,,ii  #aac? ,,congress  #a/ ,session    
,s4 #aaai  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #g1 #bjac ,ms4   
,coll9s 7= h]self & ,ms4 ,mikulski7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to provide = integration ( 
m5tal heal? s]vices & m5tal heal?       
treatm5t outrea* teams1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,positive ,ag+ ,act (      
#bjac4  #b4 ,demon/ration projects to   
support integration ( ,m5tal ,heal?     
,s]vices 9 prim>y c>e sett+s ,subp>t #c 
( "p ,b ( title ,v ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca 
et seq47 is am5d$--  7#a7 9 section     
#ebj7;b7--  7,a7 9 p>agraph 7#ad71 by   
/rik+ & aft] ! semicolon2  7,b7 9       
p>agraph 7#ae71 by /rik+ ! p]iod at !   
end & ins]t+ 2 &2 &  7,c7 by add+ at !  
end ! foll[+3  7#af7 conduct !          
demon/ration projects specifi$ 9 section

 #ebj,l4  2 &  7#b7 by add+ at ! end !  
foll[+3  #ebj,l4 ,projects to demon/rate
 integration ( ,m5tal ,heal? ,s]vices 9 
prim>y c>e sett+s  7a7 ,9 g5]al ,!      
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t] = ,m5tal ,heal? ,s]vices1 %all    
aw>d grants to public & private nonpr(it
 entities = projects to demon/rate ways 
( integrat+ m5tal heal? s]vices = old]  
adults into prim>y c>e sett+s1 su* z    
heal? c5t]s receiv+ a grant "u section  
#ccj 7or det]m9$ by ! ,secret>y to meet 
! requirem5ts = receiv+ su* a grant71   
o!r f$]ally qualifi$ heal? c5t]s1 prim>y
 c>e cl9ics1 & private practice sites4  
7b7 ,requirem5ts ,9 ord] to be eligible 
= a grant "u ?is section1 ! project to  
be c>ri$ out by ! entity %all provide = 
collaborative c>e )9 a prim>y c>e sett+1
 provid$ by lic5s$ m5tal heal?          
pr(essionals ) appropriate tra9+ &      
exp]i5ce 9 ! treatm5t ( old] adults1 9  
:i* scre5+1 assessm5t1 & int]v5tion     
s]vices are comb9$ into an integrat$    
s]vice deliv]y model1 includ+--  7#a7   

scre5+ s]vices by a m5tal heal?         
pr(essional ) at lea/ a ma/]s degree 9  
an appropriate field ( tra9+2  7#b7     
ref]rals = necess>y prev5tion1          
int]v5tion1 foll[-up c>e1 consultations1
 & c>e plann+ ov]sight = m5tal heal? &  
o!r s]vice ne$s1 z indicat$2 &  7#c7    
adoption & implem5tation ( evid5ce-bas$ 
int]v5tion & treatm5t protocols 7to !   
ext5t su* protocols are available7 =    
m5tal disord]s preval5t 9 old] adults   
includ+1 b n limit$ to1 mood & anxiety  
disord]s1 dem5tias ( all k9ds 7includ+ !
 behavioral & psy*ological symptoms (   
dem5tia71 psy*otic disord]s1 &          
sub/ance-relat$ disord]s4  7c7          
,consid]ations 9 aw>d+ grants ,9 aw>d+  
grants "u ?is section1 ! ,secret>y1 to !
 ext5t feasible1 %all ensure t--  7#a7  
projects are fund$ 9 a v>iety (         
geographic areas1 includ+ urban & rural 
areas2 &  7#b7 a v>iety ( populations1  
includ+ racial & e?nic m9orities &      
l[-income populations1 are s]v$ by      
projects fund$ "u ?is section4  7d7     

,duration ,a project may receive fund+  
pursuant to a grant "u ?is section = a  
p]iod ( up to #c ye>s1 ) an ext5sion    
p]iod ( #b additional ye>s at !         
discretion ( ! ,secret>y4  7e7          
,application ,to be eligible to receive 
a grant "u ?is section1 a public or     
private nonpr(it entity %all--  7#a7    
submit an application to ! ,secret>y 79 
su* =m1 conta9+ su* in=mation1 & at su* 
"t z ! ,secret>y may specify72 &  7#b7  
agree to report to ! ,secret>y /&>diz$  
cl9ical & behavioral data & o!r p]=mance
 data necess>y to evaluate pati5t       
outcomes & to facilitate evaluations    
across p>ticipat+ projects4  7f7        
,evaluation ,n lat] ?an ,july #ca ( !   
second cal5d> ye> aft] ! date ( enactm5t
 ( ?is section1 & ,july #ca ( e ye>     
!reaft]1 ! ,secret>y %all submit to     
,congress a report evaluat+ ! projects  
receiv+ aw>ds "u ?is section = ! ye>    
involv$4  7g7 ,supplem5t1 n supplant    
,funds made available "u ?is section    
%all supplem5t1 & n supplant1 o!r       

,f$]al1 ,/ate1 or local funds available 
to an entity to c>ry out activities     
describ$ 9 ?is section4  7h7            
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ su* sums z   
may be necess>y to c>ry out ?is section 
= fiscal ye> #bjad & ea* fiscal ye>     
!reaft]4  4  #c4 ,grants =              
community-bas$ m5tal heal? treatm5t     
outrea* teams ,subp>t #c ( "p ,b ( title
 ,v ( ! ,public ,heal? ,s]vice ,act 7#db
 ,u4,s4,c4 #bij;bb-#ca et seq471 z am5d$
 by section #b1 is fur!r am5d$ by add+  
at ! end ! foll[+3  #ebj,m4 ,grants =   
community-bas$ m5tal heal? treatm5t     
outrea* teams  7a7 ,9 g5]al ,!          
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t] = ,m5tal ,heal? ,s]vices1 %all    
aw>d grants to public or private        
nonpr(it entities t are community-bas$  
provid]s ( g]iatric m5tal heal? s]vices1
 to support ! e/abli%m5t & ma9t5ance by 
su* entities ( int]discipl9>y g]iatric  
m5tal heal? outrea* teams 9 community   
sett+s :]e old] adults reside or receive

 social s]vices4 ,entities eligible =   
su* grants include--  7#a7 m5tal heal?  
s]vice provid]s ( a ,/ate or local      
gov]nm5t2  7#b7 outpati5t programs (    
private1 nonpr(it hospitals2  7#c7      
community m5tal heal? c5t]s meet+ !     
crit]ia specifi$ 9 section #aiac7;c72 & 
7#d7 o!r community-bas$ provid]s ( m5tal
 heal? s]vices4  7b7 ,requirem5ts ,to be
 eligible to receive a grant "u ?is     
section1 an entity %all--  7#a7 adopt & 
implem5t1 = use by its m5tal heal?      
outrea* team1 evid5ce-bas$ int]v5tion & 
treatm5t protocols 7to ! ext5t su*      
protocols are available7 = m5tal        
disord]s preval5t 9 old] adults includ+1
 b n limit$ to1 mood & anxiety disord]s1
 dem5tias ( all k9ds 7includ+ !         
behavioral & psy*ological symptoms (    
dem5tia71 psy*otic disord]s1 &          
sub/ance-relat$ disord]s1 rely+ to !    
greate/ ext5t feasible on protocols t h 
be5 develop$--  7,a7 by or "u ! auspices
 ( ! ,secret>y2 or  7,b7 by             
academicians2  7#b7 provide scre5+ =    

m5tal disord]s1 diagno/ic s]vices1      
ref]rals = treatm5t1 & case managem5t & 
coord9ation ?r\gh su* teams2 &  7#c7    
coord9ate & integrate ! s]vices provid$ 
by su* team ) ! s]vices ( social s]vice1
 m5tal heal?1 & m$ical provid]s at !    
site or sites :]e ! team is bas$ 9 ord] 
to--  7,a7 improve pati5t outcomes2 &   
7,b7 to assure1 to ! maximum ext5t      
feasible1 ! cont9u+ indep5d5ce ( old]   
adults :o are resid+ 9 ! community4  7c7
 ,coop]ative arrangem5ts ) sites s]v+ z 
bases = outrea* ,an entity receiv+ a    
grant "u ?is section may ent] into an   
agreem5t ) a p]son op]at+ a site at :i* 
a g]iatric m5tal heal? outrea* team ( ! 
entity is bas$1 includ+--  7#a7 s5ior   
c5t]s2  7#b7 adult day c>e programs2    
7#c7 assi/$ liv+ facilities2 &  7#d7    
recipi5ts ( grants to provide s]vices to
 old] adults "u ! ,old] ,am]icans ,act (
 #aife1 "u :i* su* p]son provides 7& is 
reimburs$ by ! entity1 out ( funds      
receiv$ "u ! grant1 =7 any supportive   
s]vices1 su* z transportation &         

adm9i/rative support1 t su* p]son       
provides to an outrea* team ( su*       
entity4  7d7 ,consid]ations 9 aw>d+     
grants ,9 aw>d+ grants "u ?is section1 !
 ,secret>y1 to ! ext5t feasible1 %all   
ensure t--  7#a7 projects are fund$ 9 a 
v>iety ( geographic areas1 includ+ urban
 & rural areas2 &  7#b7 a v>iety (      
populations1 includ+ racial & e?nic     
m9orities & l[-income populations1 are  
s]v$ by projects fund$ "u ?is section4  
7e7 ,application ,to be eligible to     
receive a grant "u ?is section1 an      
entity %all--  7#a7 submit an           
application to ! ,secret>y 79 su* =m1   
conta9+ su* in=mation1 at su* "t z !    
,secret>y may specify72 &  7#b7 agree to
 report to ! ,secret>y /&>diz$ cl9ical &
 behavioral data & o!r p]=mance data    
necess>y to evaluate pati5t outcomes &  
to facilitate evaluations across        
p>ticipat+ projects4  7f7 ,coord9ation  
,! ,secret>y %all provide = appropriate 
coord9ation ( programs & activities     
receiv+ funds pursuant to a grant "u ?is

 section ) programs & activities receiv+
 funds pursuant to grants "u section    
#ebj,l & sections #cha1 #dbb1 & #dbc ( !
 ,old] ,am]icans ,act ( #aife4  7g7     
,evaluation ,n lat] ?an ,july #ca ( !   
second cal5d> ye> aft] ! date ( enactm5t
 ( ?is section1 & ,july #ca ( e ye>     
!reaft]1 ! ,secret>y %all submit to     
,congress a report evaluat+ ! projects  
receiv+ aw>ds "u ?is section = su* ye>4 
7h7 ,supplem5t1 n supplant ,funds made  
available "u ?is section %all supplem5t1
 & n supplant1 o!r ,f$]al1 ,/ate1 or    
local funds available to an entity to   
c>ry out activities describ$ 9 ?is      
section4  7i7 ,au?orization (           
appropriations ,!re are au?oriz$ to be  
appropriat$ su* sums z may be necess>y  
to c>ry out ?is section = fiscal ye>    
#bjad & ea* fiscal ye> !reaft]4  4  #d4 
,designation ( ,deputy ,director = ,old]
 ,adult ,m5tal ,heal? ,s]vices 9 ,c5t] =
 ,m5tal ,heal? ,s]vices ,section #ebj ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bij;bb-#ca7 is am5d$--  7#a7 

by r$esignat+ subsection 7c7 z          
subsection 7d72 &  7#b7 by ins]t+ aft]  
subsection 7b7 ! foll[+3  7c7 ,deputy   
,director = ,old] ,adult ,m5tal ,heal?  
,s]vices 9 ,c5t] = ,m5tal ,heal?        
,s]vices ,! ,director1 aft] consultation
 ) ! ,adm9i/rator1 %all designate a     
,deputy ,director = ,old] ,adult ,m5tal 
,heal? ,s]vices1 :o %all be responsible 
= ! developm5t & implem5tation (        
initiatives ( ! ,c5t] to address ! m5tal
 heal? ne$s ( old] adults4 ,su*         
initiatives %all include--  7#a7 rese>* 
on prev5tion & id5tification ( m5tal    
disord]s 9 ! old] adult population2     
7#b7 innovative demon/ration projects = 
! deliv]y ( community-bas$ m5tal heal?  
s]vices = old] adults2  7#c7 support = !
 developm5t & dissem9ation (            
evid5ce-bas$ practice models1 includ+   
models to address sub/ance-relat$       
disord]s 9 old] adults2 &  7#d7         
developm5t ( model tra9+ programs =     
m5tal heal? pr(essionals & c>egiv]s s]v+
 old] adults4  4  #e4 ,memb]%ip (       

advisory c\ncil = ! ,c5t] = ,m5tal      
,heal? ,s]vices ,section #ejb7;b77#c7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bij;aa-#a7;b77#c77 is am5d$  
by add+ at ! end ! foll[+3  7,c7 ,9 !   
case ( ! advisory c\ncil = ! ,c5t] =    
,m5tal ,heal? ,s]vices1 ! memb]s appo9t$
 pursuant to subp>agraphs 7,a7 & 7,b7   
%all include repres5tatives ( old]      
adults or _! families1 & pr(essionals ) 
an exp]tise 9 g]iatric m5tal heal?4  4  
#f4 ,projects ( national significance   
t>get+ sub/ance abuse 9 old] adults     
,section #eji7;b77#b7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#bij;bb-#b7;b77#b77 is am5d$ by ins]t+  
be=e ! p]iod ! foll[+3 1 & to provid+   
treatm5t = old] adults ) sub/ance-relat$
 disord]s4  #g4 ,crit]ia = ,/ate plans  
"u community ,m5tal ,heal? ,s]vices     
block grants  7a7 ,9 g5]al ,section     
#aiab7;b77#d7 ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjjx-#b7;b77#d77  
is am5d$ to read z foll[s3  7#d7 ,t>get$
 s]vices to old] individuals1           

individuals :o are homeless1 &          
individuals liv+ 9 rural areas ,! plan  
describes ! ,/ate's outrea* to & s]vices
 = old] individuals1 individuals :o are 
homeless1 & individuals liv+ 9 rural    
areas1 & h[ community-bas$ s]vices w be 
provid$ to ^! individuals4  4  7b7      
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply to ,/ate plans
 submitt$ on or aft] ! date t is #ahj   
days aft] ! date ( enactm5t ( ?is ,act4