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for fiscal year 2025, and $21,554,000 of the general fund—federal 1 appropriation are provided solely for crisis triage facilities, 2 crisis relief centers, or crisis stabilization units. Services in 3 these facilities may include crisis stabilization and intervention, 4 individual counseling, peer support, medication management, 5 education, and referral assistance. The authority shall monitor each 6 center's effectiveness at lowering the rate of state psychiatric 7 hospital admissions. 8 (b) Within these amounts, the health care authority shall convene 9 representatives from medicaid managed care organizations, behavioral 10 health administrative organizations, private insurance carriers, 11 self-insured organizations, crisis providers, and the office of the 12 insurance commissioner to assess gaps in the current funding model 13 for crisis services and recommend options for addressing these gaps 14 including, but not limited to, an alternative funding model for 15 crisis services. The assessment must consider available data to 16 determine to what extent the costs of crisis services for clients of 17 private insurance carriers, medicaid managed care organizations, and 18 individuals enrolled in medicaid fee-for-service are being subsidized 19 through state funded behavioral health administrative services 20 organization contracts. The analysis shall examine crisis services 21 provided by mobile crisis teams as well as facility-based services 22 such as crisis triage and crisis stabilization units. In the 23 development of an alternative funding model, the authority and office 24 of the insurance commissioner must explore mechanisms that: (i) 25 Determine the annual cost of operating crisis services and collect a 26 proportional share of the program cost from each health insurance 27 carrier; and (ii) differentiate between crisis services eligible for 28 medicaid funding from other nonmedicaid eligible activities. The 29 authority must submit a preliminary report to the office of financial 30 management and the appropriate committees of the legislature by 31 December 1, 2023, and a final report by December 1, 2024. Up to 32 $300,000 of the general fund—state appropriation for fiscal year 33 2024, and $300,000 of the general fund—state appropriation for fiscal 34 year 2025 may be used for the assessment and reporting activities 35 required under this subsection. 36 (c) Sufficient funding is provided in this subsection to 37 implement Second Substitute Senate Bill No. 5120 (crisis relief 38 centers). 39 p. 254 ESSB 5187.SL