,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cibf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #c1 #bjag,mr4 
,bilirakis 7= himself & ,ms4 ,/efanik7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to provide = an ext5sion =     
community heal? c5t]s1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,community ,coord9ation ,& ,res\rce 
,emp[]m5t ,act or ! ,community ,,c>e    
,act4  #b4 ,ext5sion = community heal?  
c5t]s  7a7 ,community heal? c5t]s fund+ 
,section #ajejc7;b77#a77;,e7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act 7#db 
,u4,s4,c4 #bed;b-#b7;b77#a77;,e77 is    
am5d$ by /rik+ #bjag & ins]t+ #bjai4    
7b7 ,o!r community heal? c5t]s          
provisions ,section #ccj ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bed;b7 is am5d$-- 7#a7 9 subsection    
7b77#a77;,a77ii71 by /rik+ abuse &      
ins]t+ use disord]2  7#b7 9 subsection  
7b77#b77;,a71 by /rik+ abuse & ins]t+   
use disord]2  7#c7 9 subsection 7c7--   

7,a7 by /rik+ subp>agraphs 7,b7 ?r\gh   
7,d72  7,b7 by /rik+ 7#a7 ,9 g5]al & all
 t foll[s ?r\gh ,! ,secret>y & ins]t+ ! 
foll[+3  7#a7 ,c5t]s ,! ,secret>y  2 &  
7,c7 9 su* p>agraph 7#a71 z am5d$1 by   
r$esignat+ clauses 7i7 ?r\gh 7v7 z      
subp>agraphs 7,a7 ?r\gh 7,e7 & mov+ !   
m>g9 ( ea* ( su* r$esignat$ subp>agraph 
#b ems to ! left2  7#d7 by /rik+        
subsection 7d7 & ins]t+ ! foll[+3  7d7  
,improv+ quality ( c>e  7#a7            
,supplem5tal aw>ds ,! ,secret>y may aw>d
 supplem5tal grant funds to heal? c5t]s 
fund$ "u ?is section to implem5t        
evid5ce-bas$ models = increas+ access to
 high-quality prim>y c>e s]vices1 :i*   
may include models relat$ to--  7,a7    
improv+ ! deliv]y ( c>e = individuals ) 
multiple *ronic conditions2  7,b7       
work=ce configuration2  7,c7 r$uc+ ! co/
 ( c>e2  7,d7 enhanc+ c>e coord9ation2  
7,e7 exp&+ ! use ( teleheal? & te*nology
 enabl$ collaborative le>n+ & capacity  
build+ models2  7,f7 c>e integration1   
includ+ integration ( behavioral heal?1 

m5tal heal?1 or sub/ance use disord]    
s]vices2 &  7,g7 address+ em]g+ public  
heal? or sub/ance use disord] issues to 
meet ! heal? ne$s ( ! population s]v$ by
 ! heal? c5t]4  7#b7 ,su/a9ability ,9   
mak+ supplem5tal aw>ds "u ?is           
subsection1 ! ,secret>y may consid] :e!r
 ! heal? c5t] involv$ has submitt$ a    
plan = cont9u+ ! activities fund$ "u ?is
 subsection aft] supplem5tal fund+ is   
exp5d$4  7#c7 ,special consid]ation ,!  
,secret>y may give special consid]ation 
to applications = supplem5tal fund+ "u  
?is subsection t seek to address        
significant b>ri]s to access to c>e 9   
areas ) a great] %ortage ( heal? c>e    
provid]s & heal? s]vices relative to !  
national av]age4  2  7#e7 9 subsection  
7e77#a7-- 7,a7 9 subp>agraph 7,b7--  7i7
 by /rik+ #b ye>s & ins]t+ #a ye>2 &    
7ii7 by add+ at ! end ! foll[+3 ,!      
,secret>y %all n make a grant "u ?is    
p>agraph unless ! applicant provides    
assurances to ! ,secret>y t )9 #abj days
 ( receiv+ grant fund+ = ! op]ation ( ! 

heal? c5t]1 ! applicant w submit1 =     
approval by ! ,secret>y1 an             
implem5tation plan to meet ! requirem5ts
 ( subsection 7l77#c74 ,! ,secret>y may 
ext5d su* #abj-;day p]iod = a*iev+      
compliance ^u a demon/ration ( good     
cause by ! heal? c5t]42 &  7,b7 9       
subp>agraph 7,c7-- 7i7 9 ! subp>agraph  
head+1 by /rik+ & plans2  7ii7 by /rik+ 
or plan 7z describ$ 9 subp>agraphs 7,b7 
& 7,c7 ( subsection 7c77#a772  7iii7 by 
/rik+ or plan1 includ+ ! pur*ase &      
ins]t+ ! foll[+3 8includ+--  7i7 !      
pur*ase  2  7iv7 by ins]t+ 1 :i* may    
include data & in=mation sy/ems aft] (  
equipm5t2  7v7 by /rik+ ! p]iod at ! end
 & ins]t+ a semicolon2 &  7vi7 by add+  
at ! end ! foll[+3  7ii7 ! provision (  
tra9+ & te*nical assi/ance2 &  7iii7 o!r
 activities t--  7,i7 r$uce co/s        
associat$ ) ! provision ( heal? s]vices2
  7,,ii7 improve access to1 &           
availability (1 heal? s]vices provid$ to
 individuals s]v$ by ! c5t]s2  7,,iii7  
enhance ! quality & coord9ation ( heal? 

s]vices2 or  7,,iv7 improve ! heal?     
/atus ( communities4  2  7#f7 9         
subsection 7e77#e77;,b71 by /rik+ &     
subp>agraphs 7,b7 & 7,c7 ( subsection   
7c77#a7 to a heal? c5t] or to a network 
or plan & ins]t+ to a heal? c5t]2  7#g7 
by /rik+ subsection 7s72  7#h7 by       
r$esignat+ subsections 7g7 ?r\gh 7r7 z  
subsections 7h7 ?r\gh 7s71 respectively2
  7#i7 by ins]t+ aft] subsection 7f71 ! 
foll[+3  7g7 ,new access po9ts & exp&$  
s]vices  7#a7 ,approval ( new access    
po9ts  7,a7 ,9 g5]al ,! ,secret>y may   
approve applications = grants "u        
subp>agraph 7,a7 or 7,b7 ( subsection   
7e77#a71 subsection 7h71 subsection 7i71
 & subsection 7j7 to e/abli% new deliv]y
 sites4  7,b7 ,special consid]ation ,9  
c>ry+ out subp>agraph 7,a71 ! ,secret>y 
may give special consid]ation to        
applicants t h demon/rat$ ! new deliv]y 
site w be locat$ )9 a sp>sely populat$  
area1 or an area :i* has a level ( unmet
 ne$ t is high] relative to o!r         
applicants4  7,c7 ,consid]ation (       

applications ,9 c>ry+ subp>agraph 7,a71 
! ,secret>y %all approve applications = 
grants "u subp>agraphs 7,a7 & 7,b7 (    
subsection 7e77#a7 9 su* a mann] t !    
ratio ( ! m$ically und]s]v$ populations 
9 rural areas :i* may be expect$ to use 
! s]vices provid$ by ! applicants       
involv$ to ! m$ically und]s]v$          
populations 9 urban areas :i* may be    
expect$ to use ! s]vices provid$ by !   
applicants is n less ?an two to ?ree or 
great] ?an ?ree to two4  7,d7 ,s]vice   
area ov]lap ,if 9 c>ry+ out subp>agraph 
7,a7 ! applicant proposes to s]ve an    
area t is curr5tly s]v$ by ano!r heal?  
c5t] fund$ "u ?is section1 ! ,secret>y  
may consid] :e!r ! aw>d ( fund+ to an   
additional heal? c5t] 9 ! area c be     
ju/ifi$ bas$ on ! unmet ne$ = additional
 s]vices )9 ! cat*m5t area4  7#b7       
,approval ( exp&$ s]vice applications   
7,a7 ,9 g5]al ,! ,secret>y may approve  
applications = grants "u subp>agraph    
7,a7 or 7,b7 ( subsection 7e77#a7 to    
exp& ! capacity ( ! applicant to provide

 requir$ prim>y heal? s]vices describ$ 9
 subsection 7b77#a7 or additional heal? 
s]vices describ$ 9 subsection 7b77#b74  
7,b7 ,priority expansion projects ,9    
c>ry+ out subp>agraph 7,a71 ! ,secret>y 
may give special consid]ation to exp&$  
s]vice applications t seek to address   
em]g+ public heal? or behavioral heal?1 
m5tal heal?1 or sub/ance abuse issues   
?r\gh increas+ ! availability (         
additional heal? s]vices describ$ 9     
subsection 7b77#b7 9 an area 9 :i* !re  
are significant b>ri]s to access+ c>e4  
7,c7 ,consid]ation ( applications ,9    
c>ry+ out subp>agraph 7,a71 ! ,secret>y 
%all approve applications = applicants 9
 su* a mann] t ! ratio ( ! m$ically     
und]s]v$ populations 9 rural areas :i*  
may be expect$ to use ! s]vices provid$ 
by ! applicants involv$ to ! m$ically   
und]s]v$ populations 9 urban areas :i*  
may be expect$ to use ! s]vices provid$ 
by su* applicants is n less ?an two to  
?ree or great] ?an ?ree to two4  2      
7#aj7 9 subsection 7i7 7z s             

r$esignat$7-- 7,a7 9 p>agraph 7#a71 by  
/rik+ & *ildr5 & y\? at risk (          
homelessness & ins]t+ 1 *ildr5 & y\? at 
risk ( homelessness1 homeless vet]ans1 &
 vet]ans at risk ( homelessness2 &  7,b7
 9 p>agraph 7#e7-- 7i7 by /rik+         
subp>agraph 7,b72  7ii7 by r$esignat+   
subp>agraph 7,c7 z subp>agraph 7,b72 &  
7iii7 9 subp>agraph 7,b7 7z s           
r$esignat$7--  7,i7 9 ! subp>agraph     
head+1 by /rik+ abuse & ins]t+ use      
disord]2 &  7,,ii7 by /rik+ abuse &     
ins]t+ use disord]2  7#aa7 9 subsection 
7l7 7z s r$esignat$7-- 7,a7 9 p>agraph  
7#b7--  7i7 9 ! p>agraph head+1 by      
ins]t+ unmet be=e ne$2  7ii7 9 ! matt]  
prec$+ subp>agraph 7,a71 by ins]t+ & an 
application = a grant "u subsection 7g7 
aft] subsection 7e77#a72  7iii7 9       
subp>agraph 7,a71 by ins]t+ unmet be=e  
ne$ = heal? s]vices2  7iv7 9 subp>agraph
 7,b71 by /rik+ & at ! end2  7v7 9      
subp>agraph 7,c71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7vi7 by add+ aft]  
subp>agraph 7,c7 ! foll[+3  7,d7 9 !    

case ( an application = a grant pursuant
 to subsection 7g77#a71 a demon/ration t
 ! applicant has consult$ ) appropriate 
,/ate & local gov]nm5t ag5cies1 & heal? 
c>e provid]s reg>d+ ! ne$ = ! hea?      
s]vices to be provid$ at ! propos$      
deliv]y site4  2  7,b7 9 p>agraph 7#c7--
 7i7 9 ! matt] prec$+ subp>agraph 7,a71 
by ins]t+ or subsection 7g7 aft]        
subsection 7e77#a77;,b72  7ii7 9        
subp>agraph 7,b71 by /rik+ 9 ! cat*m5t  
area ( ! c5t] & ins]t+ 1 includ+ o!r    
heal? c>e provid]s t provide c>e )9 !   
cat*m5t area1 local hospitals1 &        
specialty provid]s 9 ! cat*m5t area ( ! 
c5t]1 to provide access to s]vices n    
available ?r\gh ! heal? c5t] & to r$uce 
! non-urg5t use ( hospital em]g5cy      
dep>tm5ts2  7iii7 9 subp>agraph         
7,h77ii71 by ins]t+ :o %all be directly 
employ$ by ! c5t] aft] approves !       
selection ( a director = ! c5t]2  7iv7 9
 subp>agraph 7,l71 by /rik+ & at ! end2 
7v7 9 subp>agraph 7,m71 by /rik+ ! p]iod
 & ins]t+ 2 &2 &  7vi7 by ins]t+ aft]   

subp>agraph 7,m71 ! foll[+3  7,n7 ! c5t]
 has writt5 policies & proc$ures 9 place
 to ensure ! appropriate use ( ,f$]al   
funds 9 compliance ) applicable ,f$]al  
/atutes1 regulations1 & ! t]ms &        
conditions ( ! ,f$]al aw>d4  2 &  7,c7  
by /rik+ p>agraph 7#d72  7#ab7 9        
subsection 7m7 7z s r$esignat$71 by add+
 at ! end ! foll[+3 ,funds exp5d$ to    
c>ry out activities "u ?is subsection & 
op]ational support activities "u        
subsection 7n7 %all n exce$ ?ree p]c5t (
 ! am\nt appropriat$ = ?is section = !  
fiscal ye> involv$42  7#ac7 9 subsection
 7q7 7z s r$esignat$71 by /rik+ grants =
 new heal? c5t]s "u subsections 7c7 &   
7e7 & ins]t+ op]at+ grants "u subsection
 7e71 applications = new access po9ts & 
exp&$ s]vice pursuant to subsection 7g72
  7#ad7 9 subsection 7r77#d7 7z s       
r$esignat$71 by add+ at ! end ! foll[+3 
,a waiv] provid$ by ! ,secret>y "u ?is  
p>agraph may n rema9 9 effect = m ?an #a
 ye> & may n be ext5d$ aft] su* p]iod4  
,an entity may n receive m ?an "o waiv] 

"u ?is p>agraph 9 consecutive ye>s42 &  
7#ae7 9 subsection 7s77#c7 7z s         
r$esignat$7-- 7,a7 by /rik+ appropriate 
committees ( ,congress a report conc]n+ 
! di/ribution ( funds "u ?is section &  
ins]t+ ! foll[+3 8,committee on ,heal?1 
,education1 ,labor1 & ,p5sions ( !      
,s5ate1 & ! ,committee on ,en]gy &      
,comm]ce ( ! ,h\se ( ,repres5tatives1 a 
report includ+1 at a m9imum--  7,a7 !   
di/ribution ( funds = c>ry+ out ?is     
section  2  7,b7 by /rik+ populations4  
,su* report %all include an assessm5t & 
ins]t+ ! foll[+3 8populations2  7,b7 an 
assessm5t  2  7,c7 by /rik+ & !         
rationale = any sub/antial *anges 9 !   
di/ribution ( funds4 & ins]t+ a         
semicolon2 &  7,d7 by add+ at ! end !   
foll[+3  7,c7 ! di/ribution ( aw>ds &   
fund+ = new or exp&$ s]vices 9 ea* (    
rural areas & urban areas2  7,d7 !      
di/ribution ( aw>ds & fund+ = e/abli%+  
new access po9ts1 & ! numb] ( new access
 po9ts creat$2  7,e7 ! am\nt ( unexp5d$ 
fund+ = loan gu>antees & loan gu>antee  

au?ority "u title ,,xvi2  7,f7 !        
rationale = any sub/antial *anges 9 !   
di/ribution ( funds2  7,g7 ! rate (     
closures = heal? c5t]s & access po9ts2  
7,h7 ! numb] & reason = any grants aw>d$
 pursuant to subsection 7e77#a77;,b72 & 
7,i7 ! numb] & reason = any waiv]s      
provid$ pursuant to subsection 7r77#d74 
4  7c7 ,application ,am\nts appropriat$ 
pursuant to ?is section = fiscal ye>    
#bjah or #bjai are subject to !         
requirem5ts conta9$ 9 ,public ,law      
#aae-ca = funds = programs au?oriz$ "u  
sections #ccj ?r\gh #cdj ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bed;b-#bef74  7d7 ,con=m+ am5dm5ts     
,section #cjad7;h7 ( title #ah1 ,unit$  
,/ates ,code1 is am5d$-- 7#a7 9 p>agraph
 7#a71 by /rik+ 1 z am5d$ by section    
#bba ( ! ,m$ic>e ,access & ,,*ip        
,reau?orization ,act ( #bjae12 &  7#b7 9
 p>agraph 7#d71 by ins]t+ & section     
#aja7;d7 ( ! ,,c>e ,act aft] section    
#bba7;c7 ( ! ,m$ic>e ,access & ,,*ip    
,reau?orization ,act ( #bjae4