Bill > SB524

This bill revises laws related to Category D assisted living facilities, introducing several key changes to how these specialized care facilities can operate and serve individuals with mental health needs. The bill allows Category D assisted living facilities to be independent or colocated with other licensed facilities, but limits them to a maximum of 15 residents. Importantly, these facilities are not required to use seclusion, chemical restraints, or physical restraints, but if they choose to do so, they must receive prior authorization and develop specific policies. The legislation aims to provide an alternative to involuntary commitment at the Montana State Hospital by creating a more flexible and potentially less restrictive option for individuals with mental health challenges. The bill requires the Department of Public Health and Human Services to provide technical assistance to these facilities and develop a specialized reimbursement model that supports their unique care needs. The goal is to create a more individualized and supportive environment for residents while providing a pathway for diversion from more restrictive institutional settings. The bill includes provisions for court-ordered commitment to these facilities, with specific criteria for eligibility and a focus on finding the least restrictive treatment option for individuals with mental health disorders. The legislation is set to terminate on June 30, 2029, allowing for periodic review and adjustment of these new provisions.

Budget and Finance, Health and Social Services

https://bills.legmt.gov/#/laws/bill/2/LC0470