What Other States are Doing

Virginia
  • 2022 In-state Answer Rate: 84%[1]

  • Existing Legislature[2]

    • SB1302: Passed on 3/18/2021, this was the first state bill to enact 988 service fee legislation. It further designated two types of response teams: a mobile crisis team consisting of a mental health professional, a peer recovery specialist, or a family support partner and a community care team consisting of mental health service providers and peer recovery specialists at the forefront with law enforcement backup

  • Notable Features:

    • Requires centers to provide linguistically and culturally competent care in order to reach underserved populations

    • Sustainable funding through implementing a 12-cent fee on wireless accounts and 8-cent fee on prepaid accounts to create a Crisis Contact Centers Fund

    • Funds the crisis system along the FULL CONTINUUM including contact centers, community care, mobile teams, and stabilization centers 

 

Utah
  • 2022 In-state Answer Rate: 79%

  • Existing Legislature:

    • 988 Mental Health Crisis Assistance bill (SB155): SB155 was passed on 3/14/2021 and provides $15.9 million in funding to support 988 and the crisis continuum of care

  • Notable Features

    • Tiered priority spending list in which spending on crisis contact centers is prioritized before other 988 services 

    • Creation of a Behavioral Health Crisis Response Commission in charge of recommending sustainable funding sources, infrastructure needs, and policy guidance

    • Requires collaboration between crisis centers and 911

 
Washington
  • 2022 In-state Answer Rate: 68%

  • Existing Legislature:

    • HB1477: This bill was enacted 5/13/2021 and aimed to prepare the 988 crisis system in advance of its rollout on July 16th, 2022 and establish the Crisis Response Improvement Committee.

  • Notable Features

    • Centers access and equity by establishing a tribal crisis line

    • Implemented a statewide monthly fee of 24-cents on 10/1/2021 which will increase to 40-cents in 2023

    • Produced crisis contact center hubs to organize crisis response. These hubs can deploy mobile crisis response teams and coordinate access to services

    • Provided $23 million for statewide 988 operations, $609,000 for planning and development of technology, and $1 million for the tribal crisis line

 

Nevada
  • 2022 In-state Answer Rate: 69%

  • Existing Legislature

    • SB390: This bill was enacted 6/4/2021 and required the establishment of one of more 988 crisis call centers before July 2022 and encourages the creation of mobile crisis teams to respond to calls and coordinate follow-up

  • Notable Features

    • Establishes individuals with substance use disorders or co-occurring disorders and Native Americans as special populations

    • Recognizes 3 types of mobile crisis teams: law enforcement, psychiatric mental health professionals, peer recovery specialists

    • Establishes a surcharge that cannot exceed 35 cents per year for each access line or main trunk line

 

SOURCES

[1] In-State Answer Rate by Originating State 

[2] States' Experiences in Legislating 988 and Crisis Services Systems

Where Texas is at

Texas
  • 2022 In-state Answer Rate: 45%

  • Existing Legislature

    • SB1: The SB1 General Appropriations Act under section 58 provided Texan HHS to study the current state of Texan NSPL infrastructure and provide recommendations for sustainable funding and services by September 1st, 2022. 

  • What is lacking?

    • Establishing a sustainable funding source before rollout. Rollout is July 16th, 2022 and the date this report will be delivered is six weeks after implementation. Without proper funding to support implementation, already underfunded call centers will be unable to provide Texans in crisis the support they deserve

    • Recognizing a need to fund the continuum of care. Crisis response is a continuum and funding is necessary to improve crisis services in Texas beyond call centers. To avoid future crises, follow-up services are critical. 

    • Requiring culturally competent call centers. Cultural competency is critical to reaching underserved LEP and BIPOC individuals in Texas. In order to create an equitable crisis response system, underserved populations must be recognized in 988 legislature and their needs must be met.

988 in Texas Expectations vs Reality 80