,,ii #aacth ,,congress #ast ,session ,s4 #aaai ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #g1 #bjac ,ms4 ,collins 7for herself and ,ms4 ,mikulski7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to provide for integration of mental health services and mental health treatment outreach teams1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,positive ,aging ,act of #bjac4 #b4 ,demonstration projects to support integration of ,mental ,health ,services in primary care settings ,subpart #c of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is amended-- 7#a7 in section #ebj7;b7-- 7,a7 in paragraph 7#ad71 by striking and after the semicolon2 7,b7 in paragraph 7#ae71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following3 7#af7 conduct the demonstration projects specified in section #ebj,l4 2 and 7#b7 by adding at the end the following3 #ebj,l4 ,projects to demonstrate integration of ,mental ,health ,services in primary care settings 7a7 ,in general ,the ,secretary1 acting through the ,director of the ,center for ,mental ,health ,services1 shall award grants to public and private nonprofit entities for projects to demonstrate ways of integrating mental health services for older adults into primary care settings1 such as health centers receiving a grant under section #ccj 7or determined by the ,secretary to meet the requirements for receiving such a grant71 other federally qualified health centers1 primary care clinics1 and private practice sites4 7b7 ,requirements ,in order to be eligible for a grant under this section1 the project to be carried out by the entity shall provide for collaborative care within a primary care setting1 provided by licensed mental health professionals with appropriate training and experience in the treatment of older adults1 in which screening1 assessment1 and intervention services are combined into an integrated service delivery model1 including-- 7#a7 screening services by a mental health professional with at least a masters degree in an appropriate field of training2 7#b7 referrals for necessary prevention1 intervention1 follow-up care1 consultations1 and care planning oversight for mental health and other service needs1 as indicated2 and 7#c7 adoption and implementation of evidence-based intervention and treatment protocols 7to the extent such protocols are available7 for mental disorders prevalent in older adults including1 but not limited to1 mood and anxiety disorders1 dementias of all kinds 7including the behavioral and psychological symptoms of dementia71 psychotic disorders1 and substance-related disorders4 7c7 ,considerations in awarding grants ,in awarding grants under this section1 the ,secretary1 to the extent feasible1 shall ensure that-- 7#a7 projects are funded in a variety of geographic areas1 including urban and rural areas2 and 7#b7 a variety of populations1 including racial and ethnic minorities and low-income populations1 are served by projects funded under this section4 7d7 ,duration ,a project may receive funding pursuant to a grant under this section for a period of up to #c years1 with an extension period of #b additional years at the discretion of the ,secretary4 7e7 ,application ,to be eligible to receive a grant under this section1 a public or private nonprofit entity shall-- 7#a7 submit an application to the ,secretary 7in such form1 containing such information1 and at such time as the ,secretary may specify72 and 7#b7 agree to report to the ,secretary standardized clinical and behavioral data and other performance data necessary to evaluate patient outcomes and to facilitate evaluations across participating projects4 7f7 ,evaluation ,not later than ,july #ca of the second calendar year after the date of enactment of this section1 and ,july #ca of every year thereafter1 the ,secretary shall submit to ,congress a report evaluating the projects receiving awards under this section for the year involved4 7g7 ,supplement1 not supplant ,funds made available under this section shall supplement1 and not supplant1 other ,federal1 ,state1 or local funds available to an entity to carry out activities described in this section4 7h7 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal year #bjad and each fiscal year thereafter4 4 #c4 ,grants for community-based mental health treatment outreach teams ,subpart #c of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq471 as amended by section #b1 is further amended by adding at the end the following3 #ebj,m4 ,grants for community-based mental health treatment outreach teams 7a7 ,in general ,the ,secretary1 acting through the ,director of the ,center for ,mental ,health ,services1 shall award grants to public or private nonprofit entities that are community-based providers of geriatric mental health services1 to support the establishment and maintenance by such entities of interdisciplinary geriatric mental health outreach teams in community settings where older adults reside or receive social services4 ,entities eligible for such grants include-- 7#a7 mental health service providers of a ,state or local government2 7#b7 outpatient programs of private1 nonprofit hospitals2 7#c7 community mental health centers meeting the criteria specified in section #aiac7;c72 and 7#d7 other community-based providers of mental health services4 7b7 ,requirements ,to be eligible to receive a grant under this section1 an entity shall-- 7#a7 adopt and implement1 for use by its mental health outreach team1 evidence-based intervention and treatment protocols 7to the extent such protocols are available7 for mental disorders prevalent in older adults including1 but not limited to1 mood and anxiety disorders1 dementias of all kinds 7including the behavioral and psychological symptoms of dementia71 psychotic disorders1 and substance-related disorders1 relying to the greatest extent feasible on protocols that have been developed-- 7,a7 by or under the auspices of the ,secretary2 or 7,b7 by academicians2 7#b7 provide screening for mental disorders1 diagnostic services1 referrals for treatment1 and case management and coordination through such teams2 and 7#c7 coordinate and integrate the services provided by such team with the services of social service1 mental health1 and medical providers at the site or sites where the team is based in order to-- 7,a7 improve patient outcomes2 and 7,b7 to assure1 to the maximum extent feasible1 the continuing independence of older adults who are residing in the community4 7c7 ,cooperative arrangements with sites serving as bases for outreach ,an entity receiving a grant under this section may enter into an agreement with a person operating a site at which a geriatric mental health outreach team of the entity is based1 including-- 7#a7 senior centers2 7#b7 adult day care programs2 7#c7 assisted living facilities2 and 7#d7 recipients of grants to provide services to older adults under the ,older ,americans ,act of #aife1 under which such person provides 7and is reimbursed by the entity1 out of funds received under the grant1 for7 any supportive services1 such as transportation and administrative support1 that such person provides to an outreach team of such entity4 7d7 ,considerations in awarding grants ,in awarding grants under this section1 the ,secretary1 to the extent feasible1 shall ensure that-- 7#a7 projects are funded in a variety of geographic areas1 including urban and rural areas2 and 7#b7 a variety of populations1 including racial and ethnic minorities and low-income populations1 are served by projects funded under this section4 7e7 ,application ,to be eligible to receive a grant under this section1 an entity shall-- 7#a7 submit an application to the ,secretary 7in such form1 containing such information1 at such time as the ,secretary may specify72 and 7#b7 agree to report to the ,secretary standardized clinical and behavioral data and other performance data necessary to evaluate patient outcomes and to facilitate evaluations across participating projects4 7f7 ,coordination ,the ,secretary shall provide for appropriate coordination of programs and activities receiving funds pursuant to a grant under this section with programs and activities receiving funds pursuant to grants under section #ebj,l and sections #cha1 #dbb1 and #dbc of the ,older ,americans ,act of #aife4 7g7 ,evaluation ,not later than ,july #ca of the second calendar year after the date of enactment of this section1 and ,july #ca of every year thereafter1 the ,secretary shall submit to ,congress a report evaluating the projects receiving awards under this section for such year4 7h7 ,supplement1 not supplant ,funds made available under this section shall supplement1 and not supplant1 other ,federal1 ,state1 or local funds available to an entity to carry out activities described in this section4 7i7 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal year #bjad and each fiscal year thereafter4 4 #d4 ,designation of ,deputy ,director for ,older ,adult ,mental ,health ,services in ,center for ,mental ,health ,services ,section #ebj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#ca7 is amended-- 7#a7 by redesignating subsection 7c7 as subsection 7d72 and 7#b7 by inserting after subsection 7b7 the following3 7c7 ,deputy ,director for ,older ,adult ,mental ,health ,services in ,center for ,mental ,health ,services ,the ,director1 after consultation with the ,administrator1 shall designate a ,deputy ,director for ,older ,adult ,mental ,health ,services1 who shall be responsible for the development and implementation of initiatives of the ,center to address the mental health needs of older adults4 ,such initiatives shall include-- 7#a7 research on prevention and identification of mental disorders in the older adult population2 7#b7 innovative demonstration projects for the delivery of community-based mental health services for older adults2 7#c7 support for the development and dissemination of evidence-based practice models1 including models to address substance-related disorders in older adults2 and 7#d7 development of model training programs for mental health professionals and caregivers serving older adults4 4 #e4 ,membership of advisory council for the ,center for ,mental ,health ,services ,section #ejb7;b77#c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa-#a7;b77#c77 is amended by adding at the end the following3 7,c7 ,in the case of the advisory council for the ,center for ,mental ,health ,services1 the members appointed pursuant to subparagraphs 7,a7 and 7,b7 shall include representatives of older adults or their families1 and professionals with an expertise in geriatric mental health4 4 #f4 ,projects of national significance targeting substance abuse in older adults ,section #eji7;b77#b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#b7;b77#b77 is amended by inserting before the period the following3 1 and to providing treatment for older adults with substance-related disorders4 #g4 ,criteria for ,state plans under community ,mental ,health ,services block grants 7a7 ,in general ,section #aiab7;b77#d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#b7;b77#d77 is amended to read as follows3 7#d7 ,targeted services to older individuals1 individuals who are homeless1 and individuals living in rural areas ,the plan describes the ,state's outreach to and services for older individuals1 individuals who are homeless1 and individuals living in rural areas1 and how community-based services will be provided to these individuals4 4 7b7 ,effective date ,the amendment made by subsection 7a7 shall apply to ,state plans submitted on or after the date that is #ahj days after the date of enactment of this ,act4