MD HB1146

Replaces "crisis communication centers" with "State 9-8-8 Suicide and Crisis Lifelines" in each Maryland jurisdiction as the single point of entry to the Behavioral Health Crisis Response System

Requires State 9-8-8 lifelines to coordinate with the national 9-8-8 network to provide supportive counseling, suicide prevention, crisis intervention, referrals, and direct dispatch or warm hand-offs to mobile crisis response services

Establishes detailed outcome evaluation metrics including 9-8-8 call/text/chat volume, local answer rates, crisis resolution data (by phone, mobile team, or 9-1-1 transfer), mobile crisis team response times, and crisis stabilization center usage

Mandates annual public reporting of outcome data by December 1 each year beginning in 2026, disaggregated by race, gender, age, and zip code

Shifts data collection focus from tracking suicides, arrests, and hospitalizations to measuring law enforcement involvement, client involuntary status, and diversion from higher levels of care including hospitals