House Bill 554 By: Representatives Townsend of the 179th, Jones of the 25th, Erwin of the 32nd, Ballard of the 147th, Glaize of the 67th, and others A BILL TO BE ENTITLED AN ACT To amend Part 3 of Article 16 of Chapter 2 of Title 20 of the Official Code of Georgia Annotated, relating to health of students, so as to enact the "APEX Now Program"; to provide support for mental health services to students and school personnel experiencing incidents of violence, threats of violence, natural disasters, and other crisis situations; to provide for such program to be established within the Department of Behavioral Health and Developmental Disabilities; to provide for the development and promulgation of a mental health crisis plan; to provide for a 24 hour online and telephonic hotline; to provide for prospective parental consent; to provide for contracting for services; to provide for liability; to provide for funding; to provide for rules and regulations; to provide for definitions; to provide for related matters; to repeal conflicting laws; and for other purposes. BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA: SECTION 1. Part 3 of Article 16 of Chapter 2 of Title 20 of the Official Code of Georgia Annotated, relating to health of students, is amended by adding a new Code section read as follows: "20-2-779.5. (a) This Code section shall be known and may be cited as the 'APEX Now Program.' (b) As used in this Code section, the term: (1) 'Department' means the Department of Behavioral Health and Developmental Disabilities. (2) 'Local education agency' shall have the same meaning as set forth in Code Section 20-2-167.1. (3) 'Parent' means a biological parent, legal guardian, custodian, or other person with legal authority to act on behalf of a child. (4) 'Program' means the APEX Now Program provided for in this Code section. (5) 'School personnel' means one or more individuals employed by a local education agency. (c) There is established within the department the APEX Now Program, which shall provide support for mental health services to students and school personnel experiencing incidents of violence, threats of violence, natural disasters, and other crisis situations and for other purposes provided for in this Code section. (d)(1) The department and the Department of Education shall jointly develop a mental health crisis plan to rapidly provide mental health services to students experiencing incidents of violence, threats of violence, natural disasters, or other crisis situations. Such mental health crisis plan shall include provisions for: (A) The designation of a team of individuals to serve as lead coordinators for the deployment of mental health services in a crisis situation, and one individual to serve as the primary leader of such team; (B) Recommendations to make available sufficient mental health workers licensed in this state to meet crisis needs for students, and a plan to deploy such mental health workers when and where needed in a crisis situation; and (C) Training that selected school personnel should receive to serve as mental health first responders in the event of a crisis. (2) The department and the Department of Education shall be authorized to engage with the Southern Regional Education Board to facilitate and support the development of the mental health crisis plan. (3) By January 1, 2026, the mental health crisis plan shall be made available to all local education agencies in this state and the chairpersons of the House Committee on Education and the Senate Education and Youth Committee. (e)(1) The department shall establish an online and telephonic hotline that shall be available at all times: (A) To any school personnel in this state to refer a student for mental health evaluation and treatment services; and (B) To any students and school personnel in this state to report any risk of suicide or threats of violence or actual violence for referral to the appropriate educational and law enforcement authorities. (2) The role of the hotline shall be limited to coordinating the provision of mental health evaluation and treatment services and for making referrals to appropriate educational and law enforcement authorities. The hotline shall not provide mental health evaluation or treatment services. (3)(A) Reports to the hotline by students shall be accepted anonymously, and the department shall not record any personally identifiable information from students. (B) The department shall be authorized to record personally identifiable information from school personnel for the exclusive purpose of facilitating appropriate follow-up efforts. (4) The department is authorized to develop promotional materials, training programs, and curricula to be used in training students and school personnel to recognize and report severe mental illness and to provide such materials, programs, and curricula to local education agencies. (f)(1) Students referred for mental health evaluation or treatment services under this Code section shall be provided the opportunity to consult with an authorized mental health professional within 24 hours of any such referral designated as urgent or within five business days for any such referral designated as nonurgent. (2) Local education agencies shall be authorized to designate a preferred provider to consult with students referred for mental health evaluation or treatment services under this Code section, and such referrals shall be made first to such preferred provider, who may provide services to the student in person or via telehealth. If the preferred provider is unable to consult with the student within the time provided by this subsection, the department shall refer the student to a provider selected pursuant to this Code section who is able to do so. (3) Each local education agency shall designate a contact person to serve as the primary point of contact for the department in conjunction with the program. Within 24 hours of any referral made as part of the program, the department shall notify the designated contact person for the local education agency of such referral. (g)(1) The Department of Education, in coordination with the department, shall develop and make available an electronic opt-in system for parents of minor children to provide prospective consent pursuant to the laws of this state for mental health evaluation and treatment services provided under the program. (2) At the beginning of the 2025-2026 school year and each school year thereafter, each local education agency shall notify parents of the availability of such prospective consent and take reasonable efforts to encourage them to complete it electronically. (h) The Department of Administrative Services shall, in coordination with the department, select three or more mental health telehealth providers under state-wide convenience contracts to provide services pursuant to this Code section. Providers under state-wide contracts established under this subsection shall also be available to be utilized by local education agencies to provide mental health services to students and school personnel. All mental health services provided pursuant to such contracts shall be provided by healthcare professionals licensed to provide such services under the laws of this state. The factors used to select such mental health services providers shall include, but shall not be limited to: (1) A demonstrated ability to maximize payment for services from commercial insurers and other third parties; (2) Sufficient staffing to provide services on a state-wide basis as needed using physicians, nurses, licensed professional counselors, or licensed social workers with specific training in providing mental health services; (3) The ability to provide services in a language fluently spoken by the student or school personnel receiving such services; (4) A demonstrated record of providing mental health telehealth services in elementary and secondary school settings; (5) Ability to use information technology to track services provided and outcomes for program evaluation purposes; (6) A financial model that allows the provider to serve all students, regardless of whether they make a copayment or have third-party insurance coverage; and (7) The flexibility to work both in an augmentation role providing additional capacity to local education agencies with in-person mental health services resources and in serving as a lead mental health services provider for a local education agency. (i)(1) Any person or persons participating in the making of a referral pursuant to this Code section or participating in any judicial proceeding or any other proceeding resulting therefrom shall in so doing be immune from any civil or criminal liability that might otherwise be incurred or imposed, provided that such participation pursuant to this Code section or any other law is made in good faith. (2) No school personnel making a referral in good faith under this Code section shall be subject to adverse employment consequences, disciplinary action, or retaliation in any form by a local education agency. (j) Funds appropriated for the program may be expended for the following purposes, in addition to the general administration of the program, provided that such funds shall not be used to reimburse any person for copayments required by a commercial insurance policy: (1) Purchasing equipment for the provision of mental health services by local education agencies; (2) Reimbursing providers for mental health services provided to students who do not have coverage under government or private policies; and (3) Training staff and teachers on the program and related technology. (k) The department and the Department of Education shall adopt rules and regulations to implement the provisions of this Code section." SECTION 2. All laws and parts of laws in conflict with this Act are repealed.