,,ii  #aac? ,,congress  #a/ ,session    
,s4 #bfd  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #g1 #bjac ,ms4
 ,/ab5[ 7= h]self1 ,mr4 ,re$1 ,mr4      
,blunt1 ,mr4 ,rubio1 ,ms4 ,coll9s1 ,mrs4
 ,box]1 ,mr4 ,rockefell]1 ,mr4 ,te/]1   
,mr4 ,begi*1 & ,mr4 ,leahy7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to exp& 
access to community m5tal heal? c5t]s & 
improve ! quality ( m5tal heal? c>e =   
all ,am]icans4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,excell5ce 9 ,m5tal
 ,heal? ,act4  #b4 ,e/abli%+ community  
behavioral heal? c5t]s ,section #aiac ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #cjjx-#b7 is am5d$--  7#a7 9  
subsection 7a77#b77;,a71 by /rik+       
community m5tal heal? s]vices & ins]t+  
behavioral heal? s]vices 7( ! type (f]$ 
by f$]ally qualifi$ community behavioral
 heal? c5t]s consi/5t ) subsection      
7c77#c772  7#b7 9 subsection 7b7--  7,a7
 by /rik+ p>agraph 7#a7 & ins]t+ !      

foll[+3  7#a7 s]vices "u ! plan w be    
provid$ only ?r\gh appropriate1 qualifi$
 community programs 7:i* may include    
f$]ally qualifi$ community behavioral   
heal? c5t]s1 *ild m5tal heal? programs1 
psy*osocial rehabilitation programs1    
m5tal heal? pe]-support programs1       
outpati5t addiction treatm5t programs1  
acute detoxification s]vices1 & m5tal   
heal? prim>y consum]-direct$ programs72 
&  2 &  7,b7 9 p>agraph 7#b71 by /rik+  
community m5tal heal? c5t]s & ins]t+    
f$]ally qualifi$ community behavioral   
heal? c5t]s2 &  7#c7 by /rik+ subsection
 7c7 & ins]t+ ! foll[+3  7c7 ,crit]ia = 
,f$]ally ,qualifi$ ,community           
,behavioral ,heal? ,c5t]s  7#a7 ,9 g5]al
 ,! ,adm9i/rator %all c]tify1 & rec]tify
 at lea/ e #e ye>s1 f$]ally qualifi$    
community behavioral heal? c5t]s z meet+
 ! crit]ia specifi$ 9 ?is subsection4   
7#b7 ,regulations ,n lat] ?an #ah mon?s 
aft] ! date ( ! enactm5t ( ! ,excell5ce 
9 ,m5tal ,heal? ,act1 ! ,adm9i/rator1 9 
consultation ) ,/ate ,m5tal ,heal? &    

,sub/ance ,abuse ,au?orities1 %all issue
 f9al regulations = c]tify+ non-pr(it or
 local gov]nm5t c5t]s z c5t]s "u        
p>agraph 7#a74  7#c7 ,crit]ia ,! crit]ia
 ref]r$ to 9 subsection 7b77#b7 are t ! 
c5t] p]=ms ea* ( ! foll[+3  7,a7        
,provide s]vices 9 locations t ensure   
s]vices w be available & accessible     
promptly & 9 a mann] :i* pres]ves human 
dignity & assures cont9uity ( c>e4  7,b7
 ,provide s]vices 9 a mode ( s]vice     
deliv]y appropriate = ! t>get           
population4  7,c7 ,provide individuals )
 a *oice ( s]vice options :]e !re is m  
?an "o efficaci\s treatm5t4  7,d7       
,employ a core /aff ( cl9ical /aff t is 
multidiscipl9>y & culturally &          
l+ui/ically compet5t4  7,e7 ,provide    
s]vices1 )9 ! limits ( ! capacities ( ! 
c5t]1 to any individual resid+ or       
employ$ 9 ! s]vice area ( ! c5t]1       
reg>dless ( ! ability ( ! individual to 
pay4  7,f7 ,provide1 directly or ?r\gh  
contract1 to ! ext5t cov]$ = adults 9 ! 
,/ate ,m$icaid plan "u title ,,xix ( !  

,social ,security ,act & = *ildr5 9     
accordance ) section #aije7r7 ( su* ,act
 reg>d+ e>ly & p]iodic scre5+1          
diagnosis1 & treatm5t1 ea* ( ! foll[+   
s]vices3  7i7 ,scre5+1 assessm5t1 &     
diagnosis1 includ+ risk assessm5t4  7ii7
 ,p]son-c5t]$ treatm5t plann+ or simil> 
processes1 includ+ risk assessm5t &     
crisis plann+4  7iii7 ,outpati5t m5tal  
heal? & sub/ance use s]vices1 includ+   
scre5+1 assessm5t1 diagnosis1           
psy*o!rapy1 m$ication managem5t1 &      
integrat$ treatm5t = m5tal illness &    
sub/ance abuse :i* %all be evid5ce-bas$ 
7includ+ cognitive behavioral !rapy &   
o!r su* !rapies :i* are evid5ce-bas$74  
7iv7 ,outpati5t cl9ic prim>y c>e scre5+ 
& monitor+ ( key heal? indicators &     
heal? risk 7includ+ scre5+ = diabetes1  
hyp]t5sion1 & c>diovascul> disease &    
monitor+ ( weight1 height1 body mass    
index 7,,bmi71 blood pressure1 blood    
glucose or ,hb,a#a;,c1 & lipid pr(ile74 
7v7 ,crisis m5tal heal? s]vices1 includ+
 #bd-;h\r mobile crisis teams1 em]g5cy  

crisis int]v5tion s]vices1 & crisis     
/abilization4  7vi7 ,t>get$ case        
managem5t 7s]vices to assi/ individuals 
ga9+ access to ne$$ m$ical1 social1     
educational1 & o!r s]vices & apply+ =   
income security & o!r b5efits to :i* !y 
may be entitl$74  7vii7 ,psy*iatric     
rehabilitation s]vices includ+ skills   
tra9+1 ass]tive community treatm5t1     
family psy*o$ucation1 disability        
self-managem5t1 support$ employm5t1     
support$ h\s+ s]vices1 !rapeutic fo/]   
c>e s]vices1 & su* o!r evid5ce-bas$     
practices z ! ,secret>y may require4    
7viii7 ,pe] support & c\nselor s]vices &
 family supports4  7,g7 ,ma9ta9 l9kages1
 & :]e possible ent] into =mal contracts
 ) ! foll[+3  7i7 ,f$]ally qualifi$     
heal? c5t]s4  7ii7 ,inpati5t psy*iatric 
facilities & sub/ance use               
detoxification1 po/-detoxification      
/ep-d[n s]vices1 & resid5tial programs4 
7iii7 ,adult & y\? pe] support &        
c\nselor s]vices4  7iv7 ,family support 
s]vices = families ( *ildr5 ) s]i\s     

m5tal or sub/ance use disord]s4  7v7    
,o!r community or regional s]vices1     
supports1 & provid]s1 includ+ s*ools1   
*ild welf>e ag5cies1 juv5ile & crim9al  
ju/ice ag5cies & facilities1 h\s+       
ag5cies & programs1 employ]s1 & o!r     
social s]vices4  7vi7 ,onsite or (fsite 
access to prim>y c>e s]vices4  7vii7    
,enabl+ s]vices1 includ+ outrea*1       
transportation1 & translation4  7viii7  
,heal? & wellness s]vices1 includ+      
s]vices = tobacco cessation4  7,h7 ,:]e 
feasible1 provide outrea* & engagem5t to
 enc\rage individuals :o c\ld b5efit f  
m5tal heal? c>e to freely p>ticipate 9  
receiv+ ! s]vices describ$ 9 ?is        
subsection4  7#d7 ,rule ( con/ruction   
,no?+ 9 p>agraph 7#a7 %all be con/ru$ z 
prohibit+ ,/ates receiv+ funds          
appropriat$ ?r\gh ! ,community ,m5tal   
,heal? ,s]vices ,block ,grant "u subp>t 
,i ( "p ,b ( ?is title f f9anc+ qualifi$
 community programs 7:e!r su* programs  
meet ! def9ition ( eligible programs    
prior to or aft] ! date ( enactm5t ( ?is

 subsection74  7#e7 ,limitation ,)      
respect to f$]ally qualifi$ behavioral  
heal? c5t]s au?oriz$ "u ?is subsection1 
#bj p]c5t ( ! total numb] ( su* c5t]s   
%all become newly eligible to receive   
reimbursem5t "u ?is section 9 ea* ( !   
fir/ #e ye>s aft] ! initial ye> (       
eligibility ?r\gh fiscal ye> #bjbc4 ,9  
implem5t+ ?is p>agraph1 ! ,secret>y %all
 ensure geographic div]sity ( su* sites1
 take into acc\nt ! ability ( su* sites 
to provide requir$ s]vices1 & ! ability 
( su* sites to report requir$ data4  4  
#c4 ,m$icaid cov]age & paym5t =         
community behavioral heal? c5t] s]vices 
7a7 ,paym5t = s]vices provid$ by f$]ally
 qualifi$ community behavioral heal?    
c5t]s ,section #aijb7;bb7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;a7bb77 is am5d$--  7#a7 9 ! head+1
 by /rik+ & ,rural ,heal? ,cl9ics &     
ins]t+ 1 f$]ally qualifi$ community     
behavioral heal? c5t]s1 & ,rural ,heal? 
,cl9ics2  7#b7 9 p>agraph 7#a71 by      
ins]t+ 7& beg9n+ ) fiscal ye> #bjaf )   

respect to s]vices furni%$ on or aft]   
,janu>y #a1 #bjaf1 & ea* succe$+ fiscal 
ye>1 = s]vices describ$ 9 section       
#aije7;a77#b77;,d7 furni%$ by a f$]ally 
qualifi$ community behavioral heal?     
c5t]7 aft] by a rural heal? cl9ic2  7#c7
 9 p>agraph 7#b7--  7,a7 by /rik+ !     
head+ & ins]t+ ,initial fiscal ye>2     
7,b7 by ins]t+ 7or1 9 ! case ( s]vices  
describ$ 9 section #aije7;a77#b77;,d7   
furni%$ by a f$]ally qualifi$ community 
behavioral heal? c5t]1 = s]vices furni%$
 on & aft] ,janu>y #a1 #bjaf1 dur+      
fiscal ye> #bjaf7 aft] ,janu>y #a1      
#bjja1 dur+ fiscal ye> #bjja2  7,c7 by  
ins]t+ 7or1 9 ! case ( s]vices describ$ 
9 section #aije7;a77#b77;,d7 furni%$ by 
a f$]ally qualifi$ community behavioral 
heal? c5t]1 dur+ fiscal ye>s #bjad &    
#bjae7 aft] #aiii & #bjjj2 &  7,d7 by   
ins]t+ 7or1 9 ! case ( s]vices describ$ 
9 section #aije7;a77#b77;,d7 furni%$ by 
a f$]ally qualifi$ community behavioral 
heal? c5t]1 dur+ fiscal ye> #bjaf7 be=e 
! p]iod2  7#d7 9 p>agraph 7#c7--  7,a7 9

 ! head+1 by /rik+ ,fiscal ye> #bjjb &  
succe$+ & ins]t+ ,succe$+2 &  7,b7 by   
ins]t+ 7or1 9 ! case ( s]vices describ$ 
9 section #aije7;a77#b77;,d7 furni%$ by 
a f$]ally qualifi$ community behavioral 
heal? c5t]1 = s]vices furni%$ dur+      
fiscal ye> #bjag or a succe$+ fiscal    
ye>7 aft] #bjjb or a succe$+ fiscal ye>2
  7#e7 9 p>agraph 7#d7--  7,a7 by ins]t+
 7or z a f$]ally qualifi$ community     
behavioral heal? c5t] aft] fiscal ye>   
#bjae7 aft] or rural heal? cl9ic aft]   
fiscal ye> #bjjj2  7,b7 by /rik+ furni%$
 by ! c5t] or & ins]t+ furni%$ by !     
f$]ally qualifi$ heal? c5t]1 s]vices    
describ$ 9 section #aije7;a77#b77;,d7   
furni%$ by ! f$]ally qualifi$ community 
behavioral heal? c5t]1 or2 &  7,c7 9 !  
second s5t5ce1 by /rik+ or rural heal?  
cl9ic & ins]t+ 1 f$]ally qualifi$       
community behavioral heal? c5t]1 or     
rural heal? cl9ic2  7#f7 9 p>agraph     
7#e71 9 ea* ( subp>agraphs 7,a7 & 7,b71 
by /rik+ or rural heal? cl9ic & ins]t+ 1
 f$]ally qualifi$ community behavioral  

heal? c5t]1 or rural heal? cl9ic2 &     
7#g7 9 p>agraph 7#f71 by /rik+ or to a  
rural heal? cl9ic & ins]t+ 1 to a       
f$]ally qualifi$ community behavioral   
heal? c5t] = s]vices describ$ 9 section 
#aije7;a77#b77;,d71 or to a rural heal? 
cl9ic4  7b7 ,inclusion ( community      
behavioral heal? c5t] s]vices 9 ! t]m   
m$ical assi/ance ,section #aije7;a77#b7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;d7a77#b77 is am5d$--    
7#a7 by /rik+ & be=e 7,c72 &  7#b7 by   
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 & 7,d7 f$]ally qualifi$       
community behavioral heal? c5t] s]vices 
7z def9$ 9 subsection 7l77#d774  7c7    
,def9ition ( f$]ally qualifi$ community 
behavioral heal? c5t] s]vices ,section  
#aije7l7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7l77 is am5d$ by add+ 
at ! end ! foll[+ p>agraph3  7#d7 7,a7  
,! t]m community behavioral heal? c5t]  
s]vices means s]vices furni%$ to an     
individual at a f$]ally qualifi$        
community behavioral heal? c5t] 7z def9$

 by subp>agraph 7,b774  7,b7 ,! t]m     
f$]ally qualifi$ community behavioral   
heal? c5t] means an entity t is c]tifi$ 
"u section #aiac7;c7 ( ! ,public ,heal? 
,s]vice ,act z meet+ ! crit]ia describ$ 
9 p>agraph 7#c7 ( su* section4  4  7d7  
,effective date ,! am5dm5ts made by ?is 
section take effect on ,janu>y #a1      
#bjaf4  #d4 ,community-bas$ m5tal heal? 
infra/ructure improvem5t ,title ,v ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g et seq47 is am5d$ by   
add+ at ! end ! foll[+3  ,h             
,community-bas$ m5tal heal?             
infra/ructure improvem5ts  #efj4 ,grants
 = community-bas$ m5tal heal?           
infra/ructure improvem5ts  7a7 ,grants  
au?oriz$ ,! ,secret>y may aw>d grants to
 eligible entities to exp5d funds = !   
con/ruction or mod]nization ( facilities
 us$ to provide m5tal heal? & sub/ance  
abuse s]vices to individuals4  7b7      
,eligible entity ,9 ?is section1 ! t]m  
eligible entity means--  7#a7 a ,/ate t 
is ! recipi5t ( a ,community ,m5tal     

,heal? ,s]vices ,block ,grant "u subp>t 
,i ( "p ,b ( title ,,xix & a ,sub/ance  
,abuse ,prev5tion & ,treatm5t ,block    
,grant "u subp>t ,,ii ( su* "p2 or  7#b7
 an ,indian tribe or a tribal           
organization 7z su* t]ms are def9$ 9    
sections #d7;b7 & #d7;c7 ( ! ,indian    
,self-,det]m9ation & ,education         
,assi/ance ,act74  7c7 ,application ,a  
eligible entity desir+ a grant "u ?is   
section %all submit to ! ,secret>y an   
application at su* "t1 9 su* mann]1 &   
conta9+--  7#a7 a plan = ! con/ruction  
or mod]nization ( facilities us$ to     
provide m5tal heal? & sub/ance abuse    
s]vices to individuals t--  7,a7        
designates a s+le ,/ate or tribal ag5cy 
z ! sole ag5cy = ! sup]vision &         
adm9i/ration ( ! grant2  7,b7 conta9s   
satisfactory evid5ce t su* ag5cy s      
designat$ w h ! au?ority to c>ry out !  
plan2  7,c7 provides = ! designation (  
an advisory c\ncil1 :i* %all include    
repres5tatives ( nongov]nm5tal          
organizations or gr\ps1 & ( ! relevant  

,/ate or tribal ag5cies1 t aid$ 9 !     
developm5t ( ! plan & t w implem5t &    
monitor any grant aw>d$ to ! eligible   
entity "u ?is section2  7,d7 9 ! case ( 
an eligible entity t is a ,/ate1        
includes a copy ( ! ,/ate plan "u       
section #aiab7;b7 & section #aicb7;b72  
7,e7 7i7 includes a li/+ ( ! projects to
 be fund$ by ! grant2 &  7ii7 9 ! case (
 an eligible entity t is a ,/ate1       
expla9s h[ ea* li/$ project helps !     
,/ate 9 accompli%+ its goals &          
objectives "u ! ,community ,m5tal ,heal?
 ,s]vices ,block ,grant "u subp>t ,i (  
"p ,b ( title ,,xix & ! ,sub/ance ,abuse
 ,prev5tion & ,treatm5t ,block ,grant "u
 subp>t ,,ii ( su* "p2  7,f7 includes   
assurances t ! facilities w be us$ = a  
p]iod ( n less ?an #aj ye>s = !         
provision ( community-bas$ m5tal heal?  
or sub/ance abuse s]vices = ^? :o _c pay
 = su* s]vices1 subject to subsection   
7e72 &  7,g7 9 ! case ( a facility t is 
n a public facility1 includes ! "n &    
executive director ( ! entity :o w      

provide s]vices 9 ! facility2 &  7#b7 ) 
respect to ea* con/ruction or           
mod]nization project describ$ 9 !       
application--  7,a7 a description ( !   
site = ! project2  7,b7 plans &         
specifications = ! project & ,/ate or   
tribal approval = ! plans &             
specifications2  7,c7 assurance t !     
title = ! site is or w be ve/$ ) ei!r ! 
public entity or private nonpr(it entity
 :o w provide ! s]vices 9 ! facility2   
7,d7 assurance t adequate f9ancial      
res\rces w be available = ! con/ruction 
or major rehabilitation ( ! project & = 
! ma9t5ance & op]ation ( ! facility2    
7,e7 e/imates ( ! co/ ( ! project2 &    
7,f7 ! e/imat$ l5g? ( "t = completion ( 
! project4  7d7 ,subgrants by ,/ates    
7#a7 ,9 g5]al ,a ,/ate t receives a     
grant "u ?is section may aw>d a subgrant
 to a qualifi$ community program 7z su* 
t]m is us$ 9 section #aiac7;b77#a774    
7#b7 ,use ( funds ,subgrants aw>d$      
pursuant to p>agraph 7#a7 may be us$ =  
activities su* z--  7,a7 ! con/ruction1 

expansion1 & mod]nization ( facilities  
us$ to provide m5tal heal? & sub/ance   
abuse s]vices to individuals2  7,b7     
acquir+ & leas+ facilities & equipm5t   
7includ+ pay+ ! co/s ( amortiz+ !       
pr9cipal (1 & pay+ ! int]e/ on1 loans = 
su* facilities & equipm5t7 to support or
 fur!r ! op]ation ( ! subgrantee2  7,c7 
! con/ruction & /ructural modification  
7includ+ equipm5t acquisition7 (        
facilities to p]mit ! integrat$ deliv]y 
( behavioral heal? & prim>y c>e (       
specialty m$ical s]vices to individuals 
) co-occurr+ m5tal illnesses & *ronic   
m$ical or surgical diseases at a s+le   
s]vice site2 &  7,d7 acquir+ in=mation  
te*nology requir$ to accommodate !      
cl9ical ne$s ( prim>y & specialty c>e   
pr(essionals4  7#c7 ,limitation ,n to   
exce$ #ae p]c5t ( grant funds may be us$
 = activities describ$ 9 p>agraph       
7#b77;,d74  7e7 ,reque/ ,to transf]     
obligation ,an eligible entity t        
receives a grant "u ?is section may     
submit a reque/ to ! ,secret>y =        

p]mission to transf] ! #aj-ye>          
obligation ( facility use1 z describ$ 9 
subsection 7c77#a77;,f71 to ano!r       
facility4  7f7 ,agreem5t to ,f$]al %>e  
,z a condition ( receipt ( a grant "u   
?is section1 an eligible entity %all    
agree1 ) respect to ! co/s to be incurr$
 by ! entity 9 c>ry+ out ! activities = 
:i* su* grant is aw>d$1 t ! entity w    
make available non-,f$]al contributions 
7:i* may include ,/ate or local funds1  
or funds f ! qualifi$ community program7
 9 an am\nt equal to n less ?an #a = e  
#a ( ,f$]al funds provid$ "u ! grant4   
7g7 ,report+  7#a7 ,report+ by ,/ates   
,dur+ ! #aj-ye> p]iod ref]r$ to 9       
subsection 7c77#a77;,f71 ! ,secret>y    
%all require t a ,/ate t receives a     
grant "u ?is section submit1 z "p ( !   
report ( ! ,/ate requir$ "u ! ,community
 ,m5tal ,heal? ,s]vices ,block ,grant "u
 subp>t ,i ( "p ,b ( title ,,xix & !    
,sub/ance ,abuse ,prev5tion & ,treatm5t 
,block ,grant "u subp>t ,,ii ( su* "p1 a
 description ( ! progress on--  7,a7 !  

projects c>ri$ out pursuant to ! grant  
"u ?is section2 &  7,b7 ! assurances t !
 facilities involv$ cont9ue to be us$ = 
! purpose = :i* !y 7 fund$ "u su* grant 
dur+ su* #aj-ye> p]iod4  7#b7 ,report+  
by ,indian tribes & tribal organizations
 ,! ,secret>y %all e/abli% report+      
requirem5ts = ,indian tribes & tribal   
organizations t receive a grant "u ?is  
section4 ,su* report+ requirem5ts %all  
include t su* ,indian tribe or tribal   
organization provide a description ( !  
progress on--  7,a7 ! projects c>ri$ out
 pursuant to ! grant "u ?is section2 &  
7,b7 ! assurances t ! facilities involv$
 cont9ue to be us$ = ! purpose = :i* !y 
7 fund$ "u su* grant dur+ ! #aj-ye>     
p]iod ref]r$ to 9 subsection            
7c77#a77;,f74  7h7 ,failure ,to meet    
obligations  7#a7 ,9 g5]al ,if an       
eligible entity t receives a grant "u   
?is section fails to meet any ( !       
obligations ( ! entity requir$ "u ?is   
section1 ! ,secret>y %all take          
appropriate /eps1 :i* may include--     

7,a7 requir+ t ! entity return ! unus$  
portion ( ! funds aw>d$ "u ?is section =
 ! projects t are incomplete2 &  7,b7   
ext5d+ ! l5g? ( "t t ! entity mu/ ensure
 t ! facility involv$ is us$ = !        
purposes = :i* x is int5d$1 z describ$ 9
 subsection 7c77#a77;,f74  7#b7 ,he>+   
,prior to reque/+ ! return ( ! funds "u 
p>agraph 7#a77;,b71 ! ,secret>y %all    
provide ! entity notice & opportunity = 
a he>+4  7i7 ,collaboration ,! ,secret>y
 may e/abli% int]gov]nm5tal &           
int]dep>tm5tal memor&ums ( agreem5t z   
necess>y to c>ry out ?is section4  7j7  
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjad ?r\gh #bjah4  4