An Act To Support Early Intervention and Treatment of Mental Health Disorders
Maine Legislature, Session 129, LD 1461
Committee: Health and Human Services
Sponsors: BREEN, WARREN, CARPENTER, CLAXTON, DESCHAMBAULT, GRATWICK, WOODSOME, BAILEY, MADIGAN

Legislative Document
No. 1461
S.P. 446
In Senate, April 2, 2019
An Act To Support Early Intervention and Treatment of Mental 
Health Disorders
(EMERGENCY)
Reference to the Committee on Health and Human Services suggested and ordered printed.
DAREK M. GRANT
Secretary of the Senate
Presented by Senator BREEN of Cumberland.
Cosponsored by Representative WARREN of Hallowell and
Senators: CARPENTER of Aroostook, CLAXTON of Androscoggin, DESCHAMBAULT of 
York, GRATWICK of Penobscot, WOODSOME of York, Representatives: BAILEY of Saco, 
MADIGAN of Waterville, McCREIGHT of Harpswell.
Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and
Whereas, coordinated specialty care programs exist in the State that could treat 
more individuals suffering from psychotic disorders but lack a funding mechanism; and
Whereas, early treatment of symptoms of psychotic disorders prevent the onset of 
advanced mental illness and should begin as soon as possible; and
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore,
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  34-B MRSA c. 16 is enacted to read:
CHAPTER 16
EARLY INTERVENTION FOR PSYCHOTIC DISORDERS
§16001.  Definitions
As used in this chapter, unless the context otherwise indicates, the following terms 
have the following meanings.
1.  Coordinated specialty care.  "Coordinated specialty care" means an evidence-
based recovery-oriented treatment model for individuals in the early years of a psychotic 
disorder.  Coordinated specialty care promotes shared decision making with a team of 
specialists to work with an individual to develop a personalized treatment plan.
2.  Psychotic disorder.  "Psychotic disorder" means a diagnosis of schizophrenia 
spectrum disorder and other psychotic disorders or mood disorders with prominent 
psychotic features.
§16002.  Coordinated specialty care
No later than January 1, 2020, the department, in cooperation with the Department of 
Education and the Department of Labor, shall establish a funding mechanism to 
reimburse for the treatment of individuals within the first 3 years of onset of a psychotic 
disorder using the coordinated specialty care model.  Services provided as part of 
coordinated specialty care include, but are not limited to, the following:
1.  Case management.  Case management to manage services to help the individual 
develop problem solving skills and manage medication;
2.  Family support and education.  Family support to give the family of the 
individual information and skills to support the individual receiving treatment and 
recovery services;
3.  Psychotherapy.  Psychotherapy services that teach resiliency, managing the 
psychotic disorder, promoting wellness and developing coping skills;
4.  Medication management.  Medication management to determine the most 
effective medication and the lowest dosage to be effective;
5.  Supported education and employment.  Support services to help an individual 
continue education or employment or return to education or employment; and
6.  Peer support.  Peer support services to connect the individual with others who 
have similar experiences.
§16003.  Evaluation
The department shall ensure that an organization providing coordinated specialty care 
provides program evaluation assessments to the department, including external ratings of 
fidelity to the coordinated specialty care model and reports of clinical and functional 
outcomes.
§16004.  Rulemaking
The department may adopt rules to accomplish the requirements of this chapter.  
Rules adopted pursuant to this section are routine technical rules as defined in Title 5, 
chapter 375, subchapter 2-A.
Sec. 2.  Federal approval.  The Department of Health and Human Services shall 
submit any necessary applications to the United States Department of Health and Human 
Services, Centers for Medicare and Medicaid Services for waiver or state plan 
amendments to implement the coordinated specialty care services established under the 
Maine Revised Statutes, Title 34-B, chapter 16.  The department shall maximize coverage 
of services under the MaineCare program and private insurance.
Sec. 3.  Community mental health services block grant.  The Department of 
Health and Human Services shall seek federal funding from the United States Department 
of Health and Human Services, Substance Abuse and Mental Health Services 
Administration through the community mental health services block grant to cover 
services provided pursuant to the Maine Revised Statutes, Title 34-B, chapter 16 that are 
not otherwise covered by the MaineCare program or private insurance.  The community 
mental health services block grant funding may be used in any other manner allowable 
under federal law to establish and support coordinated specialty care services.
Emergency clause.  In view of the emergency cited in the preamble, this 
legislation takes effect when approved.
SUMMARY
This bill requires the Department of Health and Human Services to establish a 
funding mechanism and reimbursement rate for the treatment of individuals showing 
early signs of a psychotic disorder using a coordinated specialty care model.  Services 
must be evidence-based and treat both the individual and the family.  The Department of 
Health and Human Services is directed to establish a funding mechanism to reimburse for 
the treatment of individuals in cooperation with the Department of Education and the 
Department of Labor.  The Department of Health and Human Services is directed to 
apply to the United States Department of Health and Human Services, Centers for 
Medicare and Medicaid Services for any necessary waivers and state plan amendments 
and to seek federal funding under the community mental health services block grant.