State Policy Can Improve Suicide Prevention in Health Care Settings

Promising policies highlighted in 4 U.S. states

State Policy Can Improve Suicide Prevention in Health Care Settings
State Health (medical) professional training Parity reporting Example mental health integration models used*
Colorado No laws

Required for public and private health plans

• C.R.S. § 10-16-147 requires the insurance commissioner to submit annual reports to the legislature about parity law compliance; requires insurance carriers to submit to the insurance commissioner and make available to the public annual reports about parity law compliance; requires the insurance commissioner to examine parity violation complaints from the office of the ombudsman for behavioral health access and report any actions taken to the office in a timely manner.

Zero Suicide (through the Hospital Quality Incentive Payment [HQIP] program)

• C.R.S. § 25-1.5-112 establishes the Colorado suicide prevention plan to be developed and implemented within the Office of Suicide Prevention (OSP) based on a comprehensive suicide prevention framework.

Montana

Encouraged

• MCA § 53-21-1101 requires the state suicide prevention officer to direct a statewide program that includes training for medical professionals and social service providers (among others) on recognizing the early warning signs of suicidality, depression, and other mental illnesses, and actions to take during and after a crisis.

Required for public health plans

• MCA § 33-22-707 requires health insurers that provide mental health or substance use disorder benefits to submit a report to the insurance commissioner upon request each year that complies with federal parity law.

Zero Suicide Telehealth expansion

• MCA § 2-18-704, 20-25-1303, 20-25-1403, 33-22-138, 37-3-102, 37-11-101, 37-11-105, and 50-46-302 prohibits certain contract provisions that impose site restrictions on telehealth; provides that a previously established patient-health care provider relationship is not required to receive services by telehealth; revises the definition of telemedicine; extends the coverage requirement to public employee benefit plans and self-insured student health plans.

Oregon

Required

• ORS § 676.860 requires boards that license certain physical health care providers (e.g., occupational therapists, clinical nurse specialists, nurse practitioners, physicians, physician assistants, physical therapists) to, in collaboration with the Oregon Health Authority, adopt rules to require their licensees to report completion of any continuing education regarding suicide assessment, treatment, and management.

Required for public and private health plans

• ORS § 743B.427 requires insurers that provide behavioral health benefits to annually report parity compliance analyses to the Department of Consumer and Business Services; the department must then report these findings to the legislature.

Quality improvement initiatives

• Zero Suicide
• Behavioral Health Quality and Performance Improvement Plan
• Performance improvement projects Coordinated care organizations
• S.B. 1580 provided legislative approval of OHA’s proposals for a coordinated care organization model of health care delivery.

Vermont No laws No laws

Quality improvement initiatives

• Zero Suicide
• Vermont Program for Quality in Health Care
• Suicide Safer Pathways to Care Program

*Note: These mental health integration models are those that emerged as most promising from the literature review and expert interviews and do not necessarily capture all mental health integration efforts within a given state.