,,ii  #aacth ,,congress  #ast ,session  
,s4 #bfe  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #g1 #bjac 
,mr4 ,reed 7for himself and ,ms4        
,stabenow7 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 grants for     
community-based mental health           
infrastructure improvement4  #a4 ,short 
title ,this ,act may be cited as the    
,community-,based ,mental ,health       
,infrastructure ,improvements ,act4  #b4
 ,community-based mental health         
infrastructure improvement ,title ,v of 
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bhj;g et seq47 is amended by 
adding at the end the following3  ,h    
,community-based mental health          
infrastructure improvements  #efj4      
,grants for community-based mental      
health infrastructure improvements  7a7 
,grants authorized ,the ,secretary may  

award grants to eligible entities to    
expend funds for the construction or    
modernization of facilities used to     
provide mental health and substance     
abuse services to individuals4  7b7     
,eligible entity ,in this section1 the  
term eligible entity means--  7#a7 a    
,state that is the recipient of a       
,community ,mental ,health ,services    
,block ,grant under subpart ,i of part  
,b of title ,,xix and a ,substance      
,abuse ,prevention and ,treatment ,block
 ,grant under subpart ,,ii of such part2
 or  7#b7 an ,indian tribe or a tribal  
organization 7as such terms are defined 
in sections #d7;b7 and #d7;c7 of the    
,indian ,self-,determination and        
,education ,assistance ,act74  7c7      
,application ,an eligible entity        
desiring a grant under this section     
shall submit to the ,secretary an       
application at such time1 in such       
manner1 and containing--  7#a7 a plan   
for the construction or modernization of
 facilities used to provide mental      

health and substance abuse services to  
individuals that--  7,a7 designates a   
single ,state or tribal agency as the   
sole agency for the supervision and     
administration of the grant2  7,b7      
contains satisfactory evidence that such
 agency so designated will have the     
authority to carry out the plan2  7,c7  
provides for the designation of an      
advisory council1 which shall include   
representatives of nongovernmental      
organizations or groups1 and of the     
relevant ,state or tribal agencies1 that
 aided in the development of the plan   
and that will implement and monitor any 
grant awarded to the eligible entity    
under this section2  7,d7 in the case of
 an eligible entity that is a ,state1   
includes a copy of the ,state plan under
 section #aiab7;b7 and section          
#aicb7;b72  7,e7 7i7 includes a listing 
of the projects to be funded by the     
grant2 and  7ii7 in the case of an      
eligible entity that is a ,state1       
explains how each listed project helps  

the ,state in accomplishing its goals   
and objectives under the ,community     
,mental ,health ,services ,block ,grant 
under subpart ,i of part ,b of title    
,,xix and the ,substance ,abuse         
,prevention and ,treatment ,block ,grant
 under subpart ,,ii of such part2  7,f7 
includes assurances that the facilities 
will be used for a period of not less   
than #aj years for the provision of     
community-based mental health or        
substance abuse services for those who  
cannot pay for such services1 subject to
 subsection 7e72 and  7,g7 in the case  
of a facility that is not a public      
facility1 includes the name and         
executive director of the entity who    
will provide services in the facility2  
and  7#b7 with respect to each          
construction or modernization project   
described in the application--  7,a7 a  
description of the site for the project2
  7,b7 plans and specifications for the 
project and ,state or tribal approval   
for the plans and specifications2  7,c7 

assurance that the title for the site is
 or will be vested with either the      
public entity or private nonprofit      
entity who will provide the services in 
the facility2  7,d7 assurance that      
adequate financial resources will be    
available for the construction or major 
rehabilitation of the project and for   
the maintenance and operation of the    
facility2  7,e7 estimates of the cost of
 the project2 and  7,f7 the estimated   
length of time for completion of the    
project4  7d7 ,subgrants by ,states     
7#a7 ,in general ,a ,state that receives
 a grant under this section may award a 
subgrant to a qualified community       
program 7as such term is used in section
 #aiac7;b77#a774  7#b7 ,use of funds    
,subgrants awarded pursuant to paragraph
 7#a7 may be used for activities such   
as--  7,a7 the construction1 expansion1 
and modernization of facilities used to 
provide mental health and substance     
abuse services to individuals2  7,b7    
acquiring and leasing facilities and    

equipment 7including paying the costs of
 amortizing the principal of1 and paying
 the interest on1 loans for such        
facilities and equipment7 to support or 
further the operation of the subgrantee2
  7,c7 the construction and structural  
modification 7including equipment       
acquisition7 of facilities to permit the
 integrated delivery of behavioral      
health and primary care of specialty    
medical services to individuals with    
co-occurring mental illnesses and       
chronic medical or surgical diseases at 
a single service site2 and  7,d7        
acquiring information technology        
required to accommodate the clinical    
needs of primary and specialty care     
professionals4  7#c7 ,limitation ,not to
 exceed #ae percent of grant funds may  
be used for activities described in     
paragraph 7#b77;,d74  7e7 ,request ,to  
transfer obligation ,an eligible entity 
that receives a grant under this section
 may submit a request to the ,secretary 
for permission to transfer the #aj-year 

obligation of facility use1 as described
 in subsection 7c77#a77;,f71 to another 
facility4  7f7 ,agreement to ,federal   
share ,as a condition of receipt of a   
grant under this section1 an eligible   
entity shall agree1 with respect to the 
costs to be incurred by the entity in   
carrying out the activities for which   
such grant is awarded1 that the entity  
will make available non-,federal        
contributions 7which may include ,state 
or local funds1 or funds from the       
qualified community program7 in an      
amount equal to not less than #a for    
every #a of ,federal funds provided     
under the grant4  7g7 ,reporting  7#a7  
,reporting by ,states ,during the       
#aj-year period referred to in          
subsection 7c77#a77;,f71 the ,secretary 
shall require that a ,state that        
receives a grant under this section     
submit1 as part of the report of the    
,state required under the ,community    
,mental ,health ,services ,block ,grant 
under subpart ,i of part ,b of title    

,,xix and the ,substance ,abuse         
,prevention and ,treatment ,block ,grant
 under subpart ,,ii of such part1 a     
description of the progress on--  7,a7  
the projects carried out pursuant to the
 grant under this section2 and  7,b7 the
 assurances that the facilities involved
 continue to be used for the purpose for
 which they were funded under such grant
 during such #aj-year period4  7#b7     
,reporting by ,indian tribes and tribal 
organizations ,the ,secretary shall     
establish reporting requirements for    
,indian tribes and tribal organizations 
that receive a grant under this section4
 ,such reporting requirements shall     
include that such ,indian tribe or      
tribal organization provide a           
description of the progress on--  7,a7  
the projects carried out pursuant to the
 grant under this section2 and  7,b7 the
 assurances that the facilities involved
 continue to be used for the purpose for
 which they were funded under such grant
 during the #aj-year period referred to 

in subsection 7c77#a77;,f74  7h7        
,failure ,to meet obligations  7#a7 ,in 
general ,if an eligible entity that     
receives a grant under this section     
fails to meet any of the obligations of 
the entity required under this section1 
the ,secretary shall take appropriate   
steps1 which may include--  7,a7        
requiring that the entity return the    
unused portion of the funds awarded     
under this section for the projects that
 are incomplete2 and  7,b7 extending the
 length of time that the entity must    
ensure that the facility involved is    
used for the purposes for which it is   
intended1 as described in subsection    
7c77#a77;,f74  7#b7 ,hearing ,prior to  
requesting the return of the funds under
 paragraph 7#a77;,b71 the ,secretary    
shall provide the entity notice and     
opportunity for a hearing4  7i7         
,collaboration ,the ,secretary may      
establish intergovernmental and         
interdepartmental memorandums of        
agreement as necessary to carry out this

 section4  7j7 ,authorization of        
appropriations ,there is authorized to  
be appropriated to carry out this       
section such sums as may be necessary   
for each of fiscal years #bjad through  
#bjah4  4