and continuum of care | 289 |
include | 290 |
accordance with section 5119.21 of the Revised Code: | 291 |
(a) To locate persons in need of addiction or mental health | 292 |
services to inform them of available services and benefits; | 293 |
(b) Assistance for persons receiving services to obtain | 294 |
services necessary to meet basic human needs for food, clothing, | 295 |
shelter, medical care, personal safety, and income; | 296 |
(c) Addiction and mental health services | 297 |
298 | |
where appropriate, inpatient care; | 299 |
(d) Emergency services and crisis intervention; | 300 |
(e) Assistance for persons receiving services to obtain | 301 |
vocational services and opportunities for jobs; | 302 |
(f) The provision of services designed to develop social, | 303 |
community, and personal living skills; | 304 |
(g) Access to a wide range of housing and the provision of | 305 |
residential treatment and support; | 306 |
(h) Support, assistance, consultation, and education for | 307 |
families, friends, persons receiving addiction or mental health | 308 |
services, and others; | 309 |
(i) Recognition and encouragement of families, friends, | 310 |
neighborhood networks, especially networks that include racial and | 311 |
ethnic minorities, churches, community organizations, and | 312 |
community employment as natural supports for persons receiving | 313 |
addiction or mental health services; | 314 |
(j) Grievance procedures and protection of the rights of | 315 |
persons receiving addiction or mental health services; | 316 |
(k) Community psychiatric supportive treatment services, | 317 |
which includes continual individualized assistance and advocacy to | 318 |
ensure that needed services are offered and procured; | 319 |
(l) Any additional component the department determines is | 320 |
necessary to establish a full spectrum of care for all levels of | 321 |
treatment services for opioid and co-occurring drug addiction and | 322 |
a continuum of care for other services. | 323 |
(12) Establish a method for evaluating referrals for | 324 |
involuntary commitment and affidavits filed pursuant to section | 325 |
5122.11 of the Revised Code in order to assist the probate | 326 |
division of the court of common pleas in determining whether there | 327 |
is probable cause that a respondent is subject to involuntary | 328 |
hospitalization and what alternative treatment is available and | 329 |
appropriate, if any; | 330 |
(13) Designate the treatment services, provider, facility, or | 331 |
other placement for each person involuntarily committed to the | 332 |
board pursuant to Chapter 5122. of the Revised Code. The board | 333 |
shall provide the least restrictive and most appropriate | 334 |
alternative that is available for any person involuntarily | 335 |
committed to it and shall assure that the listed services | 336 |
submitted and approved in accordance with division (B) of section | 337 |
340.08 of the Revised Code are available to severely mentally | 338 |
disabled persons residing within its service district. The board | 339 |
shall establish the procedure for authorizing payment for | 340 |
services, which may include prior authorization in appropriate | 341 |
circumstances. The board may provide for services directly to a | 342 |
severely mentally disabled person when life or safety is | 343 |
endangered and when no community mental health services provider | 344 |
is available to provide the service. | 345 |
(14) Ensure that apartments or rooms built, subsidized, | 346 |
renovated, rented, owned, or leased by the board or a community | 347 |
addiction or mental health services provider have been approved as | 348 |
meeting minimum fire safety standards and that persons residing in | 349 |
the rooms or apartments are receiving appropriate and necessary | 350 |
services, including culturally relevant services, from a community | 351 |
addiction or mental health services provider. This division does | 352 |
not apply to residential facilities licensed pursuant to section | 353 |
5119.34 of the Revised Code. | 354 |
(15) Establish a mechanism for obtaining advice and | 355 |
involvement of persons receiving publicly funded addiction or | 356 |
mental health services on matters pertaining to addiction and | 357 |
mental health services in the alcohol, drug addiction, and mental | 358 |
health service district; | 359 |
(16) Perform the duties required by rules adopted under | 360 |
section 5119.22 of the Revised Code regarding referrals by the | 361 |
board or mental health services providers under contract with the | 362 |
board of individuals with mental illness or severe mental | 363 |
disability to residential facilities as defined in division | 364 |
(A)(9)(b)(iii) of section 5119.34 of the Revised Code and | 365 |
effective arrangements for ongoing mental health services for the | 366 |
individuals. The board is accountable in the manner specified in | 367 |
the rules for ensuring that the ongoing mental health services are | 368 |
effectively arranged for the individuals. | 369 |
(B) The board shall establish such rules, operating | 370 |
procedures, standards, and bylaws, and perform such other duties | 371 |
as may be necessary or proper to carry out the purposes of this | 372 |
chapter. | 373 |
(C) A board of alcohol, drug addiction, and mental health | 374 |
services may receive by gift, grant, devise, or bequest any | 375 |
moneys, lands, or property for the benefit of the purposes for | 376 |
which the board is established, and may hold and apply it | 377 |
according to the terms of the gift, grant, or bequest. All money | 378 |
received, including accrued interest, by gift, grant, or bequest | 379 |
shall be deposited in the treasury of the county, the treasurer of | 380 |
which is custodian of the alcohol, drug addiction, and mental | 381 |
health services funds to the credit of the board and shall be | 382 |
available for use by the board for purposes stated by the donor or | 383 |
grantor. | 384 |
(D) No board member or employee of a board of alcohol, drug | 385 |
addiction, and mental health services shall be liable for injury | 386 |
or damages caused by any action or inaction taken within the scope | 387 |
of the board member's official duties or the employee's | 388 |
employment, whether or not such action or inaction is expressly | 389 |
authorized by this section or any other section of the Revised | 390 |
Code, unless such action or inaction constitutes willful or wanton | 391 |
misconduct. Chapter 2744. of the Revised Code applies to any | 392 |
action or inaction by a board member or employee of a board taken | 393 |
within the scope of the board member's official duties or | 394 |
employee's employment. For the purposes of this division, the | 395 |
conduct of a board member or employee shall not be considered | 396 |
willful or wanton misconduct if the board member or employee acted | 397 |
in good faith and in a manner that the board member or employee | 398 |
reasonably believed was in or was not opposed to the best | 399 |
interests of the board and, with respect to any criminal action or | 400 |
proceeding, had no reasonable cause to believe the conduct was | 401 |
unlawful. | 402 |
(E) The meetings held by any committee established by a board | 403 |
of alcohol, drug addiction, and mental health services shall be | 404 |
considered to be meetings of a public body subject to section | 405 |
121.22 of the Revised Code. | 406 |
Sec. 340.08. In accordance with rules or guidelines issued | 407 |
by the director of mental health and addiction services, each | 408 |
board of alcohol, drug addiction, and mental health services shall | 409 |
do all of the following: | 410 |
(A) Submit to the department of mental health and addiction | 411 |
services a report of receipts and expenditures for all federal, | 412 |
state, and local moneys the board expects to receive | 413 |
(1) The report shall identify funds the board has available | 414 |
for the full spectrum of care for all levels of treatment services | 415 |
for opioid and co-occurring drug addiction required by division | 416 |
(C) of section 340.09 of the Revised Code. | 417 |
(2) The report shall identify funds the board and public | 418 |
children services agencies in the board's service district have | 419 |
available to fund jointly the services described in section 340.15 | 420 |
of the Revised Code. | 421 |
| 422 |
and federal funds distributed to the board by the department shall | 423 |
be deemed an application for funds, and the department shall | 424 |
approve or disapprove the budget for these expenditures. The | 425 |
department shall inform the board of the reasons for disapproval | 426 |
of the budget for the expenditure of state and federal funds and | 427 |
of the criteria that must be met before the budget may be | 428 |
approved. The director shall provide the board an opportunity to | 429 |
present its case on behalf of the submitted budget. The director | 430 |
shall give the board a reasonable time in which to meet the | 431 |
criteria and shall offer the board technical assistance to help it | 432 |
meet the criteria. | 433 |
If a board determines that it is necessary to amend a budget | 434 |
that has been approved under this section, the board shall submit | 435 |
a proposed amendment to the director. The director may approve or | 436 |
disapprove all or part of the amendment. The director shall inform | 437 |
the board of the reasons for disapproval of all or part of the | 438 |
amendment and of the criteria that must be met before the | 439 |
amendment may be approved. The director shall provide the board an | 440 |
opportunity to present its case on behalf of the amendment. The | 441 |
director shall give the board a reasonable time in which to meet | 442 |
the criteria and shall offer the board technical assistance to | 443 |
help it meet the criteria. | 444 |
| 445 |
in whole or in part, may withhold funds otherwise to be allocated | 446 |
to a board of alcohol, drug addiction, and mental health services | 447 |
under Chapter 5119. of the Revised Code if the board's use of | 448 |
state and federal funds fails to comply with the approved budget, | 449 |
as it may be amended with the approval of the department. However, | 450 |
the director shall withhold all such funds from the board if the | 451 |
board fails to make the full spectrum of care for all levels of | 452 |
treatment services for opioid and co-occurring drug addiction | 453 |
available in the board's district in accordance with division (C) | 454 |
of section 340.09 of the Revised Code. | 455 |
(B) Submit to the department a statement identifying the | 456 |
services described in section 340.09 of the Revised Code the board | 457 |
intends to make available. The board shall include the full | 458 |
spectrum of care for all levels of treatment services for opioid | 459 |
and co-occurring drug addiction required by division (C) of | 460 |
section 340.09 of the Revised Code, crisis intervention services | 461 |
for individuals in emergency situations, and services required | 462 |
pursuant to section 340.15 of the Revised Code | 463 |
shall explain the manner in which the board intends to make such | 464 |
services available. The list of services shall be compatible with | 465 |
the budget submitted pursuant to division (A) of this section. The | 466 |
department shall approve or disapprove the proposed listing of | 467 |
services to be made available. The department shall inform the | 468 |
board of the reasons for disapproval of the listing of proposed | 469 |
services and of the criteria that must be met before listing of | 470 |
proposed services may be approved. The director shall provide the | 471 |
board an opportunity to present its case on behalf of the | 472 |
submitted listing of proposed services. The director shall give | 473 |
the board a reasonable time in which to meet the criteria and | 474 |
shall offer the board technical assistance to help it meet the | 475 |
criteria. | 476 |
(C) Enter into a continuity of care agreement with the state | 477 |
institution operated by the department of mental health and | 478 |
addiction services and designated as the institution serving the | 479 |
district encompassing the board's service district. The continuity | 480 |
of care agreement shall outline the department's and the board's | 481 |
responsibilities to plan for and coordinate with each other to | 482 |
address the needs of board residents who are patients in the | 483 |
institution, with an emphasis on managing appropriate hospital bed | 484 |
day use and discharge planning. The continuity of care agreement | 485 |
shall not require the board to provide services other than those | 486 |
on the list of services submitted by the board and approved by the | 487 |
department pursuant to division (B) of this section. | 488 |
(D) In conjunction with the department of mental health and | 489 |
addiction services, operate a coordinated system for tracking and | 490 |
monitoring persons found not guilty by reason of insanity and | 491 |
committed pursuant to section 2945.40 of the Revised Code who have | 492 |
been granted a conditional release and persons found incompetent | 493 |
to stand trial and committed pursuant to section 2945.39 of the | 494 |
Revised Code who have been granted a conditional release. The | 495 |
system shall do all of the following: | 496 |
(1) Centralize responsibility for the tracking of those | 497 |
persons; | 498 |
(2) Provide for uniformity in monitoring those persons; | 499 |
(3) Provide a mechanism to allow prompt rehospitalization, | 500 |
reinstitutionalization, or detention when a violation of the | 501 |
conditional release or decompensation occurs. | 502 |
(E) Submit to the department a report summarizing complaints | 503 |
and grievances received by the board concerning the rights of | 504 |
persons seeking or receiving services, investigations of | 505 |
complaints and grievances, and outcomes of the investigations. | 506 |
(F) Provide to the department information to be submitted to | 507 |
the community addiction and mental health information system or | 508 |
systems established by the department under Chapter 5119. of the | 509 |
Revised Code. | 510 |
(G) Annually, and upon any change in membership, submit to | 511 |
the department a list of all current members of the board of | 512 |
alcohol, drug addiction, and mental health services, including the | 513 |
appointing authority for each member, and the member's specific | 514 |
qualification for appointment pursuant to section 340.02 or | 515 |
340.021 of the Revised Code, if applicable. | 516 |
(H) Submit to the department other information as is | 517 |
reasonably required for purposes of the department's operations, | 518 |
service evaluation, reporting activities, research, system | 519 |
administration, and oversight. | 520 |
Sec. 340.09. (A) As used in this section, | 521 |
"medication-assisted treatment" means alcohol and drug addiction | 522 |
services that are accompanied by medication approved by the United | 523 |
States food and drug administration for the treatment of drug | 524 |
addiction, prevention of a relapse of drug addiction, or both. | 525 |
(B) The department of mental health and addiction services | 526 |
shall provide assistance to any county for | 527 |
following from funds the general assembly appropriates for these | 528 |
purposes: | 529 |
(1) The operation of | 530 |
addiction, and mental health services | 531 |
serving the county; | 532 |
(2) The full spectrum of care for all levels of treatment | 533 |
services for opioid and co-occurring drug addiction that are | 534 |
approved by the department and made available in the county by the | 535 |
board serving the county; | 536 |
(3) The continuum of care for other services that are | 537 |
approved by the department
| 538 |
made available in the county by the board serving the county; | 539 |
(4) The provision of approved support functions | 540 |
(5) The partnership in, or support for, | 541 |
542 | |
543 | |
of treatment services for opioid and co-occurring drug addiction | 544 |
and the continuum of care of other services. | 545 |
| 546 |
services for opioid and co-occurring drug addiction shall include | 547 |
at least ambulatory and sub-acute detoxification, non-intensive | 548 |
and intensive outpatient services, medication-assisted treatment, | 549 |
peer mentoring, residential treatment services, recovery housing | 550 |
pursuant to section 340.092 of the Revised Code, and twelve-step | 551 |
approaches. The treatment services shall be made available in the | 552 |
service district of each board, except that a treatment consisting | 553 |
of sub-acute detoxification or residential treatment services for | 554 |
opioid and co-occurring drug addiction is not required to be | 555 |
available in a board's service district if the board has a | 556 |
contract with one or more providers of sub-acute detoxification or | 557 |
residential treatment services for opioid and co-occurring drug | 558 |
addiction located in other service districts. The treatment | 559 |
services shall be made available in a manner that ensures that | 560 |
service recipients are able to access the services they need for | 561 |
opioid and co-occurring drug addiction in an integrated manner and | 562 |
without delay when changing or obtaining additional treatment | 563 |
services for such addiction. A treatment service for opioid and | 564 |
co-occurring drug addiction shall not be excluded from the full | 565 |
spectrum of care on the basis that the treatment service | 566 |
previously failed. | 567 |
(D) Categories in the continuum of care for other services | 568 |
may include the following: | 569 |
(1) Inpatient; | 570 |
(2) Sub-acute detoxification; | 571 |
(3) Residential; | 572 |
| 573 |
| 574 |
| 575 |
| 576 |
| 577 |
(1) Consultation; | 578 |
(2) Research; | 579 |
(3) Administrative; | 580 |
(4) Referral and information; | 581 |
(5) Training; | 582 |
(6) Service and program evaluation. | 583 |
Sec. 340.092. All of the following apply to the recovery | 584 |
housing that each board of alcohol, drug addiction, and mental | 585 |
health services shall include in the full spectrum of care for all | 586 |
levels of treatment services for opioid and co-occurring drug | 587 |
addiction under division (C) of section 340.09 of the Revised | 588 |
Code: | 589 |
(A) The recovery housing shall be owned and operated by a | 590 |
community alcohol and drug addiction services provider or other | 591 |
local nongovernmental organization (including a peer-run recovery | 592 |
organization), as appropriate to the needs of the board's service | 593 |
district. | 594 |
(B) The recovery housing shall have protocols for all of the | 595 |
following: | 596 |
(1) Administrative oversight; | 597 |
(2) Quality standards; | 598 |
(3) Policies and procedures, including house rules, for its | 599 |
residents to which the residents must agree to adhere. | 600 |
(C) Individuals recovering from opioid or co-occurring drug | 601 |
addiction shall have priority in admission to the recovery | 602 |
housing, but an individual recovering from other drug addictions | 603 |
may be admitted if an available slot is not needed for an | 604 |
individual recovering from opioid or co-occurring drug addiction. | 605 |
(D) Family members of the recovery housing's residents may | 606 |
reside in the recovery housing to the extent the recovery | 607 |
housing's protocols permit. | 608 |
(E) The recovery housing shall not limit a resident's | 609 |
duration of stay to an arbitrary or fixed amount of time. Instead, | 610 |
each resident's duration of stay shall be determined by the | 611 |
resident's needs, progress, and willingness to abide by the | 612 |
recovery housing's protocols, in collaboration with the recovery | 613 |
housing's owner, and, if appropriate, in consultation and | 614 |
integration with another community alcohol and drug addiction | 615 |
services provider. | 616 |
(F) The recovery housing is not subject to licensure or | 617 |
certification by the department of mental health and addiction | 618 |
services under Chapter 5119. of the Revised Code, including as a | 619 |
community addiction services provider. | 620 |
Sec. 340.15. (A) A public children services agency that | 621 |
identifies a child by a risk assessment conducted pursuant to | 622 |
section 5153.16 of the Revised Code as being at imminent risk of | 623 |
being abused or neglected because of an addiction of a parent, | 624 |
guardian, or custodian of the child to a drug of abuse or alcohol | 625 |
shall refer the child's addicted parent, guardian, or custodian | 626 |
and, if the agency determines that the child needs alcohol or | 627 |
other drug addiction services, the child to a community addiction | 628 |
services provider certified by the department of mental health and | 629 |
addiction services under section 5119.36 of the Revised Code. A | 630 |
public children services agency that is sent a court order issued | 631 |
pursuant to division (B) of section 2151.3514 of the Revised Code | 632 |
shall refer the addicted parent or other caregiver of the child | 633 |
identified in the court order to a community addiction services | 634 |
provider certified by the department of mental health and | 635 |
addiction services under section 5119.36 of the Revised Code. On | 636 |
receipt of a referral under this division and to the extent | 637 |
funding identified under division (A) | 638 |
the Revised Code is available, the provider shall provide the | 639 |
following services to the addicted parent, guardian, custodian, or | 640 |
caregiver and child in need of addiction services: | 641 |
(1) If it is determined pursuant to an initial screening to | 642 |
be needed, assessment and appropriate treatment; | 643 |
(2) Documentation of progress in accordance with a treatment | 644 |
plan developed for the addicted parent, guardian, custodian, | 645 |
caregiver, or child; | 646 |
(3) If the referral is based on a court order issued pursuant | 647 |
to division (B) of section 2151.3514 of the Revised Code and the | 648 |
order requires the specified parent or other caregiver of the | 649 |
child to submit to alcohol or other drug testing during, after, or | 650 |
both during and after, treatment, testing in accordance with the | 651 |
court order. | 652 |
(B) The services described in division (A) of this section | 653 |
shall have a priority as provided in the addiction and mental | 654 |
health services plan and budget established pursuant to sections | 655 |
340.03 and 340.08 of the Revised Code. Once a referral has been | 656 |
received pursuant to this section, the public children services | 657 |
agency and the addiction services provider shall, in accordance | 658 |
with 42 C.F.R. Part 2, share with each other any information | 659 |
concerning the persons and services described in that division | 660 |
that the agency and provider determine are necessary to share. If | 661 |
the referral is based on a court order issued pursuant to division | 662 |
(B) of section 2151.3514 of the Revised Code, the results and | 663 |
recommendations of the addiction services provider also shall be | 664 |
provided and used as described in division (D) of that section. | 665 |
Information obtained or maintained by the agency or provider | 666 |
pursuant to this section that could enable the identification of | 667 |
any person described in division (A) of this section is not a | 668 |
public record subject to inspection or copying under section | 669 |
149.43 of the Revised Code. | 670 |
Sec. 340.20. (A) In accordance with rules adopted under | 671 |
section 5119.221 of the Revised Code, each community alcohol and | 672 |
drug addiction services provider shall do all of the following: | 673 |
(1) Maintain, in an aggregate form, a waiting list of | 674 |
individuals to whom all of the following apply: | 675 |
(a) The individual has been documented as needing alcohol and | 676 |
drug addiction services due to an opioid or co-occurring drug | 677 |
addiction. | 678 |
(b) The individual has applied to the provider for a | 679 |
treatment service included in the full spectrum of care required | 680 |
by division (C) of section 340.09 of the Revised Code. | 681 |
(c) The individual has not begun to receive the treatment | 682 |
service within five days of the individual's application for the | 683 |
service because the provider lacks an available slot for the | 684 |
individual. | 685 |
(2) Notify an individual included on the provider's waiting | 686 |
list when the provider has a slot available for the individual | 687 |
and, if the individual does not contact the provider about the | 688 |
slot within a period of time specified in the rules, contact the | 689 |
individual to determine why the individual did not contact the | 690 |
provider and to assess whether the individual still needs the | 691 |
treatment service; | 692 |
(3) Subject to divisions (B) and (C) of this section, report | 693 |
all of the following information each month to the board of | 694 |
alcohol, drug addiction, and mental health services that serves | 695 |
the county or counties in which the provider provides alcohol and | 696 |
drug addiction services: | 697 |
(a) An unduplicated count of all individuals who reside in a | 698 |
county that the board serves and were included on the provider's | 699 |
waiting list as of the last day of the immediately preceding month | 700 |
and each type of treatment service for which they were waiting; | 701 |
(b) The total number of days all such individuals had been on | 702 |
the provider's waiting list as of the last day of the immediately | 703 |
preceding month; | 704 |
(c) The last known types of residential settings in which all | 705 |
such individuals resided as of the last day of the immediately | 706 |
preceding month; | 707 |
(d) The number of all such individuals who did not contact | 708 |
the provider after receiving, during the immediately preceding | 709 |
month, the notices under division (A)(2) of this section about the | 710 |
provider having slots available for the individuals, and the | 711 |
reasons why the contacts were not made; | 712 |
(e) The number of all such individuals who withdrew, in the | 713 |
immediately preceding month, their applications for the treatment | 714 |
services, each type of treatment service for which those | 715 |
individuals had applied, and the reasons the applications were | 716 |
withdrawn; | 717 |
(f) All other information specified in the rules. | 718 |
(B) If a community alcohol and drug addiction services | 719 |
provider provides alcohol and drug addiction services in more than | 720 |
one county and those counties are served by different boards of | 721 |
alcohol, drug addiction, and mental health services, the provider | 722 |
shall provide separate reports under division (C)(3) of this | 723 |
section to each of the boards serving the counties in which the | 724 |
provider provides the services. The report provided to a board | 725 |
shall be specific to the county or counties the board serves and | 726 |
not include information for individuals residing in other | 727 |
counties. | 728 |
(C) Each report that a community alcohol and drug addiction | 729 |
services provider provides to a board of alcohol, drug addiction, | 730 |
and mental health services under this section shall do all of the | 731 |
following: | 732 |
(1) Maintain the confidentiality of all individuals for whom | 733 |
information is included in the report; | 734 |
(2) For the purpose of the information reported under | 735 |
division (A)(3)(c) of this section, identify the types of | 736 |
residential settings at least as either institutional or | 737 |
noninstitutional. | 738 |
(3) If the report is provided to a board that serves more | 739 |
than one county, present the information included in the report in | 740 |
a manner that is broken down for each of the counties the board | 741 |
serves. | 742 |
Sec. 340.201. (A) In accordance with the rules adopted under | 743 |
section 5119.221 of the Revised Code, each board of alcohol, drug | 744 |
addiction, and mental health services monthly shall do all of the | 745 |
following: | 746 |
(1) Compile on an aggregate basis the information the board | 747 |
receives that month from community alcohol and drug addiction | 748 |
services providers under section 340.20 of the Revised Code; | 749 |
(2) Determine the number of applications for a treatment | 750 |
service included in the full spectrum of care required by division | 751 |
(C) of section 340.09 of the Revised Code that the board received | 752 |
in the immediately preceding month and that the board denied that | 753 |
month, each type of treatment service so denied, and the reasons | 754 |
for the denials; | 755 |
(3) Subject to division (B) of this section, report all of | 756 |
the following to the department of mental health and addiction | 757 |
services: | 758 |
(a) The information that the board compiles under division | 759 |
(A)(1) of this section that month; | 760 |
(b) The information that the board determines under division | 761 |
(A)(2) of this section that month; | 762 |
(c) All other information required by the rules. | 763 |
(B) Each board shall report the information required by | 764 |
division (A)(3) of this section as follows: | 765 |
(1) In an electronic format; | 766 |
(2) In a manner that maintains the confidentiality of all | 767 |
individuals for whom information is included in the report; | 768 |
(3) In a manner that presents the information about the | 769 |
individuals whose information is included in the report by their | 770 |
counties of residence. | 771 |
Sec. 5119.01. (A) As used in this chapter: | 772 |
(1) "Addiction" means the chronic and habitual use of | 773 |
alcoholic beverages, the use of a drug of abuse as defined in | 774 |
section 3719.011 of the Revised Code, or the use of gambling by an | 775 |
individual to the extent that the individual no longer can control | 776 |
the individual's use of alcohol, the individual becomes physically | 777 |
or psychologically dependent on the drug, the individual's use of | 778 |
alcohol or drugs endangers the health, safety, or welfare of the | 779 |
individual or others, or the individual's gambling causes | 780 |
psychological, financial, emotional, marital, legal, or other | 781 |
difficulties endangering the health, safety, or welfare of the | 782 |
individual or others. | 783 |
(2) "Addiction services" means services, including | 784 |
intervention, for the treatment of persons with alcohol, drug, or | 785 |
gambling addictions, and for the prevention of such addictions. | 786 |
(3) "Alcohol and drug addiction services" means services, | 787 |
including intervention, for the treatment of alcoholics or persons | 788 |
who abuse drugs of abuse and for the prevention of alcoholism and | 789 |
drug addiction. | 790 |
(4) "Alcoholic" means a person suffering from alcoholism. | 791 |
(5) "Alcoholism" means the chronic and habitual use of | 792 |
alcoholic beverages by an individual to the extent that the | 793 |
individual no longer can control the individual's use of alcohol | 794 |
or endangers the health, safety, or welfare of the individual or | 795 |
others. | 796 |
(6) "Community addiction services provider" means an agency, | 797 |
association, corporation, individual, or program that provides | 798 |
community alcohol, drug addiction, or gambling addiction services | 799 |
that are certified by the department of mental health and | 800 |
addiction services under section 5119.36 of the Revised Code. | 801 |
(7) "Community alcohol and drug addiction services provider" | 802 |
means an agency, association, corporation, individual, or program | 803 |
that provides community alcohol and drug addiction services that | 804 |
are certified by the department of mental health and addiction | 805 |
services under section 5119.36 of the Revised Code. | 806 |
(8) "Community mental health services provider" means an | 807 |
agency, association, corporation, individual, or program that | 808 |
provides community mental health services that are certified by | 809 |
the department of mental health and addiction services under | 810 |
section 5119.36 of the Revised Code. | 811 |
| 812 |
defined in section 3719.011 of the Revised Code, by an individual | 813 |
to the extent that the individual becomes physically or | 814 |
psychologically dependent on the drug or endangers the health, | 815 |
safety, or welfare of the individual or others. | 816 |
| 817 |
individual to the extent that it causes psychological, financial, | 818 |
emotional, marital, legal, or other difficulties endangering the | 819 |
health, safety, or welfare of the individual or others. | 820 |
| 821 |
treatment of persons who have a gambling addiction and for the | 822 |
prevention of gambling addiction. | 823 |
| 824 |
licensed by the department of mental health and addiction services | 825 |
under section 5119.33 of the Revised Code, and any institution, | 826 |
hospital, or other place established, controlled, or supervised by | 827 |
the department under Chapter 5119. of the Revised Code. | 828 |
| 829 |
thought, mood, perception, orientation, or memory that grossly | 830 |
impairs judgment, behavior, capacity to recognize reality, or | 831 |
ability to meet the ordinary demands of life. | 832 |
| 833 |
assessment, care, or treatment of persons who have a mental | 834 |
illness as defined in this section. | 835 |
| 836 |
a county with intent to remain there, except in either of the | 837 |
following circumstances: | 838 |
(i) If a person is receiving a mental health service at a | 839 |
facility that includes nighttime sleeping accommodations, | 840 |
"residence" means that county in which the person maintained the | 841 |
person's primary place of residence at the time the person entered | 842 |
the facility; | 843 |
(ii) If a person is committed pursuant to section 2945.38, | 844 |
2945.39, 2945.40, 2945.401, or 2945.402 of the Revised Code, | 845 |
"residence" means the county where the criminal charges were | 846 |
filed. | 847 |
(b) When the residence of a person is disputed, the matter of | 848 |
residence shall be referred to the department of mental health and | 849 |
addiction services for investigation and determination. Residence | 850 |
shall not be a basis for a board of alcohol, drug addiction, and | 851 |
mental health services to deny services to any person present in | 852 |
the board's service district, and the board shall provide services | 853 |
for a person whose residence is in dispute while residence is | 854 |
being determined and for a person in an emergency situation. | 855 |
(B) Any reference in this chapter to a board of alcohol, drug | 856 |
addiction, and mental health services also refers to an alcohol | 857 |
and drug addiction services board or a community mental health | 858 |
board in a service district in which an alcohol and drug addiction | 859 |
services board or a community mental health board has been | 860 |
established under section 340.021 or former section 340.02 of the | 861 |
Revised Code. | 862 |
Sec. 5119.21. (A) The department of mental health and | 863 |
addiction services shall: | 864 |
(1) To the extent the department has available resources and | 865 |
in consultation with boards of alcohol, drug addiction, and mental | 866 |
health services, support a full spectrum of care for all levels of | 867 |
treatment services for opioid and co-occurring drug addiction and | 868 |
a continuum of care for other services in accordance with Chapter | 869 |
340. of the Revised Code on a district or multi-district basis. | 870 |
The department shall define the essential elements of a full | 871 |
spectrum of care for all levels of treatment services for opioid | 872 |
and co-occurring drug addiction and a continuum of care for other | 873 |
services, shall assist in identifying resources, and may | 874 |
prioritize support for one or more of the elements of the | 875 |
continuum of care. The essential elements of a full spectrum of | 876 |
care for all levels of treatment services for opioid and | 877 |
co-occurring drug addiction shall include the services required by | 878 |
division (C) of section 340.09 of the Revised Code. | 879 |
(2) Provide training, consultation, and technical assistance | 880 |
regarding mental health and addiction services and appropriate | 881 |
prevention, recovery, and mental health promotion activities, | 882 |
including those that are culturally competent, to employees of the | 883 |
department, community mental health and addiction services | 884 |
providers, boards of alcohol, drug addiction, and mental health | 885 |
services, and other agencies providing mental health and addiction | 886 |
services; | 887 |
(3) To the extent the department has available resources, | 888 |
promote and support a full range of mental health and addiction | 889 |
services that are available and accessible to all residents of | 890 |
this state, especially for severely mentally disabled children, | 891 |
adolescents, adults, pregnant women, parents, guardians or | 892 |
custodians of children at risk of abuse or neglect, and other | 893 |
special target populations, including racial and ethnic | 894 |
minorities, as determined by the department; | 895 |
(4) Develop standards and measures for evaluating the | 896 |
effectiveness of mental health and addiction services, including | 897 |
services that use methadone treatment, of gambling addiction | 898 |
services, and for increasing the accountability of mental health | 899 |
and alcohol and addiction services providers and of gambling | 900 |
addiction services providers; | 901 |
(5) Design and set criteria for the determination of priority | 902 |
populations; | 903 |
(6) Promote, direct, conduct, and coordinate scientific | 904 |
research, taking ethnic and racial differences into consideration, | 905 |
concerning the causes and prevention of mental illness and | 906 |
addiction, methods of providing effective services and treatment, | 907 |
and means of enhancing the mental health of and recovery from | 908 |
addiction of all residents of this state; | 909 |
(7) Foster the establishment and availability of vocational | 910 |
rehabilitation services and the creation of employment | 911 |
opportunities for consumers of mental health and addiction | 912 |
services, including members of racial and ethnic minorities; | 913 |
(8) Establish a program to protect and promote the rights of | 914 |
persons receiving mental health and addiction services, including | 915 |
the issuance of guidelines on informed consent and other rights; | 916 |
(9) Promote the involvement of persons who are receiving or | 917 |
have received mental health or addiction services, including | 918 |
families and other persons having a close relationship to a person | 919 |
receiving those services, in the planning, evaluation, delivery, | 920 |
and operation of mental health and addiction services; | 921 |
(10) Notify and consult with the relevant constituencies that | 922 |
may be affected by rules, standards, and guidelines issued by the | 923 |
department of mental health and addiction services. These | 924 |
constituencies shall include consumers of mental health and | 925 |
addiction services and their families, and may include public and | 926 |
private providers, employee organizations, and others when | 927 |
appropriate. Whenever the department proposes the adoption, | 928 |
amendment, or rescission of rules under Chapter 119. of the | 929 |
Revised Code, the notification and consultation required by this | 930 |
division shall occur prior to the commencement of proceedings | 931 |
under Chapter 119. The department shall adopt rules under Chapter | 932 |
119. of the Revised Code that establish procedures for the | 933 |
notification and consultation required by this division. | 934 |
(11) Provide consultation to the department of rehabilitation | 935 |
and correction concerning the delivery of mental health and | 936 |
addiction services in state correctional institutions. | 937 |
(12) Promote and coordinate efforts in the provision of | 938 |
alcohol and drug addiction services and of gambling addiction | 939 |
services by other state agencies, as defined in section 1.60 of | 940 |
the Revised Code; courts; hospitals; clinics; physicians in | 941 |
private practice; public health authorities; boards of alcohol, | 942 |
drug addiction, and mental health services; alcohol and drug | 943 |
addiction services providers; law enforcement agencies; gambling | 944 |
addiction services providers; and related groups; | 945 |
(13) Provide to each court of record, and biennially update, | 946 |
a list of the treatment and education programs within that court's | 947 |
jurisdiction that the court may require an offender, sentenced | 948 |
pursuant to section 4511.19 of the Revised Code, to attend; | 949 |
(14) Make the warning sign described in sections 3313.752, | 950 |
3345.41, and 3707.50 of the Revised Code available on the | 951 |
department's internet web site; | 952 |
(15) Provide a program of gambling addiction services on | 953 |
behalf of the state lottery commission, pursuant to an agreement | 954 |
entered into with the director of the commission under division | 955 |
(K) of section 3770.02 of the Revised Code, and provide a program | 956 |
of gambling addiction services on behalf of the Ohio casino | 957 |
control commission, under an agreement entered into with the | 958 |
executive director of the commission under section 3772.062 of the | 959 |
Revised Code. Under Section 6(C)(3) of Article XV, Ohio | 960 |
Constitution, the department may enter into agreements with boards | 961 |
of alcohol, drug addiction, and mental health services, including | 962 |
boards with districts in which a casino facility is not located, | 963 |
and nonprofit organizations to provide gambling addiction services | 964 |
and substance abuse services, and with state institutions of | 965 |
higher education or private nonprofit institutions that possess a | 966 |
certificate of authorization issued under Chapter 1713. of the | 967 |
Revised Code to perform related research. | 968 |
(B) The department may accept and administer grants from | 969 |
public or private sources for carrying out any of the duties | 970 |
enumerated in this section. | 971 |
(C) Pursuant to Chapter 119. of the Revised Code, the | 972 |
department shall adopt a rule defining the term "intervention" as | 973 |
it is used in this chapter in connection with alcohol and drug | 974 |
addiction services and in connection with gambling addiction | 975 |
services. The department may adopt other rules as necessary to | 976 |
implement the requirements of this chapter. | 977 |
Sec. 5119.22. The director of mental health and addiction | 978 |
services with respect to all mental health and addiction | 979 |
facilities and services established and operated or provided under | 980 |
Chapter 340. of the Revised Code, shall do all of the following: | 981 |
(A) Adopt rules pursuant to Chapter 119. of the Revised Code | 982 |
that may be necessary to carry out the purposes of this chapter | 983 |
and Chapters 340. and 5122. of the Revised Code. | 984 |
(B) Review and evaluate the full spectrum of care for all | 985 |
levels of treatment services for opioid and co-occurring drug | 986 |
addiction and the continuum of care for other services in each | 987 |
service district, taking into account the findings and | 988 |
recommendations of the board of alcohol, drug addiction, and | 989 |
mental health services of the district submitted under division | 990 |
(A)(4) of section 340.03 of the Revised Code and the priorities | 991 |
and plans of the department of mental health and addiction | 992 |
services, including the needs of residents of the district | 993 |
currently receiving services in state-operated hospitals, and make | 994 |
recommendations for needed improvements to boards of alcohol, drug | 995 |
addiction, and mental health services; | 996 |
(C) At the director's discretion, provide to boards of | 997 |
alcohol, drug addiction, and mental health services state or | 998 |
federal funds, in addition to those allocated under section | 999 |
5119.23 of the Revised Code, for special programs or projects the | 1000 |
director considers necessary but for which local funds are not | 1001 |
available; | 1002 |
(D) Establish, in consultation with board of alcohol, drug | 1003 |
addiction, and mental health service representatives and after | 1004 |
consideration of the recommendations of the medical director, | 1005 |
guidelines for the development of community mental health and | 1006 |
addiction services plans and the review and approval or | 1007 |
disapproval of such plans submitted pursuant to section 340.03 of | 1008 |
the Revised Code. | 1009 |
(E) Establish criteria by which a board of alcohol, drug | 1010 |
addiction, and mental health services reviews and evaluates the | 1011 |
quality, effectiveness, and efficiency of its contracted services. | 1012 |
The criteria shall include requirements ensuring appropriate | 1013 |
service utilization. The department shall assess a board's | 1014 |
evaluation of services and the compliance of each board with this | 1015 |
section, Chapter 340. of the Revised Code, and other state or | 1016 |
federal law and regulations. The department, in cooperation with | 1017 |
the board, periodically shall review and evaluate the quality, | 1018 |
effectiveness, and efficiency of services provided through each | 1019 |
board. The department shall collect information that is necessary | 1020 |
to perform these functions. | 1021 |
(F) To the extent the director determines necessary and after | 1022 |
consulting with boards of alcohol, drug addiction, and mental | 1023 |
health services and community addiction and mental health services | 1024 |
providers, develop and operate, or contract for the operation of, | 1025 |
a community behavioral health information system or systems. The | 1026 |
department shall specify the information that must be provided by | 1027 |
boards of alcohol, drug addiction, and mental health services and | 1028 |
by community addiction and mental health services providers for | 1029 |
inclusion in the system or systems. | 1030 |
Boards of alcohol, drug addiction, and mental health services | 1031 |
and community addiction and mental health services providers shall | 1032 |
submit information requested by the department in the form and | 1033 |
manner and in accordance with time frames prescribed by the | 1034 |
department. Information collected by the department may include | 1035 |
all of the following: | 1036 |
(1) Information on services provided; | 1037 |
(2) Financial information regarding expenditures of federal, | 1038 |
state, or local funds; | 1039 |
(3) Information about persons served. | 1040 |
The department shall not collect any personal information | 1041 |
from the boards except as required or permitted by state or | 1042 |
federal law for purposes related to payment, health care | 1043 |
operations, program and service evaluation, reporting activities, | 1044 |
research, system administration, and oversight. | 1045 |
(G)(1) Review each board's community mental health and | 1046 |
addiction services plan, budget, and statement of services to be | 1047 |
1048 | |
the Revised Code and approve or disapprove the plan, the budget, | 1049 |
and the statement of services in whole or in part. | 1050 |
The department may withhold all or part of the funds | 1051 |
allocated to a board if it disapproves all or part of a plan, | 1052 |
budget, or statement of services, except that the department shall | 1053 |
withhold all of the funds allocated to the board if the department | 1054 |
disapproves the budget because the budget does not comply with | 1055 |
division (A)(1) of section 340.08 of the Revised Code. Prior to a | 1056 |
final decision to disapprove a plan, budget, or statement of | 1057 |
services, or to withhold funds from a board, a representative of | 1058 |
the director of mental health and addiction services shall meet | 1059 |
with the board and discuss the reason for the action the | 1060 |
department proposes to take and any corrective action that should | 1061 |
be taken to make the plan, budget, or statement of services | 1062 |
acceptable to the department. In addition, the department shall | 1063 |
offer technical assistance to the board to assist it to make the | 1064 |
plan, budget, or statement of services acceptable. The department | 1065 |
shall give the board a reasonable time in which to revise the | 1066 |
plan, budget, or statement of services. The board thereafter shall | 1067 |
submit a revised plan, budget, or statement of services, or a new | 1068 |
plan, budget, or statement of services. | 1069 |
(2) If a board determines that it is necessary to amend the | 1070 |
plan, budget, or statement of services that has been approved | 1071 |
under this section, the board shall submit the proposed amendment | 1072 |
to the department. The department may approve or disapprove all or | 1073 |
part of the amendment. | 1074 |
(3) If the director disapproves of all or part of any | 1075 |
proposed amendment, the director shall provide the board an | 1076 |
opportunity to present its position. The director shall inform the | 1077 |
board of the reasons for the disapproval and of the criteria that | 1078 |
must be met before the proposed amendment may be approved. The | 1079 |
director shall give the board a reasonable time within which to | 1080 |
meet the criteria and shall offer technical assistance to the | 1081 |
board to help it meet the criteria. | 1082 |
(4) The department shall establish procedures for the review | 1083 |
of plans, budgets, and statements of services, and a timetable for | 1084 |
submission and review of plans, budgets, and statements of | 1085 |
services and for corrective action and submission of new or | 1086 |
revised plans, budgets, and statements of services. | 1087 |
Sec. 5119.221. The director of mental health and addiction | 1088 |
services shall adopt rules governing the duties of community | 1089 |
alcohol and drug addiction services providers under section 340.20 | 1090 |
of the Revised Code and the duties of boards of alcohol, drug | 1091 |
addiction, and mental health services under section 340.201 of the | 1092 |
Revised Code. The rules shall be adopted in accordance with | 1093 |
Chapter 119. of the Revised Code. | 1094 |
Sec. 5119.222. The department of mental health and addiction | 1095 |
services shall make the reports it receives under section 340.201 | 1096 |
of the Revised Code from boards of alcohol, drug addiction, and | 1097 |
mental health services available on the department's web site. The | 1098 |
department's web site shall present the information contained in | 1099 |
the reports on statewide and county-level bases. The information | 1100 |
on the web site shall be updated monthly after the boards submit | 1101 |
new reports to the department. | 1102 |
Sec. 5119.23. (A) The department of mental health and | 1103 |
addiction services shall establish a methodology for allocating to | 1104 |
boards of alcohol, drug addiction, and mental health services the | 1105 |
funds appropriated by the general assembly to the department for | 1106 |
the purpose of the full spectrum of care for all levels of | 1107 |
treatment services for opioid and co-occurring drug addiction and | 1108 |
the continuum of care for other services to be provided as local | 1109 |
mental health and addiction services
| 1110 |
department shall establish the methodology after notifying and | 1111 |
consulting with relevant constituencies as required by division | 1112 |
(A)(10) of section 5119.21 of the Revised Code. The methodology | 1113 |
may provide for the funds to be allocated to boards on a district | 1114 |
or multi-district basis. | 1115 |
(B) Subject to section 5119.25 of the Revised Code, and to | 1116 |
required submissions and approvals under section 340.08 of the | 1117 |
Revised Code, the department shall allocate the funds to the | 1118 |
boards in a manner consistent with the methodology, this section, | 1119 |
other state and federal laws, rules, and regulations. | 1120 |
(C) In consultation with boards, community mental health and | 1121 |
addiction services providers, and persons receiving services, the | 1122 |
department shall establish guidelines for the use of funds | 1123 |
allocated and distributed under this section. | 1124 |
Sec. 5119.25. (A) The director of mental health and | 1125 |
addiction services, in whole or in part, may withhold funds | 1126 |
otherwise to be allocated to a board of alcohol, drug addiction, | 1127 |
and mental health services under section 5119.23 of the Revised | 1128 |
Code if the board fails to comply with Chapter 340. or section | 1129 |
5119.22, 5119.24, 5119.36, or 5119.371 of the Revised Code or | 1130 |
rules of the department of mental health and addiction services. | 1131 |
However, the director shall withhold all such funds from the board | 1132 |
when required to do so under division (A)(4) of section 340.08 of | 1133 |
the Revised Code. | 1134 |
(B) The director of mental health and addiction services may | 1135 |
withhold funds otherwise to be allocated to a board of alcohol, | 1136 |
drug addiction, and mental health services under section 5119.23 | 1137 |
of the Revised Code if the board denies available service on the | 1138 |
basis of race, color, religion, creed, sex, age, national origin, | 1139 |
disability as defined in section 4112.01 of the Revised Code, or | 1140 |
developmental disability. | 1141 |
(C) The director shall issue a notice identifying the areas | 1142 |
of noncompliance and the action necessary to achieve compliance. | 1143 |
The director may offer technical assistance to the board to | 1144 |
achieve compliance. The board shall have ten days from receipt of | 1145 |
the notice of noncompliance to present its position that it is in | 1146 |
compliance or to submit to the director evidence of corrective | 1147 |
action the board took to achieve compliance. Before withholding | 1148 |
funds, the director or the director's designee shall hold a | 1149 |
hearing within ten days of receipt of the board's position or | 1150 |
evidence to determine if there are continuing violations and that | 1151 |
either assistance is rejected or the board is unable, or has | 1152 |
failed, to achieve compliance. Subsequent to the hearing process, | 1153 |
if it is determined that compliance has not been achieved, the | 1154 |
director may allocate all or part of the withheld funds to | 1155 |
1156 | |
services providers or community addiction services providers to | 1157 |
provide the community mental health or community addiction service | 1158 |
for which the board is not in compliance until the time that there | 1159 |
is compliance. The director may adopt rules in accordance with | 1160 |
Chapter 119. of the Revised Code to implement this section. | 1161 |
Sec. 5119.34. (A) As used in this section and sections | 1162 |
5119.341 and 5119.342 of the Revised Code: | 1163 |
(1) "Accommodations" means housing, daily meal preparation, | 1164 |
laundry, housekeeping, arranging for transportation, social and | 1165 |
recreational activities, maintenance, security, and other services | 1166 |
that do not constitute personal care services or skilled nursing | 1167 |
care. | 1168 |
(2) "ADAMHS board" means a board of alcohol, drug addiction, | 1169 |
and mental health services. | 1170 |
(3) "Adult" means a person who is eighteen years of age or | 1171 |
older, other than a person described in division (A)(4) of this | 1172 |
section who is between eighteen and twenty-one years of age. | 1173 |
(4) "Child" means a person who is under eighteen years of age | 1174 |
or a person with a mental disability who is under twenty-one years | 1175 |
of age. | 1176 |
(5) "Community mental health services provider" means a | 1177 |
community mental health services provider as defined in section | 1178 |
5119.01 of the Revised Code. | 1179 |
(6) "Community mental health services" means any mental | 1180 |
health services certified by the department pursuant to section | 1181 |
5119.36 of the Revised Code. | 1182 |
(7) "Operator" means the person or persons, firm, | 1183 |
partnership, agency, governing body, association, corporation, or | 1184 |
other entity that is responsible for the administration and | 1185 |
management of a residential facility and that is the applicant for | 1186 |
a residential facility license. | 1187 |
(8) "Personal care services" means services including, but | 1188 |
not limited to, the following: | 1189 |
(a) Assisting residents with activities of daily living; | 1190 |
(b) Assisting residents with self-administration of | 1191 |
medication in accordance with rules adopted under this section; | 1192 |
(c) Preparing special diets, other than complex therapeutic | 1193 |
diets, for residents pursuant to the instructions of a physician | 1194 |
or a licensed dietitian, in accordance with rules adopted under | 1195 |
this section. | 1196 |
"Personal care services" does not include "skilled nursing | 1197 |
care" as defined in section 3721.01 of the Revised Code. A | 1198 |
facility need not provide more than one of the services listed in | 1199 |
division (A)(8) of this section to be considered to be providing | 1200 |
personal care services. | 1201 |
(9) "Residential facility" means a publicly or privately | 1202 |
operated home or facility that provides one of the following: | 1203 |
(a) Accommodations, supervision, personal care services, and | 1204 |
community mental health services for one or more unrelated adults | 1205 |
with mental illness or severe mental disabilities or to one or | 1206 |
more unrelated children and adolescents with a serious emotional | 1207 |
disturbance or who are in need of mental health services who are | 1208 |
referred by or are receiving community mental health services from | 1209 |
a community mental health services provider, hospital, or | 1210 |
practitioner. | 1211 |
(b) Accommodations, supervision, and personal care services | 1212 |
to any of the following: | 1213 |
(i) One or two unrelated persons with mental illness or | 1214 |
persons with severe mental disabilities who are referred by or are | 1215 |
receiving mental health services from a community mental health | 1216 |
services provider, hospital, or practitioner; | 1217 |
(ii) One or two unrelated adults who are receiving | 1218 |
residential state supplement payments; | 1219 |
(iii) Three to sixteen unrelated adults. | 1220 |
(c) Room and board for five or more unrelated adults with | 1221 |
mental illness or severe mental disability who are referred by or | 1222 |
are receiving community mental health services from a community | 1223 |
mental health services provider, hospital, or practitioner. | 1224 |
(10) "Residential facility" does not include any of the | 1225 |
following: | 1226 |
(a) A hospital subject to licensure under section 5119.33 of | 1227 |
the Revised Code; | 1228 |
(b) A residential facility licensed under section 5123.19 of | 1229 |
the Revised Code or otherwise regulated by the department of | 1230 |
developmental disabilities; | 1231 |
(c) An institution or association subject to certification | 1232 |
under section 5103.03 of the Revised Code; | 1233 |
(d) A facility operated by a hospice care program licensed | 1234 |
under section 3712.04 of the Revised Code that is used exclusively | 1235 |
for care of hospice patients; | 1236 |
(e) A nursing home, residential care facility, or home for | 1237 |
the aging as defined in section 3721.02 of the Revised Code; | 1238 |
(f) Alcohol or drug addiction services certified pursuant to | 1239 |
section 5119.36 of the Revised Code; | 1240 |
(g) A facility licensed to provide methadone treatment under | 1241 |
section 5119.391 of the Revised Code; | 1242 |
(h) Any facility that receives funding for operating costs | 1243 |
from the development services agency under any program established | 1244 |
to provide emergency shelter housing or transitional housing for | 1245 |
the homeless; | 1246 |
(i) A terminal care facility for the homeless that has | 1247 |
entered into an agreement with a hospice care program under | 1248 |
section 3712.07 of the Revised Code; | 1249 |
(j) A facility approved by the veterans administration under | 1250 |
section 104(a) of the "Veterans Health Care Amendments of 1983," | 1251 |
97 Stat. 993, 38 U.S.C. 630, as amended, and used exclusively for | 1252 |
the placement and care of veterans; | 1253 |
(k) Recovery housing that a board of alcohol, drug addiction, | 1254 |
and mental health services includes in the full spectrum of care | 1255 |
for all levels of treatment services for opioid and co-occurring | 1256 |
drug addiction under division (C) of section 340.09 of the Revised | 1257 |
Code. | 1258 |
(11) "Room and board" means the provision of sleeping and | 1259 |
living space, meals or meal preparation, laundry services, | 1260 |
housekeeping services, or any combination thereof. | 1261 |
(12) "Residential state supplement" means the program | 1262 |
administered under section 5119.41 of the Revised Code and related | 1263 |
provisions of the Administrative Code under which the state | 1264 |
supplements the supplemental security income payments received by | 1265 |
aged, blind, or disabled adults under Title XVI of the Social | 1266 |
Security Act. Residential state supplement payments are used for | 1267 |
the provision of accommodations, supervision, and personal care | 1268 |
services to supplemental security income recipients the department | 1269 |
of mental health and addition services determines are at risk of | 1270 |
needing institutional care. | 1271 |
(13) "Supervision" means any of the following: | 1272 |
(a) Observing a resident to ensure the resident's health, | 1273 |
safety, and welfare while the resident engages in activities of | 1274 |
daily living or other activities; | 1275 |
(b) Reminding a resident to perform or complete an activity, | 1276 |
such as reminding a resident to engage in personal hygiene or | 1277 |
other self-care activities; | 1278 |
(c) Assisting a resident in making or keeping an appointment. | 1279 |
(14) "Unrelated" means that a resident is not related to the | 1280 |
owner or operator of a residential facility or to the owner's or | 1281 |
operator's spouse as a parent, grandparent, child, stepchild, | 1282 |
grandchild, brother, sister, niece, nephew, aunt, or uncle, or as | 1283 |
the child of an aunt or uncle. | 1284 |
(B) Nothing in division (A)(9) of this section shall be | 1285 |
construed to permit personal care services to be imposed on a | 1286 |
resident who is capable of performing the activity in question | 1287 |
without assistance. | 1288 |
(C) Except in the case of a residential facility described in | 1289 |
division (A)(9)(a) of this section, members of the staff of a | 1290 |
residential facility shall not administer medication to the | 1291 |
facility's residents, but may do any of the following: | 1292 |
(1) Remind a resident when to take medication and watch to | 1293 |
ensure that the resident follows the directions on the container; | 1294 |
(2) Assist a resident in the self-administration of | 1295 |
medication by taking the medication from the locked area where it | 1296 |
is stored, in accordance with rules adopted pursuant to this | 1297 |
section, and handing it to the resident. If the resident is | 1298 |
physically unable to open the container, a staff member may open | 1299 |
the container for the resident. | 1300 |
(3) Assist a physically impaired but mentally alert resident, | 1301 |
such as a resident with arthritis, cerebral palsy, or Parkinson's | 1302 |
disease, in removing oral or topical medication from containers | 1303 |
and in consuming or applying the medication, upon request by or | 1304 |
with the consent of the resident. If a resident is physically | 1305 |
unable to place a dose of medicine to the resident's mouth without | 1306 |
spilling it, a staff member may place the dose in a container and | 1307 |
place the container to the mouth of the resident. | 1308 |
(D)(1) Except as provided in division (D)(2) of this section, | 1309 |
a person operating or seeking to operate a residential facility | 1310 |
shall apply for licensure of the facility to the department of | 1311 |
mental health and addiction services. The application shall be | 1312 |
submitted by the operator. When applying for the license, the | 1313 |
applicant shall pay to the department the application fee | 1314 |
specified in rules adopted under division (K) of this section. The | 1315 |
fee is nonrefundable. | 1316 |
The department shall send a copy of an application to the | 1317 |
ADAMHS board serving the county in which the person operates or | 1318 |
seeks to operate the facility. The ADAMHS board shall review the | 1319 |
application and provide to the department any information about | 1320 |
the applicant or the facility that the board would like the | 1321 |
department to consider in reviewing the application. | 1322 |
(2) A person may not apply for a license to operate a | 1323 |
residential facility if the person is or has been the owner, | 1324 |
operator, or manager of a residential facility for which a license | 1325 |
to operate was revoked or for which renewal of a license was | 1326 |
refused for any reason other than nonpayment of the license | 1327 |
renewal fee, unless both of the following conditions are met: | 1328 |
(a) A period of not less than two years has elapsed since the | 1329 |
date the director of mental health and addiction services issued | 1330 |
the order revoking or refusing to renew the facility's license. | 1331 |
(b) The director's revocation or refusal to renew the license | 1332 |
was not based on an act or omission at the facility that violated | 1333 |
a resident's right to be free from abuse, neglect, or | 1334 |
exploitation. | 1335 |
(E)(1) The department of mental health and addiction services | 1336 |
shall inspect and license the operation of residential facilities. | 1337 |
The department shall consider the past record of the facility and | 1338 |
the applicant or licensee in arriving at its licensure decision. | 1339 |
The department may issue full, probationary, and interim | 1340 |
licenses. A full license shall expire up to three years after the | 1341 |
date of issuance, a probationary license shall expire in a shorter | 1342 |
period of time as specified in rules adopted by the director of | 1343 |
1344 | |
(K) of this section, and an interim license shall expire ninety | 1345 |
days after the date of issuance. A license may be renewed in | 1346 |
accordance with rules adopted by the director under division (K) | 1347 |
of this section. The renewal application shall be submitted by the | 1348 |
operator. When applying for renewal of a license, the applicant | 1349 |
shall pay to the department the renewal fee specified in rules | 1350 |
adopted under division (K) of this section. The fee is | 1351 |
nonrefundable. | 1352 |
(2) The department may issue an order suspending the | 1353 |
admission of residents to the facility or refuse to issue or renew | 1354 |
and may revoke a license if it finds the facility is not in | 1355 |
compliance with rules adopted by the director pursuant to division | 1356 |
(K) of this section or if any facility operated by the applicant | 1357 |
or licensee has been cited for repeated violations of statutes or | 1358 |
rules during the period of previous licenses. Proceedings | 1359 |
initiated to deny applications for full or probationary licenses | 1360 |
or to revoke such licenses are governed by Chapter 119. of the | 1361 |
Revised Code. | 1362 |
(F) The department may issue an interim license to operate a | 1363 |
residential facility if both of the following conditions are met: | 1364 |
(1) The department determines that the closing of or the need | 1365 |
to remove residents from another residential facility has created | 1366 |
an emergency situation requiring immediate removal of residents | 1367 |
and an insufficient number of licensed beds are available. | 1368 |
(2) The residential facility applying for an interim license | 1369 |
meets standards established for interim licenses in rules adopted | 1370 |
by the director under division (K) of this section. | 1371 |
An interim license shall be valid for ninety days and may be | 1372 |
renewed by the director no more than twice. Proceedings initiated | 1373 |
to deny applications for or to revoke interim licenses under this | 1374 |
division are not subject to Chapter 119. of the Revised Code. | 1375 |
(G)(1) The department of mental health and addiction services | 1376 |
may conduct an inspection of a residential facility as follows: | 1377 |
(a) Prior to issuance of a license for the facility; | 1378 |
(b) Prior to renewal of the license; | 1379 |
(c) To determine whether the facility has completed a plan of | 1380 |
correction required pursuant to division (G)(2) of this section | 1381 |
and corrected deficiencies to the satisfaction of the department | 1382 |
and in compliance with this section and rules adopted pursuant to | 1383 |
it; | 1384 |
(d) Upon complaint by any individual or agency; | 1385 |
(e) At any time the director considers an inspection to be | 1386 |
necessary in order to determine whether the facility is in | 1387 |
compliance with this section and rules adopted pursuant to this | 1388 |
section. | 1389 |
(2) In conducting inspections the department may conduct an | 1390 |
on-site examination and evaluation of the residential facility and | 1391 |
its personnel, activities, and services. The department shall have | 1392 |
access to examine and copy all records, accounts, and any other | 1393 |
documents relating to the operation of the residential facility, | 1394 |
including records pertaining to residents, and shall have access | 1395 |
to the facility in order to conduct interviews with the operator, | 1396 |
staff, and residents. Following each inspection and review, the | 1397 |
department shall complete a report listing any deficiencies, and | 1398 |
including, when appropriate, a time table within which the | 1399 |
operator shall correct the deficiencies. The department may | 1400 |
require the operator to submit a plan of correction describing how | 1401 |
the deficiencies will be corrected. | 1402 |
(H) No person shall do any of the following: | 1403 |
(1) Operate a residential facility unless the facility holds | 1404 |
a valid license; | 1405 |
(2) Violate any of the conditions of licensure after having | 1406 |
been granted a license; | 1407 |
(3) Interfere with a state or local official's inspection or | 1408 |
investigation of a residential facility; | 1409 |
(4) Violate any of the provisions of this section or any | 1410 |
rules adopted pursuant to this section. | 1411 |
(I) The following may enter a residential facility at any | 1412 |
time: | 1413 |
(1) Employees designated by the director of mental health and | 1414 |
addiction services; | 1415 |
(2) Employees of an ADAMHS board under either of the | 1416 |
following circumstances: | 1417 |
(a) When a resident of the facility is receiving services | 1418 |
from a community mental health services provider under contract | 1419 |
with that ADAMHS board or another ADAMHS board; | 1420 |
(b) When authorized by section 340.05 of the Revised Code. | 1421 |
(3) Employees of a community mental health services provider | 1422 |
under either of the following circumstances: | 1423 |
(a) When the services provider has a person receiving | 1424 |
services residing in the facility; | 1425 |
(b) When the services provider is acting as an agent of an | 1426 |
ADAMHS board other than the board with which it is under contract. | 1427 |
(4) Representatives of the state long-term care ombudsman | 1428 |
program when the facility provides accommodations, supervision, | 1429 |
and personal care services for three to sixteen unrelated adults | 1430 |
or to one or two unrelated adults who are recipients under the | 1431 |
residential state supplement program. | 1432 |
The persons specified in division (I) of this section shall | 1433 |
be afforded access to examine and copy all records, accounts, and | 1434 |
any other documents relating to the operation of the residential | 1435 |
facility, including records pertaining to residents. | 1436 |
(J) Employees of the department of mental health and | 1437 |
addiction services may enter, for the purpose of investigation, | 1438 |
any institution, residence, facility, or other structure which has | 1439 |
been reported to the department as, or that the department has | 1440 |
reasonable cause to believe is, operating as a residential | 1441 |
facility without a valid license. | 1442 |
(K) The director shall adopt and may amend and rescind rules | 1443 |
pursuant to Chapter 119. of the Revised Code governing the | 1444 |
licensing and operation of residential facilities. The rules shall | 1445 |
establish all of the following: | 1446 |
(1) Minimum standards for the health, safety, adequacy, and | 1447 |
cultural competency of treatment of and services for persons in | 1448 |
residential facilities; | 1449 |
(2) Procedures for the issuance, renewal, or revocation of | 1450 |
the licenses of residential facilities; | 1451 |
(3) Procedures for conducting criminal records checks for | 1452 |
prospective or current operators, employees, and volunteers who | 1453 |
may have direct access to facility residents; | 1454 |
(4) The fee to be paid when applying for a new residential | 1455 |
facility license or renewing the license; | 1456 |
(5) Procedures for the operator of a residential facility to | 1457 |
follow when notifying the ADAMHS board serving the county in which | 1458 |
the facility is located when the facility is serving residents | 1459 |
with mental illness or severe mental disability, including the | 1460 |
circumstances under which the operator is required to make such a | 1461 |
notification; | 1462 |
(6) Procedures for the issuance and termination of orders of | 1463 |
suspension of admission of residents to a residential facility; | 1464 |
(7) Measures to be taken by residential facilities relative | 1465 |
to residents' medication; | 1466 |
(8) Requirements relating to preparation of special diets; | 1467 |
(9) The maximum number of residents who may be served in a | 1468 |
residential facility; | 1469 |
(10) The rights of residents of residential facilities and | 1470 |
procedures to protect such rights; | 1471 |
(11) Procedures for obtaining an affiliation agreement | 1472 |
approved by the board between a residential facility and a | 1473 |
community mental health services provider; | 1474 |
(12) Standards and procedures under which the director may | 1475 |
waive the requirements of any of the rules adopted. | 1476 |
(L)(1) The department may withhold the source of any | 1477 |
complaint reported as a violation of this section when the | 1478 |
department determines that disclosure could be detrimental to the | 1479 |
department's purposes or could jeopardize the investigation. The | 1480 |
department may disclose the source of any complaint if the | 1481 |
complainant agrees in writing to such disclosure and shall | 1482 |
disclose the source upon order by a court of competent | 1483 |
jurisdiction. | 1484 |
(2) Any person who makes a complaint under division (L)(1) of | 1485 |
this section, or any person who participates in an administrative | 1486 |
or judicial proceeding resulting from such a complaint, is immune | 1487 |
from civil liability and is not subject to criminal prosecution, | 1488 |
other than for perjury, unless the person has acted in bad faith | 1489 |
or with malicious purpose. | 1490 |
(M)(1) The director of mental health and addiction services | 1491 |
may petition the court of common pleas of the county in which a | 1492 |
residential facility is located for an order enjoining any person | 1493 |
from operating a residential facility without a license or from | 1494 |
operating a licensed facility when, in the director's judgment, | 1495 |
there is a present danger to the health or safety of any of the | 1496 |
occupants of the facility. The court shall have jurisdiction to | 1497 |
grant such injunctive relief upon a showing that the respondent | 1498 |
named in the petition is operating a facility without a license or | 1499 |
there is a present danger to the health or safety of any residents | 1500 |
of the facility. | 1501 |
(2) When the court grants injunctive relief in the case of a | 1502 |
facility operating without a license, the court shall issue, at a | 1503 |
minimum, an order enjoining the facility from admitting new | 1504 |
residents to the facility and an order requiring the facility to | 1505 |
assist with the safe and orderly relocation of the facility's | 1506 |
residents. | 1507 |
(3) If injunctive relief is granted against a facility for | 1508 |
operating without a license and the facility continues to operate | 1509 |
without a license, the director shall refer the case to the | 1510 |
attorney general for further action. | 1511 |
(N) The director may fine a person for violating division (H) | 1512 |
of this section. The fine shall be five hundred dollars for a | 1513 |
first offense; for each subsequent offense, the fine shall be one | 1514 |
thousand dollars. The director's actions in imposing a fine shall | 1515 |
be taken in accordance with Chapter 119. of the Revised Code. | 1516 |
Sec. 5119.362. (A) The director of mental health and | 1517 |
addiction services shall adopt rules in accordance with Chapter | 1518 |
119. of the Revised Code to do both of the following: | 1519 |
(1) Streamline the intake procedures used by a community | 1520 |
alcohol and drug addiction services provider accepting and | 1521 |
beginning to serve a new patient, including procedures regarding | 1522 |
intake forms and questionnaires; | 1523 |
(2) Enable a community alcohol and drug addiction services | 1524 |
provider to retain a patient as an active patient even though the | 1525 |
patient last received services from the provider more than thirty | 1526 |
days before resumption of services so that the patient and | 1527 |
provider do not have to repeat the intake procedures. | 1528 |
(B) The rules adopted under this section shall do both of the | 1529 |
following: | 1530 |
(1) Model the intake and resumption of service procedures on | 1531 |
such procedures used by primary care physicians; | 1532 |
(2) Facilitate the exchange of information about patients | 1533 |
between community alcohol and drug addiction services providers | 1534 |
and primary care physicians. | 1535 |
Section 2. That existing sections 340.01, 340.03, 340.08, | 1536 |
340.09, 340.15, 5119.01, 5119.21, 5119.22, 5119.23, 5119.25, and | 1537 |
5119.34 of the Revised Code are hereby repealed. | 1538 |
Section 3. Sections 1 and 2 of this act take effect one year | 1539 |
after the effective date of this act. | 1540 |
Section 4. That Section 327.83 of Am. Sub. H.B. 59 of the | 1541 |
130th General Assembly is hereby repealed. | 1542 |
Section 5. (A) As used in this section, "recovery housing" | 1543 |
means recovery housing that a board of alcohol, drug addiction, | 1544 |
and mental health services includes in the full spectrum of care | 1545 |
for all levels of treatment services for opioid and co-occurring | 1546 |
drug addiction under division (C) of section 340.09 of the Revised | 1547 |
Code. | 1548 |
(B)(1) Of the appropriation item 335507, Community Behavioral | 1549 |
Health, in Am. Sub. H.B. 59 of the 130th General Assembly, $25 | 1550 |
million in fiscal year 2015 shall be used as follows: | 1551 |
(a) Subject to divisions (C) and (D) of this section, by the | 1552 |
Department of Mental Health and Addiction Services to provide | 1553 |
state funds to boards of alcohol, drug addiction, and mental | 1554 |
health services for the capital costs of recovery housing; | 1555 |
(b) Subject to division (E) of this section, by the | 1556 |
Department to provide state funds to boards for the first two | 1557 |
years of operating expenses of recovery housing; | 1558 |
(c) $500,000 shall be used by the Department in accordance | 1559 |
with division (F) of this section. | 1560 |
(2) In providing state funds to boards under this section, | 1561 |
the Department shall prioritize funding for counties that have no | 1562 |
recovery housing on the effective date of this section. | 1563 |
(C) Funding for the capital costs of recovery housing in | 1564 |
Cuyahoga, Franklin, Hamilton, Lucas, Mahoning, Montgomery, Stark, | 1565 |
and Summit counties is subject to the following: | 1566 |
(1) If recovery housing exists in the county on the effective | 1567 |
date of this section, the Department shall pay fifty per cent and | 1568 |
the board serving the county shall pay the other fifty per cent of | 1569 |
the capital costs of additional recovery housing in the county. | 1570 |
(2) If no recovery housing exists in the county on the | 1571 |
effective date of this section, the Department shall pay ninety | 1572 |
per cent and the board serving the county shall pay the remaining | 1573 |
ten per cent of the capital costs of recovery housing in the | 1574 |
county, except that if the board cannot afford to pay ten per | 1575 |
cent, the Department shall pay one hundred per cent of the capital | 1576 |
costs. | 1577 |
(D) In the case of all other counties, the Department shall | 1578 |
pay ninety per cent and the board serving the county shall pay the | 1579 |
remaining ten per cent of the capital costs of recovery housing in | 1580 |
the county, except that if the board cannot afford to pay ten per | 1581 |
cent, the Department shall pay one hundred per cent of the capital | 1582 |
costs. | 1583 |
(E) The Department shall pay ninety per cent of the operating | 1584 |
expenses of recovery housing for the first two years that the | 1585 |
recovery housing is operated in a county if the Department pays | 1586 |
one hundred per cent of the capital costs for the recovery | 1587 |
housing. | 1588 |
(F) The Department shall enter into a three-year contract | 1589 |
with a nongovernmental organization under which the organization | 1590 |
shall organize a network of recovery housing in the state that has | 1591 |
all of the following features: | 1592 |
(1) An internet-based database of recovery housing available | 1593 |
in the state; | 1594 |
(2) A resource hub for recovery housing providers that | 1595 |
assists the providers' development and operation efforts and | 1596 |
enables providers to connect with other recovery housing providers | 1597 |
in this and other states for the purpose of shared learning; | 1598 |
(3) Quality standards for recovery housing and a peer-review | 1599 |
process that uses the standards to endorse individual recovery | 1600 |
housing sites; | 1601 |
(4) A system that monitors data that can be used to determine | 1602 |
outcomes for recovery housing. | 1603 |
Section 6. All items in this section are hereby appropriated | 1604 |
as designated out of any moneys in the state treasury to the | 1605 |
credit of the designated fund. For all appropriations made in this | 1606 |
act, those in the first column are for fiscal year 2014 and those | 1607 |
in the second column are for fiscal year 2015. The appropriations | 1608 |
made in this act are in addition to any other appropriations made | 1609 |
for the FY 2014-2015 biennium. | 1610 |
Appropriations |
1611 | |
General Revenue Fund | 1612 |
GRF | 501502 | Specialty Docket Staff Payroll Costs | $ | 0 | $ | 8,821,800 | 1613 | ||||
TOTAL GRF General Revenue Fund | $ | 0 | $ | 8,821,800 | 1614 | ||||||
TOTAL ALL BUDGET FUND GROUPS | $ | 0 | $ | 8,821,800 | 1615 |
SPECIALTY DOCKET STAFF PAYROLL COSTS | 1616 |
(A) The foregoing appropriation item 501502, Specialty Docket | 1617 |
Staff Payroll Costs, shall be used by the Department of | 1618 |
Rehabilitation and Correction to defray a portion of the annual | 1619 |
payroll costs associated with the employment of up to two separate | 1620 |
and distinct full-time, or full-time equivalent, specialized | 1621 |
docket staff members by a court of common pleas, a municipal | 1622 |
court, or a county court, including a juvenile or family court | 1623 |
that currently has, or anticipates having, a family dependency | 1624 |
treatment court that meets all of the eligibility requirements | 1625 |
described in division (B) of this section. | 1626 |
(B) To be eligible: | 1627 |
(1) The court must have received Supreme Court of Ohio | 1628 |
certification for a specialized docket that targets participants | 1629 |
with a drug addiction or dependency; and | 1630 |
(2) Specialized docket staff members must have received | 1631 |
training for or education in alcohol and other drug addiction, | 1632 |
abuse, and recovery and have demonstrated, prior to or within | 1633 |
ninety days of hire, competencies in fundamental alcohol and other | 1634 |
drug addiction, abuse, and recovery. Fundamental competencies | 1635 |
shall include, at a minimum, an understanding of alcohol and other | 1636 |
drug treatment and recovery, how to engage a person in treatment | 1637 |
and recovery and an understanding of other health care systems, | 1638 |
social service systems, and the criminal justice system; and | 1639 |
(3) Subsequent to that certification, the court must meet any | 1640 |
additional criteria that the Supreme Court of Ohio determines are | 1641 |
necessary and appropriate to determining funding eligibility, | 1642 |
including the court's adoption and utilization of best practices. | 1643 |
(C) For the purposes of this section, payroll costs include | 1644 |
annual compensation and fringe benefits. | 1645 |
(D) The Department of Rehabilitation and Correction, solely | 1646 |
for the purpose of determining the amount of the state share | 1647 |
available to a court under division (F) of this section for the | 1648 |
employment of up to two separate and distinct full-time, full-time | 1649 |
equivalent, or any combination thereof, specialized docket staff | 1650 |
members, shall use the lesser of: | 1651 |
(1) The actual annual compensation and fringe benefits paid | 1652 |
to those staff members proportionally reflecting their time | 1653 |
allocated for specialized docket duties and responsibilities; or | 1654 |
(2) $78,000. | 1655 |
(E) In accordance with any applicable rules, guidelines, or | 1656 |
procedures adopted by the Department of Rehabilitation and | 1657 |
Correction pursuant to this section, the county auditor shall | 1658 |
certify, for any court located within that county that is applying | 1659 |
for or receiving funding under this section, to the Department of | 1660 |
Rehabilitation and Correction the information necessary to | 1661 |
determine that court's eligibility for, and the amount of, funding | 1662 |
under this section. | 1663 |
(F) For a specialized docket staff member employed by a court | 1664 |
in this section, the amount of state funding available under this | 1665 |
section shall be sixty-five per cent of the payroll costs | 1666 |
specified in division (D) of this section. This state funding | 1667 |
shall not exceed $50,700. | 1668 |
(G) The Department of Rehabilitation and Correction shall | 1669 |
disburse this state funding in quarterly installments to the | 1670 |
appropriate county or municipality in which the court is located. | 1671 |
(H) Of the foregoing appropriation item 501502, Specialty | 1672 |
Docket Staff Payroll Costs, the Supreme Court of Ohio shall use up | 1673 |
to one per cent of the appropriation in each fiscal year to pay | 1674 |
the costs it incurs in administering the duties and | 1675 |
responsibilities established in this section. | 1676 |
(I) The Department of Rehabilitation and Correction may adopt | 1677 |
rules, guidelines, and procedures as necessary to carry out the | 1678 |
purposes of this section. | 1679 |
Section 7. Within the limits set forth in this act, the | 1680 |
Director of Budget and Management shall establish accounts | 1681 |
indicating the source and amount of funds for each appropriation | 1682 |
made in this act, and shall determine the form and manner in which | 1683 |
appropriation accounts shall be maintained. Expenditures from | 1684 |
appropriations contained in this act shall be accounted for as | 1685 |
though made in Am. Sub. H.B. 59 of the 130th General Assembly. | 1686 |
The appropriations made in this act are subject to all | 1687 |
provisions of Am. Sub. H.B. 59 of the 130th General Assembly that | 1688 |
are generally applicable to such appropriations. | 1689 |