Petition updateEnding Silence in Mental Health Crises: Reform HIPAA and FERPA NowThe FRM² 12‑Point Plan: A Comprehensive National Framework for Mental‑Health and Family‑Rights Refor
Leon Shelmire JrKansas City, KS, United States
May 24, 2026

1. Mandatory Family Communication
Requires clinicians and crisis responders to share safety‑critical information with families during psychiatric emergencies, replacing optional disclosure with a legal duty to communicate.


2. National HIPAA Training Standard
Implements a uniform national training program to eliminate provider confusion and prevent unnecessary HIPAA‑based information blocks.


3. Updated Psychiatric Consent Rules
Creates a national emergency exception for adults experiencing psychosis or severe suicidal ideation who cannot make informed decisions.


4. Required Safety Updates for Families
Guarantees families the right to know whether their loved one is alive, safe, admitted, transferred, or discharged during a crisis.


5. Duty to Consider Family Input
Requires clinicians to document and incorporate family‑provided psychiatric history and safety information.


6. National Definition of “Incapacity”
Establishes a clear federal standard for determining psychiatric incapacity during emergencies.

 

7. Expansion of HIPAA & FERPA to Modern Crisis and Educational Systems
Modernizes both laws to cover 988 crisis lines, mobile crisis teams, school‑based clinics, university health centers, and digital mental‑health tools.


Critical update:  
When a student age 18+ experiences a severe psychiatric crisis on college or school property, the institution must follow the same emergency‑consent exceptions as hospitals. This prevents schools from using FERPA to withhold life‑or‑death information from parents.


8. Mandatory State Intervention After Repeated Crisis Holds
Triggers protective state action when an individual experiences multiple short‑term crisis holds.


9. Police Mental‑Health Crisis Response Units
Requires every police department to operate a dedicated mental‑health crisis unit staffed with trained clinicians.


10. Correctional Mental‑Health Stabilization Units
Mandates fully operational stabilization units inside all jails and prisons to end psychiatric neglect.


11. Federal Billing & Workforce Compensation Modernization
Requires CMS to permanently raise reimbursement rates for crisis‑care codes (such as CPT 90839 and HCPCS H0015), ensuring mobile crisis teams, peer specialists, and family‑consultation time are fully billable.  
Impact: Stabilizes the workforce, raises pay, and reduces burnout.


12. Inpatient Capacity Expansion & IMD Exclusion Reform
Eliminates the outdated IMD Medicaid exclusion, allowing states to fund modern psychiatric hospitals and regional stabilization centers.  
Impact: Expands bed capacity and ends ER boarding of psychiatric patients.

Copy link
WhatsApp
Facebook
Nextdoor
Email
X