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October 2016 Save the Dates! Caucus and Orientation for Session

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October 2016 Save the Dates! Caucus and Orientation for Session A Monthly Publication October 2016 In This Issue Save the Dates! Caucus and Orientation for Session Save the Dates! ................................................................1 The 2016 dates related to preparation for the 2017 legislative session are Children, Families, Health, and Human Services as follows: Committee ........................................................................1 Commission on Sentencing Subcommittee .........3 • Caucuses — Monday, Nov. 14 (morning). Economic Affairs Committee .....................................5 • Training and orientation — Monday, Nov. 14 (afternoon) through Education and Local Government Committee ....6 Wednesday, Nov. 16. Energy and Telecommunications Committee......6 • Rules committees — Wednesday, Dec. 7 (morning). Environmental Quality Council .................................8 Legislative Audit Committee ......................................9 • Presiding officer training — Wednesday, Dec. 7 (afternoon). Legislative Council .........................................................9 • Budget training, 2019 Biennium Budget review, and other topics Legislative Finance Committee .............................. 11 — Thursday, Dec. 8. Revenue and Transportation Committee ........... 13 The first day of the 2017 session is Monday, Jan. 2, 2017. The House and School Funding Commission .................................. 14 the Senate will each convene at noon. State Administration and Veterans’ Affairs Committee ..................................................................... 16 The tentative session calendar may be found online at the 2017 session State-Tribal Relations Committee .......................... 16 web page. Task Force on State Public Defender Operations ..................................................................... 17 Children and Families Committee Approves Final Water Policy Committee ........................................... 17 Slate of Bills for 2017 The Back Page: Standing the Test of Time: EQC Voluntary Forest Management Solution Nears In finishing up its work in late August, the Children, Families, Health, and 30-Year Mark .................................................................. 19 Human Services Interim Committee agreed to send seven bills to the 2017 Legislature. The bills deal with everything from defunct advisory councils to guardianship programs and services for individuals with Alzheimer’s Session Bill Tracking disease. Access the most recent versions The committee approved four bills in August for its Senate Joint Resolu- of bill drafts listed in this issue’s tion 22 (2015) study of guardianship and Alzheimer’s disease. The com- articles by going to the legislative mittee earlier had approved one other bill stemming from the SJR 22 study branch’s 2017 session LAWS as well as a bill prompted by its Senate Bill 418 (2015) study of legislative website. A bill may be tracked mental health investments and its House Bill 142 (2011) review of statu- by using its LC number or, after tory advisory councils and reports. the bill has been introduced, its SJR 22 Study: Guardianship/Alzheimer’s Disease House or Senate bill number. Basic In taking final action on the Alzheimer’s portion of its SJR 22 study, the and advanced searches are also committee continued to focus on creating more community-based options available. for people with dementia. Members also looked at ways to improve pro- tections for adults in need of a guardianship or conservatorship. 2 The Interim October 2016 Following is a description of each of the bills approved at the tal Disorders Division told the committee that the agency has August meeting. some unused funds in its jail diversion and crisis intervention grant program. She said DPHHS may ask for another round • LC 278 (CF02) would require investment advisers to of applications from counties for those unexpended funds. notify the state securities commissioner when they sus- pect that someone may be trying to financially exploit a Zoe Barnard of the Children’s Mental Health Bureau, along vulnerable person. The bill would also allow investment with several children’s mental health providers, discussed the advisers to delay making payments from an account if use of $1.2 million in youth crisis diversion grants. The pro- they thought the payments might result in exploitation. viders said that they are collaborating with health care provid- The bill originally defined a vulnerable person as anyone ers in their communities to ensure that children in need of over 60 years of age or a person with a developmental crisis services are referred to their programs. disability or an age-related mental impairment such as The committee in June approved one bill draft related to dementia. The committee amended the final version of the SB 418 study. LC 170 would require the state Medicaid the bill to also include individuals with mental disorders. program to reimburse clinical pharmacist practitioners who • LC 279 (CF4a) would target $1.5 million to the state’s 10 provide drug therapy management. Members had heard dur- area agencies on aging to provide education, outreach, ing the study that these pharmacists can, under an agreement and home-based services to dementia patients and their with a physician, monitor and adjust medications for patients families. The bill articulates the committee’s intent that but typically aren’t paid for those services. The committee the funding be continued for six years before being decided that the pharmacists could fill a gap in medication sunset. management for people leaving the Montana State Hospital • LC 280 (CF6a) would phase in 200 new home and com- or receiving other mental health treatment. munity-based waiver slots over the next two fiscal years. Other recommendations included the following: Waiver slots allow people to receive Medicaid-funded services in their homes or an assisted living facility rather • DPHHS should compile information on the degree to than a more restrictive setting. The bill also contains which people with Alzheimer’s disease or other demen- funding to gradually boost assisted living reimbursement tias are committed to state facilities, including the length rates by slightly more than $23 a day and to increase the of stay and the costs of providing care in that setting. rate for memory care by almost $45 a day. Members had • The 2017 Legislature should support the establishment heard throughout their study that low Medicaid rates for of a psychiatric residency program in Montana. assisted living care make it difficult for those facilities to accept Medicaid patients. • DPHHS and state policymakers should monitor the results of a pilot project that is using teleconferenc- • LC 281 (CF7b) would create a working interdisciplinary ing to connect clinicians in Billings and at the Montana network of guardianship stakeholders, or WINGS group. Department of Corrections with medical education and It also would set up a grant program to provide funding care management for people under DOC’s supervision. to programs that offer guardianship services to low- The committee determined that the results from Project income people. The WINGS group would review current ECHO could provide information on the effectiveness guardianship and conservator laws and services in order of telemedicine services, the potential for expanded use to recommend improvements. The group also would of Project ECHO or similar approaches, and the barriers make recommendations on grant awards; the bill pro- to using telemedicine more widely. vides $120,000 for grants in the second year of the two- year budget period. The bill would sunset in six years. HB 422 Study: Children’s Mental Health Outcomes Members earlier had approved LC 172, which would create a $240,000 grant program to train volunteers who are inter- After wrapping up House Bill 422 (2015) presentations in ested in providing respite care for people caring for someone June, many committee members questioned whether they with Alzheimer’s disease or dementia. would be able to draft any legislation to accomplish the study’s goals of tracking and improving children’s men- SB 418 Study: Legislative Mental Health tal health outcomes. However, some committee members Investments expressed interest in working on legislation for the August The committee approved final recommendations for its SB meeting. 418 study of legislative mental health investments after hear- By August, those committee members had determined that ing updates from the Department of Public Health and Hu- any committee bill was unlikely to garner executive branch man Services. Glenda Oldenburg of the Addictive and Men- support. In addition, a group of children’s mental health October 2016 The Interim 3 providers who had worked on the study recommended that • Remove the limit on the number of substance abuse the study be terminated without action. In a statement, they treatment programs that can operate in a county. noted that DPHHS had said it does not have the capacity to • Allow for two-year, rather than one-year, jail diversion collect outcomes data and doesn’t appear to have any plans and crisis intervention grants to counties. to create that capacity. The providers said progress can’t be made in this area until DPHHS expresses a willingness to • Revise laws relating to adult protective services. develop measures and collect data. • Remove the requirement that DPHHS maintain data on Agency Oversight minors in possession convictions. The committee heard an update from legislative
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