,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #bccf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #c1 #bjag,mr4    
,loebsack 7= himself & ,mr4 ,tonko7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to au?orize a prim>y &     
behavioral heal? c>e integration grant  
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,behavioral ,heal? ,c>e     
,integration ,act ( #bjag4  #b4 ,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 ,! ,secret>y %all e/abli% a
 prim>y & behavioral heal? c>e          
integration grant program4 ,! ,secret>y 
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]+ behavioral & 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         
behavioral 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 & 
sub/ance use disord] & 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$ical doctors1  
su* z a prim>y c>e physician & a        
psy*iatri/2  7,b7 lic5s$ cl9ical        
behavioral heal? pr(essionals1 su* z    
psy*ologi/s or social work]s2  7,c7 a   
case manag]2 &  7,d7 o!r memb]s1 su* z  
psy*iatric advanc$ practice nurses1     
physician assi/ants1 pe]-support        
speciali/s or o!r alli$ heal?           
pr(essionals1 su* z m5tal heal?         
c\nselors4  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  7,d7 old]
 adults ) m5tal illness :o h co-occurr+ 
prim>y c>e conditions ) *ronic          
conditions2  7,e7 individuals ) sub/ance
 use disord]2 or  7,f7 individuals f    
populations = :i* !re is a significant  
disp>ity 9 ! quality1 outcomes1 co/1 or 
use ( m5tal heal? or sub/ance use       
disord] s]vices or a significant        
disp>ity 9 access to su* s]vices1 z     
comp>$ to ! g5]al population1 su* z     
racial & e?nic m9orities & rural        
populations4  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 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$ic>e ,act ( #bjad2 or     
7#b7 ! m5tal heal? /atus ( individuals )
 significant co-occurr+ psy*iatric &    
physical conditions w be support$ ?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 ,/ate ,m$icaid ag5cy1  
or lic5s$ heal? c>e provid] or          
in/itution4 ,! ,adm9i/rator may 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 su* z-- 
7,a7 ) respect to individuals ) s]i\s   
m5tal illness1 p>ticipation 9 supportive
 h\s+ or indep5d5t liv+ programs1       
engagem5t 9 social or education         
activities1 p>ticipation 9 job tra9+ or 
employm5t opportunities1 att5dance at   
s*$ul$ m$ical & m5tal heal? appo9tm5ts1 
& compliance ) treatm5t plans2  7,b7 )  
respect to individuals ) co-occurr+     
m5tal illness & prim>y c>e conditions & 
*ronic diseases1 att5dance at s*$ul$    
m$ical & m5tal heal? appo9tm5ts1        
compliance ) treatm5t plans1 &          
p>ticipation 9 le>n+ opportunities      
relat$ 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$ical & m5tal heal? appo9tm5ts1        
compliance ) treatm5t plans1 &          
p>ticipation 9 le>n+ opportunities at   
s*ool & extracurricul> activities4  7i7 
,te*nical assi/ance c5t] =              
prim>y-,behavioral heal? c>e integration
  7#a7 ,9 g5]al ,! ,secret>y %all       
e/abli% a program ?r\gh :i* su*         
,secret>y %all provide appropriate      
in=mation1 tra9+1 & te*nical assi/ance  
to eligible entities t receive a grant  
or coop]ative agreem5t "u ?is section1 9
 ord] to help su* entities to meet !    
requirem5ts ( ?is section1 includ+      
assi/ance )--  7,a7 developm5t &        
selection ( integrat$ 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 ! ,secret>y      
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 ! ,secret>y 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 #bjah   
?r\gh #bjbb1 ( :i* #b1jjj1jjj %all be   
available to ! te*nical assi/ance       
program "u subsection 7i74  4