,ieMre 
SIXTEENTH CONGRESS OF THE 
) 
{OHIo' of !4~ ~nri'tnr~ 
REPUBLIC OF THE PHILIPPINES ) 
First Regular Session 
) 
'13 
JUL 16 P446 
SENATE 
______ ~ ____ 
S_' N_O_I ,~~ 
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___ 0=4==-________ '_r:_p_"_h_!~)Y:-f- i~ 
Introduced by Senator Antonio "Sonny" F, Trillanes IV 
EXPLANATORY NOTE 
The 1987 Constitution under Article II, Section 15 mandates that the State shall protect and 
promote the right to health of the people and instill health consciousness among them. Further, 
under Article XIII, Section 11 mandates that State shall adopt an integrated and comprehensive 
approach to health development. 
One aspect of our health which has not been given much priority by the government is mental 
health. Issues on mental health not only include problems on commonly known mental disorders 
such as depression, bipolar disorder (manic-depressive illness), attention-deficit/hyperactivity 
disorder, anxiety disorders and conduct disorder, but more importantly the effects on one's mind 
of the risks brought by extreme life experiences as well as the psychosocial concerns of daily 
living. Extreme life experiences such as disasters and armed conflicts as well as large-scale 
exodus of our skilled workers for jobs overseas contribute to mental disorder problems. In 2007, 
according to the Philippine Psychiatric Association, up to 20% of adults suffer from mental 
disorders. Given this dilemma, services for mental health must be available within the public 
health/hospital system of the country. 
This bill seeks to provide a unified, accountable, comprehensive adult mental health service 
system in the country in accordance with the provisions of the Constitution in promoting the 
right to health of everyone. The proposed measure seeks to promote the independence and safety 
of adults with mental illness, and eliminate the abuses done to them by providing appropriate 
quality service that is consistent with contemporary professional standards in the field of mental 
health. 
In view of the foregoing, immediate approval if this bill' e 
Senator 
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'sl'tl21tr 
{~HI;f of ttl~ ~rtrptnr\t 
SIXTEENTH CONGRESS OF THE 
) 
REPUBLIC OF THE PHILIPPINES ) 
First Regular Sessiou 
) 
'13 
JUL 16 P 4 :46 
SENATE 
Introduced by Senator Antonio "Sonny" F. Trillanes IV 
AN ACT 
ESTABLISHING A COMPREHENSIVE ADULT MENTAL HEALTH PROGRAM IN THE 
COUNTRY, APPROPRIATING FUNDS THEREFOR AND FOR OTHER PURPOSE 
Be it enacted by the Senate and the House of Representatives of the Philippmes in Congress assembled: 
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SECTION 1. Title. - This Act shall be known as the "Comprehensive Adult Mental 
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Health Act oj 2013." 
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SEC. 2. Statement oj Policy. - It shall be the policy of the State to protect and promote 
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the right to health of the people and instill health consciousness among them, To this end, the 
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State shall create and ensure a unified, accountable, comprehensive adult mental health service 
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system that: 
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(1) Recognizes the right to of adults with mental illness to control their own lives as fully 
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possible; 
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(2) Promotes the independence and safety of adults with mental illness; 
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(3) Reduces chronicity of mental illness; 
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(4) Eliminates abuse of adults with mental illness; 
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(5) Provides services designed to: 
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(a) Recognize the right of adults with mental illness to control their own lives as fully as 
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possible; 
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(b) Stabilize adults with mental illness; 
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(c) Prevent the development and deepening of mental illness; 
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(d) Support and assist adults in resolving mental health problems that impede their 
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functioning; 
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(e) promote higher and more satisfying levels of emotional functioning; 
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and 
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(f) promote sound mental health; and 
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(6) provides a quality of service that is effective, efficient, appropriate, and 
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consistent with contemporary professional standards in the field of mental 
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health. 
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SEC. 3. Definition of Terms. - As used in this Act, the term -
(I) 
"Acute care hospital inpatient treatment" means short-term medical, 
nursing, and psychosocial services provided in an acute care hospital. 
(2) 
"Case management services" means activities that are coordinated 
with the community support services program as defined in number 6 and are 
designed to help adults with serious and persistent mental illness in gaining access 
to needed medical, social, educational, vocational, and other necessary services as 
they relate to the client's mental health needs. Case management services include 
developing a functional assessment, an individual community support plan, 
referring and assisting the person to obtain needed mental health and other services, 
ensuring coordination of services, and monitoring the delivery of services. 
(3) 
"Case management service provider" means a case manager or case 
manager associate employed by the local mental health authority or other entity 
authorized by the local mental health authority to provide case management services. 
(a) A case manager must: 
(i) be skilled in the process of identifying and assessing a wide 
range of client needs; 
(ii) be knowledgeable about local community resources and how 
to use those resources for the benefit of the client; 
(iii)have a bachelor's degree in one of the behavioral sciences or 
related fields including, but not limited to, social work, 
psychology, or nursing from an accredited college or 
university or meet the requirements of paragraph (3) (b); and 
(iv) meet the supervision and continuing education requirements 
described in paragraphs (3) (c), (d), and (e), as applicable. 
(b) Case managers without a bachelor's degree must meet one of the 
requirements in clauses (i) to (iii): 
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(i) have three or four years of experience as a case manager 
associate as defined in this section; 
(ii) be a registered nurse without a bachelor's degree and have a 
combination of specialized training in psychiatry and work 
experience 
consisting 
of community 
interaction 
and 
involvement or community discharge planning in a mental 
health setting totaling three years; or 
(c) A case manager with at least 2,000 hours of supervised experience in 
the delivery of services to adults with mental illness must receive 
regular ongoing supervision and clinical supervision totaling 38 
hours per year of which at least one hour .per month must be clinical 
supervision regarding individual service delivery with a case 
management supervisor. The remaining 26 hours of supervision may 
be provided by a case manager with two years of experience. Group 
supervision may not constitute more than one-half of the required 
supervision hours. Clinical supervision must be documented in the 
client record. 
(d) A case manager without 2,000 hours of supervised experience in the 
delivery of services to adults with mental illness must: 
(i) receive clinical supervision regarding individual service 
delivery from a mental health professional at least one hour 
per week until the requirement of 2,000 hours of experience is 
met; and 
(ii) complete 40 hours of training approved by the commissioner 
in case management skills and the characteristics and needs of 
adults with serious and persistent mental illness. 
(e) A case manager who is not licensed, registered, or certified by a 
health-related licensing board must receive 30 hours of continuing 
education and training in mental illness and mental health services 
every two years. 
(f) A case manager associate (CMA) must: 
(i) 
work under the direction of a case manager or case 
management supervisor; 
(ii) be at least 21 years of age; 
(iii) have at least a high school diploma or its equivalent; and 
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(iv) meet one of the following criteria: 
(aa) have an associate of arts degree in one of the behavioral 
sciences or human services; 
(bb) within the previous ten years, have three years of life 
experience with serious and persistent mental illness as 
defined in section (3) (20); or as a child had severe 
emotional disturbance as defined in section (3) (6); or have 
three years life experience as a primary caregiver to an 
adult with serious and persistent mental illness within the 
previous ten years; 
(cc) have 6,000 hours work experience as a non-degreed state 
hospital technician; or 
(dd) be a mental health practitioner as defined in section (3) 
(l5-b). 
Individuals meeting one of the criteria in items (aa) to (cc), may qualifY as a 
case manager after four years of supervised work experience as a case manager 
associate. Individuals meeting the criteria in item (dd), may qualify as a case 
manager after three years of supervised experience as a case manager associate. 
(g) A case management associate must meet the .following supervision, 
mentoring, and continuing education requirements: 
(i) have 40 hours of pre-service training; 
(ii) receive at least 40 hours of continuing education in mental 
illness and mental health services annually; and 
(iii) receive at least five hours of mentoring per week from a 
case management mentor. 
(iv) A case management supervisor must meet the criteria for 
mental health professionals, as specified in section (3) (18). 
(h) An immigrant who does not have the qualifications specified in this 
subdivision may provide case management services to adult 
immigrants with serious and persistent mental illness who are 
members of the same ethnic group as the case manager if the person: 
(i) is currently enrolled in and is actively pursuing credits toward 
the completion of a bachelors degree in one of the behavioral 
sciences or a related field including, but not limited to, social 
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work, psychology, or nursing from an accredited college or 
university; 
(ii) completes 40 hours of training as specified in this subdivision; 
and 
(iii) receives clinical supervision at least. once a week until the 
requirements of this subdivision are met. 
(4) 
"Case management mentor" means a qualified, practicing case 
manager or case management supervisor who teaches or advises and provides 
intensive training and clinical supervision to one or more case manager associates. 
Mentoring may occur while providing direct services to consumers in the office or 
in the field and may be provided to individuals or groups of case manager 
associates. At least two mentoring hours per week must be individual and face-to-
face. 
(5) 
"Commissioner" means the commissioner of human services. 
(6) 
"Community support services program" means services, other than 
inpatient or residential treatment services, provided or coordinated by an identified 
program and staff under the clinical supervision of a mental health professional 
designed to help adults with serious and persistent mental illness to function and 
remain in the community. A community support services program includes: 
(a) client outreach; 
(b) medication monitoring; 
(c) assistance in independent living skills; 
(d) development of employability and work-related opportunities; 
(e) crisis assistance; 
(f) psychosocial rehabilitation; 
(g) help in applying for government benefits; and, 
(h) housing support services. 
(7) 
"Day treatment," "day treatment services," or "day treatment 
program" means a structured program of treatment and care provided to an adult. 
Day treatment consists of group psychotherapy and other intensive therapeutic 
services that are provided at least one day a week by a multidisciplinary staff under 
the clinical supervision of a mental health professional. Day treatment may include 
education and consultation provided to families and other individuals as part of the 
treatment process. The services are aimed at stabilizing the adult's mental health 
status, providing mental health services, and developing and improving the adult's 
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independent living and socialization skills. The goal of day treatment is to reduce 
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or relieve mental illness and to enable the adult to live in the community. Day 
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treatment services are not a part of inpatient or residential treatment services. Day 
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treatment services are distinguished from day care by their structured therapeutic 
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program of psychotherapy services. 
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(8) 
"Diagnostic assessment" means a written summary of the history, 
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diagnosis, strengths, vulnerabilities, and general service needs of an adult with a 
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mental illness using diagnostic, interview, and other relevant mental health 
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techniques provided by a mental health professional used III developing an 
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individual treatment plan or individual community support plan. 
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(9) 
"Education and prevention services" means services designed to 
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educate the general public or special high-risk target populations about mental 
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illness, to increase the understanding and acceptance of problems associated with 
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mental illness, to increase people's awareness of the availability of resources and 
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services, and to improve people's skills in dealing with high-risk situations known 
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to affect people's mental health and functioning. The services include the 
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distribution of information to individuals and agencies identified by the county 
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board and the local mental health advisory council, on predictors and symptoms of 
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mental disorders, where mental health services are available in the county, and how 
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to access the services. 
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(10) 
"Emergency services" means an immediate response service available 
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on a 24-hour, seven-day-a-week basis for persons having a psychiatric crisis, a 
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mental health crisis, or emergency. 
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( 11) 
"Functional assessment" means an assessment by the case manager of 
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the adult's: 
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(a) mental health symptoms as presented in the adult's diagnostic 
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assessment; 
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(b) mental health needs as presented in the adult's diagnostic assessment; 
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(c) use of drugs and alcohol; 
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(d) vocational and educational functioning; 
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(e) social functioning, including the use ofleisure time; 
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(0 interpersonal functioning, including relationships with the adult's 
family; 
(g) self-care and independent living capacity; 
(h) medical and dental health; 
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(i) financial assistance needs; 
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(i) housing and transportation needs; and 
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(k) other needs and problems. 
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(11) 
"Individual community support plan" means a written plan developed 
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by a case manager on the basis of a diagnostic assessment. and functional 
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assessment. The plan identifies specific services needed by an adult with serious 
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and persistent mental illness to develop independence or improved functioning in 
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daily living, health and medication management, social functioning, interpersonal 
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relationships, financial management, housing, transportation, and employment. 
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(12) 
"Individual placement agreement" means a written agreement or 
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supplement to a service contract entered into between the county board and a 
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service provider on behalf of an individual adult to provide residential treatment 
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services. 
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(13) 
"Individual treatment plan" means a written plan of intervention, 
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treatment, and services for an adult with mental illness that is developed by a 
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service provider under the clinical supervision of a mental health professional on 
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the basis of a diagnostic assessment. The plan identifies goals and objectives of 
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treatment, treatment strategy, a schedule for accomplishing treatment goals and 
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'objectives, and the individual responsible for providing treatment to the adult with 
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mental illness. 
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(14) 
"Mental health crisis services" means crisis assessment, crisis 
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intervention, and crisis stabilization services. 
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(15) 
"Mental health practitioner" means a person providing services to 
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persons with mental illness who is qualified in at least one of the following ways: 
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(a) holds a bachelor's degree in one of the behavioral sciences or related 
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fields from an accredited college or university and: 
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(i) has at least 2,000 hours of supervised experience in the delivery of 
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services to persons with mental illness; or 
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(ii) is fluent in the non-English language of the ethnic group to which 
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at least 50 percent of the practitioner's clients belong, completes 
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40 hours of training in the delivery of services to persons with 
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mental illness, and receives clinical supervision from a mental 
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health professional at lea.st once a week until the requirement of 
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2,000 hours of supervised experience is met; 
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(b) has at least 6,000 hours of supervised experience in the delivery of 
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services to persons with mental illness; 
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(c) is a graduate student in one of the behavioral sciences or related 
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fields and is formalIy assigned by an accredited college or university 
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to an agency or facility for clinical training; or 
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(d) holds a master's or other graduate degree in one of the behavioral 
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sciences or related fields from an accredited college or university and 
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has less than 4,000 hours post-master's experience in the treatment of 
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mental illness, 
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(16) 
"Mental health professional" means a person providing clinical 
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services in the treatment of mental illness who is qualified in at least one of the 
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following ways: 
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( a) in psychiatric nursing: a registered nurse; and: 
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(i) who is certified as a clinical specialist or as a nurse practitioner in 
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adult or family psychiatric and mental health nursing by a 
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national nurse certification organization; or 
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(ii) who has a master's degree in nursing or one of the behavioral 
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sciences or related fields from an accredited college or university 
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or its equivalent, with at least 4,000 hours of post-master's 
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supervised experience in the delivery of clinical services in the 
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treatment of mental illness; 
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(b) in clinical social work: a person licensed as an independent clinical 
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social worker, or a person with a master's degree in social work from 
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an accredited college or university, with at least 4,000 hours of post-
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master's s\lpervised experience in the delivery of clinical services in 
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the treatment of mental illness; 
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(c) in psychology: a licensed individual who IS competent in the 
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diagnosis and treatment of mental illness; 
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(d) in psychiatry: a duly licensed physician or eligible for board 
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certification in psychiatry; 
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(e) in marriage and family therapy: the mental health professional must 
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be an eligible marriage and family therapist with at least two years of 
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post-master's supervised experience in the delivery of clinical 
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services in the treatment of mental illness;' or 
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(f) in allied fields: a person with a master's degree from an accredited 
college or university in one of the behavioral sciences or related 
fields, with at least 4,000 hours of post-master's supervised 
experience in the delivery of clinical services in the treatment of 
mental illness. 
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(17) 
"Mental health services" means all of the treatment services and case 
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management activities that are provided to adults with mental illness and are 
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described in this Act. 
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(18) 
"Mental illness" means an organic disorder of the brain or a clinically 
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significant disorder of thought, mood, perception, orientation, memory, or behavior 
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that seriously limits a person's capacity to function in primary aspects of daily 
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living such as personal relations, living arrangements, work, and recreation. 
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(19) 
"Adult with acute mental illness" means an adult who has a mental 
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illness that is serious enough to require prompt intervention. 
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(20) 
For purposes of case management and community support services, a 
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"person with serious and persistent mental illness" means an adult who has a 
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mental illness and meets at least one of the following criteria: 
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(a) the adult has undergone two or more episodes of inpatient care for a 
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mental illness within the preceding 24 months; 
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(b) the adult has experienced a continuous psychiatric hospitalization or 
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residential treatment exceeding six months' duration within the 
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preceding 12 months; 
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(c) the adult has been treated by a crisis team two or more times within 
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the preceding 24 months; 
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(d) the adult: 
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(i) has a diagnosis of schizophrenia, bipolar disorder, major 
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depression, or borderline personality disorder; 
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(ii) indicates a significant impairment in functioning; and 
(iii) has a written opinion from a mental health professional, in 
the last three years, stating that the adult is reasonably likely 
to have future episodes requiring inpatient or residential 
treatment, of a frequency described in clause ( a) or (b), unless 
ongoing case management or community support services are 
provided; 
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(e) the adult has, in the last three years, been committed by a court as a 
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person who is mentally ill or the adult's commitment has been stayed 
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or continued; or 
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(f) the adult [1] was eligible under clauses (a) to (e), but the specified 
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time period has. expir.e.d or.. the. adult was. e.ligihle. as. a c.hi.1.d;. and [2]. 
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has a written opinion from a mental health professional, in the last 
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three (3) years, stating that the adult is reasonably likely to have 
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future episodes requiring inpatient or residential treatment, of a 
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frequency described in clause (a) or (b), unless ongoing case 
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management or community support services are provided. 
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(21) 
"Outpatient services" means mental health seniices, excluding day 
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treatment and community support services programs, provided by or under the 
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clinical supervi-sion of a mental health professional to adults with mental illness 
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who live outside a hospital. Outpatient services include clinical activities such as 
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individual, group, and family therapy; individual treatment planning; diagnostic 
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aR~eRRment~; medication management; and psychological teRting. 
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(22) 
"Regional treatment center inpatient services" means the 24-hour-a-
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day comprehensive medical, nursing, or psychosocial services provided in a 
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regional treatment center operated by the government. 
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(23) 
"Residential treatment" means a 24-hour-a-day program under the 
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clinical supervision of a mental health professional, in a community residential 
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setting other than an acute care hospital or regional treatment center inpatient unit, 
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that must be licensed as a residential treatment program for adults with mental 
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illncss. 
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(24) 
"Service provider" means either a county board or an individual or 
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agency including a regiorulJ treatment center under contract with the county board 
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that provides adult mental health services funded by sections. 
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(25) 
"Significant impairment in functioning" means a condition, including 
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significant suicidal ideation or thoughts of harming self or others, which harmfully 
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affects, recurrently or consistently, a person's activities of daily living in 
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employment, housing, family and social relationships, or education. 
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SEC. 4. Planning/or a Mental Health System. -
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(1) 
Planning effort - .starting on the effective date of this Act, the Secretary 
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of the Department of Health and the local mental health authorities shall plan for the 
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development of a unified, accountable, and comprehensive statewide mental health 
system, The system must be planned and developed by stages until it is operating at full 
capacity, 
(2) 
Technical assistance - The DOH Secretary shall provide ongoing 
technical assistance to local mental health authorities to improve system capacity and 
quality. They shall also exchange information as needed about the numbers of adults with 
mental illness residing in the county and extent of existing treatment components locally 
available to serve the needs of those persons. Local mental health authorities shall 
cooperate with the DOH Secretary in obtaining necessary planning information upon 
request. 
(3) 
Report on increase in community-based residential programs - The 
DOH Secretary and other concerned agencies shall study and submit to the legislature by 
six (6) months after the passage of this Act, a report and recommendations regarding (1) 
plans and fiscal projections for increasing the number of community-based beds, small 
community-based residential programs, and support services for persons with mental 
illness, including persons for whom nursing home services are inappropriate, to serve all 
persons in need of those .programs; and (2) the projected fiscal impact of maximizing the 
availability of medical assistance coverage for persons with mental illness. 
(4) 
Review of funding - The commissioner shall complete a review of 
20 
funding for mental health services and make recommendations for any changes needed. 
21 
The commissioner shall submit a report on the review and recommendations to the 
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legislature five (5) months after the passage of this Act. 
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SEC. 5. Coordination oj Mental Health System. -
25 
(1) 
Coordination - The commissioner shall supervise the development and 
26 
coordination of locally available adult mental health services by the county boards in a 
27 
manner consistent with sections of this Act. The commissioner shall coordinate locally 
28 
available services with those services available from the regional treatment center serving 
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the area including state-operated services offered at sites outside of the regional treatment 
30 
centers. The commissioner shall provide technical assistance to county boards in 
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developing and maintaining locally available mental health services. The commissioner 
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shall monitor the county board's progress in developing its full system capacity and 
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quality through ongoing review of the county board's adult mental health component of 
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the community social services plan and other information as required by under this Act. 
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(2) 
Priorities - Six months after the enactment of this Act, the commissioner 
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shall require that each of the treatment services and management activities described in 
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sections 10 to 20 are developed for adults with mental iliness within available resources 
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based on the following ranked priorities: 
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(a) the .provision oflocally available emergency services; 
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(b) the provision of locally available services to all adults with serious 
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and persistent mental illness and all adults with acute mental illness; 
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(c) the provision of specialized services regionally available to meet the 
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special needs of all adults with serious and persistent mental illness 
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and all adults with acute mental illness; 
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(d) the provision of locally available services to adults with other mental 
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illness; and 
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(e) the provision of education and preventive mental health services 
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targeted at high-risk populations. 
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(3) 
Public-private partnerships - The DOH may establish a mechanism by 
16 
which local mental health authorities, hospitals, health plans, consumers, providers, and 
17 
others may enter into agreements that allow for capacity building and oversight of any 
18 
agreed-upon entity that is developed through these partnerships. The purpose of these 
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partnerships is the development and provision of mental health services which would be 
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more effective, efficient, and accessible than services that mi!;!ht be provided separately 
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by each partner. 
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SEC. 6. Duties of Local Mental Health Authorities. -
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(1) 
Use of mental health funds - The local mental health authorities shall 
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use its share of mental health funds allocated by the DOH according to the mental health 
26 
plan approved by the Secretary. The local mental health authorities must: 
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(a) develop and coordinate a system of affordable and locally available 
28 
adult mental health services in accordance with the provisions of this 
29 
Act; 
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(b) with the involvement of the local adult mental health advisory 
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council or the adult mental health subcommittee of an existing 
32 
advisory council, develop a biennial adult mental health plan which 
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considers the assessment of unmet needs in the locality as reported 
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by the local adult mental health advisory council under section 7 
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clause 5, clause (3). The local mental health authorities shall provide, 
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(2) 
upon request of the local adult mental health advisory council, 
readily available data to assist in the determination of unmet needs; 
(c) provide for case management services to adults with serious and 
persistent mental illness in accordance with sections section 3 clause 
3 and 4; 
(d) provide for screening of adults specified in section 15 upon 
admission to a residential treatment facility or acute care hospital 
inpatient, or informal admission to a regional treatment center; 
(e) prudently administer grants and purchase-of-service contracts that the 
local mental health authority board determines are necessary to fulfill 
its responsibilities under this Act; and 
(1) assure that' mental health professionals, mental health practitioners, 
and case managers employed by or under contract with the county to 
provide mental health services have experience and training in 
working with adults with mental illness. 
Responsibility not duplicated - For individuals who have health care 
coverage, the county board is not responsible for providing mental health services which 
are within the limits of the individual's health care coverage. 
SEC. 7. Local Service Delivery System.-
(1) 
Deveiopment of services - The local mental health authority board in 
each locality is responsible for using all available resources to develop and coordinate a 
system of locally available and affordable adult mental health services, The local mental 
health authority board may provide some or all of the mental health services and 
activities specified in paragraph 2 directly through a local mental health authority or 
under contracts with other individuals or agencies. A local mental health authority or 
local mental health authorities may enter into an agreement with a regional treatment 
center or with any state facility or program, to enable the local mental health authority or 
local mental health authorities to provide the treatment services in paragraph 2. Services 
provided through an agreement between a local mental health authority and a regional 
treatment center must meet the same requirements as services from other service 
providers, 
(2) 
Adult mental health sen'ices - The adult mental health service system 
developed by each county board must include the following services: 
(a) education and prevention services in accordance with section 9; 
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(b) emergency services in accordance with section 10; 
(c) outpatient services in accordance with section 11; 
(d) case management in accordance with in accordance with the 
definition of case management service; 
(e) residential treatment services in accordance with section 12; 
(f) acute care hospital inpatient treatment services in accordance with 
section 13; 
(g) regional treatment center, inpatient services m accordance with 
section 14; and 
(h) screening in accordance with section 16. 
10 
11 
(3) 
Local contracts - Effective January 1, 2010, the local mental health 
12 
authority board shall review all proposed local mental health authority agreements, 
13 
grants, or other contracts related to mental health services for funding from any local, or 
14 
state sources. Contracts with service providers must: 
15 
(a) name the commissioner as a third party beneficiary; 
16 
(b) identify monitoring and evaluation procedures which are necessary to 
17 
ensure effective delivery of quality s\:lrvices; 
18 
(c) include a provision that makes payments conditional on compliance 
19 
by the contractor and all subcontractors with this Act and all other 
20 
applicable laws, rules, and standards; and 
21 
(d) require financial controls and auditing procedures. 
22 
(4) 
Joint local mental health authority mental health agreements - In 
23 
order to provide efficiently the services required by this Act, local mental health 
24 
authorities are encouraged to join with one or more local mental health authority boards 
25 
to establish or enter multi-local mental health agreements. Participating local mental 
26 
health authority boards shall establish acceptable ways of apportioning the cost of the 
27 
sefV1ces. 
28 
(5) 
Local advisory council - The local mental health authority board, 
29 
individually or in cOlljunction with other local mental health authority boards, shall 
30 
establish a local adult mental health advisory council or mental health subcommittee of 
31 
an existing advisory council. The council's members must reflect a broad range of 
32 
community interests. They must include at least one consumer, one family member of an 
33 
adult with mental illness, one mental health professional, and one community support 
34 
services program representative. The local adult mental health advisory council or mental 
35 
health subcommittee of an existing advisory council shall meet at least quarterly to 
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review, evaluate, and make recommendations regarding the local mental health system. 
2 
Annually, the 10ca1.adult mental health advisory council or mental health subcommittee 
3 
of an existing advisol)' council shaH: 
4 
(a) arrange for input from the regional treatment center's mental illness 
5 
program unit regarding coordination of care between the regional 
6 
treatment center and community-based services; 
7 
(b) identify for the county board the individuals, providers, agencies, and 
8 
associations as specified in section 3 naragranh 9; 
9 
(c) provide to the county board a report of unmet mental health needs of 
10 
adults residing in the county to be included in the county's mental 
11 
health plan, and participate in developing the mental health plan; and 
12 
(d) coordinate its review, evaluation, and recommendations regarding the 
13 
local mental health system with the state advisory council on mental 
14 
health. 
15 
The county board shaH consider the advice of its local mental health 
16 
advisory councilor mental health subcommittee of an existing advisory council in 
17 
carrying out its authorities and responsibilities. 
18 
(6) 
Other local authority - The local mental health authority board may 
19 
establish procedures and policies that are not contrary to those of the DOH or this Act 
20 
regarding local adult mental health services and facilities. The county board shall perfortn 
21 
other acts necessal)' to carry out the provisions of this Act. 
22 
(7) 
IMD downsizing flexibility - If a local mental health authority presents 
23 
a budget-neutral plan for a net reduction in the number of institution for mental disease 
24 
(IMD) beds funded under group residential housing, the commissioner may transfer the 
25 
net savings from group residential housing and general assistance medical care to medical 
26 
assistance and mental health grants to provide appropriate services in non-IMD settings. 
27 
For the purposes of this subdivision, "a budget neutral plan" means a plan that does not 
28 
increase the state share of costs. 
29 
30 
SEC. 8. Quality of Services. -
31 
(1) 
Criteria - Mental health services required by this chapter must be: 
32 
(a) based, when feasible, on research findings; 
33 
34 
(b) based on individual clinical needs, cultural and ethnic needs, and 
other special needs of individuals being served; 
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(c) provided in the most appropriate, least restrictive setting available to 
2 
the local mental health authority; 
3 
(d) accessible to all age groups; 
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(e) delivered in a manner that provides accountability; 
5 
(f) provided by ql,lalified individuals as required in this chapter; 
6 
(g) coordinated with mental health services offered by other providers; 
7 
and 
8 
(h) provided under conditions which protect the rights and dignity of the 
9 
individuals being served. 
10 
(2) 
Diagnostic assessment - All providers of residential, acute care hospital 
II 
inpatient, and regional treatment centers must complete a diagnostic assessment for each 
12 
of their clients within five days of admission. Providers of outpatient and day treatment 
13 
services must complete a diagnostic assessment within five days after the adult's second 
14 
visit or within 30 days after intake, whichever occurs first. In cases where a diagnostic 
15 
assessment is available and has been completed \vithin 180 days preceding admission, 
16 
only updating is necessary. "Updating" means a written sununary by a mental health 
17 
professional of the adult's current mental health status and service needs. If the adult's 
i 8 
mental health status has changed markedly since the adult's most recent diagnostic 
19 
assessment, a new diagnostic assessment is required. 
20 
(3) 
Individual treatment plans - All providers of outpatient services, day 
2 i 
treatment services, residential treatment, acute care hospital inpatient treatment, and all 
22 
regional treatment centers must develop an individual treatment plan for each of their 
23 
adult clients. The individual treatment plan must be based on a diagnostic assessment. To 
24 
the extent possible, the adult client shall be involved in all phases of developing and 
25 
implementing the individual treatment plan. Providers of residential treatment and acute 
26 
care hospital inpatient treatment, and all regional treatment centers must develop the 
27 
individual treatment plan ,vithin ten days of client intake and must review the individual 
28 
treatment plan every 90 days after intake. Providers of day treatment services must 
29 
develop the individual treatment plan before the completion of five working days in 
30 
which service is provided or within 30 days after the diagnostic assessment is completed 
31 
or obtained, whichever occurs first. Providers of outpatient services must develop the 
32 
individual treatment plan within 30 days after the diagnostic assessment is completed or 
33 
obtained or by the end of the second session of an outpatient service, not including the 
34 
session in which the diagnostic assessment was provided, whichever occurs first. 
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Outpatient and day treatment services providers must review the individual treatment 
2 
plan every 90 days after intake. 
3 
(4) 
Referral for case management - Each provider of emergency services, 
4 
day treatment services, outpatient treatment, community support services, residential 
5 
treatment, acute care hospital inpatient treatment, or regional treatment center inpatient 
6 
treatment must inform each of its clients with serious and persistent mental illness of the 
7 
availability and potential benefits to the client of case management. If the client consents, 
8 . the provider must refer the client by notifying the county employee designated by the 
9 
county board to coordinate case management activities of the client's name and address 
10 
and by informing the client of whom to contact to request case management. The 
11 
provider must document compliance with this subdivision in the client's record. 
12 
(5) 
Information for billing - Each provider of outpatient treatment, 
13 
community support services, day treatment services, emergency services, residential 
14 
treatment, or acute care hospital inpatient treatment must include the name and home 
i 5 
address of each client for whom services are included on a bill submitted to a county, if 
16 
the client has consented to the release of that information and if the county requests the 
17 
information. Each provider shall attempt to obtain each client's consent and must explain 
i 8 
to the client that the information can only be released with tbe client's consent and may 
19 
be used only for purposes of payment and maintaining provider accountability. The 
20 
provider shall document the attempt in the client's record. 
21 
(6) 
Restricted access to data - The local mental health board shall establish 
22 
procedures to ensure that the names and addresses of persons receiving mental health 
23 
services are disclosed only to: 
24 
(a) local mental health employees who are specifically responsible for 
25 
determining the local financial responsibility or making payments to 
26 
providers; and 
27 
(b) staff who provide treatment services or case management and their 
28 
clinical supervisors. 
29 
Release of mental health data on individuals other than those specified in 
30 
this subdivision, or use of this data for purposes other than those stated above may 
31 
result in civil or criminal liability under this Act. 
32 
33 
SEC. 9. Education alld Prevention Services. - By January 1,2010, local mental 
34 
health boards must provide or contract for education and prevention services to adults 
35 
residing in the locality. Education and prevention services must be designed to: 
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(1) convey information regarding mental illness and treatment n;sources 
2 
to the general public and special high-risk target groups; 
3 
(2) increase understanding and acceptance of problems associated with 
4 
mental illness; 
5 
(3) improve people's skills in dealing with high-risk situations known to 
6 
have an impact on adults' mental health functioning; 
7 
(4) prevent development or deepening of mental illness; and 
8 
(5) refer adults with additional mental health needs to appropriate mental 
9 
health services. 
10 
II 
SEC. 10. Emergency Services. -
12 
(1) 
Availability of emergency services - By January 1,2010, local mental 
13 
health boards must provide or contract for enough emergency services within the locality 
14 
.to meet the needs of adults in their locality who are experiencing an emotional crisis or 
15 
mental illness. Clients may be required to pay a fee according to section 17 of this Act. 
16 
Emergency services must include assessment, crisis intervention, and appropriate case 
17 
disposition. Emergency services must: 
18 
(a) promote the safety and emotional stability of adults with mental 
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illness or emotional crises; 
(b) minimize further deterioration of adults with mental illness or 
emotional crises; 
(c) help adults with mental illness or emotional crises to obtain ongoing 
care and treatment; and 
(d) prevent placement in settings that are more intensive, costly, or 
restrictive than necessary and appropriate to meet client needs. 
26 
(2) 
Specific requirements -
27 
(a) The local health board shall require that all service providers of 
28 
emergency services to adults with mental illness provide immediate 
29 
direct access to a mental health professional during regular business 
30 
31 
32 
33 
34 
hours. For evenings, weekends, and holidays, the service may be by 
direct toll free telephone access to a mental health professional, a 
mental health practitioner, or a designated person with training in 
human services who receives clinical supervision from a mental 
health professional. 
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(b) The DOH Secretary may waive the requirement in paragraph (a) that 
the evening, weekend, and holiday service be provided by a mental 
health professional or mental health practitioner if the local mental 
health authority documents that: 
(i) mental health professionals or mental health practitioners are 
unavailable to provide this service; 
(ii) services are provided by a designated person with training in 
human services who receives clinical supervision from a mental 
health professional; and 
(iii) the service provider is not also the provider of fire and public 
safety' emergency services. 
(c) The DOH Secretary may waive the requirement in paragraph (b), 
clause (iii), that the evening, weekend, and holiday service not be 
provided by the provider offire and public safety emergency services 
if: 
(i) every person who will be providing the first telephone contact 
has received at least eight hours of training on emerg,ency 
mental health services reviewed by the local mental health 
advisory council on mental health and then approved by the 
DOH Secretary; 
(ii) every person who will be providing the first telephone contact 
will annually receive at least four hours of continued training on 
emergency mental health services reviewed by the local mental 
health advisory council on mental health and then approved by 
the DOH; 
(iii) the local social service agency has provided public education 
about available emergency mental health services and can 
assure potential users of emergency services that their calls will 
be handled appropriately; 
(iv) the local social service agency agrees to provide the DOH with 
accurate data on the number of emergency mental health service 
cans received; 
( v) the local social service agency agrees to monitor the frequency 
and quality of emergency services; and 
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(vi) the local social service agency describes how it will comply 
2 
with paragraph (iv). 
3 
(d) Whenever emergency service during non-business hours is provided 
4 
by anyone other than a mental health professional, a mental health 
5 
professional must be available on call for an emergency assessment 
6 
and crisis intervention services, and must be avaiiable for at least 
7 
telephone consultation within 30 minutes. 
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SEC. 11. Outpatient Services. -
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(1) 
A vaila bility of outpatient services. 
(a) Local mental health boards must provide or contract for enough 
outpatient 'services within the locality to meet the needs of adults 
with mental illness residing in that locality. Services may be provided 
directly by the local mental health authority through locally-operated 
mental health centers or mental health clinics approved by the DOH 
Secretary under section 10; by contract with privately operated 
mental health centers or mental health clinics approved by the DOH 
Secretary under section 10; by contract with hospital mental health 
outpatient programs; or by contract with a licensed mental health 
professional as defined in section 3. Clients may be required to pay a 
fee according to section 17. Outpatient services include: 
(i) conducting diagnostic assessments; 
(ii) conducting psychological testing; 
(iii) developing or modifying individual treatment plans; 
(iv) making referrals and recommending placements as appropriate; 
(v) treating an adult's mental health needs through therapy; 
(vi) prescribing and managing medication and evaluating the 
effectiveness of prescribed medication; and 
(vii) preventing placement in settings that are more intensive, 
costly, or restrictive than necessary and appropriate to meet 
client needs. 
(b) Local mental health boards may req:uest a waiver allowing outpatient 
services to be provided in a nearby trade area if it is determined that 
the client can best be served outside the locality. 
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(2) 
Specific requirements - The local mental health board shall require that 
2 
all service providers of outpatient services: 
3 
(a) meet the professional qualifications contained ofthis Act; 
4 
(b) use a multidisciplinary mental health professional staff including at a 
5 
minimum, arrangements for psychiatric consultation, licensed 
6 
psychologist consultation, and other necessary multidisciplinary 
7 
mental health professionals; 
8 
(c) develop individual treatment plans; 
9 
(d) provide initial appointments within three weeks, except in 
10 
emergencies where there must be immediate access as described in 
II 
section 10; and 
12 
(e) establish fee schedules approved by the local mental health board that 
13 
are based on a client's ability to pay. 
14 
SEC. 12. Residential Treatment Services. -
15 
16 
(1) 
Availability of residential treatment services - By January 1, 2010, 
17 
local mental health boards must provide or contract for enoug)1 residential treatment 
18 
services to meet the needs of all adults with mental illness residing in the locality and 
19 
needing this level of care, Residential treatment services include both intensive and 
20 
structured residential treatment with length of stay based on client residential treatment 
21 
need, Services must be as close to the locality as possible. Residential treatment must be 
22 
designed to: 
23 
(a) prevent placement in settings that are more intensive, costly, or 
24 
restrictive than necessary and appropriate to meet client needs; 
25 
(b) help clients achieve the highest level of independent living; 
26 
(c) help clients gainthe necessary skills to function in a less structured 
27 
setting; and 
28 
(d) stabilize crisis admissions. 
29 
(2) 
Specific requirements - Providers of residential services must be 
30 
licensed under applicable rules adopted by the DOH Secretary and other concerned 
31 
agencies, and must be clinically supervised by a mental health professional. 
32 
(3) 
Transition to community - Residential treatment programs must plan 
, 
. 
33 
for and assist clients in making a transition from residential treatment facilities to other 
34 
community-based services. In coordination with the client's case manager, if any, 
35 
residential treatment facilities must also arrange for appropriate follow-up care in the 
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community during the transition period. Before a client is discharged, the residential 
treatment facility must notifY the client's case manager, so that the case manager can 
monitor and coordinate the transition and arrangements for the client's appropriate 
follow-up care in the community. 
(4) 
Admission, continued stay, and discharge criteria - No later than 
January 1, 2011, the local mental health board shall ensure that placement decisions for 
residential services are based on the clinical needs of the adult. The local mental health 
board shall ensure that each entity under contract with the locality to provide residential 
treatment services has admission, continued stay, discharge criteria and discharge 
planning criteria as part of the contract. Contracts shall specify specific responsibilities 
between the county and service providers to ensure comprehensive planning and 
continuity of care between needed services according to data privacy requirements. All 
contracts for the provision of residential services must include provisions guaranteeing 
clients the right to appeal under section 16 and to be advised of their appeal rights. 
SEC. 13. Acute Care Hospital Inpatient Services. -
(1) 
Availability of acute care inpatient services - By January 1, 2010, 
local mental health boards must make available through contract or direct provision 
enough acute care hospital inpatient treatment services as close to the locality as possible 
for adults with mental illness residing in that locality. Acute care hospital inpatient 
treatment services must be designed to: 
(a) stabilize the medical and mental health condition for which 
admission is required; 
(b) improve functioning to the point where discharge to residential 
treatment or community-based mental health services is possible; and 
(c) facilitate appropriate referrals for follow-up mental health care in the 
community. 
(2) 
Specific requirements - Providers of acute care hospital inpatient 
services must meet applicable standards established by the commissioners of health and 
human services. 
(3) 
Admission, continued stay, and discharge criteria - No later than 
January 1, 2011, the county board shall ensure that placement decisions for acute care 
inpatient services are based on the clinical needs of the adult. The county board shall 
ensure that each entity under contract with the county to provide acute care hospital 
treatment services has admission, continued stay, discharge criteria and discharge 
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planning criteria as part of the contract. Contracts shall specify specific responsibilities 
between the county and service providers to ensure comprehensive planning and 
continuity of care between needed services according to data privacy requirements. All 
contracts for the provision of acute care hospital inpatient treatment services must include 
provisions guaranteeing clients the right to appeal under section 16 and to be advised of 
their appeal rights. 
(4) 
Individual placement agreement - The local mental health board shall 
enter into an individual placement agreement with a provider of acute care hospital 
inpatient treatment services to an adult eligible for services under this section. The 
agreement must specify the payment rate and the terms and conditions of local mental 
health authority payment for the placement. 
13 
SEC. 14. - Regional Treatment Center Inpatient Services. -
14 
(1) 
Availability of regional treatment center inpatient services - By 
15 
January 1, 2011, the commissioner shall make sufficient regional treatment center 
16 
inpatient services available to adults with mental illness throughout the country who need 
17 
this level of care. Inpatient services may be provided either on the regional treatment 
18 
center campus or at any local facility. Services must be as close to the patient's locality of 
19 
residence as possible. Regional treatment centers are responsible to: 
20 
(a) provide acute care inpatient hospitalization; 
21 
(b) stabilize the medical and mental health condition of the adult 
22 
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(2) 
requiring the admission; 
(c) improve functioning to the point where discharge to community-
based mental health services is possible; 
(d) strengthen family and community support; and 
(e) facilitate appropriate discharge and referrals for follow-up mental 
health care in the community. 
Quality of service - The DOH Secretary with the help of other concerned 
29 
agencies shaH bienniaHy determine the needs of aH adults with mental illness who are 
30 
served by regional treatment centers or at any local facility or program by administering a 
31 
client-based evaluation system. The client-based evaluation system must include at least 
32 
the following independent measurements: behavioral development assessment; 
33 
habilitation program assessment; medical needs assessment; maladaptive behavioral 
34 
assessment; and vocational behavior assessment. The DOH Secretary shall propose staff 
35 
ratios to the legislature for the mental health and support units in regional treatment 
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centers as indicated by the results of the client-based evaluation system and the types of 
2 
locally-operated services needed. The proposed staffing ratios shall include professional, 
3 
nursing, direct care, medical, clerical, and support staff based on the client-based 
4 
evaluation system. The DOH Secretary and other concerned agencies shall re-compute 
5 
staffing ratios and recommendations on a biennial basis. 
6 
(3) 
Transition to community - Regional treatment centers must plan for 
7 
and assist clients in making a transition from regional treatment centers and other 
8 
inpatient facilities or programs to other community-based services. In coordination with 
9 
the client's case manager, if any, regional treatment centers must also arrange for 
10 
appropriate follow-up care in the community during the transition period. Before a client 
II 
is discharged, the regional treatment center must notifY the client's case manager, so that 
12 
the case manager can monitor and coordinate the transition and arrangements for the 
13 
client's appropriate follow-up care in the community. 
14 
(4) 
Staff safety training - The DOH Secretary shall require all staff in 
15 
. mental health and support units at regional treatment centers who have contact with 
16 
persons with mental illness or severe emotional disturbance to be appropriately trained in 
17 
violence reduction and violence prevention and shall establish criteria for such training. 
18 
Training programs shall be developed with input from consumer advocacy organizations 
19 
and shall employ violence prevention techniques as preferable to physical interaction. 
20 
21 
SEC. 15. Screening for Inpatient and Residential Treatment. - The DOH 
22 
Secretary shall review the statutory preadmission screening requirements for 
23 
psychiatric hospitalization, both in the regional treatment centers and other 
24 
hospitals, to determine if changes in preadmission screening are needed. The 
25 
commissioner shall deliver a report of the review to the legislature by January 31, 
26 
2012. 
27 
28 
SEC. 16. Appeals. - Any adult who requests mental health services under 
29 
this Act must be advised of services available and the right to appeal at the time of 
30 
the request and each time the individual community support plan or individual 
31 
treatment plan is reviewed. Any adult whose request for mental health services 
32 
under this Act is denied, not acted upon with reasonable promptness, or whose 
33 
services are suspended, reduced, or terminated by action or inaction for which the 
34 
local mental health board is responsible under this Act may contest that action or 
24 


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SEC. 17. Fees for Mental Health Services. - A client or, in the case of a child, 
2 
the child or the child's parent may be required to j:lay a fee for mental health 
3 
services provided under this Act. The fee must be based on the person's ability to 
4 
pay according to the fee schedule adopted by the local mental health board. In 
5 
adopting the fee schedule for mental health services, the local mental health board 
6 
may adopt the fee schedule provided by the DOH Secretary or adopt a fee schedule 
7 
recommended by the local mental health board and approved by the DOH 
8 
Secretary. Agencies or individuals under contract with a local mental health board 
9 
to provide mental health services under this Act must not charge clients whose 
10 
mental health services are paid wholly or in part from public funds fees which 
11 
exceed the local mental health board's adopted fee schedule. 
12 
I3 
SEC. 18. Reporting and Evaluation. -
14 
(1) 
Reports - The DOH Secretary shall specify requirements for reports, 
15 
including quarterly fiscal reports. 
16 
(2) 
Fiscal reports - The DOH Secretary shall develop a unified format for 
17 
quarterly fiscal reports that will include information that the DOH Secretary determines 
18 
necessary to carry out this Act. The local mental health board' shall submit a completed 
19 
fiscal report in the required format no later than 30 days after the end of each quarter. 
20 
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(3) 
Program reports - The DOH Secretary shall develop unified formats for 
. 
-
reporting, which will include information that the DOH Secretary determines necessary 
to carry out the provisions of this Act. The local mental health board shall submit 
completed program reports in the required format according. to the reporting schedule 
developed by the DOH Secretary. 
(4) 
Provider reports - The DOH Secretary may develop formats and 
procedures for direct reporting from p,roviders to the DOH Secretary to include 
information that the Secretary determines necessary to carry out the provisions of this 
Act. In particular, the provider reports must include aggregate information by local 
mental health authorities of residence about mental health services paid for by funding 
sources other than that of the local mental health authorities. 
(5) 
DOH Secretary's consolidated reporting recommendations - The 
Secretary'S reports required under this Act shall include recommended measures to 
provide coordinated, interdepartmental eft'Orts to ensure early identification and 
intervention for children with, or at risk of developing, emotional disturbance, to improve 
25 


1 
the efficiency of the mental health funding mechanisms, and to standardize and 
2 
consolidate fiscal and program reporting. The recommended measures must provide that 
3 
client needs are met in an effective and accountable manner and that the local 
4 
government resources are used as efficiently as possible. 
5 
(6) 
Inaccurate or incomplete reports - The DOH Secretary shall promptly 
6 
notify a local mental health authority or provider if a required report is clearly inaccurate 
7 
or incomplete. The Secretary may delay all or part of a mental health fund payment if an 
8 
appropriately completed report is not received as required by this section. 
9 
(7) 
Statewide evaluation - The DOH Secretary shall use the local mental 
10 
health and provider reports required by this section to complete the nationwjde report 
II 
required in this Act. 
12 
13 
14 
15 
16 
17 
18 
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20 
SEC. 19. Termination or Return of an Allocation. -
(1) 
Funds not properly used - If the commissioner determines that a local 
mental health authority is not meeting the requirements of this Act, or that funds are not 
being used according to the approved mental health plan, all or part of the mental health 
funds may be terminated upon 30 days' notice to the local mental health board. The DOH 
Secretary may require repayment of any funds not used according to the approved mental 
health plan. The 30-day period begins when the local mental health board receives the 
DOH Secretary's notice by certified mail. 
21 
(2) 
Use of returned funds - The DOH Secretary may reallocate the funds 
22 
returned. 
23 
(3) 
Delayed payments - If the DOH Secretary finds that a local mental 
24 
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35 
health board or its contractors are not in compliance wjth the approved mental health plan 
or sections of this Act, the Secretary may delay payment of all or part of the quarterly 
mental health funds until the local mental health board and its contractors meet the 
'requirements. The Secreta!)' shall not delay a payment longer than three months without 
first issuing a notice under paragraph 2 that all or part of the allocation wjll be terminated 
or required to be repaid. After this notice is issued, the commissioner may continue to 
delay the payment until completion of the requirements specified in paragraph 2. 
(4) 
State assumption of responsibility - If the DOH Secretary determines 
that services required by sections of this Act will not be provided by the local mental 
health authority in the manner or to the extent required by the provisions of this Act, the 
Secretary shall contract directly with providers to ensure that clients receive appropriate 
services. In this case, the Secretary shall use the local mental health authority'S mental 
26 


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Secretary shall contract directly with providers to ensure that clients receive appropriate 
2 
services. In this case, the Secretary shall use the local mental health authority's mental 
3 
health funds to the extent necessary to carry out the local mental health authority's 
4 
responsibilities under this Act. The Secretary shall work with the local mental health 
5 
board to allow for a return of authority and responsibility to the local mental health board 
6 
as soon as compliance with this Act can be assured. 
7 
8 
SEC. 20. Implementing Rules and Regulations - The Department of Health, the 
9 
Department of Interior and Local Government, and other agencies concerned with mental 
10 
health, shall jointly formulate the necessary rules and regulations for the effective 
11 
implementation ofthis Act. 
12 
13 
SEC. 21. Report. - By July 15, 2011, or six (6) months after the Implementing 
14 
Rules and Regulations of this Act was adopted, and annually after, DOH Secretary shall 
15 
report to the legislature on all steps taken and recommendations for full implementation 
16 
of this Act and on additional resources needed to further implement those sections. 
17 
18 
SEC. 22. Housing for Adult Mental Health Patients. - The government shall 
19 
ensure that the housing services provided as part of a comprehensive mental health 
20 
service system: 
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(1) allow all persons with mental illness to live in stable, affordable housing, in 
22 
settings that maximize community integration and opportunities for acceptance; 
23 
(2) allow persons with mental illness to actively participate in the selection of 
24 
their housing from those living environments available to the general public; and, 
25 
(3) provide necessary support regardless of where persons with mental illness 
26 
choose to live. 
27 
28 
SEC. 23. Appropriation. - The amount necessary for the implementation of this 
29 
Act shall be charged against the appropriations of the DOH and shall be included in the 
30 
General Appropriations Act hereinafter. 
31 
32 
SEC. 24. Separability Clause. - If any provisions or part hereof, is held invalid 
33 
or unconstitutional, the remainder of the law of the provision not otherwise affected shall 
34 
remain valid and subsisting. 
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1 
SEC. 25. Repealing Clause. - All laws, decrees, executive orders, rules and 
2 
regulations inconsistent with this Act, are hereby repealed, amended or modified 
j 
accordingly. 
4 
5 
SEC. 26. Effecl/vlty Clause. - This Act shall take effect fifteen (15) days 
6 
following its complete publication in the Official Gazette or in two (2) national 
7 
newspapers of general circulation. 
Approved, 
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