,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ebah  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #aj1        
#bjba,mrs4 ,flet*] 7= h]self & ,ms4     
,h]r]a ,beutl]7 introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on ,en]gy 
& ,comm]ce  ,a ,,bill  ,to am5d !       
,public ,heal? ,s]vice ,act to increase 
uptake ( ! ,collaborative ,c>e ,model4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,collaborate 9 an ,ord]ly & ,cohesive 
,mann] ,act4  #b4 ,increas+ uptake ( !  
collaborative c>e model  7a7 ,9 g5]al   
,subp>t ,,xii ( "p ,d ( title ,,iii ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;i et seq47 is am5d$--    
7#a7 9 ! subp>t head+1 by /rik+         
,community-bas$ ,collaborative-,c>e     
,network ,program & ins]t+              
,collaborative ,c>e2 &  7#b7 by add+ at 
! end ! foll[+ new sections3  #cdj;,j4  
,inc5tiviz+ prim>y c>e uptake ( !       
collaborative c>e model  7a7 ,grants ,! 
,secret>y %all make grants to prim>y    
heal? c>e physicians & prim>y heal? c>e 

practices to meet ! initial co/s (      
e/abli%+ & deliv]+ behavioral heal?     
integration s]vices ?r\gh !             
collaborative c>e model or a comb9$     
approa* ( ! collaborative c>e model &   
prim>y c>e behavioral heal? integration 
models4  7b7 ,use ( grants ,a prim>y    
heal? c>e physician or prim>y heal? c>e 
practice t receives a grant "u ?is      
section %all use funds receiv$ ?r\gh !  
grant-- 7#a7 to hire /aff2  7#b7 to     
id5tify & =malize contractual           
relation%ips ) o!r heal? c>e provid]s1  
includ+ provid]s :o w function z        
psy*iatric consultants & behavioral     
heal? c>e manag]s 9 provid+ behavioral  
heal? integration s]vices ?r\gh !       
collaborative c>e model2  7#c7 to       
pur*ase or upgrade s(tw>e & o!r res\rces
 ne$$ to appropriately provide          
behavioral heal? integration s]vices    
?r\gh ! collaborative c>e model1 includ+
 res\rces ne$$ to e/abli% a pati5t      
regi/ry & implem5t measurem5t-bas$ c>e2 
&  7#d7 = o!r su* purposes t ! ,secret>y

 may det]m9e to be necess>y4  7c7       
,priority ,9 mak+ grants "u ?is section1
 ! ,secret>y %all give priority to      
prim>y heal? c>e physicians & prim>y    
heal? c>e practices-- 7#a7 provid+      
s]vices to any m$ically und]s]v$        
population2 &  7#b7 are locat$ 9 areas )
 a preval5ce ( m5tal illnesses or       
sub/ance use disord]s t are high] ?an ! 
national av]age4  7d7 ,consid]ation ,if1
 9 review+ applications = grants "u ?is 
section1 ! ,secret>y det]m9es t m ?an "o
 prim>y heal? c>e physician or a prim>y 
heal? c>e practice submitt+ su* an      
application meets ! crit]ia to be giv5  
priority "u subsection 7c71 ! ,secret>y 
%all give a pref]5ce to ! prim>y heal?  
c>e physician or prim>y heal? c>e       
practice 7t meets su* crit]ia7 t has !  
lea/ exi/+ capacity & res\rces to use   
grant funds z describ$ 9 subsection 7b74
  7e7 ,inc5tive paym5ts  7#a7 ,9 g5]al  
,! ,secret>y %all provide to prim>y     
heal? c>e physicians & prim>y heal? c>e 
practices receiv+ a grant "u ?is section

 t meet ! crit]ia specifi$ 9 p>agraph   
7#c71 additional paym5ts4  7#b7         
,me?odology & tim+ ,! am\nt & tim+ (    
paym5ts made "u ?is subsection %all be  
det]m9$ us+ a me?odology & disbursem5t  
s*$ule e/abli%$ by ! ,secret>y4  7#c7   
,crit]ia ,crit]ia describ$ 9 ?is        
p>agraph are su* crit]ia z ! ,secret>y  
may specify1 9 consultation )           
/akehold]s1 includ+ physicians 9 !      
prim>y c>e community & 9 ! field ( m5tal
 heal? & sub/ance use disord] treatm5t4 
,su* crit]ia %all include :e!r-- 7,a7 a 
prim>y heal? c>e physician or prim>y    
heal? c>e practice p>ticipates 9 an     
alt]native paym5t model t bills = !     
collaborative c>e model us+ !           
appropriate common proc$ural t]m9ology  
bill+ codes2 &  7,b7 a prim>y heal? c>e 
physician or prim>y heal? c>e practice  
uses ( validat$ quality measures1       
includ+1 b n limit$ to1 ^? relat$ to    
depression scre5+1 pati5t foll[ up1 &   
symptom remission4  7#d7 ,calculation ,a
 paym5t receiv$ "u ?is subsection %all n

 be factor$ into any det]m9ation )      
respect to meet+ co/ r$uction t>gets =  
purposes ( a model implem5t$ pursuant to
 section #aaae;,a ( ! ,social ,security 
,act4  7f7 ,acc\ntability ,! recipi5t ( 
a grant "u ?is section %all submit to ! 
,secret>y1 9 su* "t & mann] z !         
,secret>y may specify1 a report t       
measures ea* recipi5t's progress t[>d-- 
7#a7 implem5t+ & appropriately provid+  
behavioral heal? integration s]vices    
?r\gh ! collaborative c>e model2  7#b7  
improv+ access to behavioral heal?      
integration s]vices provid$ ?r\gh !     
collaborative c>e model among m$ically  
und]s]v$ populations2  7#c7 improv+     
heal? outcomes = individuals :o receive 
behavioral heal? integration s]vices    
provid$ ?r\gh ! collaborative c>e model2
 &  7#d7 o!r su* purposes t ! ,secret>y 
may det]m9e to be necess>y4  7g7        
,cl>ification  7#a7 ,reimbursem5t ,no?+ 
9 ?is section %all be con/ru$ z prev5t+ 
a prim>y heal? c>e physician or prim>y  
heal? c>e practice t receives a grant "u

 ?is section f receiv+ direct           
reimbursem5t = r5d]+ behavioral heal?   
integration s]vices ?r\gh !             
collaborative c>e model4  7#b7 ,o!r     
programs ,p>ticipation 91 or application
 =1 any o!r grant or demon/ration       
program adm9i/]$ by ! ,secret>y by a    
prim>y heal? c>e physician or prim>y    
heal? c>e practice %all n affect !      
eligibility ( su* physician or practice 
to receive a grant "u ?is section4  7h7 
,def9itions ,= ! purposes ( ?is section3
 7#a7 ,collaborative c>e model ,! t]m   
collaborative c>e model means !         
evid5ce-bas$1 integrat$ behavioral heal?
 s]vice deliv]y me?od describ$ 9 #ha    
,f$]al ,regi/] #hjbcj1 :i* includes a   
=mal collaborative arrangem5t among a   
prim>y c>e team consi/+ ( a prim>y c>e  
provid]1 a c>e manag]1 & a psy*iatric   
consultant1 & includes ! foll[+ elem5ts3
 7,a7 ,c>e direct$ by ! prim>y c>e team4
  7,b7 ,/ructur$ c>e managem5t4  7,c7   
,regul> assessm5ts ( cl9ical /atus us+  
developm5tally appropriate1 validat$    

tools4  7,d7 ,modification ( treatm5t z 
appropriate4  7#b7 ,m$ically und]s]v$   
population ,! t]m m$ically und]s]v$     
population means ! population ( an urban
 or rural area designat$ by ! ,secret>y 
z an area ) a %ortage ( m5tal heal? or  
sub/ance use disord] s]vices or a       
population gr\p designat$ by ! ,secret>y
 z hav+ a %ortage ( su* s]vices4  7#c7  
,prim>y heal? c>e physician ,! t]m      
prim>y heal? c>e physician means a      
physician t-- 7,a7 provides heal?       
s]vices relat$ to family m$ic9e1 int]nal
 m$ic9e1 p$iatrics1 ob/etrics1          
gynecology1 or g]iatrics2  7,b7 is a    
doctor ( m$ic9e or o/eopa?y t is lic5s$ 
to practice m$ic9e by ! ,/ate 9 :i* su* 
physician prim>ily practices4  7#d7     
,prim>y heal? c>e practice ,! t]m prim>y
 heal? c>e practice means a m$ical      
practice ( prim>y heal? c>e physicians1 
includ+ a practice )9 a l>g] heal? c>e  
sy/em4  #cdj,k4 ,e/abli%+ te*nical      
assi/ance c5t]s = implem5tation ( !     
collaborative c>e model  7a7 ,9 g5]al ,!

 ,secret>y %all make grants to national 
& regional eligible organizations to    
e/abli%1 = purposes ( provid+ te*nical  
assi/ance & tra9+ to heal? c>e provid]s 
& heal? c>e sy/ems to facilitate &      
improve implem5tation ( ! collaborative 
c>e model-- 7#a7 a national c5t]1 to be 
kn[n z ! ,national ,collaborative ,c>e  
,model ,tra9+ & ,te*nical ,assi/ance    
,c5t] 7ref]r$ to 9 ?is section z !      
,national ,c5t]72 &  7#b7 regional      
c5t]s1 to be kn[n z ,regional           
,collaborative ,c>e ,model ,tra9+ &     
,te*nical ,assi/ance ,c5t]s 7ref]r$ to 9
 ?is section z ,regional ,c5t]s74  7b7  
,coord9ation requir$ ,z a condition on  
receipt ( a grant "u ?is section to     
e/abli% ! ,national ,c5t]1 ! eligible   
organization receiv+ su* grant %all     
agree to coord9ate ) "o or m eligible   
organizations & ! ,regional ,c5t]s 9    
provid+ te*nical assi/ance & tra9+      
ref]r$ to 9 subsection 7a74  7c7        
,te*nical assi/ance & tra9+ ,! te*nical 
assi/ance & tra9+ ref]r$ to 9 subsection

 7a7 %all include-- 7#a7 develop+       
f9ancial models & budgets = implem5t+ & 
ma9ta9+ a collaborative c>e model1 bas$ 
on practice size2  7#b7 develop+ /aff+  
models = ess5tial /aff roles1 includ+   
c>e manag]s & psy*iatric consultants2   
7#c7 provid+ /rategic advice to assi/   
practices seek+ to utilize o!r cl9icians
 = additional psy*o!rapeutic            
int]v5tions2  7#d7 provid+ in=mation    
te*nology exp]tise to assi/ ) build+ !  
collaborative c>e model into electronic 
heal? records1 includ+ assi/ance ) c>e  
manag] tools1 pati5t regi/ry1 ongo+     
pati5t monitor+1 & pati5t records2  7#e7
 tra9+ support = all key /aff &         
op]ational consultation to develop      
practice workfl[s2  7#f7 e/abli%+ me?ods
 to ensure ! %>+ ( be/ practices &      
op]ational k among prim>y heal? c>e     
physicians & prim>y heal? c>e practices 
t provide behavioral heal? integration  
s]vices ?r\gh ! collaborative c>e model2
  7#g7 provid+ guidance & in/ruction to 
prim>y heal? c>e physicians & prim>y    

heal? c>e practices on develop+ &       
ma9ta9+ relation%ips ) community-bas$   
m5tal heal? & sub/ance use disord]      
facilities = ref]ral & treatm5t (       
pati5ts ^: cl9ical pres5tation or       
diagnosis is be/ suit$ = treatm5t at su*
 facilities2 &  7#h7 o!r su* activities 
z ! ,secret>y necess>y4  7d7 ,regional  
c5t] /ructure  7#a7 ,9 g5]al ,!         
,secret>y %all issue regulations        
e/abli%+ ! /ructure ( ! ,regional ,c5t]s
 & ! nature ( coord9ation among !       
,regional ,c5t]s & ! ,national ,c5t]1   
includ+-- 7,a7 ! numb] ( ,regional      
,c5t]s1 subject to adju/m5t z describ$ 9
 p>agraph 7#b72  7,b7 ! geographic      
locations = su* ,regional ,c5t]s1       
subject to adju/m5t z describ$ 9        
p>agraph 7#b72  7,c7 ! degree to :i* su*
 ,national ,c5t] may direct ! activities
 & practices ( su* ,regional ,c5t]s2 &  
7,d7 o!r su* specifications t !         
,secret>y may deem necess>y4  7#b7      
,adju/m5ts ,! numb] & geographic        
location ( ! ,regional ,c5t]s e/abli%$  

"u p>agraph 7#a7 may be adju/$ f "t to  
"t z ! ,secret>y det]m9es necess>y s    
long z1 9 mak+ su* adju/m5ts-- 7,a7     
seeks to e/abli% z _m ,regional ,c5t]s z
 is possible & practicable :ile /ill    
ma9ta9+ optimal effici5cy &             
effectiv5ess2 &  7,b7 ensures t !       
di/ribution ( su* geographic locations  
enables su* ,regional ,c5t]s to provide 
tra9+ & te*nical assi/ance 9 areas )    
m$ically und]s]v$ populations4  7e7     
,acc\ntability ,! ,secret>y %all issue  
regulations e/abli%+ su* crit]ia z !    
,secret>y det]m9es is necess>y to       
evaluate ! effectiv5ess ( ! ,national   
,c5t] & ,regional ,c5t]s 9 provid+      
te*nical assi/ance & tra9+ ref]r$ to 9  
subsection 7a71 includ+ = monitor+ !    
activities (1 collect+ data f1 &        
evaluat+ ! p]=mance ( ea* recipi5t ( a  
grant "u ?is section4  7f7 ,def9itions  
,9 ?is section3 7#a7 ,collaborative c>e 
model2 m$ically und]s]v$ population2    
prim>y heal? c>e physician2 prim>y heal?
 c>e practice ,! t]ms collaborative c>e 

model1 prim>y heal? c>e physician1 &    
prim>y heal? c>e practice h ! mean+ giv5
 su* t]ms 9 section #cdj;,j4  7#b7      
,eligible organization ,! t]m eligible  
organization means a national or        
regional nonpr(it organization t c      
provide te*nical assi/ance & tra9+ to   
heal? c>e provid]s & heal? c>e sy/ems1 &
 has special exp]tise & broad exp]i5ce 9
 behavioral heal? integration s]vices1  
g5]ally1 & 9 ! collaborative c>e model1 
specifically1 ) pref]5ce giv5 to su*    
organizations t are curr5tly or t h     
previ\sly provid$ tra9+ & te*nical      
assi/ance on provid+ behavioral heal?   
integration s]vices ?r\gh !             
collaborative c>e model4  #cdj,l4       
,rese>* on promis+ behavioral heal?     
integration models ,! ,secret>y1 9      
consultation ) ! ,assi/ant ,secret>y =  
,plann+ & ,evaluation1 may direct       
adm9i/rators & directors ( ! ,dep>tm5t (
 ,heal? & ,human ,s]vices1 includ+ !    
,director ( ! ,national ,in/itutes (    
,heal?1 ! ,adm9i/rator ( ! ,heal?       

,res\rces & ,s]vices ,adm9i/ration1 !   
,director ( ! ,ag5cy = ,heal?c>e &      
,rese>* ,quality1 & ! ,director ( !     
,c5t] = ,m$ic>e & ,m$icaid ,innovation1 
z ! ,secret>y det]m9es appropriate1 to  
exp& ef=ts to evaluate curr5t & em]g+   
behavioral heal? integration models1 su*
 z ! prim>y c>e behavioral heal? model1 
& improve ! f\ndation = evid5ce-bas$    
practice1 ) a focus on population-bas$  
c>e4  #cdj,m4 ,au?orization (           
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out sections        
#cdj;,j1 #cdj,k1 & #cdj,l1 #cj1jjj1jjj =
 ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4  4
  7b7 ,te*nical correction ,effective z 
if includ$ 9 ! enactm5t ( section       
#cja7;c7 ( ! ,disa/] ,tax ,relief &     
,airport & ,airway ,ext5sion ,act (     
#bjag 7,public ,law #aae-fc71 su*       
section is am5d$1 9 ! matt] prec$+      
p>agraph 7#a71 by /rik+ ,"p ,d & ins]t+ 
,"p ,d ( title ,,iii4