,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #gaei  ,,in ,,the ,,house ,,of  
,,representatives  ,june #aa1 #bjbj,mrs4
 ,bustos 7for herself and ,ms4 ,wild7   
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend the 
,community ,mental ,health ,service     
,block ,grant to authorize a set-aside  
for crisis care services1 and for other 
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,crisis ,care       
,improvement and ,suicide ,prevention   
,act of #bjbj4  #b4 ,findings and sense 
of ,congress  7a7 ,findings ,congress   
finds the following3 7#a7 ,fragmentation
 of mental health services and limited  
access to crisis services complicates   
and elongates mental health patient     
stays in emergency departments and under
 the custody of law enforcement4  7#b7  
,emergency departments and the criminal 
justice system do not have the capacity 
with existing resources and health care 
professional shortages to address the   

needs of the rapidly growing number of  
individuals with mental health          
conditions1 increasing the risk of      
adverse patient outcomes4  7#c7 ,in     
#bjag1 #aej1jjj individuals in the      
,united ,states died from alcohol and   
drug-induced fatalities and suicides4   
,nearly #a_/c1 or more than #dg1jjj were
 suicides4  7#d7 ,from #bjaf to #bjah1  
more than #a_/d of hospital emergency   
department frequent users in ,illinois  
were patients with presenting or        
underlying mental health conditions1    
underscoring the need for additional    
funding1 continued access to real-time  
care and connection to long-term        
treatment options4  7#e7 ,fifteen       
percent of men and #cj percent of women 
in custody of county jails have severe  
mental illnesses4  7#f7 ,use of         
appropriate crisis facilities and       
interventions in ,maricopa ,county1     
,arizona1 have saved emergency          
departments an estimated #cg1jjj1jjj in 
#bjaf and saved the equivalent of #cg   

police officer full-time equivalent     
salaries4  7b7 ,sense of ,congress ,it  
is the sense of ,congress that-- 7#a7   
for patients with mental health issues1 
coordination of physical and mental     
health services and cooperation with law
 enforcement are essential to ensure    
timely1 appropriate care2 and  7#b7     
crisis care networks established at     
,state and local levels have saved      
resources and shown improved outcomes   
for patients in crisis4  #c4            
,evidence-based crisis care programs    
7a7 ,in general ,section #aiab7;b77#a7  
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #cjjx-#a7;b77#a77-- 7#a7 
in subparagraph 7,a7-- 7,a7 by          
redesignating clauses 7vi7 and 7vii7 as 
clauses 7vii7 and 7viii71 respectively2 
and  7,b7 by inserting after clause 7v71
 the following3  7vi7 include a         
description of how the ,state supports  
evidenced-based programs that address   
the crisis care needs of individuals    
with serious mental disorders1 and      

children with serious mental and        
emotional disturbances1 that include at 
least one of the core components        
specified in subparagraph 7,f72  2 and  
7#b7 by adding at the end the following3
  7,f7 ,core components for crisis care 
services ,the core components of a      
program referred to in subparagraph     
7,a77vi7 include the following3 7i7     
,crisis call centers4  7ii7 #bd_/g      
mobile crisis services4  7iii7 ,crisis  
stabilization programs offering acute   
care or sub-acute care in a hospital or 
appropriately licensed facility1 with   
referrals to inpatient or outpatient    
care1 as determined by the ,assistant   
,secretary for ,mental ,health and      
,substance ,use4  4  7b7 ,set-,aside for
 evidence-,based crisis care services   
,section #aibj of the ,public ,health   
,service ,act 7#db ,u4,s4,c4 #cjjx-#i7  
is amended by adding at the end the     
following3  7d7 ,crisis care  7#a7 ,in  
general ,except as provided in paragraph
 7#c71 a ,state shall expend at least #e

 percent of the allotment of the ,state 
pursuant to a funding agreement under   
section #aiaa for each fiscal year to   
support programs described in section   
#aiab7;b77#a77;,a77vi74  7#b7 ,state    
flexibility ,in lieu of expending #e    
percent of the ,state's allotment for a 
fiscal year as required by paragraph    
7#a71 a ,state may elect to expend not  
less than #aj percent of such amount by 
the end of two consecutive fiscal years4
  7#c7 ,funding contingency ,paragraph  
7#a7 shall not apply with respect to a  
fiscal year unless the amount made      
available to carry out this section for 
that fiscal year exceeds the amount     
appropriated to carry out this section  
for fiscal year #bjbj by at least       
#ce1jjj1jjj4  4