** § 31.27 Comprehensive psychiatric emergency programs.\n (a) As used in this section:\n (1) "Commissioner" means the commissioner of mental health.\n (2) "Crisis intervention services" means services provided in an\nemergency room located within a general hospital, which shall include\nbut not be limited to: psychiatric and medical evaluations and\nassessments; prescription or adjustment of medication, counseling, and\nother stabilization or treatment services intended to reduce symptoms of\nmental illness when appropriate.\n (3) "Crisis outreach services" means psychiatric emergency services\nprovided outside an emergency room setting including evaluation,\nassessment and stabilization services; crisis reduction services;\nreferral services; and other psychiatric emergency services.\n (5) "Extended observation bed" means an inpatient bed which is in or\nadjacent to an emergency room located within a general hospital or\nsatellite facility approved by the commissioner, designed to provide a\nsafe environment for an individual who, in the opinion of the examining\nphysician, requires extensive evaluation, assessment, or stabilization\nof the person's acute psychiatric symptoms, except that, if the\ncommissioner determines that the program can provide for the privacy and\nsafety of all patients receiving services in a hospital, he or she may\napprove the location of one or more such beds within another unit of the\nhospital.\n (6) "General hospital" shall be defined as in article twenty-eight of\nthe public health law.\n (9) "Psychiatric emergency services" means services designed to\nstabilize and, when possible, reduce acute psychiatric symptoms of an\nindividual who appears to be mentally ill and in crisis.\n (10) "Triage and referral services" means services designed to provide\npreliminary diagnosis, assessment and evaluation of individuals served\nby a comprehensive psychiatric emergency program in order to direct such\nperson to those services which appropriately address their needs.\n (11) "Voluntary agency" shall be defined as in section 41.03 of this\nchapter.\n (12) "Satellite facility" means a medical facility providing\npsychiatric emergency services that is managed and operated by a general\nhospital who holds a valid operating certificate for a comprehensive\npsychiatric emergency program and is located away from the central\ncampus of the general hospital.\n (b) (1) The commissioner may license the operation of comprehensive\npsychiatric emergency programs by general hospitals which are operated\nby state or local governments or voluntary agencies. The provision of\nsuch services in general hospitals may be located either within the\nstate or, with the approval of the commissioner and the director of the\nbudget and to the extent consistent with state and federal law, in a\ncontiguous state. The commissioner is further authorized to enter into\ninterstate agreements for the purpose of facilitating the development of\nprograms which provide services in another state. A comprehensive\npsychiatric emergency program shall serve as a primary psychiatric\nemergency service provider within a defined catchment area for persons\nin need of psychiatric emergency services including persons who require\nimmediate observation, care and treatment in accordance with section\n9.40 of this chapter. Each comprehensive psychiatric emergency program\nshall provide or contract to provide psychiatric emergency services\ntwenty-four hours per day, seven days per week, including but not\nlimited to: crisis intervention services, crisis outreach services,\nextended observation beds, and triage and referral services.\n (2) The commissioner of mental health shall require that each\ncomprehensive psychiatric emergency program submit a plan. The plan must\nbe approved by the commissioner prior to the issuance of an operating\ncertificate pursuant to this article. Each plan shall include: (i) a\ndescription of the program's catc
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