GENERAL ASSEMBLY OF NORTH CAROLINA

SESSION 1991

S	1 

SENATE BILL 445*

Short Title:  MHSC/MH/DD/SA Services Funds.	(Public)
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Sponsors: Senator Ward.
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Referred to:  Appropriations.
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April 1, 1991

A BILL TO BE ENTITLED
AN ACT TO APPROPRIATE FUNDS FOR MENTAL HEALTH STUDY COMMISSION AND COALITION '91 PLANS FOR MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES IN NORTH CAROLINA.
Whereas, there are approximately 900,000 North Carolinians directly disabled by alcoholism, drug abuse, mental illness, and developmental disabilities; and
Whereas, the current lack of treatment programs is costing North Carolina hundreds of millions of dollars in lost productivity in the workplace, increased crime and criminal justice expenses, increased welfare payments, and long-term remedial care; and
Whereas, the Mental Health Study Commission has completed a five-year planning process to develop strategies to meet the needs of these citizens, many of whom are not receiving critical services; and
Whereas, this planing process has been a partnership involving legislators, professionals, State and county officials, business leaders, advocates, consumers, and hundreds of citizens throughout the State; and
Whereas, over the past year, 34 organizations have joined in an effort labeled Coalition '91 to promote full implementation of these plans and initiatives; and
Whereas, the result of the Mental Health Study Commission work is a blueprint of long-range plans that document and quantify total service needs and set forth comprehensive strategies for required services reflecting the unmet need and the corresponding cost in each disability area.  The total 10-year cost to implement the plans will require over six hundred million dollars ($600,000,000) in State, federal, and local money; Now, therefore,
The General Assembly of North Carolina enacts:
Section 1.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources the sum of $5,435,000 for the 1991-92 fiscal year and the sum of $5,765,000 for the 1992-93 fiscal year for the continued development of community-based, day/night and 24-hour services in accordance with the Comprehensive Long-Range Plan for Adults with Severe and Persistent Mental Illness presented in the 1989 Report of the Mental Health Study Commission and approved by the 1989 Session of the General Assembly.
Sec. 2.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $787,000 for the 1991-92 fiscal year and the sum of $1,100,000 for start-up and operational funds for adult residential programs including HUD projects in accordance with the Comprehensive Long-Range Plan for Adults with Severe and Persistent Mental Illness presented in the 1989 Report of the Mental Health Study Commission and approved by the 1989 Session of the General Assembly.
Sec. 3.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $1,135,000 for the 1991-92 fiscal year and the sum of $1,635,000 for the expansion of psychiatric rehabilitation services to long-term mentally ill patients and the addition of 33 health care technicians at John Umstead Hospital to ensure patient and staff safety in accordance with the Comprehensive Long-Range Plan for Adults with Severe and Persistent Mental Illness presented in the 1989 Report of the Mental Health Study Commission and approved by the 1989 Session of the General Assembly.
Sec. 4.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $1,000,000 for the 1991-92 fiscal year and the sum of $2,000,000 for the 1992-93 fiscal year to make available the antipsychotic drug Clozapine needed for the treatment of schizophrenia to those persons who are unable to pay as determined by rules adopted by the Department of Human Resources.
Sec. 5.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $4,961,000 for the 1991-92 fiscal year and the sum of $5,159,000 for the 1992-93 fiscal year for the continued development of community-based periodic, day/night and 24-hour services to children and adolescents with serious emotional disturbances in accordance with the Child Mental Health Plan presented in the 1987 Report of the Mental Health Study Commission and approved by the 1987 Session of the General Assembly.
Sec. 6.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $1,220,000 for the 1991-92 fiscal year and the sum of $1,220,000 for the 1992-93 fiscal year to implement a youth sex offender rehabilitation program as a cooperative effort of Division of Mental Health, Developmental Disabilities and Substance Abuse Services and Division of Youth Services including 10 new outpatient sites in area programs and expansion of existing sites.
Sec. 7.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $121,000 for the 1991-92 fiscal year and the sum of $121,000 for the 1992-93 fiscal year to create three new teacher/liaison positions at Wright and Whitaker Reeducation Schools.
Sec. 8.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $4,553,952 for the 1991-92 fiscal year and the sum of $5,471,643 for the 1992-93 fiscal year for the continued development of community-based periodic, day/night and 24-hour services in accordance with the adult portion of the Developmental Disabilities Services Plan presented in the 1987 Report of the Mental Health Study Commission and approved by the 1987 Session of the General Assembly.
Sec. 9.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $2,222,316 for the 1991-92 fiscal year and the sum of $3,209,264 for the 1992-93 fiscal year to provide start-up and operational funds for 27 HUD group homes (1991-93) and start-up for 20 new projects in 1992-93.
Sec. 10.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $506,590 for the 1991-92 fiscal year and the sum of $506,590 for the 1992-93 fiscal year to restore intended one-time cut for operational HUD group homes.
Sec. 11.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $2,550,000 for the 1991-92 fiscal year and the sum of $1,950,000 for the 1992-93 fiscal year for the continued development of community-based, day/night and 24-hour services to children with developmental disabilities in accordance with the child portion of the Developmental Disabilities Services Plan presented in the 1987 Report of the Mental Health Study Commission and approved by the 1987 Session of the General Assembly.
Sec. 12.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $2,040,000 for the 1991-92 fiscal year and the sum of $3,454,000 for the 1992-93 fiscal year for the provision of early intervention services required by Public Law 99-457.
Sec. 13.  There is appropriated from the General Fund to the Department of Environment, Health and Natural Resources the sum of $3,093,000 for the 1991-92 fiscal year and the sum of $3,093,000 for the 1992-93 fiscal year for the provision of early intervention services required by Public Law 99-457.
Sec. 14.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $14,970,000 for the 1991-92 fiscal year and the sum of $16,000,000 for the 1992-93 fiscal year for the development of community-based periodic, day/night and 24-hour services including regional residential programs in accordance with the Adult Substance Abuse Treatment Plan presented in the 1991 Report of the Mental Health Study Commission.
Sec. 15.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $1,030,000 for the 1991-92 fiscal year and the sum of $2,000,000 for the 1992-93 fiscal year for the continued development of community-based periodic, day/night and 24-hour services in accordance with the Youth Substance Abuse Plan presented in the 1987 Report of the Mental Health Study Commission and approved by the 1987 Session of the General Assembly.
Sec. 16.  There is appropriated from the General Fund the sum of $5,000,000 for the 1991-92 fiscal year and the sum of $5,000,000 for the 1992-93 fiscal year to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, to promote equalization of funds for area mental health, developmental disability and substance abuse authorities.
Sec. 17.  There is appropriated from the General Fund to the Department of Human Resources, the sum of $700,000 for the 1991-92 fiscal year and the sum of $700,000 for the 1992-93 fiscal year for the continuation of four diagnostic centers for children and adults who are developmentally disabled and require assistive technology to communicate.
Sec. 18.  There is appropriated from the General Fund to the Division of Maternal and Child Health in the Department of Environment, Health and Natural Resources the sum of $800,000 for the 1991-92 fiscal year and the sum of $800,000 for the 1992-93 fiscal year to provide matching funds for capital expansion for three United Cerebral Palsy Therapeutic Preschools in Wilmington, Greenville, and Charlotte and to continue current operations in U.C.P. Centers.
Sec. 19.  There is appropriated from the General Fund to the Division of Mental Health, Developmental Disabilities and Substance Abuse Services, Department of Human Resources, the sum of $2,367,000 for the 1991-92 fiscal year and the sum of $1,315,000 for the 1992-93 fiscal year to complete conversion of 24 area programs to the Pioneer Funding System.
Sec. 20.  Funds appropriated in this act shall be expended in accordance with the Pioneer Funding System for those area programs operating under Pioneer requirements.
Sec. 21.  This act becomes effective July 1, 1991.