,,ii #aad? ,,congress #a/ ,session ,s4 #aide ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,augu/ #e1 #bjae ,mr4 ,cassidy 7= himself1 ,mr4 ,murphy1 & ,ms4 ,coll9s7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to make available ne$$ psy*iatric1 psy*ological1 & supportive s]vices = individuals ) m5tal illness & families 9 m5tal heal? crisis1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,m5tal ,heal? ,re=m ,act ( #bjae4 7b7 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,sec4 #b4 ,def9itions4 ,,title ,i--,assi/ant secret>y = m5tal heal? & sub/ance use disord]s ,sec4 #aja4 ,assi/ant ,secret>y = m5tal heal? & sub/ance use disord]s4 ,sec4 #ajb4 ,reports4 ,sec4 #ajc4 ,advisory ,c\ncil on graduate m$ical education4 ,,title ,,ii--,grants ,sec4 #bja4 ,national ,m5tal ,heal? ,policy ,laboratory4 ,sec4 #bjb4 ,innovation grants4 ,sec4 #bjc4 ,demon/ration grants4 ,sec4 #bjd4 ,e>ly *ildhood int]v5tion & treatm5t4 ,sec4 #bje4 ,ext5sion ( assi/$ outpati5t treatm5t grant program = individuals ) s]i\s m5tal illness4 ,sec4 #bjf4 ,block grants4 ,sec4 #bjg4 ,teleheal? *ild psy*iatry access grants4 ,sec4 #bjh4 ,liability protections = heal? c>e pr(essional volunte]s at community heal? c5t]s & community m5tal heal? c5t]s4 ,sec4 #bji4 ,m9ority fell[%ip program4 ,sec4 #baj4 ,national heal? s]vice corps4 ,sec4 #baa4 ,reau?orization ( m5tal & behavioral heal? education tra9+ grant4 ,sec4 #bab4 ,national suicide prev5tion lifel9e program4 ,,title ,,iii--,integration ,sec4 #cja4 ,prim>y & behavioral heal? c>e integration grant programs4 ,,title ,,iv--,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee ,sec4 #dja4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee4 ,,title ,v--,,hipaa cl>ification ,sec4 #eja4 ,f9d+s4 ,sec4 #ejb4 ,modifications to ,,hipaa4 ,sec4 #ejc4 ,developm5t & dissem9ation ( model tra9+ programs4 ,sec4 #ejd4 ,confid5tiality ( records4 ,,title ,,vi--,m$ic>e & ,m$icaid ,re=ms ,sec4 #fja4 ,enhanc$ ,m$icaid cov]age relat+ to c]ta9 m5tal heal? s]vices4 ,sec4 #fjb4 ,modifications to ,m$ic>e dis*>ge plann+ requirem5ts4 ,,title ,,vii--,rese>* by ,national ,in/itute ( ,m5tal ,heal? ,sec4 #gja4 ,increase 9 fund+ = c]ta9 rese>*4 ,,title ,,viii--,,samhsa reau?orization & re=ms ,subtitle ,a--,organization & g5]al au?orities ,sec4 #hja4 ,pe] review4 ,sec4 #hjb4 ,advisory c\ncils4 ,sec4 #hjc4 ,grants = jail div]sion programs reau?orization4 ,sec4 #hjd4 ,projects = assi/ance 9 transition f homelessness4 ,sec4 #hje4 ,compreh5sive community m5tal heal? s]vices = *ildr5 ) s]i\s emotional di/urbances4 ,sec4 #hjf4 ,reau?orization ( priority m5tal heal? ne$s ( regional & national significance4 ,,title ,,ix--,m5tal heal? p>ity ,sec4 #ija4 ,,gao /udy on prev5t+ discrim9atory cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s4 ,sec4 #ijb4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits4 ,sec4 #ijc4 ,/r5g!n+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,assi/ant ,secret>y ,except z o!rwise specifi$1 ! t]m ,assi/ant ,secret>y means ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 7#b7 ,evid5ce-bas$ ,! t]m evid5ce-bas$ means ! consci5ti\s1 sy/ematic1 explicit1 & judici\s appraisal & use ( ext]nal1 curr5t1 reliable1 & valid rese>* f9d+s z ! basis = mak+ decisions ab\t ! effectiv5ess & efficacy ( a program1 int]v5tion1 or treatm5t4 ,i ,assi/ant secret>y = m5tal heal? & sub/ance use disord]s #aja4 ,assi/ant ,secret>y = m5tal heal? & sub/ance use disord]s 7a7 ,9 g5]al ,!re %all be 9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices an (ficial to be kn[n z ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 :o %all-- 7#a7 report directly to ! ,secret>y2 7#b7 be appo9t$ by ! ,presid5t1 by & ) ! advice & cons5t ( ! ,s5ate2 & 7#c7 be select$ f among individuals :o-- 7,a7 7i7 h a doctoral degree 9 m$ic9e or o/eopa?ic m$ic9e2 7ii7 h cl9ical1 rese>*1 & policy exp]i5ce 9 psy*iatry2 7iii7 graduat$ f an ,accr$itation ,c\ncil = ,graduate ,m$ical ,education-accr$it$ psy*iatric resid5cy program2 & 7iv7 h an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s2 7,b7 h a doctoral degree 9 psy*ology &-- 7i7 cl9ical1 rese>*1 & policy exp]i5ce reg>d+ m5tal illness & sub/ance use disord]s2 7ii7 h complet$ an int]n%ip ) an organization t is a memb] ( ! ,association ( ,psy*ology ,po/-doctoral & ,int]n%ip ,c5t]s z "p ( doctoral degree completion2 & 7iii7 an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s2 or 7,c7 h a doctoral degree 9 social "w &-- 7i7 cl9ical1 rese>*1 & policy exp]i5ce reg>d+ m5tal illness & sub/ance use disord]s2 & 7ii7 an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s4 7b7 ,,samhsa ,adm9i/rator ,section #eja7;c77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7c77#a77 is am5d$ by /rik+ ! ,presid5t1 by & ) ! advice & cons5t ( ! ,s5ate & ins]t+ 1 & s]ve "u1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s4 7c7 ,duties ,! ,assi/ant ,secret>y %all-- 7#a7 promote1 evaluate1 organize1 integrate1 & coord9ate rese>*1 treatm5t1 & s]vices across dep>tm5ts1 ag5cies1 organizations1 & individuals ) respect to ! problems ( individuals suff]+ f sub/ance use disord]s or m5tal illness2 7#b7 c>ry out any functions )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices-- 7,a7 to improve s]vices = individuals ) sub/ance use disord]s or m5tal illness1 includ+ s]vices relat$ to ! prev5tion (1 diagnosis (1 int]v5tion 91 & treatm5t & rehabilitation (1 sub/ance use disord]s or m5tal illness2 7,b7 to ensure access to effective1 evid5ce-bas$ diagnosis1 prev5tion1 int]v5tion1 treatm5t & rehabilitation = individuals ) m5tal illnesses & individuals ) a sub/ance use disord]2 7,c7 to ensure t all grants ) respect to s]i\s m5tal illness or sub/ance use disord]s1 are consi/5t ) ! grant managem5t /&>ds set =? by ! ,dep>tm5t1 & t su* grants are evid5ce-bas$1 h sci5tific m]it & avoid duplication2 7,d7 to develop & implem5t initiatives to enc\rage individuals to pursue c>e]s 7especially 9 und]s]v$ areas & populations7 z psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 & o!r lic5s$ m5tal heal? pr(essionals specializ+ 9 ! diagnosis1 evaluation1 & treatm5t ( individuals ) sev]e m5tal illness2 7,e7 to consult1 coord9ate )1 facilitate jo9t ef=ts among1 & support ,/ate1 local1 & tribal gov]nm5ts1 nongov]nm5tal entities1 & individuals ) a m5tal illness1 p>ticul>ly individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance1 ) respect to improv+ community-bas$ & o!r m5tal heal? s]vices2 7,f7 to dissem9ate evid5c$-bas$ & promis+ be/ practices develop$ by ! ,national ,m5tal ,heal? ,policy ,lab e/abli%$ "u section #bja & o!r qualifi$ rese>* organizations t are culturally & l+ui/ically indicat$ treatm5t & prev5tion s]vices relat$ to a m5tal illness1 p>ticul>ly individuals ) a s]i\s m5tal illness & *ildr5 & adolesc5ts ) a s]i\s emotional di/urbance2 & 7,g7 to develop crit]ia = ! application ( be/ practices )9 ! m5tal heal? & sub/ance use disord] s]vice deliv]y sy/em2 7#c7 )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ov]see & coord9ate all programs & activities relat+ to-- 7,a7 diagnosis1 prev5tion1 int]v5tion1 treatm5t1 rehabilitation ) respect to m5tal heal? or sub/ance use disord]s2 7,b7 p>ity 9 heal? insurance b5efits & conditions relat+ to m5tal heal? & sub/ance use disord]s2 or 7,c7 ! r$uction ( homelessness & inc>c]ation among individuals ) m5tal heal? & sub/ance use disord]s2 7#d7 make recomm5dations to ! ,secret>y ( ,heal? & ,human ,s]vices reg>d+ public p>ticipation 9 decisions relat+ to m5tal heal?1 includ+ s]i\s m5tal illness1 & s]i\s emotional di/urbances across ! lifespan2 7#e7 review & make recomm5dations ) respect to ! ,dep>tm5t ( ,heal? & ,human ,s]vices budget to ensure ! adequacy ( su* budget2 7#f7 across ! ,f$]al ,gov]nm5t1 9 conjunction ) ! ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee "u section #eja;,a ( ! ,public ,heal? ,s]vice ,act 7z add$ by section #dja7-- 7,a7 review all programs & activities relat+ to ! diagnosis or prev5tion (1 or treatm5t or rehabilitation =1 m5tal illness or sub/ance use disord]s2 7,b7 id5tify any su* programs & activities t are duplicative2 7,c7 id5tify any su* programs & activities t are n evid5ce-bas$1 effective1 or effici5t2 & 7,d7 =mulate recomm5dations = exp&+1 coord9at+1 elim9at+1 & improv+ programs & activities id5tifi$ pursuant to subp>agraphs 7,b7 & 7,c7 & m]g+ su* programs & activities into o!r1 successful programs & activities2 7#g7 id5tify evid5ce-bas$ & promis+ be/ practices across ! ,f$]al ,gov]nm5t = treatm5t & s]vices = individuals ) m5tal heal? & sub/ance use disord]s by review+ practices = effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/ effectiv5ess2 & 7#h7 n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act & e #b ye>s !reaft]1 submit to ,congress a report conta9+ a nationwide /rategy to recruit1 tra91 & increase ! m5tal heal? work=ce = ! treatm5t ( individuals ) m5tal illness1 s]i\s m5tal illness1 sub/ance use disord]s1 & co-occurr+ disord]s4 7d7 ,nationwide /rategy ,! ,assi/ant ,secret>y %all ensure t ! nationwide /rategy 9 ! report "u subsection 7c77#h7 is design$-- 7#a7 to enc\rage & inc5tivize /ud5ts enroll$ 9 an accr$it$ m$ical or o/eopa?ic s*ool1 or nurs+1 psy*ology1 or social "w graduate program1 to specialize 9 ! m5tal heal? field2 7#b7 to promote great] rese>*-ori5t$ psy*iatric1 psy*ological1 nurs+1 & social "w tra9+ on evid5ce-bas$ s]vice deliv]y models = individuals ) m5tal illness or sub/ance use disord]s1 includ+ models ) family p>ticipation2 7#c7 to promote appropriate ,f$]al adm9i/rative & fiscal me*anisms t support-- 7,a7 evid5ce-bas$ collaborative c>e models2 & 7,b7 ! necess>y m5tal heal? work=ce capacity = ! models "u subp>agraph 7,a71 includ+ psy*iatri/s1 *ild & adolesc5t psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 & m5tal heal?1 pe]-support speciali/s2 7#d7 to increase access to *ild & adolesc5t psy*iatric s]vices 9 ord] to promote e>ly int]v5tion = prev5tion & mitigation ( m5tal illness2 7#e7 to id5tify populations & locations t are ! mo/ und]s]v$ by m5tal heal? pr(essionals1 includ+ psy*iatri/s1 *ild & adolesc5t psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 o!r lic5s$ m5tal heal? pr(essionals1 & pe]-support speciali/s2 & 7#f7 to id5tify means ( alleviat+ ! /ra9 on ! budgets ( ! crim9al ju/ice & correctional sy/ems & ! capacity ( su* sy/ems ) respect to m5tal heal? & sub/ance use disord]s4 7e7 ,prioritization ( integration ( s]vices1 e>ly diagnosis1 int]v5tion1 & work=ce developm5t ,9 c>ry+ out ! duties describ$ 9 subsection 7c71 ! ,assi/ant ,secret>y-- 7#a7 %all prioritize-- 7,a7 ! integration ( m5tal heal?1 sub/ance use1 & physical heal? s]vices = ! purpose ( diagnos+1 prev5t+1 treat+1 & provid+ rehabilitation = m5tal illness or sub/ance use disord]s1 includ+ any su* s]vices provid$ ?r\gh ! ju/ice sy/em 7includ+ dep>tm5ts ( correction7 or entities o!r ?an ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7,b7 ! e>ly diagnosis & int]v5tion s]vices = ! prev5tion (1 or crisis int]v5tion =1 & treatm5t or rehabilitation =1 s]i\s m5tal heal? disord]s or sub/ance use disord]s1 9 select+ evid5ce-bas$ practices & s]vice deliv]y models = evaluation & dissem9ation "u section #bja7;a77#b77;,c72 & 7,c7 work=ce developm5t =-- 7i7 appropriate treatm5t ( s]i\s m5tal illness or sub/ance use disord]s2 7ii7 rese>* activities t advance sci5tific & cl9ical und]/&+s ( s]i\s m5tal illness or sub/ance use disord]s2 & 7iii7 increas+ ! numb] ( m5tal heal? pr(essionals1 includ+ psy*iatri/s1 *ild & adolesc5t psy*iatri/s1 psy*ologi/s1 psy*iatric nurse practition]s1 cl9ical social work]s1 & m5tal heal? pe] support speciali/s2 7#b7 %all give pref]5ce to models t improve ! coord9ation1 quality1 & effici5cy ( heal? c>e s]vices furni%$ to individuals ) s]i\s m5tal illness2 & 7#c7 may include cl9ical protocols & practices us$ 9 ! ,recov]y ,aft] an ,initial ,s*izophr5ia ,episode project ( ! ,national ,in/itute ( ,m5tal ,heal? or simil> models1 su* z ! ,specializ$ ,treatm5t ,e>ly 9 ,psy*osis program4 #ajb4 ,reports 7a7 ,report on be/ practices = pe]-,support speciali/ programs1 tra9+1 & c]tification 7#a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 & biannually !reaft]1 ! ,assi/ant ,secret>y %all submit to ,congress & make publicly available a report on be/ practices & pr(essional /&>ds 9 ,/ates =-- 7,a7 e/abli%+ & op]at+ heal? c>e programs us+ pe]-support speciali/s2 & 7,b7 tra9+ & c]tify+ pe]-support speciali/s4 7#b7 ,pe]-support speciali/ def9$ ,9 ?is subsection1 ! t]m pe]-support speciali/ means an individual :o-- 7,a7 is cr$5tial$ by ! ,/ate 9 :i* ! individual practices2 7,b7 uses 8 or h] liv$ exp]i5ce ( recov]y f m5tal illness or sub/ance abuse1 plus skills le>n$ 9 =mal tra9+1 to facilitate support gr\ps1 & to "w on a "o-on-"o basis1 ) individuals ) a s]i\s m5tal illness or a sub/ance use disord]1 9 consultation )1 & "u ! sup]vision (1 a lic5s$ m5tal heal? or sub/ance use treatm5t pr(essional2 7,c7 has be5 an active p>ticipant 9 m5tal heal? or sub/ance use treatm5t = at lea/ ! prec$+ ye>2 7,d7 provides non-m$ical s]vices2 & 7,e7 p]=ms s]vices only )9 8 or h] area ( tra9+1 exp]tise1 compet5ce1 or scope ( practice4 7#c7 ,cont5ts ,ea* report "u ?is subsection %all include in=mation on be/ practices & /&>ds ) reg>d to ! foll[+3 7,a7 ,h\rs ( =mal "w or volunte] exp]i5ce relat$ to m5tal heal? & sub/ance use issues4 7,b7 ,types ( pe] speciali/ exams requir$4 7,c7 ,code ( e?ics4 7,d7 ,additional tra9+ requir$ prior to c]tification1 includ+ 9 areas su* z-- 7i7 e?ics2 7ii7 scope ( practice2 7iii7 crisis int]v5tion2 7iv7 ,/ate confid5tiality laws2 7v7 ,f$]al privacy protections1 includ+ "u ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7,public ,law #ajd-aia72 & 7vi7 o!r areas1 z det]m9$ by ! ,assi/ant ,secret>y4 7,e7 ,requirem5ts to expla9 :at1 :]e1 :51 & h[ to accurately complete all requir$ docum5tation activities4 7,f7 ,requir$ or recomm5d$ skill sets1 includ+ k (-- 7i7 risk indicators & respond+ appropriately to individual /ressors1 trigg]s1 & indicators ( pre-crisis symptoms2 7ii7 basic crisis avoidance te*niques2 7iii7 basic suicide prev5tion concepts & te*niques2 7iv7 indicators t an individual may be exp]i5c+ abuse or neglect2 7v7 /ages ( *ange or recov]y2 7vi7 ! typical process t %\ld be foll[$ to access or p>ticipate 9 community m5tal heal? & relat$ s]vices2 & 7vii7 circum/ances :5 x is appropriate to reque/ assi/ance f o!r pr(essionals to help meet ! individual's recov]y goals4 7,g7 ,annual requirem5ts = cont9u+ education cr$its4 7b7 ,report on m5tal heal? & sub/ance use treatm5t 9 ! ,/ates 7#a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 & n less ?an e #ah mon?s !reaft]1 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 9 collaboration ) ! ,director ( ! ,ag5cy = ,heal?c>e ,rese>* & ,quality & ,director ( ! ,national ,in/itutes ( ,heal?1 %all submit to ,congress & make available to ! public a report on m5tal heal? & sub/ance use treatm5t 9 ! ,/ates1 includ+ ! foll[+3 7,a7 ,a detail$ report on h[ ,f$]al m5tal heal? & sub/ance use treatm5t funds are us$ 9 ea* ,/ate1 includ+3 7i7 ,! numb]s ( individuals ) m5tal illness1 s]i\s m5tal illness1 sub/ance use disord]s1 or co-occurr+ disord]s :o are s]v$ ) ,f$]al funds4 7ii7 ,! types ( programs made available to individuals ) m5tal illness1 s]i\s m5tal illness1 sub/ance use disord]s1 or co-occurr+ disord]s4 7,b7 ,a summ>y ( be/ practice models 9 ! ,/ates highlight+ programs t are co/ effective1 provide evid5ce-bas$ c>e1 increase access to c>e1 integrate physical1 psy*iatric1 psy*ological1 & behavioral m$ic9e1 & improve outcomes = individuals ) s]i\s m5tal illness or sub/ance use disord]s4 7,c7 ,a /ati/ical report ( outcome measures 9 ea* ,/ate = individuals ) m5tal illness1 s]i\s m5tal illness1 sub/ance use disord]s1 or co-occurr+ disord]s1 includ+ rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 heal? outcomes1 em]g5cy psy*iatric hospitalizations & em]g5cy room bo>d+1 arre/s1 inc>c]ations1 homelessness1 joblessness1 employm5t1 & enrollm5t 9 educational or vocational programs4 7,d7 ,a comp>ative effectiv5ess rese>* /udy analyz+ outcomes = diff]5t models ( outpati5t treatm5t programs = ! s]i\sly m5tally ill t include outpati5t m5tal heal? s]vices t are c\rt ord]$ or volunt>y1 includ+-- 7i7 rates ( keep+ treatm5t appo9tm5ts & compliance ) prescrib$ m$ications2 7ii7 p>ticipants' p]ceiv$ effectiv5ess ( ! program2 7iii7 rates ( ! programs help+ individuals ) s]i\s m5tal illness ga9 control ov] _! lives2 7iv7 alcohol & drug abuse rates2 7v7 inc>c]ation & arre/ rates2 7vi7 viol5ce aga9/ p]sons or prop]ty2 7vii7 homelessness2 7viii7 total treatm5t co/s = compliance ) program2 & 7ix7 heal? outcomes4 7#b7 ,def9ition ,9 ?is subsection1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ su* pati5ts 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 7c7 ,report+ compliance /udy 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all ent] into an arrangem5t ) ! ,national ,academy ( ,m$ic9e 7or1 if ! ,national ,academy ( ,m$ic9e decl9es1 ano!r appropriate entity7 "u :i*1 n lat] ?an #ah mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,national ,academy ( ,m$ic9e w submit to ! appropriate committees ( ,congress a report t evaluates ! comb9$ pap]work burd5 (-- 7,a7 community m5tal heal? c5t]s meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b7;c771 includ+ su* c5t]s meet+ su* crit]ia z 9 effect on ! day be=e ! date ( enactm5t ( ?is ,act2 & 7,b7 community m5tal heal? c5t]s1 z def9$ 9 section #ahfa7;ff77#c77;,b7 ( ! ,social ,security ,act4 7#b7 ,scope ,9 prep>+ ! report "u subsection 7a71 ! ,national ,academy ( ,m$ic9e 7or1 if applicable1 o!r appropriate entity7 %all exam9e lic5s+1 c]tification1 s]vice def9itions1 claims paym5t1 bill+ codes1 & f9ancial audit+ requirem5ts us$ by ! ,(fice ( ,managem5t & ,budget1 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,(fice ( ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ,/ate ,m$icaid ag5cies1 ,/ate dep>tm5ts ( heal?1 ,/ate dep>tm5ts ( education1 & ,/ate & local juv5ile ju/ice & social s]vice ag5cies to make adm9i/rative & /atutory recomm5dations to ,congress 7:i* recomm5dations may include a uni=m me?odology7 to r$uce ! pap]work burd5 exp]i5c$ by c5t]s & cl9ics describ$ 9 p>agraph 7#a74 #ajc4 ,advisory ,c\ncil on graduate m$ical education 7a7 ,9 g5]al ,section #gfb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bido7b77 is am5d$-- 7#a7 by r$esignat+ p>agraphs 7#d7 ?r\gh 7#f7 z p>agraphs 7#e7 ?r\gh 7#g71 respectively2 & 7#b7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s2 4 7b7 ,con=m+ am5dm5t ,section #gfb7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bido7c77 is am5d$ by /rik+ p>agraphs 7#d71 7#e71 & 7#f7 ea* place x appe>s & ins]t+ p>agraphs 7#e71 7#f71 & 7#g74 ,,ii ,grants #bja4 ,national ,m5tal ,heal? ,policy ,laboratory 7a7 ,9 g5]al 7#a7 ,e/abli%m5t ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all e/abli%1 )9 ! ,(fice ( ! ,assi/ant ,secret>y1 ! ,national ,m5tal ,heal? ,policy ,laboratory 79 ?is section ref]r$ to z ! ,,nmhpl71 to be head$ by a ,director4 7#b7 ,duties ,! ,director ( ! ,,nmhpl %all-- 7,a7 id5tify1 coord9ate1 & implem5t policy *anges & o!r tr5ds likely to h ! mo/ significant impact on m5tal heal? s]vices & monitor _! impact2 7,b7 collect in=mation f grantees "u programs e/abli%$ or am5d$ by ?is ,act & "u o!r m5tal heal? programs "u ! ,public ,heal? ,s]vice ,act1 includ+ grantees t are ,/ates receiv+ funds "u a block grant "u "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx et seq472 7,c7 evaluate & dissem9ate to su* grantees evid5ce-bas$ practices & s]vice deliv]y models us+ ! be/ available sci5ce %[n to be co/-effective :ile enhanc+ ! quality ( c>e furni%$ to individuals2 & 7,d7 e/abli% /&>ds = ! appo9tm5t ( sci5tific pe]-review panels to evaluate grant applications4 7#c7 ,evid5ce-bas$ practices & s]vice deliv]y models ,9 select+ evid5ce-bas$ be/ practices & s]vice deliv]y models = evaluation & dissem9ation "u p>agraph 7#b77;,c71 ! ,director ( ! ,,nmhpl-- 7,a7 %all give pref]5ce to models t-- 7i7 improve ! coord9ation betwe5 m5tal heal? & physical heal? provid]s2 7ii7 improve ! coord9ation among su* provid]s & ! ju/ice & corrections sy/em2 7iii7 improve ! co/ effectiv5ess1 quality1 effectiv5ess1 & effici5cy ( heal? c>e s]vices furni%$ to individuals ) s]i\s m5tal illness1 9 m5tal heal? crisis1 or at risk to !mselves1 _! families1 & ! g5]al public2 & 7iv7 recognize ! importance ( family p>ticipation 9 recov]y2 & 7,b7 may include cl9ical protocols & practices us$ 9 ! ,recov]y ,aft] ,initial ,s*izophr5ia ,episode project ( ! ,national ,in/itute ( ,m5tal ,heal? & ! ,specializ$ ,treatm5t ,e>ly 9 ,psy*osis program4 7#d7 ,deadl9e = beg9n+ implem5tation ,! ,director ( ! ,,nmhpl %all beg9 implem5tation ( ! duties describ$ 9 ?is subsection n lat] ?an ,janu>y #a1 #bjah4 7#e7 ,consultation ,9 c>ry+ out ! duties "u ?is subsection1 ! ,director ( ! ,,nmhpl may consult )-- 7,a7 repres5tatives ( ! ,national ,in/itute ( ,m5tal ,heal? on organizational & op]ational issues2 7,b7 o!r appropriate ,f$]al ag5cies2 7,c7 cl9ical & analytical exp]ts ) exp]tise 9 m$ic9e1 psy*iatric & cl9ical psy*ological c>e1 heal? c>e managem5t1 education1 corrections heal? c>e1 social s]vices1 & m5tal heal? c\rt sy/ems2 & 7,d7 o!r individuals & ag5cies z ! ,assi/ant ,secret>y det]m9es appropriate4 7b7 ,/aff+ 7#a7 ,composition ,9 select+ ! /aff ( ! ,,nmhpl1 ! ,director ( ! ,,nmhpl1 9 consultation ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 %all include individuals ) advanc$ degrees & cl9ical & rese>* exp]i5ce1 & :o h an und]/&+ ( biological1 psy*osocial1 & ph>maceutical treatm5ts ( m5tal illness & sub/ance use disord]s1 includ+-- 7,a7 individuals ) a m$ical degree or doctoral degree f an accr$it$ program 9-- 7i7 allopa?ic or o/eopa?ic m$ic9e1 & :o h specializ$ tra9+ 9 psy*iatry2 7ii7 psy*ology2 or 7iii7 social "w2 7,b7 pr(essionals or academics ) cl9ical or rese>* exp]tise 9 sub/ance use disord]s & treatm5t2 & 7,c7 pr(essionals or academics ) exp]tise 9 rese>* design & me?odologies4 7c7 ,report on quality ( c>e ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 & e #b ye>s !reaft]1 ! ,director ( ! ,,nmhpl %all submit to ,congress a report on ! quality ( c>e furni%$ ?r\gh grant programs adm9i/]$ by ! ,assi/ant ,secret>y "u ! respective s]vices deliv]y models1 includ+ measurem5t ( pati5t-level outcomes & public heal? outcomes1 su* z-- 7#a7 r$uc$ rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 em]g5cy psy*iatric hospitalizations1 em]g5cy room bo>d+1 inc>c]ation1 crime1 arre/1 homelessness1 & joblessness2 7#b7 rates ( employm5t & enrollm5t 9 educational & vocational programs2 & 7#c7 su* o!r crit]ia z ! ,director may det]m9e4 7d7 ,def9ition ,9 ?is section1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ su* pati5ts 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 #bjb4 ,innovation grants 7a7 ,9 g5]al ,! ,assi/ant ,secret>y %all aw>d grants to ,/ate & local gov]nm5ts1 educational in/itutions1 & nonpr(it organizations = exp&+ a model t has be5 sci5tifically demon/rat$ to %[ promise1 b w\ld b5efit f fur!r appli$ rese>*1 =-- 7#a7 enhanc+ ! prev5tion1 diagnosis1 int]v5tion1 treatm5t1 & rehabilitation ( m5tal illness1 s]i\s emotional disord]1 sub/ance use disord]1 & co-occurr+ disord]s2 or 7#b7 integrat+ or coord9at+ physical heal?1 m5tal heal?1 & sub/ance use s]vices4 7b7 ,duration ,a grant "u ?is section %all be = a p]iod ( n m ?an #c ye>s4 7c7 ,limitations ,( ! am\nts made available = c>ry+ out ?is section = a fiscal ye>-- 7#a7 n m ?an "o-?ird %all be aw>d$ = use = prev5tion2 & 7#b7 n less ?an "o-?ird %all be aw>d$ = scre5+1 diagnosis1 treatm5t1 or s]vices1 z describ$ 9 subsection 7a71 = individuals 7or subpopulations ( individuals7 :o are bel[ ! age ( #ah :5 activities fund$ ?r\gh ! grant aw>d are initiat$4 7d7 ,guidel9es ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree to adh]e to guidel9es issu$ by ! ,national ,m5tal ,heal? ,policy ,laboratory on rese>* designs & data collection4 7e7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #bjc4 ,demon/ration grants 7a7 ,grants ,! ,assi/ant ,secret>y %all aw>d grants to ,/ates1 c\nties1 local gov]nm5ts1 educational in/itutions1 & private nonpr(it organizations = ! expansion1 replication1 or scal+ ( evid5ce-bas$ programs across a wid] area to enhance effective scre5+1 e>ly diagnosis1 int]v5tion1 & treatm5t ) respect to m5tal illness & s]i\s m5tal illness1 prim>ily by-- 7#a7 appli$ deliv]y ( c>e1 includ+ tra9+ /aff 9 effective evid5ce-bas$ treatm5t2 & 7#b7 integrat+ models ( c>e across specialties & jurisdictions4 7b7 ,duration ,a grant "u ?is section %all be = a p]iod ( n less ?an #b ye>s & n m ?an #e ye>s4 7c7 ,limitations ,( ! am\nts made available = c>ry+ out ?is section = a fiscal ye>-- 7#a7 n less ?an half %all be aw>d$ = scre5+1 diagnosis1 int]v5tion1 & treatm5t1 z describ$ 9 subsection 7a71 = individuals 7or subpopulations ( individuals7 :o are bel[ ! age ( #bf :5 activities fund$ ?r\gh ! grant aw>d are initiat$2 7#b7 no am\nts %all be made available = any program or project t is n evid5ce-bas$2 7#c7 no am\nts %all be made available = prim>y prev5tion2 & 7#d7 no am\nts %all be made available solely = ! purpose ( exp&+ facilities or increas+ /aff at an exi/+ program4 7d7 ,guidel9es ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree to adh]e to guidel9es issu$ by ! ,national ,m5tal ,heal? ,policy ,laboratory 7e/abli%$ "u section #bja7 on rese>* designs & data collection4 7e7 ,report+ ,z a condition on receipt ( an aw>d "u ?is section1 an applicant %all agree-- 7#a7 to report to ! ,national ,m5tal ,heal? ,policy ,laboratory & ! ,assi/ant ,secret>y ! results ( programs & activities fund$ ?r\gh ! aw>d2 & 7#b7 to include 9 su* report+ any relevant data reque/$ by ! ,national ,m5tal ,heal? ,policy ,laboratory & ! ,assi/ant ,secret>y4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #bjd4 ,e>ly *ildhood int]v5tion & treatm5t 7a7 ,grants ,! ,director ( ! ,national ,m5tal ,heal? ,policy ,laboratory 79 ?is section ref]r$ to z ! ,,nmhpl7 %all-- 7#a7 aw>d grants to eligible entities to initiate & und]take e>ly *ildhood int]v5tion & treatm5t programs1 & specializ$ programs = pres*ool- & elem5t>y s*ool-ag$ *ildr5 at significant risk or :o %[ e>ly signs ( social or emotional disability 79 addition to any le>n+ disability72 & 7#b7 ensure t programs fund$ ?r\gh grants "u ?is section are bas$ on promis+ or evid5ce-bas$ models & me?ods t are culturally & l+ui/ically relevant & c be replicat$ 9 o!r sett+s4 7b7 ,eligible entities & *ildr5 ,9 ?is section3 7#a7 ,eligible entity ,! t]m eligible entity means a nonpr(it in/itution t-- 7,a7 is accr$it$ by a ,/ate m5tal heal? or education ag5cy1 z applicable1 = ! int]v5tion1 treatm5t1 or education ( *ildr5 f #c to #ab ye>s ( age2 & 7,b7 provides s]vices t include e>ly int]v5tion & treatm5t or specializ$ programs = pres*ool- & elem5t>y s*ool-ag$ *ildr5 ^: prim>y ne$ is a social or emotional disability 79 addition to any le>n+ disability74 7#b7 ,eligible *ild ,! t]m eligible *ild means a *ild :o is at lea/ #c ye>s old & n m ?an #ab ye>s old-- 7,a7 ^: prim>y ne$ is a social or emotional disability 79 addition to any le>n+ disability72 & 7,b7 :o c\ld b5efit f e>ly *ildhood int]v5tion & specializ$ pres*ool or elem5t>y s*ool programs ) ! goal ( int]v5+ or treat+ social or emotional disabilities4 7c7 ,application ,an eligible entity seek+ a grant "u subsection 7a7 %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7d7 ,use ( funds = e>ly int]v5tion & treatm5t programs ,an eligible entity %all use am\nts aw>d$ "u a grant "u subsection 7a77#a7 to c>ry out ! foll[+ activities3 7#a7 ,deliv] = eligible *ildr5 m5tal heal? education & treatm5t1 e>ly *ildhood education & int]v5tion1 & specializ$ programs = pres*ool- & elem5t>y s*ool-ag$ *ildr5 at significant risk or :o %[ e>ly signs ( social or emotional disability 79 addition to any le>n+ disability71 includ+ ! provision ( day treatm5t & social-emotional & behavioral s]vices4 7#b7 ,treat & educate eligible *ildr51 includ+ by provid+ fund+ =-- 7,a7 program & curricula developm5t2 7,b7 /aff2 7,c7 assessm5t1 int]v5tion1 & treatm5t s]vices2 7,d7 adm9i/rative co/s1 includ+ op]at+ co/s1 capital ne$s1 & equipm5t2 7,e7 enrollm5t co/s2 7,f7 collaboration ) prim>y c>e physicians1 psy*iatri/s1 & cl9ical s]vices ( psy*ologi/s ( o!r relat$ m5tal heal? speciali/s2 7,g7 s]vices to meet em]g5cy ne$s ( *ildr52 & 7,h7 communication ) families & physical & m5tal heal? pr(essionals conc]n+ ! *ildr54 7#c7 ,develop & implem5t o!r /rategies to address id5tifi$ int]v5tion1 treatm5t1 & educational ne$s ( eligible *ildr5 t incorporate reliable & valid evaluation modalities into ! program to ensure outcomes bas$ on s\nd sci5tific metrics z det]m9$ by ! ,,nmhpl4 7e7 ,am\nt ( aw>ds ,! am\nt ( an aw>d to an eligible entity "u subsection 7a77#a7 %all be n m ?an #fjj1jjj p] fiscal ye>4 7f7 ,project t]ms ,! p]iod ( a grant = aw>ds "u subsection 7a77#a71 %all be n less ?an #c fiscal ye>s & n m ?an #aj fiscal ye>s4 7g7 ,mat*+ funds ,! ,director ( ! ,,nmhpl may n aw>d a grant "u ?is section to an eligible entity unless ! eligible entity agrees1 ) respect to ! co/s to be incurr$ by ! eligible entity 9 c>ry+ out ! activities describ$ 9 subsection 7d71 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt t is n less ?an #aj p]c5t ( ,f$]al funds provid$ 9 ! grant4 7h7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #bje4 ,ext5sion ( assi/$ outpati5t treatm5t grant program = individuals ) s]i\s m5tal illness ,section #bbd ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4 #bij;aa note7 is am5d$-- 7#a7 9 subsection 7a71 by /rik+ #d-ye> & ins]t+ #f-ye>2 7#b7 9 subsection 7e71 by /rik+ & #bjah & ins]t+ #bjah1 #bjai1 & #bjbj2 & 7#c7 9 subsection 7g7-- 7,a7 9 p>agraph 7#a71 by /rik+ #bjah & ins]t+ #bjbj2 7,b7 9 p>agraph 7#b7 by /rik+ #bjah & ins]t+ #bjbj2 & 7,c7 by /rik+ #ae1jjj1jjj & ins]t+ #bj1jjj1jjj4 #bjf4 ,block grants 7a7 ,reau?orization ( block grant ,section #aibj7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7;a77 is am5d$ by /rik+ #dej1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ #dhc1jjj1jjj = fiscal ye> #bjag & su* sums z may be necess>y = ea* ( fiscal ye>s #bjah ?r\gh #bjai4 7b7 ,be/ practices 9 cl9ical c>e models ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,be/ ,practices 9 ,cl9ical ,c>e ,models ,! ,assi/ant ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices & 9 collaboration ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 %all obligate #e p]c5t ( ! am\nts appropriat$ = a fiscal ye> "u subsection 7a7 = translat+ evid5ce-bas$ 7z def9$ 9 section #b ( ! ,m5tal ,heal? ,re=m ,act ( #bjae7 int]v5tions & be/ available sci5ce into sy/ems ( c>e1 su* z ?r\gh models includ+ ! ,recov]y ,aft] an ,initial ,s*izophr5ia ,episode rese>* project ( ! ,national ,in/itute ( ,m5tal ,heal?4 4 7c7 ,additional program requirem5ts 7#a7 ,integrat$ s]vices ,subsection 7b77#a7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#a77 is am5d$-- 7,a7 by /rik+ ,! plan provides & ins]t+ ! foll[+3 7,a7 ,9 g5]al ,! plan provides 2 7,b7 9 ! second s5t5ce1 by /rik+ heal? & m5tal heal? s]vices & ins]t+ integrat$ physical & m5tal heal? s]vices2 7,c7 by /rik+ ,! plan %all include & all t foll[s ?r\gh ! p]iod at ! end & ins]t+ ,! plan %all integrate & coord9ate s]vices to maximize ! effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/ effectiv5ess ( ^? s]vices & programs to produce ! be/ possible outcomes = individuals ) s]i\s m5tal illness42 & 7,d7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,additional requirem5ts ,! plan %all include a sep>ate description ( case managem5t s]vices & provide = activities lead+ to r$uction ( rates ( suicides1 suicide attempts1 sub/ance abuse1 ov]dose dea?s1 em]g5cy hospitalizations1 inc>c]ation1 crimes1 arre/1 homelessness1 joblessness1 m$ication nonadh]5ce1 & education & vocational programs drop outs4 ,! plan %all include a detail$ li/ ( s]vices available = eligible pati5ts 9 ea* c\nty or c\nty equival5t4 4 7#b7 ,data collection sy/em 7,a7 ,subsection 7b77#a77;,a7 7z s designat$ by p>agraph 7#a77 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#a77;,a77 is am5d$ by ins]t+ legal s]vices1 & be=e o!r support s]vices4 7,b7 ,subsection 7b77#b7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;b77#b77 is am5d$ by ins]t+ & outcome measures = s]vices & res\rces be=e ! p]iod4 7#c7 ,implem5tation ( plan ,subsection 7d7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7;d77 is am5d$-- 7,a7 9 p>agraph 7#a7-- 7i7 by /rik+ ,except z provid$ & ins]t+ ! foll[+3 7,a7 ,9 g5]al ,except z provid$ 2 & 7ii7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,de-id5tifi$ reports ,= eligible pati5ts receiv+ treatm5t ?r\gh funds aw>d$ "u a grant "u section #aiaa1 a ,/ate %all include 9 ! ,/ate plan = ! fir/ ye> beg9n+ aft] ! date ( ! enactm5t ( ! ,m5tal ,heal? ,re=m ,act ( #bjae & ea* subsequ5t ye>1 a de-id5tifi$ report1 conta9+ in=mation t is op5 s\rce & de-id5tifi$1 on ! outcomes measures collect$ 9 subsection 7b77#b7 ( section #aiab ( ! ,public ,heal? ,s]vice ,act & ! ov]all co/ ( su* treatm5t provid$4 4 7#d7 ,inc5tives = ,/ate-bas$ outcome measures ,section #aibj ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#i7 is am5d$ by add+ at ! end ! foll[+3 7c7 ,inc5tives = ,/ate-,bas$ outcome measures 7#a7 ,9 g5]al ,9 addition to ! am\nts made available "u subsection 7a7 = fiscal ye> #bjai1 ! ,secret>y %all provide to ea* ,/ate t meets ! conditions "u p>agraph 7#b7 = fiscal ye> #bjai1 an am\nt equal to #b p]c5t ( ! =mula grant am\nt describ$ 9 section #aiaa & section #aiba4 7#b7 ,conditions ,! ,secret>y %all def9e ! conditions "u :i* a ,/ate is eligible to receive ! additional am\nt "u p>agraph 7#a71 bas$ on ! report on m5tal heal? & sub/ance use treatm5t 9 ! ,/ates "u section #ajb7;b7 ( ! ,m5tal ,heal? ,re=m ,act ( #bjae4 7#c7 ,cl>ification ,any am\nts made available "u p>agraph 7#a7 %all be 9 addition to ! ,/ate's block grant allocation & %all be made to a ,/ate = a fiscal ye>1 z a s+le paym5t1 n lat] ?an ! la/ day ( ! fir/ cal5d> qu>t] ( fiscal ye> #bjbj4 4 7#e7 ,evid5ce-bas$ s]vices deliv]y models ,section #aiab ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7e7 ,expansion ( models 7#a7 ,9 g5]al ,tak+ into acc\nt ! results ( evaluations "u section #bja7;a77#b77;,c7 ( ! ,m5tal ,heal? ,re=m ,act ( #bjae1 ! ,assi/ant ,secret>y may1 by rule1 z "p ( ! program ( block grants "u ?is subp>t1 provide = exp&$ use across ! ,nation ( evid5ce-bas$ s]vice deliv]y models by provid]s fund$ "u su* block grants1 s long z-- 7,a7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is subsection ref]r$ to z ! ,assi/ant ,secret>y7 det]m9es t su* expansion w-- 7i7 result 9 m effective use ( funds "u su* block grants )\t r$uc+ ! quality ( c>e2 or 7ii7 improve ! quality ( pati5t c>e )\t significantly increas+ sp5d+2 7,b7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? det]m9es t su* expansion w\ld improve ! quality ( pati5t c>e2 & 7,c7 ! ,assi/ant ,secret>y det]m9es t ! *ange w-- 7i7 significantly r$uce sev]ity & duration ( symptoms ( m5tal illness2 7ii7 r$uce rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 em]g5cy hospitalizations1 em]g5cy room bo>d+1 inc>c]ation1 crime1 arre/1 homelessness1 or joblessness2 or 7iii7 significantly improve ! quality ( pati5t c>e & m5tal heal? crisis outcomes )\t significantly increas+ sp5d+4 7#b7 ,def9ition ,9 ?is subsection1 ! t]m em]g5cy room bo>d+ means ! practice ( admitt+ pati5ts to an em]g5cy dep>tm5t & hold+ su* pati5ts 9 ! dep>tm5t until inpati5t psy*iatric b$s become available4 4 7d7 ,p]iod = exp5diture ( grant funds ,section #aiac ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#b7 is am5d$ by add+ at ! end ! foll[+3 7d7 ,p]iod = exp5diture ( grant funds ,9 implem5t+ a plan submitt$ "u section #aiab7;a71 a ,/ate receiv+ a grant "u section #aiaa may make su* funds available to provid]s ( s]vices describ$ 9 subsection 7b7 = ! provision ( s]vices )\t fiscal ye> limitation4 4 7e7 ,active outrea* & engagem5t ,section #aiae ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#d7 is am5d$ by add+ at ! end ( ! foll[+3 7c7 ,active outrea* & engagem5t to p]sons ) s]i\s m5tal illness 7#a7 ,9 g5]al ,a fund+ agreem5t = a grant "u section #aiaa is t ! ,/ate involv$ has 9 effect active programs t seek to engage individuals ) s]i\s m5tal illness 9 compreh5sive s]vices 9 ord] to av]t relapse1 repeat$ hospitalizations1 arre/1 inc>c]ation1 suicide1 & to provide ! pati5t ) ! opportunity to live 9 ! lea/ re/rictive sett+1 ?r\gh a compreh5sive program ( evid5ce-bas$ & culturally relevant ass]tive outrea* & engagem5t s]vices focus+ on individuals :o are homeless1 h co-occurr+ disord]s1 are at risk = inc>c]ation or re-inc>c]ation1 or h a hi/ory ( treatm5t failure1 includ+ repeat$ hospitalizations or em]g5cy room usage4 7#b7 ,evid5ce-bas$ ass]tive outrea* & engagem5t s]vices 7,a7 ,,samhsa ,! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 9 coop]ation ) ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal?1 %all develop-- 7i7 a li/ ( evid5ce-bas$ culturally & l+ui/ically relevant ass]tive outrea* & engagem5t s]vices2 & 7ii7 crit]ia to be us$ to assess ! scope & effectiv5ess ( ! approa*es tak5 by su* s]vices1 su* z ! ability to provide same-day appo9tm5ts = em]g5t situations4 7,b7 ,types ( ass]tive outrea* & engagem5t s]vices ,= purposes ( p>agraph 7#a71 appropriate programs ( evid5ce-bas$ ass]tive outrea* & engagem5t s]vices may include pe] support programs2 ! ,wellness ,recov]y ,action ,plan1 ,ass]tive ,community ,treatm5t1 & ,=5sic ,ass]tive ,community ,treatm5t ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 assi/$ outpati5t treatm5t1 appropriate supportive h\s+ programs incorporat+ a ,h\s+ ,fir/ model2 & int5sive1 evid5ce-bas$ approa*es to e>ly int]v5tion 9 psy*osis1 su* z ! ,recov]y ,aft] an ,initial ,s*izophr5ia ,episode model ( ! ,national ,in/itute ( ,m5tal ,heal? & ! ,specializ$ ,treatm5t ,e>ly 9 ,psy*osis program4 7d7 ,psy*iatric advanc$ directives ,a fund+ agreem5t = a grant "u section #aiaa is t ! ,/ate involv$ has 9 effect active programs t seek to engage individuals ) s]i\s m5tal illness 9 proactively mak+ _! own heal? c>e decisions & enhanc+ communication betwe5 !mselves1 _! families1 & _! treatm5t provid]s by all[+ = e>ly int]v5tion & r$uc+ legal proce$+s relat$ to involunt>y treatm5t by develop+ psy*iatric advanc$ directives ?r\gh a compreh5sive program-- 7#a7 ( ass]tive outrea* & engagem5t s]vices focus+ on individuals diagnos$ ) s]i\s m5tal illness or self-id5tify+ z 9 recov]y f s]i\s m5tal illness to obta9 a psy*iatric advanc$ directive2 or 7#b7 to support ,/ates 9 provid+ accessible legal c\nsel to individuals diagnos$ ) s]i\s m5tal illness4 4 #bjg4 ,teleheal? *ild psy*iatry access grants 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 %all aw>d grants to ,/ates & ,indian tribes or tribal organizations 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 to promote behavioral heal? integration 9 p$iatric prim>y c>e by-- 7#a7 support+ ! creation ( /atewide *ild psy*iatry access programs2 & 7#b7 support+ ! expansion ( exi/+ /atewide or regional *ild psy*iatry access programs4 7b7 ,program requirem5ts 7#a7 ,9 g5]al ,to be eligible = fund+ "u subsection 7a71 a *ild psy*iatry access program %all-- 7,a7 be a /atewide network ( p$iatric m5tal heal? teams t provide support to p$iatric prim>y c>e sites z an integrat$ team2 7,b7 support & fur!r develop organiz$ ,/ate networks ( *ild & adolesc5t psy*iatri/s to provide consultative support to p$iatric prim>y c>e sites2 7,c7 conduct an assessm5t ( critical behavioral consultation ne$s among p$iatric provid]s & su* provid]s' pref]r$ me*anisms = receiv+ consultation & tra9+ & te*nical assi/ance2 7,d7 develop an onl9e database & communication me*anisms1 includ+ teleheal?1 to facilitate consultation support to p$iatric practices2 7,e7 provide rapid 7)9 #cj m9utes7 /atewide cl9ical telephone consultations :5 reque/$ betwe5 ! p$iatric m5tal heal? teams & p$iatric prim>y c>e provid]s2 7,f7 conduct tra9+ & provide te*nical assi/ance to p$iatric prim>y c>e provid]s to support ! e>ly id5tification1 diagnosis1 treatm5t1 & ref]ral ( *ildr5 ) behavioral heal? conditions2 7,g7 in=m & assi/ p$iatric provid]s 9 access+ *ild psy*iatry consultations & 9 s*$ul+ & conduct+ te*nical assi/ance2 7,h7 assi/ ) ref]rals to specialty c>e & community & behavioral heal? res\rces2 & 7,i7 e/abli% me*anisms = measur+ & monitor+ increas$ access to *ild & adolesc5t psy*iatric s]vices by p$iatric prim>y c>e provid]s & exp&$ capacity ( p$iatric prim>y c>e provid]s to id5tify1 treat1 & ref] *ildr5 ) m5tal heal? problems4 7#b7 ,p$iatric m5tal heal? teams ,= purposes ( ?is subsection1 ! t]m p$iatric m5tal heal? team means a team ( case coord9ators1 *ild & adolesc5t psy*iatri/s1 & a lic5s$ cl9ical m5tal heal? pr(essional1 su* z a psy*ologi/1 social work]1 or m5tal heal? c\nselor4 ,su* a team may be regionally bas$1 provid$ !re is access to a p$iatric m5tal heal? team across ! ,/ate4 7c7 ,application ,a ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 or tribal organization t desires a grant "u ?is section %all submit an application to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require1 includ+ a plan = ! rigor\s evaluation ( activities t are c>ri$ out ) funds receiv$ "u su* grant4 7d7 ,evaluation ,a ,/ate1 political subdivision ( a ,/ate1 ,indian tribe1 or tribal organization t receives a grant "u ?is section %all prep>e & submit an evaluation to ! ,secret>y at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may reasonably require1 includ+ an evaluation ( activities c>ri$ out ) funds receiv$ "u su* grant & a process & outcome evaluation4 7e7 ,mat*+ requirem5t ,! ,secret>y may n aw>d a grant "u ! grant program unless ! ,/ate involv$ agrees1 ) respect to ! co/s to be incurr$ by ! ,/ate 9 c>ry+ out ! purpose describ$ 9 ?is section1 to make available non-,f$]al contributions 79 ca% or 9 k9d7 t[>d su* co/s 9 an am\nt t is n less ?an #bj p]c5t ( ,f$]al funds provid$ 9 ! grant4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #be1jjj1jjj = fiscal ye> #bjag & su* sums z may be necess>y = ea* ( fiscal ye>s #bjah ?r\gh #bjba4 #bjh4 ,liability protections = heal? c>e pr(essional volunte]s at community heal? c5t]s & community m5tal heal? c5t]s ,section #bbd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bcc7 is am5d$ by add+ at ! end ! foll[+3 7q7 7#a7 ,9 ?is subsection1 ! t]m community m5tal heal? c5t] means-- 7,a7 a community m5tal heal? c5t]1 z def9$ 9 section #ahfa7;ff7 ( ! ,social ,security ,act2 or 7,b7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c74 7#b7 ,= purposes ( ?is section1 a heal? c>e pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 or a community m5tal heal? c5t] %all1 9 provid+ heal? c>e s]vices eligible = fund+ "u section #ccj or subp>t ,i ( "p ,b ( title ,,xix to an individual1 be deem$ to be an employee ( ! ,public ,heal? ,s]vice = a cal5d> ye> t beg9s dur+ a fiscal ye> = :i* a transf] 0 made "u p>agraph 7#e77;,c74 ,! prec$+ s5t5ce is subject to ! provisions ( ?is subsection4 7#c7 ,9 provid+ a heal? c>e s]vice to an individual1 a heal? c>e pr(essional %all1 = purposes ( ?is subsection be consid]$ to be a heal? pr(essional volunte] at an entity describ$ 9 subsection 7g77#d7 or at a community m5tal heal? c5t] if ! foll[+ conditions are met3 7,a7 ,! s]vice is provid$ to ! individual at ! facilities ( an entity describ$ 9 subsection 7g77#d71 at a f$]ally qualifi$ community behavioral heal? cl9ic1 or ?r\gh (fsite programs or ev5ts c>ri$ out by ! c5t]4 7,b7 ,! c5t] or entity is sponsor+ ! heal? c>e pr(essional volunte] pursuant to p>agraph 7#d77;,b74 7,c7 ,! heal? c>e pr(essional does n receive any comp5sation = ! s]vice f ! individual or f any ?ird-p>ty pay] 7includ+ reimbursem5t "u any insurance policy or heal? plan1 or "u any ,f$]al or ,/ate heal? b5efits program71 except t ! heal? c>e pr(essional may receive repaym5t f ! entity describ$ 9 subsection 7g77#d7 or ! c5t] = reasonable exp5ses incurr$ by ! heal? c>e pr(essional 9 ! provision ( ! s]vice to ! individual4 7,d7 ,be=e ! s]vice is provid$1 ! heal? c>e pr(essional or ! c5t] or entity describ$ 9 subsection 7g77#d7 po/s a cle> & conspicu\s notice at ! site :]e ! s]vice is provid$ ( ! ext5t to :i* ! legal liability ( ! heal? c>e pr(essional is limit$ pursuant to ?is subsection4 7,e7 ,at ! "t ! s]vice is provid$1 ! heal? c>e pr(essional is lic5s$ or c]tifi$ 9 accordance ) applicable law reg>d+ ! provision ( ! s]vice4 7#d7 ,subsection 7g7 7o!r ?an p>agraphs 7#c7 & 7#e77 & subsections 7h71 7i71 & 7l7 apply to a heal? c>e pr(essional = purposes ( ?is subsection to ! same ext5t & 9 ! same mann] z su* subsections apply to an (fic]1 gov]n+ bo>d memb]1 employee1 or contractor ( an entity describ$ 9 subsection 7g77#d71 subject to p>agraph 7#e7 & subject to ! foll[+3 7,a7 ,! fir/ s5t5ce ( p>agraph 7#b7 applies 9 lieu ( ! fir/ s5t5ce ( subsection 7g77#a77;,a74 7,b7 ,) respect to an entity describ$ 9 subsection 7g77#d7 or a f$]ally qualifi$ community behavioral heal? cl9ic1 a heal? c>e pr(essional is n a heal? pr(essional volunte] at su* c5t] unless ! c5t] sponsors ! heal? c>e pr(essional4 ,= purposes ( ?is subsection1 ! c5t] %all be consid]$ to be sponsor+ ! heal? c>e pr(essional if-- 7i7 ) respect to ! heal? c>e pr(essional1 ! c5t] submits to ! ,secret>y an application meet+ ! requirem5ts ( subsection 7g77#a77;,d72 & 7ii7 ! ,secret>y1 pursuant to subsection 7g77#a77;,e71 det]m9es t ! heal? c>e pr(essional is deem$ to be an employee ( ! ,public ,heal? ,s]vice4 7,c7 ,9 ! case ( a heal? c>e pr(essional :o is det]m9$ by ! ,secret>y pursuant to subsection 7g77#a77;,e7 to be a heal? pr(essional volunte] at su* c5t]1 ?is subsection applies to ! heal? c>e pr(essional 7) respect to s]vices describ$ 9 p>agraph 7#b77 = any cause ( action aris+ f an act or omission ( ! heal? c>e pr(essional occurr+ on or aft] ! date on :i* ! ,secret>y makes su* det]m9ation4 7,d7 ,subsection 7g77#a77;,f7 applies to a heal? pr(essional volunte] = purposes ( ?is subsection only to ! ext5t t1 9 provid+ heal? s]vices to an individual1 ea* ( ! conditions specifi$ 9 p>agraph 7#c7 is met4 7#e7 7,a7 ,am\nts 9 ! fund e/abli%$ "u subsection 7k77#b7 %all be available = transf] "u subp>agraph 7,c7 = purposes ( c>ry+ out ?is subsection = heal? pr(essional volunte]s at entities describ$ 9 subsection 7g77#d74 7,b7 ,n lat] ?an ,may #a ( ea* fiscal ye>1 ! ,attorney ,g5]al1 9 consultation ) ! ,secret>y1 %all submit to ,congress a report provid+ an e/imate ( ! am\nt ( claims 7toge!r ) relat$ fees & exp5ses ( witnesses7 t1 by reason ( ! acts or omissions ( heal? c>e pr(essional volunte]s1 w be paid pursuant to ?is subsection dur+ ! cal5d> ye> t beg9s 9 ! foll[+ fiscal ye>4 ,subsection 7k77#a77;,b7 applies to ! e/imate "u ! prec$+ s5t5ce reg>d+ heal? c>e pr(essional volunte]s to ! same ext5t & 9 ! same mann] z su* subsection applies to ! e/imate "u su* subsection reg>d+ (fic]s1 gov]n+ bo>d memb]s1 employees1 & contractors ( entities describ$ 9 subsection 7g77#d74 7,c7 ,n lat] ?an ,decemb] #ca ( ea* fiscal ye>1 ! ,secret>y %all transf] f ! fund "u subsection 7k77#b7 to ! appropriate acc\nts 9 ! ,treasury an am\nt equal to ! e/imate made "u subp>agraph 7,b7 = ! cal5d> ye> beg9n+ 9 su* fiscal ye>1 subject to ! ext5t ( am\nts 9 ! fund4 7#f7 7,a7 ,?is subsection takes effect on ,octob] #a1 #bjag1 except z provid$ 9 subp>agraph 7,b74 7,b7 ,effective on ! date ( ! enactm5t ( ?is subsection-- 7i7 ! ,secret>y may issue regulations = c>ry+ out ?is subsection1 & ! ,secret>y may accept & consid] applications submitt$ pursuant to p>agraph 7#d77;,b72 & 7ii7 reports "u p>agraph 7#e77;,b7 may be submitt$ to ,congress4 4 #bji4 ,m9ority fell[%ip program ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$-- 7#a7 by r$esignat+ "p ,g 7#db ,u4,s4,c4 #bijkk et seq471 relat+ to s]vices provid$ ?r\gh religi\s organizations & add$ by section #add ( ! ,community ,r5ewal ,tax ,relief ,act ( #bjjj1 z enact$ into law by section #a7;a77#g7 ( ,public ,law #ajf-eed1 z "p ,j2 7#b7 by r$esignat+ sections #eha ?r\gh #ehd ( "p ,j1 z s r$esignat$1 z sections #eif ?r\gh #eif;,c1 respectively2 & 7#c7 by add+ at ! end ! foll[+3 ,k ,m9ority fell[%ip program #eig4 ,fell[%ips 7a7 ,9 g5]al ,! ,secret>y %all ma9ta9 a program1 to be kn[n z ! ,m9ority ,fell[%ip ,program1 "u :i* ! ,secret>y aw>ds fell[%ips1 :i* may include /ip5ds1 = ! purposes (-- 7#a7 increas+ behavioral heal? practition]s' k ( issues relat$ to prev5tion1 treatm5t1 & recov]y support = m5tal & sub/ance use disord]s among racial & e?nic m9ority populations2 7#b7 improv+ ! quality ( m5tal & sub/ance use disord] prev5tion & treatm5t deliv]$ to e?nic m9orities2 & 7#c7 increas+ ! numb] ( culturally compet5t behavioral heal? pr(essionals :o tea*1 adm9i/]1 conduct s]vices rese>*1 & provide direct m5tal heal? or sub/ance use s]vices to und]s]v$ m9ority populations4 7b7 ,tra9+ ,cov]$ ,! fell[%ips "u subsection 7a7 %all be = po/baccalaureate tra9+ 7includ+ = ma/]'s & doctoral degrees7 = m5tal heal? pr(essionals1 includ+ 9 ! fields ( psy*iatry1 nurs+1 social "w1 psy*ology1 m>riage & family !rapy1 & sub/ance use & addiction c\nsel+4 7c7 ,au?orization ( ,appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 4 #baj4 ,national heal? s]vice corps 7a7 ,def9itions 7#a7 ,prim>y heal? s]vices ,section #cca7;a77#c77;,d7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,d77 is am5d$ by ins]t+ 7includ+ p$iatric m5tal heal? subspecialty s]vices7 aft] p$iatrics4 7#b7 ,behavioral & m5tal heal? pr(essionals ,clause 7i7 ( section #cca7;a77#c77;,e77i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;d7a77#c77;,e77i77 is am5d$ by ins]t+ 1 includ+ su* pr(essionals :o are p$iatric subspeciali/s be=e ! p]iod at ! end4 7#c7 ,heal? pr(essional %ortage area ,section #ccb7;a77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e7a77#a77 is am5d$ by ins]t+ 7:i* may be a gr\p compris$ ( *ildr5 & adolesc5ts7 aft] population gr\p4 7#d7 ,m$ical facility ,section #ccb7;a77#b77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;e7a77#b77;,a77 is am5d$ by ins]t+ m$ical resid5cy or fell[%ip tra9+ site = tra9+ 9 *ild & adolesc5t psy*iatry1 be=e facility op]at$ by a city or c\nty heal? dep>tm5t14 7b7 ,eligibility ,to p>ticipate 9 loan repaym5t program ,section #cch;,b7b77#a77;,b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedl-#a7;b77#a77;,b77 is am5d$ by ins]t+ 1 includ+ any *ild & adolesc5t psy*iatry m$ical resid5cy or fell[%ip tra9+ program be=e ! semicolon4 #baa4 ,reau?orization ( m5tal & behavioral heal? education tra9+ grant ,section #gef ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7 is am5d$ to read z foll[s3 #gef4 ,m5tal & behavioral heal? education & tra9+ grants 7a7 ,grants au?oriz$ ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rators ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,adm9i/ration & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 may aw>d grants to eligible in/itutions to support ! recruitm5t ( /ud5ts =1 & education & cl9ical exp]i5ce ( ! /ud5ts 9-- 7#a7 accr$it$ in/itutions ( high] education or accr$it$ pr(essional tra9+ programs t are e/abli%+ or exp&+ int]n%ips or o!r field placem5t programs 9 m5tal heal? 9 psy*iatry1 psy*ology1 s*ool psy*ology1 behavioral p$iatrics1 psy*iatric nurs+1 social "w1 s*ool social "w1 sub/ance abuse prev5tion & treatm5t1 m>riage & family !rapy1 s*ool c\nsel+1 or pr(essional c\nsel+1 ) a pref]5ce = programs address+ *ild & adolesc5t m5tal heal?1 9 p>ticul> transitional age y\? betwe5 #af to #be ye>s old2 7#b7 accr$it$ doctoral1 int]n%ip1 & po/-doctoral resid5cy programs ( heal? s]vice psy*ology 7:i* includes cl9ical psy*ology1 c\nsel+1 & s*ool psy*ology7 = ! developm5t & implem5tation ( int]discipl9>y tra9+ ( psy*ology graduate /ud5ts = provid+ behavioral & m5tal heal? s]vices1 includ+ sub/ance abuse prev5tion & treatm5t s]vices1 z well z ! developm5t ( faculty 9 heal? s]vice psy*ology2 7#c7 accr$it$ ma/]'s & doctoral degree programs ( social "w = ! developm5t & implem5tation ( int]discipl9>y tra9+ ( social "w graduate /ud5ts = provid+ behavioral & m5tal heal? s]vices1 includ+ sub/ance abuse prev5tion & treatm5t s]vices1 & ! developm5t ( faculty 9 social "w2 or 7#d7 p>apr(essional c]tificate tra9+ programs (f]$ by accr$it$ community & te*nical colleges grant+ ,/ate lic5sure or c]tification 9 a behavioral heal?-relat$ p>apr(essional field1 su* z community heal? work]1 outrea* work]1 social s]vices aide1 m5tal heal? work]1 sub/ance abuse or addictions work]1 y\? work]1 promotora1 or pe] p>apr(essional1 ) pref]5ce = pre-s]vice or 9-s]vice tra9+ ( p>apr(essional *ild & adolesc5t m5tal heal? work]s4 7b7 ,eligibility requirem5ts ,to be eligible to receive a grant "u ?is section1 an in/itution %all demon/rate-- 7#a7 an ability to recruit & place psy*iatri/s1 psy*ologi/s1 social work]s1 or p>apr(essionals 9 areas ) a high ne$ & high dem& population2 7#b7 p>ticipation ( individuals & gr\ps f diff]5t racial1 e?nic1 cultural1 geographic1 religi\s1 l+ui/ic1 & class backgr\nds1 & diff]5t g5d]s & ori5tations 9 ! in/itution's programs2 7#c7 k & und]/&+ ( ! conc]ns ( ! individuals & gr\ps describ$ 9 p>agraph 7#b71 especially individuals ) m5tal heal? symptoms or diagnoses1 p>ticul>ly *ildr5 & adolesc5ts1 ) a special emphasis on transitional-ag$ p]sons #af to #be ye>s old2 7#d7 prioritization ( cultural & l+ui/ic compet5cy 9 tra9+ pr(essionals & p>apr(essionals 9 any academic program1 field placem5t1 int]n%ip1 or po/-doctoral position2 & 7#e7 ! will+ness to provide to ! ,secret>y su* data1 assurances1 & in=mation z ! ,secret>y may require4 7c7 ,priority ,9 select+ grant recipi5ts ! ,secret>y %all give priority to-- 7#a7 programs t h demon/rat$ ! ability to tra9 psy*ology & social "w pr(essionals to "w 9 integrat$ c>e sett+s2 & 7#b7 programs = p>apr(essionals t (f] curriculum ) an emphasis on ! role ( ! family & ! liv$ exp]i5ce ( ! consum] & family-p>apr(essional p>tn]%ips4 7d7 ,in/itutional requirem5t ,( ! grants aw>d$ "u p>agraphs 7#b7 & 7#c7 ( subsection 7a71 at lea/ #d ( ! grant recipi5ts %all be hi/orically black colleges or o!r m9ority s]v+ in/itutions4 7e7 ,report to ,congress ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,m5tal ,heal? ,re=m ,act ( #bjae1 & annually !reaft]1 ! ,secret>y1 act+ ?r\gh ! ,adm9i/rators ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ! ,heal? ,res\rces ,s]vices ,adm9i/ration1 %all submit to ,congress a report on ! effectiv5ess (-- 7#a7 provid+ graduate /ud5ts support = exp]i5tial tra9+ 7int]n%ip or field placem5t72 7#b7 recruitm5t ( /ud5ts int]e/$ 9 behavioral heal? practice2 7#c7 developm5t & implem5tation ( int]pr(essional tra9+ & integration )9 prim>y c>e2 7#d7 developm5t & implem5tation ( accr$it$ field placem5ts & int]n%ips2 & 7#e7 data collect$ on ! numb] ( /ud5ts tra9$ 9 m5tal heal? & ! numb] ( available accr$it$ int]n%ips & field placem5ts4 7f7 ,au?orization ( appropriations ,= ea* ( fiscal ye>s #bjag ?r\gh #bjba1 !re are au?oriz$ to be appropriat$ to c>ry out ?is section #dd1jjj1jjj1 to be allocat$ z foll[s3 7#a7 #ae1jjj1jjj %all be allocat$ to in/itutions to exp& m5tal heal? int]n%ips or o!r field placem5t programs "u subsection 7a77#a74 7#b7 #ad1jjj1jjj %all be allocat$ to tra9+ 9 graduate psy*ology "u subsection 7a77#b74 7#c7 #aj1jjj1jjj %all be allocat$ to tra9+ 9 graduate social "w "u subsection 7a77#c74 7#d7 #e1jjj1jjj %all be allocat$ to tra9+ p>apr(essionals "u subsection 7a77#d74 4 #bab4 ,national suicide prev5tion lifel9e program ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is am5d$ by ins]t+ aft] section #ebj;,e-#b ! foll[+3 #ebj;,e-#c4 ,national suicide prev5tion lifel9e program 7a7 ,9 g5]al ,! ,secret>y %all ma9ta9 ! ,national ,suicide ,prev5tion ,lifel9e program4 ,! activities ( ! ,secret>y "u su* program %all include-- 7#a7 coord9at+ a network ( crisis c5t]s across ! ,nation = provid+ suicide prev5tion & crisis int]v5tion s]vices to individuals seek+ help at any "t1 day or night2 7#b7 ma9ta9+ a suicide prev5tion hotl9e to l9k call]s to local em]g5cy1 m5tal heal?1 & social s]vices res\rces2 & 7#c7 consult+ ) ! ,secret>y ( ,vet]ans ,affairs to ensure t vet]ans call+ ! suicide prev5tion hotl9e h access to a specializ$ vet]ans' suicide prev5tion hotl9e4 7b7 ,au?orization ( ,appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #e1jjj1jjj = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4 4 ,,iii ,integration #cja4 ,prim>y & behavioral heal? c>e integration grant programs ,section #ebj,k ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#db7 is am5d$ to read z foll[s3 #ebj,k4 ,integration inc5tive grants 7a7 ,9 g5]al ,!re is e/abli%$ )9 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration a prim>y & behavioral heal? c>e integration grant program4 ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s may aw>d grants & coop]ative agreem5ts to eligible entities to exp5d funds = improvem5ts 9 integrat$ sett+s ) integrat$ practices4 7b7 ,def9itions ,9 ?is section3 7#a7 ,integrat$ c>e ,! t]m integrat$ c>e means full collaboration 9 m]g$ or trans=m$ practices (f]+ m5tal & physical heal? s]vices )9 ! same %>$ practice space 9 ! same facility1 :]e ! entity-- 7,a7 provides s]vices 9 a %>$ space t ensures s]vices w be available & accessible promptly & 9 a mann] :i* pres]ves human dignity & assures cont9uity ( c>e2 7,b7 ensures communication among ! integrat$ c>e team t is consi/5t & team-bas$2 7,c7 ensures %>$ decisionmak+ betwe5 m5tal heal? & prim>y c>e provid]s2 7,d7 provides evid5ce-bas$ s]vices 9 a mode ( s]vice deliv]y appropriate = ! t>get population2 7,e7 employs /aff :o are multidiscipl9>y & culturally & l+ui/ically compet5t2 7,f7 provides integrat$ s]vices relat$ to scre5+1 diagnosis1 & treatm5t ( m5tal illness & co-occurr+ prim>y c>e conditions & *ronic diseases2 & 7,g7 provides t>get$ case managem5t1 includ+ s]vices to assi/ individuals ga9+ access to ne$$ m$ical1 social1 educational1 & o!r s]vices & apply+ = income security1 h\s+1 employm5t1 & o!r b5efits to :i* !y may be entitl$4 7#b7 ,integrat$ c>e team ,! t]m integrat$ c>e team means a team t includes-- 7,a7 allopa?ic or o/eopa?ic m$ical doctors1 includ+ a prim>y c>e physician & a bo>d c]tifi$ psy*iatri/2 7,b7 lic5s$ cl9ical m5tal heal? pr(essionals1 su* z psy*ologi/s or social work]s2 7,c7 a case manag]2 & 7,d7 o!r memb]s1 :i* may include psy*iatric advanc$ practice nurses & o!r alli$ heal? pr(essionals1 su* z m5tal heal? c\nselors1 or o!rs z appropriate4 7#c7 ,special population ,! t]m special population means-- 7,a7 adults ) m5tal illnesses :o h co-occurr+ prim>y c>e conditions ) *ronic diseases2 7,b7 adults ) s]i\s m5tal illnesses :o h co-occurr+ prim>y c>e conditions ) *ronic diseases2 7,c7 *ildr5 & adolesc5ts ) s]i\s emotional disord]s ) co-occurr+ prim>y c>e conditions & *ronic diseases2 or 7,d7 individuals ) sub/ance use disord]4 7c7 ,purpose ,! grant program "u ?is section %all be design$ to lead to full collaboration betwe5 prim>y & behavioral heal? 9 an integrat$ practice model at a /atewide level1 to ensure t-- 7#a7 ! ov]all wellness & physical heal? /atus ( individuals ) s]i\s m5tal illness & co-occurr+ sub/ance use disord]s is support$ ?r\gh integration ( prim>y c>e into community m5tal heal? c5t]s meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,social ,security ,act or c]tifi$ community behavioral heal? cl9ics describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 & 7#b7 ! m5tal heal? /atus ( individuals ) significant co-occurr+ psy*iatric & physical conditions w be support$ ?r\gh integration ( behavioral heal? into prim>y c>e sett+s4 7d7 ,eligible entities ,to be eligible to receive a grant or coop]ative agreem5t "u ?is section1 an entity %all be a ,/ate dep>tm5t ( heal?1 ,/ate m5tal heal? or addiction ag5cy1 or ,/ate ,m$icaid ag5cy4 ,! ,adm9i/rator %all give pref]5ce to ,/ates t h exi/+ integrat$ c>e models1 su* z ^? au?oriz$ by section #aide ( ! ,social ,security ,act4 7e7 ,application ,an eligible entity desir+ a grant or coop]ative agreem5t "u ?is section %all submit an application to ! ,adm9i/rator at su* "t1 9 su* mann]1 & accompani$ by su* in=mation z ! ,adm9i/rator may require1 includ+ a description ( a plan to a*ieve fully collaborative agreem5ts to provide s]vices to special populations &-- 7#a7 a docum5t t summ>izes ! ,/ate-specific policies t inhibit ! provision ( integrat$ c>e1 & ! specific /eps t w be tak5 to address su* b>ri]s1 su* z ?r\gh lic5s+ & bill+ proc$ures2 & 7#b7 a plan to develop & %>e a de-id5tifi$ pati5t regi/ry to track treatm5t implem5tation & cl9ical outcomes to in=m cl9ical int]v5tions1 pati5t education1 & engagem5t ) m]g$ or trans=m$ integrat$ practices 9 compliance ) applicable national & ,/ate heal? in=mation privacy laws4 7f7 ,grant am\nts ,! maximum annual grant am\nt "u ?is section %all be #b1jjj1jjj1 ( :i* n m ?an #aj p]c5t may be allocat$ to ,/ate adm9i/rative functions1 & ! rema9+ am\nts %all be allocat$ to heal? facilities t provide integrat$ c>e4 7g7 ,duration ,a grant "u ?is section %all be = a p]iod ( #e ye>s4 7h7 ,report on program outcomes ,an entity receiv+ a grant or coop]ative agreem5t "u ?is section %all submit an annual report to ! ,adm9i/rator t includes-- 7#a7 ! progress to r$uce b>ri]s to integrat$ c>e1 includ+ regulatory & bill+ b>ri]s1 z describ$ 9 ! entity's application "u subsection 7d72 & 7#b7 a description ( functional outcomes ( special populations1 includ+-- 7,a7 ) respect to individuals ) s]i\s m5tal illness1 p>ticipation 9 supportive h\s+ or indep5d5t liv+ programs1 att5dance 9 social & rehabilitative programs1 p>ticipation 9 job tra9+ opportunities1 satisfactory p]=mance 9 "w sett+s1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 & compliance ) prescrib$ m$ication regimes2 7,b7 ) respect to individuals ) co-occurr+ m5tal illness & prim>y c>e conditions & *ronic diseases1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 compliance ) prescrib$ m$ication regimes1 & p>ticipation 9 le>n+ opportunities relat$ to improv$ heal? & life/yle practice2 & 7,c7 ) respect to *ildr5 & adolesc5ts ) s]i\s emotional disord]s :o h co-occurr+ prim>y c>e conditions & *ronic diseases1 att5dance at s*$ul$ m$ical & m5tal heal? appo9tm5ts1 compliance ) prescrib$ m$ication regimes1 & p>ticipation 9 le>n+ opportunities at s*ool & extracurricul> activities4 7i7 ,te*nical assi/ance c5t] = prim>y-,behavioral heal? c>e integration 7#a7 ,9 g5]al ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s %all e/abli% a program ?r\gh :i* su* ,assi/ant ,secret>y %all provide appropriate in=mation1 tra9+1 & te*nical assi/ance to eligible entities t receive a grant or coop]ative agreem5t "u ?is section1 9 ord] to help su* entities to meet ! requirem5ts ( ?is section1 includ+ assi/ance )-- 7,a7 developm5t & selection ( integrat$ c>e models2 7,b7 dissem9ation ( evid5ce-bas$ int]v5tions 9 integrat$ c>e2 7,c7 e/abli%m5t ( organizational practices to support op]ational & adm9i/rative success2 & 7,d7 o!r activities1 z ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s det]m9es appropriate4 7#b7 ,additional dissem9ation ( te*nical in=mation ,! in=mation & res\rces provid$ by ! te*nical assi/ance program e/abli%$ "u p>agraph 7#a7 %all be made available to ,/ates1 political subdivisions ( a ,/ate1 ,indian tribes or tribal organizations 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act71 outpati5t m5tal heal? & addiction treatm5t c5t]s1 community m5tal heal? c5t]s t meet ! crit]ia "u section #aiac7;c71 c]tifi$ community behavioral heal? cl9ics describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad1 prim>y c>e organizations su* z ,f$]ally qualifi$ heal? c5t]s or rural heal? c5t]s1 o!r community-bas$ organizations1 or o!r entities engag+ 9 integrat$ c>e activities1 z ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s det]m9es appropriate4 7j7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re are au?oriz$ to be appropriat$ #ej1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba1 ( :i* #b1jjj1jjj %all be available to ! te*nical assi/ance program "u subsection 7i74 4 ,,iv ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee #dja4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #eja ! foll[+3 #eja;,a4 ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 7a7 ,e/abli%m5t ,! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 79 ?is section ref]r$ to z ! ,assi/ant ,secret>y7 %all e/abli% a committee1 to be kn[n z ! ,int]ag5cy ,s]i\s ,m5tal ,illness ,coord9at+ ,committee 79 ?is section ref]r$ to z ! ,committee71 to assi/ ! ,assi/ant ,secret>y 9 c>ry+ out ! ,assi/ant ,secret>y's duties4 7b7 ,responsibilities ,! ,committee %all-- 7#a7 develop & annually update a summ>y ( advances 9 s]i\s m5tal illness rese>* relat$ to prev5tion (1 diagnosis (1 int]v5tion 91 & treatm5t & rehabilitation (1 s]i\s m5tal illness1 & access to s]vices & supports = individuals ) s]i\s m5tal illness2 7#b7 monitor ,f$]al programs & activities ) respect to s]i\s m5tal illness2 7#c7 make recomm5dations to ! ,assi/ant ,secret>y reg>d+ any appropriate *anges to su* activities1 includ+ recomm5dations to ! ,director ( ,,nih ) respect to ! /rategic plan develop$ "u p>agraph 7#e72 7#d7 make recomm5dations to ! ,assi/ant ,secret>y reg>d+ public p>ticipation 9 decisions relat+ to s]i\s m5tal illness2 7#e7 develop & update e #c ye>s a /rategic plan = ! conduct & support ( programs & s]vices to assi/ individuals ) s]i\s m5tal illness1 includ+-- 7,a7 a summ>y ( ! advances 9 s]i\s m5tal illness rese>* develop$ 9 "u p>agraph 7#a72 7,b7 a li/ ( ! ,f$]al programs & activities id5tifi$ 9 p>agraph 7#b72 7,c7 an analysis ( ! effici5cy1 effectiv5ess1 quality1 coord9ation1 & co/-effectiv5ess ( ,f$]al programs & activities relat+ to ! prev5tion1 diagnosis1 treatm5t1 or rehabilitation ( s]i\s m5tal illness1 includ+ an acc\nt+ ( ! co/s ( su* programs & activities ) adm9i/rative co/s disaggregat$ f ! co/s ( s]vices & c>e2 & 7,d7 a plan ) recomm5dations-- 7i7 = ! coord9ation & improvem5t ( ,f$]al programs & activities relat$ to s]i\s m5tal illness1 includ+ budget>y requirem5ts2 7ii7 = improv+ outcomes = individuals ) a s]i\s m5tal illness includ+ appropriate b5*m>ks to measure progress on a*iev+ improvem5ts2 7iii7 = ! m5tal heal? work=ce2 7iv7 to dissem9ate relevant in=mation develop$ by ! coord9at+ committee to ! public1 heal? c>e provid]s1 social s]vice provid]s1 public heal? (ficials1 c\rts1 law en=cem5t1 & o!r relevant gr\ps2 7v7 to id5tify rese>* ne$s1 includ+ longitud9al /udies ( p$iatric populations2 & 7vi7 = vuln]able & und]s]v$ populations1 includ+ p$iatric & g]iatric populations2 & 7#f7 submit to ,congress su* /rategic plan & any updates to su* plan4 7c7 ,memb]%ip 7#a7 ,9 g5]al ,! ,committee %all be compos$ ( n m ?an #i ,f$]al repres5tatives includ+-- 7,a7 ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s 7or ! ,assi/ant ,secret>y's designee71 :o %all s]ve z ! ,*air ( ! ,committee2 7,b7 ! ,director ( ! ,national ,in/itute ( ,m5tal ,heal? 7or ! ,director's designee72 7,c7 ! ,attorney ,g5]al ( ! ,unit$ ,/ates 7or ! ,attorney ,g5]al's designee72 7,d7 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7or ! ,director's designee72 7,e7 ! ,director ( ! ,national ,in/itutes ( ,heal? 7or ! ,director's designee72 7,f7 a memb] ( ! ,unit$ ,/ates ,int]ag5cy ,c\ncil on ,homelessness2 7,g7 repres5tatives1 appo9t$ by ! ,assi/ant ,secret>y1 ( ,f$]al ag5cies t s]ve individuals ) s]i\s m5tal illness1 includ+ repres5tatives ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 ! ,adm9i/ration on ,community ,liv+1 ! ,ag5cy = ,heal?c>e ,rese>* & ,quality1 ! ,bureau ( ,indian ,affairs1 ! ,dep>tm5t ( ,def5se1 ! ,dep>tm5t ( ,education1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 ! ,dep>tm5t ( ,labor1 ! ,dep>tm5t ( ,vet]ans ,affairs1 & ! ,social ,security ,adm9i/ration2 & 7,h7 ! additional memb]s appo9t$ "u p>agraph 7#b74 7#b7 ,additional memb]s ,at lea/ #ad memb]s ( ! ,committee %all be non-,f$]al public memb]s appo9t$ by ! ,assi/ant ,secret>y1 ( :i*-- 7,a7 at lea/ #a memb] %all be an individual 9 recov]y f a diagnosis ( s]i\s m5tal illness :o has b5efitt$ f & is receiv+ m$ical treatm5t "u ! c>e ( a lic5s$ m5tal heal? pr(essional2 7,b7 at lea/ #a memb] %all be a p>5t or legal gu>dian ( an individual ) a hi/ory ( s]i\s m5tal illness :o has ei!r attempt$ suicide or is inc>c]at$ = viol5ce committ$ :ile exp]i5c+ a s]i\s m5tal illness2 7,c7 at lea/ #a memb] %all be a repres5tative ( a lead+ rese>*1 advocacy1 & s]vice organization = individuals ) s]i\s m5tal illness2 7,d7 at lea/ #b memb]s %all be-- 7i7 a lic5s$ psy*iatri/ ) exp]i5ce treat+ s]i\s m5tal illness2 7ii7 a lic5s$ psy*ologi/ ) exp]i5ce treat+ s]i\s m5tal illness2 7iii7 a lic5s$ cl9ical social work]2 or 7iv7 a lic5s$ psy*iatric nurse or nurse practition]2 7,e7 at lea/ #a memb] %all be a m5tal heal? pr(essional ) a significant focus 9 8 or h] practice on work+ ) *ildr5 & adolesc5ts2 7,f7 at lea/ #a memb] %all be a m5tal heal? pr(essional :o has demon/rat$ cultural compet5cies & has rese>* or cl9ical m5tal heal? exp]i5ce work+ ) m9orities2 7,g7 at lea/ #a memb] %all be a ,/ate c]tifi$ m5tal heal? pe] speciali/2 7,h7 at lea/ #a memb] %all be a judge ) exp]i5ce adjudicat+ cases relat$ to crim9al ju/ice & s]i\s m5tal illness2 7,i7 at lea/ #a memb] %all be a law en=cem5t (fic] or corrections (fic] ) ext5sive exp]i5ce 9 int]fac+ ) psy*iatric & psy*ological disord]s or individuals 9 m5tal heal? crisis2 & 7,j7 #d memb]s1 ( :i*-- 7i7 #a %all be appo9t$ by ! majority lead] ( ! ,s5ate2 7ii7 #a %all be appo9t$ by ! m9ority lead] ( ! ,s5ate2 7iii7 #a %all be appo9t$ by ! ,speak] ( ! ,h\se ( ,repres5tatives2 & 7iv7 #a %all be appo9t$ by ! m9ority lead] ( ! ,h\se ( ,repres5tatives4 7d7 ,reports to congress ,n lat] ?an #a ye> aft] ! date ( release ( ! fir/ /rategic plan "u subsection 7b77#e7 & annually !reaft]1 ! ,committee %all submit a report to ,congress-- 7#a7 evaluat+ ! impact on public heal? ( projects address+ priority m5tal heal? ne$s ( regional & national significance "u sections #eja1 #eji1 #eaf1 & #ebj;,a1 includ+ measurem5t ( public heal? outcomes su* z-- 7,a7 r$uc$ rates ( suicide1 suicide attempts1 sub/ance abuse1 ov]dose1 ov]dose dea?s1 em]g5cy hospitalizations1 em]g5cy room bo>d+ 7z def9$ 9 section #aiab7;e771 inc>c]ation1 crime1 arre/1 homelessness1 & joblessness2 7,b7 increas$ rates ( employm5t & enrollm5t 9 educational & vocational programs2 & 7,c7 su* o!r crit]ia z may be det]m9$ by ! ,assi/ant ,secret>y2 7#b7 =mulat+ recomm5dations = ! coord9ation & improvem5t ( ,f$]al programs & activities describ$ 9 p>agraph 7#b72 7#c7 id5tify+ any su* programs & activities t are duplicative2 & 7#d7 summ>iz+ all recomm5dations made1 activities c>ri$ out1 & results a*iev$ pursuant to ! work=ce developm5t /rategy "u section #aja7;c77#h7 ( ! ,m5tal ,heal? ,re=m ,act ( #bjae4 7e7 ,adm9i/rative support2 t]ms ( s]vice2 o!r provisions ,! foll[+ provisions %all apply ) respect to ! ,committee3 7#a7 ,! ,assi/ant ,secret>y %all provide su* adm9i/rative support to ! ,committee z may be necess>y = ! ,committee to c>ry out its responsibilities4 7#b7 ,memb]s ( ! ,committee appo9t$ "u subsection 7c77#b7 %all s]ve = a t]m ( #d ye>s1 & may be reappo9t$ = "o or m additional #d-ye> t]ms4 ,any memb] appo9t$ to fill a vacancy = an unexpir$ t]m %all be appo9t$ = ! rema9d] ( su* t]m4 ,a memb] may s]ve aft] ! expiration ( ! memb]'s t]m until a successor has tak5 (fice4 7#c7 ,! ,committee %all meet at ! call ( ! *air or ^u ! reque/ ( ! ,assi/ant ,secret>y4 ,! ,committee %all meet n few] ?an #b times ea* ye>4 7#d7 ,all meet+s ( ! ,committee %all be public & %all include appropriate "t p]iods = que/ions & pres5tations by ! public4 7f7 ,subcommittees2 e/abli%m5t & memb]%ip ,9 c>ry+ out its functions1 ! ,committee may e/abli% subcommittees & conv5e work%ops & conf]5ces4 ,su* subcommittees %all be compos$ ( ,committee memb]s & may hold su* meet+s z are necess>y to enable ! subcommittees to c>ry out _! duties4 4 ,v ,,hipaa cl>ification #eja4 ,f9d+s ,! ,s5ate makes ! foll[+ f9d+s3 7#a7 ,! privacy regulations promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act 7#db ,u4,s4,c4 #acbj;d-#b note7 recognize ! value ( family memb]s 9 ! heal? & well-be+ ( individuals exp]i5c+ tempor>y psy*osis4 ,h[ev]1 a lack ( und]/&+ by heal? pr(essionals has be5 a b>ri] to _m family memb]s assi/+ 9 ! treatm5t ( an individual ) s]i\s m5tal illness4 7#b7 ,! privacy rule "u section #afd4eaj7;b77#b7 ( title #de1 ,code ( ,f$]al ,regulations all[s = ! disclosure ( protect$ heal? in=mation 9 ! ev5t t a cov]$ entity receives ! individual's agreem5t provides an opportunity = an individual to object1 & ! individual does n express an objection or ! cov]$ entity reasonably inf]s t ! individual does n object4 7#c7 ,! privacy rule "u section #afd4eaj7;b77#c7 ( title #de1 ,code ( ,f$]al ,regulations all[s = ! disclosure ( protect$ heal? in=mation if an individual is n pres5t or is o!rwise incapacitat$ if ! m$ical provid] det]m9es t ! disclosure is 9 ! be/ int]e/s ( ! individual4 7#d7 ,engagem5t by family memb]s has be5 %[n to help individuals ) s]i\s m5tal illness adh]e to a treatm5t plan & improv$ outcomes4 7#e7 ,:5ev] possible1 an individual :o is ! subject ( protect$ heal? in=mation %all be giv5 advanc$ notice ( ! desire to %>e in=mation ) family memb]s or o!r c>egiv]s4 ,?is notice %\ld include an explanation ( :at in=mation is to be %>$ & :y x is cl9ically desirable to %>e su* in=mation4 7#f7 ,! use ( psy*iatric advance directives %\ld be enc\rag$ = individuals ) s]i\s m5tal illness4 #ejb4 ,modifications to ,,hipaa ,9 apply+ section #afd4eaj7;b77#c7 ( title #de1 ,code ( ,f$]al ,regulations1 = ! purposes ( assi/+ heal? pr(essionals to det]m9e ! be/ int]e/s ( ! individual1 ! ,secret>y ( ,heal? & ,human ,s]vices %all consid] ! foll[+ factors3 7#a7 ,timely int]v5tion = treatm5t ( a s]i\s m5tal or g5]al m$ical illness4 7#b7 ,safe & /able h\s+ = ! individual4 7#c7 ,increas$ daily liv+ skills t are likely to all[ ! individual to live )9 ! community4 7#d7 ,an increas$ capacity ( c>egiv]s to support ! pati5t to live )9 ! community4 #ejc4 ,developm5t & dissem9ation ( model tra9+ programs 7a7 ,initial ,programs & ,mat]ials ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 9 consultation ) appropriate exp]ts1 %all develop & dissem9ate-- 7#a7 a model program & mat]ials = tra9+ heal? c>e provid]s 7includ+ physicians1 em]g5cy m$ical p]sonnel1 psy*iatri/s1 psy*ologi/s1 c\nselors1 !rapi/s1 behavioral heal? facilities & cl9ics1 c>e manag]s1 & hospitals7 reg>d+ ! circum/ances "u :i*1 consi/5t ) ! /&>ds gov]n+ ! privacy & security ( individually id5tifiable heal? in=mation promulgat$ by ! ,secret>y "u section #bfd ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif 7#db ,u4,s4,c4 #acbj;d-#b note7 & "p ,c ( title ,,xi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d et seq471 ! protect$ heal? in=mation ( pati5ts ) a m5tal illness may be disclos$ ) & )\t pati5t cons5t2 7#b7 a model program & mat]ials = tra9+ lawy]s & o!rs 9 ! legal pr(ession on su* circum/ances2 & 7#c7 a model program & mat]ials = tra9+ pati5ts & _! families reg>d+ _! rights to protect & obta9 in=mation "u ! /&>ds specifi$ 9 p>agraph 7#a74 7b7 ,p]iodic updates ,! ,secret>y %all-- 7#a7 p]iodically review1 evaluate1 & update ! model programs & mat]ials develop$ "u subsection 7a72 & 7#b7 dissem9ate ! updat$ model programs & mat]ials4 7c7 ,cont5ts ,! programs & mat]ials develop$ "u subsection 7a7 %all address ! guidance entitl$ ,,hipaa ,privacy ,rule & ,%>+ ,in=mation ,relat$ to ,m5tal ,heal?1 issu$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices on ,febru>y #bj1 #bjad4 7d7 ,coord9ation ,! ,secret>y %all c>ry out ?is section 9 coord9ation ) ! ,director ( ! ,(fice = ,civil ,rights )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 & ! heads ( o!r relevant ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7e7 ,input ( ,c]ta9 ,entities ,9 develop+ ! model programs & mat]ials requir$ "u subsections 7a7 & 7b71 ! ,secret>y %all solicit ! input ( relevant national1 ,/ate1 & local associations1 m$ical societies1 & lic5s+ bo>ds4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #e1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjbb4 #ejd4 ,confid5tiality ( records ,section #edc ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd-#b7 is am5d$ by ins]t+ aft] subsection 7h7 ! foll[+3 7i7 ,/reaml9$ cons5t 9 integrat$ c>e sett+s 7#a7 ,9 g5]al ,= ! %>+ ( records describ$ 9 subsection 7a7 involv+ ! int]*ange ( electronic heal? records 7z def9$ 9 section #acdjj ( division ,a ( ,public ,law #aaa-e7 solely = ! purposes ( improv+ ! provision ( heal? c>e & heal? c>e coord9ation solely )9 acc\ntable c>e organizations describ$ 9 section #ahii ( ! ,social ,security ,act1 heal? in=mation ex*anges 7z def9$ = purposes ( section #cjac71 heal? homes 7z def9$ 9 section #aide7;h77#c7 ( ! ,social ,security ,act71 or o!r integrat$ c>e arrangem5ts 79 exi/5ce be=e1 on1 or aft] ! date ( ! enactm5t ( ! ,m5tal ,heal? ,re=m ,act ( #bjae71 a pati5t's prior writt5 or electronic cons5t = disclosure & re-disclosure ( records may be provid$ annually 9 a g5]aliz$ & revocable =mat to & = all ( ! heal? c>e provid]s 9 ! acc\ntable c>e organization1 heal? in=mation ex*ange1 heal? home1 or o!r integrat$ c>e arrangem5t1 :o are involv$ 9 ! pati5t's c>e4 7#b7 ,disclosure requir$ ,= all o!r disclosures or re-disclosures ( ! records describ$ 9 subsection 7a71 except ^? expressly proscrib$ 9 p>agraph #a1 pati5t cons5t is requir$ to be obta9$ 9 accordance ) ! proc$ures describ$ 9 "p #b ( title #db1 ,code ( ,f$]al ,regulations4 7#c7 ,prohibitions ,x %all be unlawful = any heal? plan or heal? insurance program to use ! records describ$ 9 subsection 7a7 or ?is subsection to d5y or condition ! issuance ( a plan1 policy1 or cov]age on ! basis ( ! cont5ts ( su* records1 or = a heal? c>e provid] to use ! records describ$ 9 subsection 7a7 & ?is section to discrim9ate 9 ! provision ( m$ically necess>y heal? c>e s]vices to an individual :o is ! subject ( su* records4 4 ,,vi ,m$ic>e & ,m$icaid ,re=ms #fja4 ,enhanc$ ,m$icaid cov]age relat+ to c]ta9 m5tal heal? s]vices 7a7 ,m$icaid cov]age ( m5tal heal? s]vices & prim>y c>e s]vices furni%$ on ! same day 7#a7 ,9 g5]al ,section #aijb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is am5d$ by ins]t+ aft] p>agraph 7#gg7 ! foll[+ new p>agraph3 7#gh7 n prohibit paym5t "u ! plan = a m5tal heal? s]vice or prim>y c>e s]vice furni%$ to an individual at a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act or a ,f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa77#d77 = :i* paym5t w\ld o!rwise be payable "u ! plan1 ) respect to su* individual1 if su* s]vice 7 n a same-day qualify+ s]vice 7z def9$ 9 subsection 7ll774 4 7#b7 ,same-day qualify+ s]vices def9$ ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7ll7 ,same-,day qualify+ s]vices def9$ ,= purposes ( subsection 7a77#gh71 ! t]m same-day qualify+ s]vice means-- 7#a7 a prim>y c>e s]vice furni%$ to an individual by a provid] at a facility on ! same day a m5tal heal? s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility2 & 7#b7 a m5tal heal? s]vice furni%$ to an individual by a provid] at a facility on ! same day a prim>y c>e s]vice is furni%$ to su* individual by su* provid] 7or ano!r provid]7 at ! facility4 4 7b7 ,/ate option ,to provide m$ical assi/ance = c]ta9 inpati5t psy*iatric s]vices to noneld]ly adults ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#af7-- 7i7 by /rik+ effective & ins]t+ 7,a7 effective2 & 7ii7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 & 7,b7 qualifi$ inpati5t psy*iatric hospital s]vices 7z def9$ 9 subsection 7h77#c77 = individuals ov] #ba ye>s ( age & "u #fe ye>s ( age2 & 7,b7 9 ! subdivision 7,b7 t foll[s p>agraph 7#bi71 by ins]t+ 7o!r ?an s]vices describ$ 9 subp>agraph 7,b7 ( p>agraph 7#af7 = individuals describ$ 9 su* subp>agraph7 aft] pati5t 9 an in/itution = m5tal diseases2 & 7#b7 9 subsection 7h71 by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,= purposes ( subsection 7a77#af77;,b71 ! t]m qualifi$ inpati5t psy*iatric hospital s]vices' means1 ) respect to individuals describ$ 9 su* subsection1 s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 ( p>agraph 7#a7 t are furni%$ 9 an acute c>e psy*iatric unit 9 a ,/ate-op]at$ psy*iatric hospital or a psy*iatric hospital 7z def9$ section #ahfa7;f77 if su* unit or hospital1 z applicable1 has a facility-wide av]age 7det]m9$ on an annual basis7 l5g? ( /ay ( less ?an #bj days4 4 7c7 ,/udy & report 7#a7 ,/udy ,! ,secret>y %all conduct a /udy to det]m9e ! impact ( ! am5dm5ts made by ?is section on ! ,m$icaid ,,imd exclusion4 7#b7 ,report ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report conta9+ ! results ( ! /udy conduct$ "u p>agraph 7#a74 ,! report %all include ! foll[+ in=mation3 7,a7 ,an assessm5t ( ! level ( ,/ate exp5ditures on %ort-t]m acute inpati5t psy*iatric hospital c>e = :i* no ,f$]al f9ancial p>ticipation is provid$ = ! mo/ rec5t ,/ate fiscal ye> end+ prior to ! effective date ( ! am5dm5ts made by ?is section & an analysis ( ! impact ( ! *anges to ! ,m$icaid ,,imd exclusion made by su* am5dm5ts on ,/ate exp5ditures = su* c>e4 7,b7 ,an assessm5t ( ! ext5t to :i* ,/ates us$ disproportionate %>e hospital paym5t adju/m5ts describ$ 9 section #aibc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7 to fund %ort-t]m acute inpati5t psy*iatric hospital c>e prior to ! effective date ( ! am5dm5ts made by ?is section & an analysis ( ! impact ( ! *anges to ! ,m$icaid ,,imd exclusion made by su* am5dm5ts on ! use ( su* paym5t adju/m5ts to fund su* c>e4 7,c7 ,! total am\nt by :i* ,/ate exp5ditures & ! ext5t to :i* ,/ates use disproportionate %>e hospital paym5t adju/m5ts = %ort-t]m acute inpati5t psy*iatric hospital c>e h be5 r$uc$ due to ! *anges to ! ,m$icaid ,,imd exclusion made by ! am5dm5ts made by ?is section4 7,d7 ,recomm5dations = /rategies to enc\rage ,/ates to re9ve/ sav+s 9 ,/ate exp5ditures & disproportionate %>e hospital paym5t adju/m5ts t result f ! *anges to ! ,m$icaid ,,imd exclusion made by ! am5dm5ts made by ?is section 9 community-bas$ m5tal heal? s]vices4 7#c7 ,def9itions ,= purposes ( ?is subsection3 7,a7 ,m$icaid ,,imd exclusion ,! t]m ,m$icaid ,,imd exclusion means ! prohibition on ,f$]al mat*+ paym5ts "u ,m$icaid = c>e or s]vices provid$ to pati5ts :o h atta9$ age #bb1 b h n atta9$ age #fe1 9 an in/itution = m5tal diseases "u subdivision 7,b7 ( ! matt] foll[+ p>agraph 7#bi7 ( section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a774 7,b7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7,c7 ,%ort-t]m acute inpati5t psy*iatric hospital c>e ,! t]m %ort-t]m acute inpati5t psy*iatric hospital c>e means c>e provid$ 9 ei!r-- 7i7 an acute-c>e psy*iatric unit ) an av]age annual l5g? ( /ay ( few] ?an #bj days t is op]at$ )9 a ,/ate-op]at$ psy*iatric hospital2 or 7ii7 a psy*iatric hospital ) an av]age l5g? ( /ay ( few] ?an #bj days on an annual basis4 7d7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraphs 7#b7 & 7#c71 ! am5dm5ts made by ?is section %all apply to items & s]vices furni%$ aft] ! fir/ day ( ! fir/ cal5d> ye> t beg9s aft] ! date ( ! enactm5t ( ?is section4 7#b7 ,c]tification ( no increas$ sp5d+ ,! am5dm5ts made by ?is section %all n be effective unless ! ,*ief ,actu>y ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices c]tifies t ! inclusion ( qualifi$ inpati5t psy*iatric hospital s]vices 7z def9$ by p>agraph 7#c7 ( section #aije7;h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7h771 z add$ by subsection 7b77 furni%$ to noneld]ly adults z m$ical assi/ance "u section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a771 z am5d$ by subsection 7b71 w\ld n result 9 any increase 9 net program sp5d+ "u title ,,xix ( su* ,act4 7#c7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act1 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan to meet any requirem5t impos$ by am5dm5ts made by ?is section1 ! respective plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is section4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 #fjb4 ,modifications to ,m$ic>e dis*>ge plann+ requirem5ts ,section #ahfa7;ee7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ee77 is am5d$-- 7#a7 9 p>agraph 7#a71 by ins]t+ &1 9 ! case ( a psy*iatric hospital or a psy*iatric unit 7z describ$ 9 ! matt] foll[+ clause 7v7 ( section #ahhf7;d77#a77;,b771 if x also meets ! guidel9es & /&>ds e/abli%$ by ! ,secret>y "u p>agraph 7#d7 be=e ! p]iod at ! end2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#d7 ,! ,secret>y %all develop guidel9es & /&>ds1 9 addition to ^? develop$ "u p>agraph 7#b71 = ! dis*>ge plann+ process ( a psy*iatric hospital or a psy*iatric unit 7z describ$ 9 ! matt] foll[+ clause 7v7 ( section #ahhf7;d77#a77;,b77 9 ord] to ensure a timely & smoo? transition to ! mo/ appropriate type (1 & sett+ =1 po/hospital or rehabilitative c>e4 ,! ,secret>y %all issue f9al regulations implem5t+ su* guidel9es & /&>ds n lat] ?an #bd mon?s aft] ! date ( ! enactm5t ( ?is p>agraph4 ,! guidel9es & /&>ds %all include ! foll[+3 7,a7 ,! hospital or unit mu/ id5tify ! types ( s]vices ne$$ ^u dis*>ge by a pati5t be+ treat$ by ! hospital or unit4 7,b7 ,! hospital or unit mu/-- 7i7 id5tify organizations t (f] community s]vices to ! community t is s]v$ by ! hospital or unit & ! types ( s]vices provid$ by ! organizations2 & 7ii7 make demon/rat$ ef=ts to e/abli% connections1 relation%ips1 & p>tn]%ips ) su* organizations4 7,c7 ,! hospital or unit mu/ arrange 7) ! p>ticipation ( ! pati5t & ( any o!r individuals select$ by ! pati5t = su* purpose7 = ! developm5t & implem5tation ( a dis*>ge plan = ! pati5t z "p ( ! pati5t's ov]all treatm5t plan f admission to dis*>ge4 ,su* dis*>ge plan %all meet ! requirem5ts describ$ 9 subp>agraphs 7,g7 & 7,h7 ( p>agraph 7#b74 7,d7 ,! hospital or unit %all coord9ate ) ! pati5t 7or assi/ ! pati5t )7 ! ref]ral = po/hospital or rehabilitative c>e & z "p ( t ref]ral ! hospital or unit %all include transmitt+ to ! receiv+ organization1 9 a timely mann]1 appropriate in=mation ab\t ! c>e furni%$ to ! pati5t by ! hospital or unit & recomm5dations = po/hospital or rehabilitative c>e to be furni%$ to ! pati5t by ! organization4 4 ,,vii ,rese>* by ,national ,in/itute ( ,m5tal ,heal? #gja4 ,increase 9 fund+ = c]ta9 rese>* ,section #djb;,a7a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhb;a7a77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,fund+ = ! bra9 initiative at ! national in/itute ( m5tal heal? 7,a7 ,fund+ ,9 addition to am\nts made available pursuant to p>agraphs 7#a7 & 7#b71 !re are au?oriz$ to be appropriat$ to ! ,national ,in/itute ( ,m5tal ,heal? = ! purposes describ$ 9 subp>agraph 7,b7 #dj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 7,b7 ,purposes ,am\nts appropriat$ pursuant to subp>agraph 7,a7 %all be us$ exclusively = ! purpose ( conduct+ or support+-- 7i7 rese>* on ! det]m9ants ( self- & o!r direct$-viol5ce 9 m5tal illness1 includ+ /udies direct$ at r$uc+ ! risk ( self h>m1 suicide1 & int]p]sonal viol5ce2 or 7ii7 bra9 rese>* ?r\gh ! ,bra9 ,rese>* ?r\gh ,advanc+ ,innovative ,neurote*nologies ,initiative4 4 ,,viii ,,samhsa reau?orization & re=ms ,a ,organization & g5]al au?orities #hja4 ,pe] review 7a7 ,section #eja7;h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa7h77 is am5d$ by ins]t+ at ! end ! foll[+3 ,9 ! case ( any su* pe]-review gr\p t is review+ a proposal or grant relat$ to m5tal illness1 no few] ?an half ( ! memb]s ( ! gr\p %all h a m$ical degree1 a doctoral degree 9 psy*ology1 or advanc$ degree 9 nurs+ or social "w f an accr$it$ graduate s*ool1 & %all specialize 9 ! m5tal heal? field44 7b7 ,section #ejd ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#c7 is am5d$ by add+ at ! end ( subsection 7b7 ! foll[+3 ,at lea/ half ( ! memb]s ( any pe]-review gr\p e/abli%$ "u subsection 7a7 %all h a m$ical degree1 a doctoral degree 9 psy*ology1 or advanc$ degree 9 nurs+ or social "w f an accr$it$ graduate s*ool1 & %all specialize 9 ! m5tal heal? field44 #hjb4 ,advisory c\ncils ,p>agraph 7#c7 ( section #ejb7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa-#a7;b77 is am5d$ by add+ at ! end ! foll[+3 7,c7 ,n few] ?an half ( ! memb]s ( ! gr\p %all h a m$ical degree1 a doctoral degree 9 psy*ology1 or advanc$ degree 9 nurs+ or social "w f an accr$it$ graduate s*ool & %all specialize 9 ! m5tal heal? field4 7,d7 ,ea* advisory committee %all include at lea/ "o memb] ( ! ,national ,in/itute ( ,m5tal ,heal? & #a memb] f any ,f$]al ag5cy t has a program s]v+ a simil> population4 4 #hjc4 ,grants = jail div]sion programs reau?orization ,section #ebj;,g7i7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ch7;i77 is am5d$ by /rik+ #aj1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = fiscal ye>s #bjjb ?r\gh #bjjc & ins]t+ #e1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #hjd4 ,projects = assi/ance 9 transition f homelessness ,section #ece7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;cc-#ce7;a77 is am5d$ by /rik+ #ge1jjj1jjj = ea* ( ! fiscal ye>s #bjja ?r\gh #bjjc & ins]t+ #fe1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #hje4 ,compreh5sive community m5tal heal? s]vices = *ildr5 ) s]i\s emotional di/urbances ,section #efe ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ff-#d7 is am5d$-- 7#a7 9 subsection 7b77#a71 by /rik+ receiv+ a grant "u section #efa7;a7 & ins]t+ 7irrespective ( :e!r ! public entity is 9 receipt ( a grant "u section #efa7;a772 7#b7 9 subsection 7b77#a77;,b71 by /rik+ pursuant to section #efb & ins]t+ describ$ 9 section #efb2 & 7#c7 9 subsection 7f77#a71 by /rik+ #ajj1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ #aag1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 #hjf4 ,reau?orization ( priority m5tal heal? ne$s ( regional & national significance ,section #ebj;,a7f77#a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cb7;f77#a77 is am5d$ by /rik+ #cjj1jjj1jjj = fiscal ye> #bjja1 & su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjjb & #bjjc & ins]t+ #cgj1jjj1jjj = ea* ( fiscal ye>s #bjag ?r\gh #bjba4 ,,ix ,m5tal heal? p>ity #ija4 ,,gao /udy on prev5t+ discrim9atory cov]age limitations = individuals ) s]i\s m5tal illness & sub/ance use disord]s ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates1 9 consultation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 ! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury1 %all submit to ,congress a report detail+ ! ext5t to :i* cov]$ gr\p heal? plans 7or heal? insurance cov]age (f]$ 9 connection ) su* plans71 includ+ ,m$icaid manag$ c>e plans "u section #aijc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b71 comply ) ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc7 79 ?is section ref]r$ to z ! law71 includ+-- 7#a7 h[ nonquantitative treatm5t limitations1 includ+ m$ical necessity crit]ia1 ( cov]$ gr\p heal? plans comply ) ! law2 7#b7 h[ ! responsible ,f$]al dep>tm5ts & ag5cies ensure t plans comply ) ! law2 & 7#c7 h[ prop] en=cem5t1 education1 & coord9ation activities )9 responsible ,f$]al dep>tm5ts & ag5cies c be us$ to ensure full compliance ) ! law1 includ+ educational activities direct$ to ,/ate insurance commission]s4 #ijb4 ,report on inve/igations reg>d+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 ! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices1 9 collaboration ) ! ,assi/ant ,secret>y ( ,labor ( ! ,employee ,b5efits ,security ,adm9i/ration & ! ,secret>y ( ! ,treasury1 & 9 consultation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use ,disord]s1 %all submit to ,congress a report-- 7#a7 id5tify+ ,f$]al inve/igations conduct$ or complet$ dur+ ! prec$+ #ab-mon? p]iod reg>d+ compliance ) p>ity 9 m5tal heal? & sub/ance use disord] b5efits1 includ+ b5efits provid$ to p]sons ) s]i\s m5tal illness & sub/ance use disord]s1 "u ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh 7subtitle ,b ( title ,v ( division ,c ( ,public ,law #aaj-cdc72 & 7#b7 summ>iz+ ! results ( su* inve/igations4 7b7 ,cont5ts ,subject to subsection 7c71 ea* report "u subsection 7a7 %all include ! foll[+ in=mation3 7#a7 ,! numb] ( inve/igations op5$ & clos$ dur+ ! cov]$ report+ p]iod4 7#b7 ,! b5efit classification or classifications exam9$ by ea* inve/igation4 7#c7 ,! subject matt] or subject matt]s ( ea* inve/igation1 includ+ quantitative & nonquantitative treatm5t limitations4 7#d7 ,a summ>y ( ! basis ( ! f9al decision r5d]$ = ea* inve/igation4 7c7 ,limitation ,individually id5tifiable in=mation %all be exclud$ f reports "u subsection 7a7 consi/5t ) ,f$]al privacy protections4 #ijc4 ,/r5g!n+ p>ity 9 m5tal heal? & sub/ance use disord] b5efits ,section #bgbf7;a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,disclosure & en=cem5t requirem5ts 7,a7 ,disclosure requirem5ts 7i7 ,regulations ,n lat] ?an ,m>* #a1 #bjaf1 ! ,secret>y1 9 coop]ation ) ! ,secret>y ( ,labor & ! ,secret>y ( ! ,treasury %all issue additional regulations or sub-regulatory guidance = c>ry+ out ?is section1 includ+ an explanation ( docum5ts t are requir$ to be disclos$1 & analyses t are requir$ to be conduct$1 includ+ h[ non-quantitative treatm5t limitations are appli$ to m5tal heal? or sub/ance use disord] b5efits & m$ical or surgical b5efits cov]$ "u ! plan1 by a gr\p heal? plan 7or heal? insurance issu]7 (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket 9 ord] = su* plan or issu] to demon/rate compliance ) ! provisions ( ?is section4 ,! disclosure requirem5ts %all include a report detail+ ! specific analyses p]=m$ to develop a compliance review ( ! requirem5ts ( ! ,paul ,well/one & ,pete ,dom5ici ,m5tal ,heal? ,p>ity & ,addiction ,equity ,act ( #bjjh1 includ+ ! am5dm5ts made by su* ,act4 ,) respect to non-quantitative treatm5t limitations1 ?is report %all-- 7,i7 id5tify ! specific factors us$ by ! plan 9 p]=m+ its non-quantitative treatm5t limitations analysis2 7,,ii7 id5tify & def9e ! specific evid5ti>y /&>ds reli$ on to evaluate ! factors2 7,,iii7 describe h[ ! evid5ti>y /&>ds 7 appli$ to ea* s]vice category2 7,,iv7 disclose ! results ( ! analyses ( ! specific evid5ti>y /&>ds 9 ea* s]vice category2 & 7,v7 disclose ! plan's specific f9d+s 9 ea* s]vice category & ! conclusions rea*$ ) respect to compliance ) comp>ability & /r+5cy ( application te/s "u ! non-quantitative treatm5t limitations rule4 7ii7 ,guidance ,! ,secret>y1 9 coop]ation ) ! ,secret>y ( ,labor & ! ,secret>y ( ! ,treasury %all issue guidance to gr\p heal? plans & heal? insurance issu]s (f]+ heal? insurance cov]age 9 ! gr\p or individual m>kets on h[ to satisfy ! requirem5ts ( ?is section ) respect to mak+ in=mation1 includ+ c]tificate ( cov]age docum5ts & in/rum5ts "u :i* ! plan is adm9i/]$ & op]at$ t specify1 include1 or ref] to proc$ures1 =mulas1 & me?odologies appli$ to det]m9e a p>ticipant or b5efici>y's b5efit "u ! plan1 reg>dless ( :e!r su* in=mation is conta9$ 9 a docum5t designat$ z ! plan docum5t available to curr5t & pot5tial p>ticipants & b5efici>ies4 ,?is guidance %all include plan disclosure ( h[ ! plan has met ! #b-"p te/ "u ! non-quantitative treatm5t limitations rule ( comp>ability & /r+5cy 9 application4 7,b7 ,en=cem5t 7i7 ,process = compla9ts ,! ,secret>y1 9 coop]ation ) ! ,secret>y ( ,labor & ! ,secret>y ( ! ,treasury1 z appropriate1 %all1 ) respect to gr\p heal? plans & heal? insurance issu]s (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket1 issue guidance to cl>ify ! process & timel9e = curr5t & pot5tial p>ticipants & b5efici>ies & _! au?oriz$ repres5tatives & provid]s ) respect to su* plans & cov]age to file =mal compla9ts ( su* plans or issu]s be+ 9 violation ( ?is section1 includ+ guidance on ! relevant individual ,/ate1 regional1 & national (fices ) :i* su* claims %\ld be fil$ by plan type4 7ii7 ,au?ority = public en=cem5t ,! ,secret>y %all make available to ! public de-id5tifi$ in=mation on audits & inve/igations ( gr\p heal? plans & heal? insurance issu]s conduct$ "u ?is section4 7iii7 ,audits 7,i7 ,r&omiz$ audits ,! ,secret>y is au?oriz$ to conduct r&omiz$ audits ( gr\p heal? plans & heal? insurance issu]s (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket to det]m9e compliance ) ?is section4 ,su* audits %all be conduct$ on no few] ?an #ab plans & issu]s p] plan ye>4 ,! in=mation %all be made pla9ly available on ! public ,int]net websites ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices & ! ,dep>tm5t ( ,labor4 7,,ii7 ,additional audits ,9 ! case ( a gr\p heal? plan or heal? insurance issu] (f]+ heal? insurance cov]age 9 ! gr\p or individual m>ket ) respect to :i* at lea/ #e sub/antiat$ claims ( ! same type ( non-compliance ) ?is section h be5 fil$ dur+ a plan ye>1 ! ,secret>y %all audit plan docum5ts to det]m9e compliance ) ?is section4 ,in=mation detail+ ! results ( ! audit %all be made available on ! public ,int]net website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 4