Jennifer Silva, San Luis Valley Behavioral Health Group, discussed case management, the crisis mobile team, and the increased acuity of patients with mental health conditions. She spoke about the state pilot program designed to reduce the time a patient, who has been place on an involuntary mental health hold, spends in an emergency room or jail by providing transportation to a mental health facility. She discussed the medication-assisted treatment vans that the Colorado Department of Human Services will be deploying early next year. One of these vans will travel to six sites in the SLV each week to provided medication-assisted treatment to residents. Ms. Silva told the committee that the confidentiality of patient records related to substance use disorders is governed by federal regulations, 42 CFR Part 2, that outline the limited circumstances that information about a client’s treatment may be disclosed to other providers with and without the client’s consent.