to adopt the amendments to HB 4420 (H-2).
Representative Cynthia Johnson moved to adopt the amendments to HB 4420 (H-2). The motion did not prevail 12-17-0: UNFAVORABLE ROLL CALL Yeas: Reps. Tate, Hammoud, Peterson, Sabo, Tyrone Carter, Hood, Cynthia Johnson, Brabec, O'Neal, Steckloff, Thanedar, Weiss. Nays: Reps. Albert, Whiteford, Allor, Brann, Hornberger, VanSingel, Yaroch, Bollin, Glenn, Huizenga, Lightner, Maddock, Slagh, VanWoerkom, Beson, Borton, Fink. Pass: None. Representative Brabec offered the following amendments to HB 4420(H-2): 1. Amend page 8, following line 21, by inserting: "Mental Health diversion council 20,000,000." and adjusting the subtotals, totals, and section 201 accordingly. 2. Amend page 37, following line 26, by inserting: "Sec. 415. (1) From the funds appropriated in part 1 for the mental health diversion council, the council shall distribute grants to not less than 12 localities for the purpose of establishing or expanding diversion programs in partnership between local law enforcement and private or public behavioral health service providers. At least half of the grant awards must be for behavioral health co-response partnerships between law enforcement and mental health practitioners, and the other half of the grant awards must be for any other type of pre- arrest or post-arrest diversion program, in which individuals with behavioral health needs are identified and diverted out of the criminal justice system. Grant applications may be made by any applicable local entity and the grant awards must be distributed to localities via up-front disbursement, not reimbursement. (2) For the behavioral health co-response grants, the council must give priority to grant applications that demonstrate a commitment to a comprehensive co-response model that includes all of the following: (a) Full integration with existing 911 dispatch. (b) Inclusion of both co-responder clinicians and co-responder peers. (c) Access to residential treatment facilities. (d) Inclusion of telehealth response and follow up services. (e) Mental health professionals employed independently from law enforcement. (f) Other best practices as identified by the council. (3) For other diversion grants, the council must give priority to localities in counties without an urbanized area of at least 50,000 people. (4) The council shall seek Medicaid matching funds for the operation of the programs to the greatest extent possible. Localities are encouraged to partner with philanthropic organizations to supplement state funding. (5) Localities receiving grants under this section must submit reports containing metrics pertinent to the progress of their diversion program to the council on an annual basis through the length of the grant award and work project under subsection (6). By September 1, the council must compile and submit a report to the house and senate appropriations subcommittees on the department budget and make the report publicly available. Localities may utilize up to 10% of grant funding disbursed to contract with independent organizations for the purpose of fulfilling this requirement. The council shall determine the specific metrics required and provide them to grant awardees at the time of the first grant disbursement. Metrics for co-response grants may include, but are not limited to the following: (a) Number of calls to which co-responders are dispatched alone or alongside law enforcement. (b) Number of calls transferred to telehealth co-responder with or without physical response follow up. (c) Law enforcement call clear time when co-responders are or are not dispatched. (d) Co-responder, co-responder clinician and co-responder peer call time per call. (e) Co-responder attended calls resulting in the following: (i) Jail admission. (ii) On-location de-escalation. (iii) Crisis center or crisis stabilization unit residential admission. (iv) Behavioral health facility inpatient admission. (v) Referral for behavioral or mental health services without residential or inpatient admission. (vi) Referral to community or social services such as homeless shelters, women’s shelters, or food pantries. (f) Individuals served by co-responder attended calls by age, gender, and race or ethnicity. (g) Reduction in frequency of law enforcement interaction with known frequently served individuals. (h) Number of follow up visits, including method and location. (i) Overall program costs by administration, training, co-responder clinician, co- responder, and per-call costs. (6) The unexpended portion of funds appropriated in part 1 for the mental health diversion council are designated as work project appropriations and any unencumbered or unallotted funds shall not lapse at the end of the fiscal year but shall be available for project expenditures under this section until the project has been completed. The following is in compliance with section 451a(1) of the management and budget act, 1984 PA 431, MCL 18.1451a: (a) The purpose of the work project is to establishing or expanding diversion programs in partnership between local law enforcement and private or public behavioral health service providers. (b) The project will be accomplished through grants to localities. (c) The total estimated cost of the work project is $20,000,000.00 of general fund/general purpose revenue. (d) The estimated completion date is September 30, 2025.".