ID S1125

Establishes Chapter 97, Title 39, Idaho Code, creating a suicide and mental health crisis access program centered on the national 988 suicide prevention hotline.

Recognizes crisis care and suicide hotlines with active agreements to the National Suicide Prevention Lifeline (NSPL) as designated 988 hotline centers, requiring 24/7 service, interoperable technology, and coordination with local mental health resources and law enforcement.

Authorizes Idaho counties to impose a uniform monthly fee on telecommunications subscribers (landline, mobile, and internet voice services) not to exceed the 911 emergency communications fee rate, with collections beginning January 1, 2022.

Establishes the Suicide and Mental Health Crisis Access Fund to receive fee revenues, with funds appropriated only for 988 hotline operation, staffing, technological infrastructure, crisis outreach services, training, and capital purchases.

Requires annual audits coordinated with 911 fee audits and annual reports to legislative health and welfare committees detailing 988 usage, services referred, and services provided; suspends fee collection when fund balance exceeds $100 million, resuming when balance falls to $50 million or below.