,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #cbgb  ,,in ,,the ,,house ,,of  
,,representatives  ,june #ac1 #bjai,mr4 
,hastings 7for himself1 ,ms4 ,lee of    
,california1 ,ms4 ,jackson ,lee1 ,mr4   
,mc,govern1 ,mr4 ,cohen1 ,ms4 ,norton1  
and ,mr4 ,gomez7 introduced the         
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend the ,public ,health
 ,service ,act to establish a grant     
program to place in permanent supportive
 housing1 and provide supportive        
services1 to individuals who have       
physical or mental health conditions or 
substance use disorders and are         
chronically homeless or at risk of      
becoming chronically homeless1 and for  
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,services for  
,ending ,long-,term ,homelessness ,act4 
#b4 ,findings ,congress makes the       
following findings3  7#a7 ,point-in-time
 data collected by the ,department of   
,housing and ,urban ,development in     

#bjah found that1 nationally1 on any    
given night1 there are approximately    
#if1iac people who are experiencing     
chronic homelessness4 ,chronically      
homeless people often live in shelters  
or on the streets for years at a time1  
experience repeated episodes of         
homelessness without achieving housing  
stability1 or cycle between             
homelessness1 jails1 mental health      
facilities1 and hospitals4  7#b7 ,in    
#bjjc1 the ,new ,freedom ,commission on 
,mental ,health recommended the         
development and implementation of a     
comprehensive plan designed to          
facilitate access to #aej1jjj units of  
permanent supportive housing for        
consumers and families who are          
chronically homeless4 ,the ,commission  
found that affordable housing alone is  
insufficient for many people with severe
 mental illness1 and that flexible1     
mobile1 individualized support services 
are also necessary to support and       
sustain consumers in their housing4     

7#c7 ,the ,united ,states ,interagency  
,council on ,homelessness 7,,usich71    
originally authorized by title ,,ii of  
the ,mc,kinney-,vento ,homeless         
,assistance ,act 7#db ,u4,s4,c4 #aacaa  
et seq47 and reauthorized by the        
,homeless ,emergency ,assistance and    
,rapid ,transition to ,housing          
7,,hearth7 ,act of #bjji 7division ,b of
 ,public ,law #aaa-bb71 is responsible  
for coordinating the ,federal response  
to homelessness in cooperation with the 
,secretaries and senior leaders of the  
#ai ,federal member agencies4 ,since the
 ,,usich's implementation of ,opening   
,doors3 ,federal ,strategic ,plan to    
,prevent and ,end ,homelessness1 chronic
 homelessness in the ,united ,states has
 been reduced by #ah percent4  7#d7     
,research indicates that permanent      
supportive housing is a cost-effective  
solution to chronic homelessness that   
leads to improved residential stability 
and reduction in psychiatric symptoms4  
,studies have also shown that supportive

 housing is associated with significant 
reductions in costs for emergency room  
visits1 hospitalizations1 shelters1     
sobering centers1 jails1 and other      
public services used by people          
experiencing homelessness4  7#e7 ,by    
implementing permanent supportive       
housing1 communities are making progress
 toward ending chronic homelessness4    
#c4 ,duties of ,assistant ,secretary for
 ,mental ,health and ,substance ,use    
,section #eja7;d7 of the ,public ,health
 ,service ,act 7#db ,u4,s4,c4           
#bij;aa7d77 is amended--  7#a7 in       
paragraph 7#bd71 by striking and at the 
end2  7#b7 in paragraph 7#be71 by       
striking the period and inserting 2 and2
 and  7#c7 by adding at the end the     
following3  7#bf7 collaborate with      
,federal departments and programs that  
are part of the ,united ,states         
,interagency ,council on ,homelessness1 
particularly the ,department of ,housing
 and ,urban ,development1 the           
,department of ,labor1 and the          

,department of ,veterans ,affairs1 and  
with other agencies within the          
,department of ,health and ,human       
,services1 particularly the ,health     
,resources and ,services                
,administration1 the ,administration for
 ,children and ,families1 and the       
,centers for ,medicare  ,medicaid       
,services1 to design national strategies
 for providing services in supportive   
housing that will assist in ending      
chronic homelessness and to implement   
programs that address chronic           
homelessness4  4  #d4 ,grants for       
services for chronically homeless       
individuals and families in supportive  
housing  7a7 ,in general ,title ,v of   
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bij;aa et seq471 as amended  
by subsection 7b71 is further amended by
 adding at the end the following3  ,l   
,grants for ,services to end chronic    
homelessness  #eih4 ,grants for         
,services to end chronic homelessness   
7a7 ,in general  7#a7 ,grants ,the      

,secretary shall make grants to entities
 described in paragraph 7#b7 for        
projects--  7,a7 to place in permanent  
supportive housing-- 7i7 individuals who
 have physical or mental health         
conditions or substance use disorders   
and are chronically homeless or at risk 
of becoming chronically homeless2 and   
7ii7 their families2 and  7,b7 to       
provide the supportive services         
described in subsection 7d7 to such     
individuals and their families4  7#b7   
,eligible entities ,for purposes of     
paragraph 7#a71 an entity described in  
this paragraph is-- 7,a7 a ,state or    
political subdivision of a ,state1 an   
,indian tribe or tribal organization1 or
 a public or nonprofit private entity1  
including a community-based provider of 
homelessness services1 health care1     
housing1 or other services important to 
individuals and families who are        
chronically homeless2 or  7,b7 a        
consortium composed of entities         
described in subparagraph 7,a71 which   

consortium includes a public or         
nonprofit private entity that serves as 
the lead applicant and has              
responsibility for fiscal management1   
project management1 and coordinating the
 activities of the consortium4  7b7     
,priorities  7#a7 ,in selecting grantees
 ,in making grants under subsection 7a71
 the ,secretary shall give priority to  
applicants demonstrating that the       
applicants--  7,a7 prioritize the       
services described in subsection 7d7 and
 related funds to individuals or        
families who-- 7i7 have been homeless   
for longer periods of time or have      
experienced more episodes of            
homelessness than are required to be    
individuals or families who are         
chronically homeless2  7ii7 have high   
rates of utilization of emergency public
 systems of care2 or  7iii7 have a      
history of interactions with law        
enforcement and the criminal justice    
system2  7,b7 have greater funding      
commitments from ,state or local        

government agencies responsible for     
overseeing mental health treatment1     
substance use disorder treatment1       
medical care1 and employment 7including 
commitments to provide ,federal funds in
 accordance with subsection             
7e77#b77;,b77ii772  7,c7 will provide   
for an increase in the number of units  
of permanent supportive housing that    
would serve chronically homeless        
individuals and families in the         
community as a result of an award of a  
grant under subsection 7a72 and  7,d7   
have demonstrated experience providing  
services to address the mental health   
and substance use disorder problems of  
chronically homeless individuals and    
families living in permanent supportive 
housing settings4  7#b7 ,in providing   
supportive services ,a condition for the
 receipt of a grant under subsection 7a7
 is that the applicant agrees that1 in  
using the grant to place individuals and
 their families in permanent supportive 
housing1 and to provide supportive      

services described in subsection 7d71   
the applicant will give priority to     
individuals and families described in   
subsection 7a77#a7 who1 at the time of  
their placement in permanent supportive 
housing1 are chronically homeless4  7c7 
,geographic distribution ,the ,secretary
 shall ensure that consideration is     
given to geographic distribution 7such  
as urban and rural areas7 in the        
awarding of grants under subsection 7a74
  7d7 ,services ,the services referred  
to in subsection 7a7 are the following3 
7#a7 ,services provided by the grantee  
or by qualified subcontractors that     
promote recovery and self-sufficiency   
and address barriers to housing         
stability1 including the following3 7,a7
 ,mental health services1 including     
treatment and recovery support services4
  7,b7 ,substance use disorder treatment
 and recovery support services1         
including counseling1 treatment         
planning1 recovery coaching1 peer       
support1 and relapse prevention4  7,c7  

,integrated1 coordinated treatment and  
recovery support services for           
co-occurring disorders4  7,d7 ,health   
education1 including referrals for      
medical and dental care4  7,e7 ,services
 designed to help individuals and       
families make progress toward           
self-sufficiency and recovery1 including
 benefits advocacy1 money management1   
life-skills training1 self-help         
programs1 and engagement and            
motivational interventions4  7,f7       
,services designed to help individuals  
obtain employment4  7,g7 ,parental      
skills and family support4  7,h7 ,case  
management4  7,i7 ,other supportive     
services that promote an end to chronic 
homelessness4  7,j7 ,coordination or    
partnership with other agencies1        
programs1 or mainstream benefits to     
maximize the availability of services   
and resources to meet the needs of      
chronically homeless individuals and    
families living in supportive housing   
using cost-effective approaches that    

avoid duplication4  7,k7 ,data          
collection and measuring performance    
outcomes as specified in subsection 7k74
  7#b7 ,services1 as described in       
paragraph 7#a71 that are delivered to   
individuals and families who are        
chronically homeless and who are        
scheduled to become residents of        
permanent supportive housing within #ij 
days pending the location or development
 of an appropriate unit of housing4     
7#c7 ,for individuals and families who  
are otherwise eligible1 and who have    
voluntarily chosen to seek other housing
 opportunities after a period of tenancy
 in supportive housing1 services1 as    
described in paragraph 7#a71 that are   
delivered1 for a period of #ij days     
after exiting permanent supportive      
housing or until the individuals have   
transitioned to comprehensive services  
adequate to meet their current needs1   
provided that the purpose of the        
services is to support the individuals  
in their choice to transition into      

housing that is responsive to their     
individual needs and preferences4  7e7  
,matching funds  7#a7 ,in general ,a    
condition for the receipt of a grant    
under subsection 7a7 is that1 with      
respect to the cost of the project to be
 carried out by an applicant pursuant to
 such subsection1 the applicant agrees  
as follows3 7,a7 ,in the case of the    
initial grant pursuant to subsection    
7j77#a77;,a71 the applicant will1 in    
accordance with paragraphs 7#b7 and     
7#c71 make available contributions      
toward such costs in an amount that is  
not less than #a for each #d of ,federal
 funds provided in the grant4  7,b7 ,in 
the case of a renewal grant pursuant to 
subsection 7j77#a77;,b71 the applicant  
will1 in accordance with paragraphs 7#b7
 and 7#c71 make available contributions 
toward such costs in an amount that is  
not less than #a for each #b of ,federal
 funds provided in the grant4  7#b7     
,source of contribution ,for purposes of
 paragraph 7#a71 contributions made by  

an applicant are in accordance with this
 paragraph if made as follows3  7,a7    
,the contribution is made from funds of 
the applicant or from donations from    
public or private entities4  7,b7 ,of   
the contribution--  7i7 not less than   
#hj percent is from non-,federal funds2 
and  7ii7 not more than #bj percent is  
from ,federal funds provided under      
programs that--  7,i7 are not expressly 
directed at services for homeless       
individuals1 but whose purposes are     
broad enough to include the provision of
 a service or services described in     
subsection 7d7 as authorized            
expenditures under such program2 and    
7,,ii7 do not prohibit ,federal funds   
under the program from being used to    
provide a contribution that is required 
as a condition for obtaining ,federal   
funds4  7#c7 ,determination of amount   
contributed ,contributions required in  
paragraph 7#a7 may be in cash or in-kind
 equipment or services4 ,amounts        
provided by the ,federal ,government1 or

 services assisted or subsidized to any 
significant extent by the ,federal      
,government1 may not be included in     
determining the amount of non-,federal  
contributions required in paragraph     
7#b77;,b77i74  7f7 ,administrative      
expenses ,a condition for the receipt of
 a grant under subsection 7a7 is that   
the applicant involved agrees that not  
more than #aj percent of the grant will 
be expended for administrative expenses 
with respect to the grant4 ,expenses for
 data collection and measuring          
performance outcomes as specified in    
subsection 7k7 shall not be considered  
as administrative expenses subject to   
the limitation in this subsection4  7g7 
,certain uses of funds ,notwithstanding 
other provisions of this section1 a     
grantee under subsection 7a7 may expend 
not more than #bj percent of the grant  
to provide supportive services as       
described in subsection 7a77#a77;,b74   
7h7 ,application for grant ,a grant may 
be made under subsection 7a7 only if an 

application for the grant is submitted  
to the ,secretary and the application is
 in such form1 is made in such manner1  
and contains such agreements1           
assurances1 and information as the      
,secretary determines to be necessary to
 carry out this section4  7i7 ,certain  
requirements ,a condition for the       
receipt of a grant under subsection 7a7 
is that the applicant involved          
demonstrate the following3 7#a7 ,the    
applicant and all direct providers of   
services have the experience1           
infrastructure1 and expertise needed to 
ensure the quality and effectiveness of 
services1 which may be demonstrated by  
any of the following3  7,a7 ,compliance 
with all local1 city1 county1 or ,state 
requirements for licensing1             
accreditation1 or certification 7if any7
 which are applicable to the proposed   
project4  7,b7 ,a minimum of #b years   
experience providing comparable services
 that do not require licensing1         
accreditation1 or certification4  7,c7  

,certification as a ,medicaid service   
provider1 including health care for the 
homeless programs and community health  
centers4  7,d7 ,an executed agreement   
with a relevant ,state or local         
government agency that will provide     
oversight over the mental health1       
substance use disorder1 or other        
services that will be delivered by the  
project4  7#b7 ,there is a mechanism for
 determining whether residents of       
permanent supportive housing are1 at the
 time of being placed in such housing1  
chronically homeless or at risk of      
becoming chronically homeless4 ,such a  
mechanism may rely on local data systems
 or records of shelter admission4 ,if   
there are no sources of data regarding  
the duration or number of homeless      
episodes1 or if such data are unreliable
 for the purposes of this subsection1 an
 applicant must demonstrate that the    
project will implement appropriate      
procedures1 taking into consideration   
the capacity of local homeless service  

providers to document episodes of       
homelessness and the challenges of      
engaging individuals and families who   
have been chronically homeless1 to      
verify that an individual or family is  
chronically homeless or at risk of      
becoming chronically homeless4  7#c7    
,the applicant participates in a local1 
regional1 or ,statewide homeless        
management information system4  7j7     
,duration of initial and renewal grants2
 additional provisions regarding renewal
 grants  7#a7 ,in general ,subject to   
paragraphs 7#b7 and 7#c71 the period    
during which payments are made to a     
grantee under subsection 7a7 shall be in
 accordance with the following3 7,a7 ,in
 the case of the initial grant1 the     
period of payments shall be #e years4   
7,b7 ,in the case of a subsequent grant 
7referred to in this subsection as a    
renewal grant71 the period of payments  
shall not be more than #e years4  7#b7  
,annual approval2 availability of       
appropriations2 number of grants ,the   

provision of payments under an initial  
or renewal grant is subject to annual   
approval by the ,secretary of the       
payments and to the availability of     
appropriations for the fiscal year      
involved to make the payments4 ,this    
subsection may not be construed as      
establishing a limitation on the number 
of grants under subsection 7a7 that may 
be made to an entity4  7#c7 ,additional 
provisions regarding renewal grants     
7,a7 ,compliance with minimum standards 
,a renewal grant may be made by the     
,secretary only if the ,secretary       
determines that the applicant involved  
has1 in the project carried out with the
 grant1 maintained compliance with      
minimum standards for quality and       
successful outcomes for housing         
retention1 as determined by the         
,secretary4  7,b7 ,amount ,the maximum  
amount of a renewal grant under this    
subsection for an applicant shall not   
exceed an amount equal to #ge percent of
 the amount of ,federal funds provided  

to the applicant in the final year of   
the initial grant period4  7k7          
,strategic performance outcomes and     
reports  7#a7 ,in general ,the          
,secretary shall1 as a condition of the 
receipt of grants under subsection 7a71 
require grantees to provide data        
regarding the performance outcomes of   
the projects carried out under the      
grants4 ,consistent with the            
requirements and procedures established 
by the ,secretary1 each grantee shall   
measure and report specific performance 
outcomes related to the long-term goals 
of increasing stability within the      
community for individuals and families  
who have been chronically homeless1 and 
decreasing the recurrence of periods of 
homelessness4  7#b7 ,performance        
outcomes ,the performance outcomes      
described under paragraph 7#a7 shall    
include1 with respect to individuals and
 families who have been chronically     
homeless--  7,a7 improvements in housing
 stability2  7,b7 improvements in       

employment and education2  7,c7         
reductions in problems related to       
substance use disorders2  7,d7          
reductions in problems related to mental
 health disorders2 and  7,e7 other areas
 as the ,secretary determines           
appropriate4  7#c7 ,coordination and    
consistency with other homeless         
assistance programs  7,a7 ,procedures   
,in establishing strategic performance  
outcomes and reporting requirements     
under paragraph 7#a71 the ,secretary    
shall develop and implement procedures  
that minimize the costs and burdens to  
grantees and program participants1 and  
that are practical1 streamlined1 and    
designed for consistency with the       
requirements of the homeless assistance 
programs administered by the ,secretary 
of ,housing and ,urban ,development4    
7,b7 ,applicant coordination ,applicants
 under this section shall coordinate    
with community stakeholders1 including  
participants in the local homeless      
management information system1          

concerning the development of systems to
 measure performance outcomes and with  
the ,secretary for assistance with data 
collection and measurements activities4 
7#d7 ,report ,a grantee shall submit an 
annual report to the ,secretary that--  
7,a7 identifies the grantee's progress  
toward achieving its strategic          
performance outcomes2 and  7,b7         
describes other activities conducted by 
the grantee to increase the             
participation1 housing stability1 and   
other improvements in outcomes for      
individuals and families who have been  
chronically homeless4  7l7 ,training and
 technical assistance ,the ,secretary1  
directly or through awards of grants or 
contracts to public or nonprofit private
 entities1 shall provide training and   
technical assistance regarding the      
planning1 development1 and provision of 
services in projects under subsection   
7a74  7m7 ,biennial reports to ,congress
 ,not later than #b years after the date
 of the enactment of the ,services for  

,ending ,long-,term ,homelessness ,act1 
and biennially thereafter1 the          
,secretary shall submit to the          
appropriate committees of ,congress a   
report on projects under subsection 7a7 
that--  7#a7 includes a summary of      
information received by the ,secretary  
under subsection 7k72  7#b7 describes   
how the services provided under each    
such project are coordinated with ,state
 and local social service programs and  
homelessness assistance programs1 and   
services provided by the ,department of 
,veterans ,affairs and other relevant   
,federal agencies2 and  7#c7 includes an
 evaluation of the manner in which funds
 are used under such projects1 and the  
effectiveness of such projects in ending
 long-term homelessness and improving   
outcomes for individuals with mental    
illness or substance use disorder       
problems4  7n7 ,definitions ,for        
purposes of this section3  7#a7         
,chronically homeless  7,a7 ,in general 
,the term chronically homeless1 used    

with respect to an individual or family1
 means an individual or family who-- 7i7
 is homeless2  7ii7 has been homeless   
continuously for at least #a year or has
 been homeless on at least #d separate  
occasions1 totaling #ab months in one   
year in the last #c years2 and  7iii7   
has an adult head of household 7or a    
minor head of household if no adult is  
present in the household7 with a        
diagnosable substance use disorder1 a   
serious mental illness1 a developmental 
disability 7as defined in section #ajb  
of the ,developmental ,disabilities     
,assistance and ,bill of ,rights ,act of
 #bjjj 7#db ,u4,s4,c4 #aejjb771 post    
traumatic stress disorder1 a cognitive  
impairment resulting from a brain       
injury1 or a chronic physical illness or
 disability or the co-occurrence of #b  
or more chronic physical illnesses or   
disabilities4  7,b7 ,rule of            
construction ,an individual shall be    
considered to be chronically homeless if
 such individual-- 7i7 resides in an    

institutional care facility1 including a
 jail1 substance use disorder or mental 
health treatment facility1 hospital1 or 
other similar facility2  7ii7 has       
resided in a facility described in      
clause 7i7 for fewer than #ij days2 and 
7iii7 met all of the requirements       
described in subparagraph 7,a7 prior to 
entering that facility4  7#b7 ,homeless 
,the term homeless means living or      
residing in a place not meant for human 
habitation1 in a safe haven1 or in an   
emergency homeless shelter4  7#c7       
,permanent supportive housing  7,a7 ,in 
general ,the term permanent supportive  
housing means permanent1 affordable     
housing with flexible support services  
that are available and designed to help 
the tenants stay housed and build the   
necessary skills to live as             
independently as possible4 ,such term   
does not include housing that is        
time-limited4 ,supportive housing offers
 residents assistance in reaching their 
full potential1 which may include       

opportunities to secure other housing   
that meets their needs and preferences1 
based on individual choice instead of   
the requirements of time-limited        
transitional programs4 ,under this      
section1 permanent affordable housing   
includes permanent housing funded or    
assisted through title ,,iv of the      
,mc,kinney-,vento ,homeless ,assistance 
,act 7#db ,u4,s4,c4 #aacfj et seq47 and 
section #h of the ,united ,states       
,housing ,act of #aicg 7#db ,u4,s4,c4   
#adcg;f74  7,b7 ,affordable ,for        
purposes of subparagraph 7,a71 the term 
affordable means within the financial   
means of individuals who are extremely  
low income1 as defined by the ,secretary
 of ,housing and ,urban ,development4   
7#d7 ,substance ,use ,disorder ,services
 ,the term substance use disorder1 used 
with respect to services1 has the       
meaning given the term substance abuse  
services in section #ccj7;h77#e74  7o7  
,funding  7#a7 ,authorization of        
appropriations ,for the purpose of      

carrying out this section1 there are    
authorized to be appropriated such sums 
as may be necessary for each of fiscal  
years #bjbj through #bjbe4  7#b7        
,allocation for training and technical  
assistance ,of the amount appropriated  
under paragraph 7#a7 for a fiscal year1 
the ,secretary may reserve not more than
 #c percent for carrying out subsection 
7l74  4  7b7 ,technical amendments to   
,public ,health ,service ,act ,title ,v 
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bij;aa et seq47 is      
amended by-- 7#a7 redesignating the     
second part ,g 7#db ,u4,s4,c4 #bijkk et 
seq471 as added by section #add of the  
,community ,renewal ,tax ,relief ,act of
 #bjjj1 as part ,j2  7#b7 redesignating 
sections #eha1 #ehb1 #ehc1 and #ehd 7#db
 ,u4,s4,c4 #bijkk1 #bijkk-#a1 #bijkk-#b1
 #bijkk-#c71 as added by such section   
#add1 as sections #eif1 #eif;,a1        
#eif;,b1 and #eif;,c1 respectively2 and 
7#c7 redesignating the second section   
#eej 7#db ,u4,s4,c4 #bij;ee-#aj71 as    

added by section #hbad of the ,,support 
for ,patients and ,communities ,act1 as 
section #eec and moving such section    
#eec1 as so redesignated1 so it follows 
section #eeb4