Saint Elizabeths Hospital and District of Columbia Mental Health Services Act

Saint Elizabeths Hospital and District of Columbia Mental Health Services Act - Provides that, effective October 1, 1987, the District of Columbia shall assume full responsibility for the provision of mental health services to residents of the District. Establishes time schedules for the preparation, review, and adoption of a system implementation plan for a comprehensive District mental health system. Sets forth the components of the plan. Requires the establishment of a labor-management advisory committee to make recommendations on the plan. Requires the solicitation of comments from the public with respect to the development of the plan.

Permits the shift of selected program responsibilities and staff resources from Saint Elizabeths Hospital to the District of Columbia with the mutual agreement of the Mayor of the District of Columbia and the Secretary of Health and Human Services if such transfer is consistent with the plan.

Requires that both a financial and physical plant audit of Saint Elizabeths Hospital be completed by January 1, 1986. Makes the Secretary responsible for making repairs and renovations necessary to bring those facilities at Saint Elizabeths Hospital which are to be utilized by the District as part of the comprehensive system up to applicable health and safety codes and standards.

Creates a joint responsibility on the part of the District and the Secretary for providing citizens with the full range and scope of mental health services during the service coordination transition period.

Describes the process for congressional review and adoption of the system implementation plan. Requires the Mayor to implement the plan by October 1, 1991.

Sets forth transition provisions which shall apply to employees of Saint Elizabeths Hospital.

Provides for the transfer of the property connected with Saint Elizabeths Hospital to the District, except that identified by the Secretary as necessary for the delivery of Federal mental health programs at Saint Elizabeths Hospital.

Authorizes appropriations for FY 1988 through 1991 for the District of Columbia comprehensive mental health system. Authorizes the head of the appropriate Federal agency to pay the District the full costs of mental health care provided to Federal mental health care individuals.

Authorizes a special Federal payment for FY 1986 through 1991 for: (1) assistance to the District in establishing and maintaining a comprehensive mental health care system; (2) assistance in the assumption of greater financial responsibility for the provision of mental health care to District residents during that period of time; and (3) payment of the Government's liability for accrued annual leave balances for hospital employees assumed by the District under the system implementation plan.

Provides that capital improvements to facilities at Saint Elizabeths Hospital shall be the shared responsibility of the District and the Federal government during the transition period.