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CS/CS/HB 1091: Substance Abuse and Mental Health Care

GENERAL BILL by Health & Human Services Committee ; Human Services Subcommittee ; Gonzalez Pittman

Substance Abuse and Mental Health Care ; Expands mental health crisis services to include 988 suicide & crisis lifeline call center; requires clinical psychologist who makes determinations of involuntary placement at certain mental health facilities to have specified clinical experience; provides specified criteria relating to orders to involuntary outpatient placement; requires court or administrative law judge to make certain determinations before waiving patient's attendance at hearing for continued involuntary placement; authorizes administrative law judge to issue order for involuntary services if patient meets certain criteria; revises definition of "crisis services" to include 988 suicide & crisis lifeline call center & defining term "988 suicide & crisis lifeline call center"; requires DCF to authorize & provide oversight of 988 suicide & crisis lifeline call centers & adopt specified rules; removes requirements relating to providers of medication-assisted treatment services for opiate addiction; revises training requirements for mental health professionals; requires court appointed experts to have completed specified training & continued education; provides requirements for expert to determine acceptable treatments available in community.

Effective Date: 7/1/2025
Last Action: 4/24/2025 Senate - In Messages
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    2/25/2025 House • Filed
    3/4/2025 House • 1st Reading (Original Filed Version)
    3/5/2025 House • Referred to Human Services Subcommittee
    • Referred to Health Care Budget Subcommittee
    • Referred to Health & Human Services Committee
    • Now in Human Services Subcommittee
    3/14/2025 House • PCS added to Human Services Subcommittee agenda
    3/18/2025 House • Favorable with CS by Human Services Subcommittee
    3/20/2025 House • Reported out of Human Services Subcommittee
    • Laid on Table under Rule 7.18(a)
    • CS Filed
    • 1st Reading (Committee Substitute 1)
    3/21/2025 House • Referred to Health & Human Services Committee
    • Now in Health & Human Services Committee
    4/11/2025 House • Added to Health & Human Services Committee agenda
    4/15/2025 House • Favorable with CS by Health & Human Services Committee
    4/16/2025 House • Reported out of Health & Human Services Committee
    • Laid on Table under Rule 7.18(a)
    • CS Filed
    4/17/2025 House • Bill referred to House Calendar
    • Bill added to Special Order Calendar (4/24/2025)
    • 1st Reading (Committee Substitute 2)
    4/24/2025 House • Read 2nd time
    • Placed on 3rd reading
    • Added to Third Reading Calendar
    • Read 3rd time
    • CS passed; YEAS 115, NAYS 0
    4/24/2025 Senate • In Messages

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  • CS/CS/HB 1091, Committee Substitute 2 (Current Bill Version) Posted 4/16/2025 at 7:51 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1240 (c3) Substance Abuse and Mental Health Care Calatayud Similar Last Action: 4/23/2025 S CS/CS/CS by Rules read 1st time

    Floor Votes (1)

    Date Chamber Result
    4/24/2025 6:08 PM House 115 Yeas - 0 Nays

    Citations - Statutes (14)

    Citation Catchline Location in Bill Location In Bill Help
    394.4573 Coordinated system of care; annual assessment; essential elements; measures of performance; system improvement grants; reports. Page 3 (pdf)
    394.4598 Guardian advocate. Page 4 (pdf)
    394.4625 Voluntary admissions. Page 4 (pdf)
    394.4655 Orders to involuntary outpatient placement. Page 5 (pdf)
    394.467 Involuntary inpatient placement and involuntary outpatient services. Page 6 (pdf)
    394.67 Definitions. Page 9 (pdf)
    394.674 Eligibility for publicly funded substance abuse and mental health services; fee collection requirements. Page 15 (pdf)
    394.74 Contracts for provision of local substance abuse and mental health programs. Page 16 (pdf)
    394.9088 Page 10 (pdf)
    397.427 Medication-assisted treatment service providers; rehabilitation program; needs assessment and provision of services; persons authorized to issue takeout medication; unlawful operation; penalty. Page 11 (pdf)
    397.68141 Contents of petition for involuntary treatment services. Page 16 (pdf)
    916.111 Training of mental health experts. Page 12 (pdf)
    916.115 Appointment of experts. Page 13 (pdf)
    916.12 Mental competence to proceed. Page 14 (pdf)

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  • CS/HB 1091, Committee Substitute 1 Posted 3/20/2025 at 10:27 AM

    Bill Text:   PDF
    Analyses:   Health & Human Services Committee (Post-Meeting) 4/16/2025 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1240 (c1) Substance Abuse and Mental Health Care Calatayud Similar Last Action: 4/23/2025 S CS/CS/CS by Rules read 1st time

    Committee Amendments (1)

    Amendment Sponsor Filed Last Committee Action Format
    125849 - Amendment
    Remove lines 136-220 and insert:
    Gonzalez Pittman 4/14/2025
    5:42 PM
    Adopted without Objection
    4/15/2025
    PDF

    Citations - Statutes (14)

    Citation Catchline Location in Bill Location In Bill Help
    394.4573 Coordinated system of care; annual assessment; essential elements; measures of performance; system improvement grants; reports. Page 3 (pdf)
    394.4598 Guardian advocate. Page 4 (pdf)
    394.4625 Voluntary admissions. Page 4 (pdf)
    394.4655 Orders to involuntary outpatient placement. Page 5 (pdf)
    394.467 Involuntary inpatient placement and involuntary outpatient services. Page 6 (pdf)
    394.67 Definitions. Page 9 (pdf)
    394.674 Eligibility for publicly funded substance abuse and mental health services; fee collection requirements. Page 15 (pdf)
    394.74 Contracts for provision of local substance abuse and mental health programs. Page 17 (pdf)
    394.9088 Page 10 (pdf)
    397.427 Medication-assisted treatment service providers; rehabilitation program; needs assessment and provision of services; persons authorized to issue takeout medication; unlawful operation; penalty. Page 11 (pdf)
    397.68141 Contents of petition for involuntary treatment services. Page 16 (pdf)
    916.111 Training of mental health experts. Page 12 (pdf)
    916.115 Appointment of experts. Page 13 (pdf)
    916.12 Mental competence to proceed. Page 14 (pdf)

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  • HB 1091, Original Filed Version Posted 2/25/2025 at 3:30 PM

    Bill Text:   PDF
    Analyses:   Human Services Subcommittee (Post-Meeting) 3/20/2025 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1240 Substance Abuse and Mental Health Care Calatayud Identical Last Action: 4/23/2025 S CS/CS/CS by Rules read 1st time

    Citations - Statutes (9)

    Citation Catchline Location in Bill Location In Bill Help
    394.4573 Coordinated system of care; annual assessment; essential elements; measures of performance; system improvement grants; reports. Page 2 (pdf)
    394.67 Definitions. Page 3 (pdf)
    394.674 Eligibility for publicly funded substance abuse and mental health services; fee collection requirements. Page 8 (pdf)
    394.74 Contracts for provision of local substance abuse and mental health programs. Page 9 (pdf)
    394.9088 Page 4 (pdf)
    397.427 Medication-assisted treatment service providers; rehabilitation program; needs assessment and provision of services; persons authorized to issue takeout medication; unlawful operation; penalty. Page 5 (pdf)
    916.111 Training of mental health experts. Page 6 (pdf)
    916.115 Appointment of experts. Page 6 (pdf)
    916.12 Mental competence to proceed. Page 7 (pdf)

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