,i #aag? ,,congress #b;d ,session ,h4 ,r4 #gbcb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #bh1 #bjbb,mr4 ,crd5as 7= himself1 ,mr4 ,fitzpatrick1 ,ms4 ,matsui1 ,ms4 ,blunt ,ro*e/]1 ,mr4 ,m\lton1 ,mrs4 ,napolitano1 ,mr4 ,bey]1 & ,mr4 ,rask97 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to provide = improvem5ts 9 ! implem5tation ( ! ,national ,suicide ,prev5tion ,lifel9e1 & = o!r purposes4 #a4 ,%ort title 7a7 ,%ort title ,?is ,act may be cit$ z ! #i-h-h & ,p>ity ,assi/ance ,act ( #bjbb4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,title ,i--,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,administration,sec4 #aja4 ,behavioral ,heal? ,crisis ,coord9at+ ,(fice4,sec4 #ajb4 ,regional & local lifel9e call c5t] program4,sec4 #ajc4 ,m5tal ,heal? ,crisis ,response ,p>tn]%ip ,pilot ,program4,sec4 #ajd4 ,national suicide prev5tion m$ia campaign4,title ,,ii--,heal? ,res\rces & ,s]vices ,administration,sec4 #bja4 ,heal? c5t] capital grants4,sec4 #bjb4 ,exp&+ behavioral heal? work=ce tra9+ programs4,title ,,iii--,behavioral ,heal? ,crisis ,s]vices ,expansion,sec4 #cja4 ,crisis response cont9uum ( c>e4,title ,,iv--,m5tal heal? & sub/ance use disord] p>ity implementation,sec4 #dja4 ,grants to support m5tal heal? & sub/ance use disord] p>ity implem5tation4 ,i ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration #aja4 ,behavioral ,heal? ,crisis ,coord9at+ ,(fice ,"p ,a ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by add+ at ! end ! foll[+3 #ejf;,b4 ,behavioral ,heal? ,crisis ,coord9at+ ,(fice 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all e/abli% an (fice to coord9ate "w relat+ to behavioral heal? crisis c>e across ! op]at+ divisions ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 includ+ ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices & ! ,heal? ,res\rces & ,s]vices ,adm9i/ration & ext]nal /akehold]s4 7b7 ,duty ,! (fice e/abli%$ "u subsection 7a7 %all-- 7#a7 conv5e ,f$]al1 ,/ate1 ,tribal1 local1 & private p>tn]s2 7#b7 laun* & manage ,f$]al workgr\ps *>g$ ) mak+ recomm5dations reg>d+ behavioral heal? crisis f9anc+1 work=ce1 equity1 data1 & te*nology1 program ov]sight1 public aw>5ess1 & engagem5t2 & 7#c7 support te*nical assi/ance1 data analysis1 & evaluation functions 9 ord] to develop a crisis c>e sy/em to e/abli% nationwide /&>ds ) ! objective ( exp&+ ! capacity (1 & access to1 local crisis call c5t]s1 mobile crisis c>e1 crisis /abilization1 psy*iatric em]g5cy s]vices1 & rapid po/-crisis foll[-up c>e provid$ by-- 7,a7 ! ,national ,suicide ,prev5tion & ,m5tal ,heal? ,crisis ,hotl9e & ,response ,sy/em2 7,b7 community m5tal heal? c5t]s 7z def9$ 9 section #ahfa7;ff77#c77;,b7 ( ! ,social ,security ,act72 7,c7 c]tifi$ community behavioral heal? cl9ics1 z describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad2 & 7,d7 o!r community m5tal heal? & sub/ance use disord] provid]s4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #aj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 #ajb4 ,regional & local lifel9e call c5t] program ,"p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is am5d$ by ins]t+ aft] section #ebj;,e-#d 7#db ,u4,s4,c4 #bij;bb-#cf;d7 ! foll[+3 #ebj;,e-#e4 ,regional & local lifel9e call c5t] program 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to crisis call c5t]s describ$ 9 section #cjb7;c77#a7 ( ! #i-h-h ,implem5tation & ,p>ity ,assi/ance ,act ( #bjbb to-- 7#a7 pur*ase or upgrade call c5t] te*nology2 7#b7 provide = tra9+ ( call c5t] /aff2 7#c7 improve call c5t] op]ations2 & 7#d7 hir+ ( call c5t] /aff4 7b7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #dda1jjj1jjj = fiscal ye> #bjbc1 to rema9 available until exp5d$4 4 #ajc4 ,m5tal ,heal? ,crisis ,response ,p>tn]%ip ,pilot ,program ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ 7#db ,u4,s4,c4 #bij;aa7 by ins]t+ aft] section #ebj;,f 7#db ,u4,s4,c4 #bij;bb-#cg7 ! foll[+3 #ebj;,f-#a4 ,m5tal ,heal? ,crisis ,response ,p>tn]%ip ,pilot ,program 7a7 ,9 g5]al ,! ,secret>y %all e/abli% a pilot program "u :i* ! ,secret>y w aw>d competitive grants to eligible entities to e/abli% new1 or enhance exi/+1 mobile crisis response teams t div]t ! response = m5tal heal? & sub/ance use crises f law en=cem5t to mobile crisis teams1 z describ$ 9 subsection 7b74 7b7 ,mobile crisis teams describ$ ,a mobile crisis team describ$ 9 ?is subsection is a team ( individuals-- 7#a7 t is available to respond to individuals 9 crisis & provide imm$iate /abilization1 ref]rals to community-bas$ m5tal heal? & sub/ance use disord] s]vices & supports1 & triage to a high] level ( c>e if m$ically necess>y2 7#b7 :i* may include lic5s$ c\nselors1 cl9ical social work]s1 physicians1 p>am$ics1 crisis work]s1 pe] support speciali/s1 or o!r qualifi$ individuals2 & 7#c7 :i* may provide support to div]t behavioral heal? crisis calls f ! #i-a-a sy/em to ! #i-h-h sy/em4 7c7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all prioritize applications :i* acc\nt = ! specific ne$s ( ! communities to be s]v$1 includ+ *ildr5 & families1 vet]ans1 rural & und]s]v$ populations1 & o!r gr\ps at increas$ risk ( dea? f suicide or ov]dose4 7d7 ,report 7#a7 ,initial report ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y %all submit to ,congress a report on /eps tak5 by eligible entities z ( su* date ( enactm5t to /r5g!n ! p>tn]%ips among m5tal heal? provid]s1 sub/ance use disord] treatm5t provid]s1 prim>y c>e physicians1 m5tal heal? & sub/ance use crisis teams1 & p>am$ics1 law en=cem5t (fic]s1 & o!r fir/ respond]s4 7#b7 ,progress reports ,n lat] ?an "o ye> aft] ! date on :i* ! fir/ grant is aw>d$ to c>ry out ?is section1 & = ea* ye> !reaft]1 ! ,secret>y %all submit to ,congress a report on ! grants made dur+ ! ye> cov]$ by ! report1 :i* %all include-- 7,a7 data on ! teams & p s]v$ by su* programs1 includ+ demographic in=mation ( individuals s]v$1 volume & types ( s]vice utilization1 l9kage to community-bas$ res\rces & div]sion f law en=cem5t sett+s1 data consi/5t ) ! ,/ate block grant requirem5ts = cont9u\s evaluation & quality improvem5t1 & o!r relevant data z det]m9$ by ! ,secret>y2 & 7,b7 ! ,secret>y's recomm5dations & be/ practices =-- 7i7 ,/ates & localities provid+ mobile crisis response & /abilization s]vices = y\? & adults2 & 7ii7 improvem5ts to ! program e/abli%$ "u ?is section4 7e7 ,eligible entity ,9 ?is section1 ! t]m eligible entity means ea* ( ! foll[+3 7#a7 ,community m5tal heal? c5t]s 7z def9$ 9 section #ahfa7;ff77#c77;,b7 ( ! ,social ,security ,act74 7#b7 ,c]tifi$ community behavioral heal? cl9ics describ$ 9 section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad4 7#c7 ,an entity t op]ates citywide1 ,tribal-wide1 or c\nty-wide crisis response sy/ems1 includ+ cities1 c\nties1 ,tribes1 or a dep>tm5t or ag5cy ( a city1 c\nty1 or ,tribe1 includ+ dep>tm5ts or ag5cies ( social s]vices1 disability s]vices1 heal? s]vices1 public heal?1 or m5tal heal? & sub/ance disord] s]vices4 7#d7 ,a program ( ! ,indian ,heal? ,s]vice1 :e!r op]at$ by su* ,s]vice1 an ,indian ,tribe 7z t t]m is def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act71 or by a ,tribal organization 7z t t]m is def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act7 or a facility ( ! ,native ,hawaiian heal? c>e sy/ems au?oriz$ "u ! ,native ,hawaiian ,heal? ,c>e ,improvem5t ,act4 7#e7 ,a public1 nonpr(it1 or o!r organization t-- 7,a7 c demon/rate ! ability ( su* organization to effectively provide community-bas$ alt]natives to law en=cem5t2 & 7,b7 has a demon/rat$ involvem5t ) ! id5tifi$ communities to be s]v$4 7f7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #ajj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 #ajd4 ,national suicide prev5tion m$ia campaign ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq47 is am5d$ by add+ at ! end ! foll[+3 #ebj,n4 ,national suicide prev5tion m$ia campaign 7a7 ,national suicide prev5tion m$ia campaign 7#a7 ,9 g5]al ,n lat] ?an ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y1 9 consultation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 7ref]r$ to 9 ?is section z ! ,director71 %all conduct a national suicide prev5tion m$ia campaign 7ref]r$ to 9 ?is section z ! national m$ia campaign71 = purposes (-- 7,a7 prev5t+ suicide 9 ! ,unit$ ,/ates2 7,b7 educat+ families1 fri5ds1 & communities on h[ to address suicide & suicidal ?\ghts1 includ+ :5 to enc\rage individuals ) suicidal risk to seek help2 & 7,c7 increas+ aw>5ess ( suicide prev5tion res\rces ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration 7includ+ ! suicide prev5tion hotl9e ma9ta9$ "u section #ebj;,e-#c1 any suicide prev5tion mobile application ( ! ,c5t]s = ,disease ,control & ,prev5tion or ! ,sub/ance ,abuse ,m5tal ,heal? ,s]vices ,adm9i/ration1 & o!r support res\rces det]m9$ appropriate by ! ,secret>y74 7#b7 ,additional consultation ,9 addition to consult+ ) ! ,assi/ant ,secret>y & ! ,director "u ?is section1 ! ,secret>y %all consult )1 z appropriate1 ,/ate1 local1 ,tribal1 & t]ritorial heal? dep>tm5ts1 prim>y heal? c>e provid]s1 hospitals ) em]g5cy dep>tm5ts1 m5tal & behavioral heal? s]vices provid]s1 crisis response s]vices provid]s1 p>am$ics1 law en=cem5t1 suicide prev5tion & m5tal heal? pr(essionals1 pati5t advocacy gr\ps1 survivors ( suicide attempts1 & repres5tatives ( television & social m$ia plat=ms 9 plann+ ! national m$ia campaign to be conduct$ "u p>agraph 7#a74 7b7 ,t>get audi5ces 7#a7 ,tailor+ adv]tisem5ts & o!r communications ,9 conduct+ ! national m$ia campaign "u subsection 7a77#a71 ! ,secret>y may tailor culturally compet5t adv]tisem5ts & o!r communications ( ! campaign across all available m$ia = a t>get audi5ce 7su* z a p>ticul> geographic location or demographic7 across ! lifespan4 7#b7 ,t>get+ c]ta9 local areas ,! ,secret>y %all1 to ! maximum ext5t practicable1 use am\nts made available "u subsection 7f7 = m$ia t t>gets c]ta9 local areas or populations at disproportionate risk = suicide4 7c7 ,use ( funds 7#a7 ,requir$ uses 7,a7 ,9 g5]al ,! ,secret>y %all1 if reasonably feasible ) ! funds made available "u subsection 7f71 c>ry out ! foll[+1 ) respect to ! national m$ia campaign3 7i7 ,te/+ & evaluation ( adv]tis+4 7ii7 ,evaluation ( ! effectiv5ess ( ! national m$ia campaign4 7iii7 ,op]ational & managem5t exp5ses4 7iv7 ,! creation ( an educational toolkit = television & social m$ia plat=ms to use 9 discuss+ suicide & rais+ aw>5ess ab\t h[ to prev5t suicide4 7,b7 ,specific requirem5ts 7i7 ,te/+ & evaluation ( adv]tis+ ,9 te/+ & evaluat+ adv]tis+ "u subp>agraph 7,a77i71 ! ,secret>y %all te/ all adv]tisem5ts aft] use 9 ! national m$ia campaign to evaluate ! ext5t to :i* su* adv]tisem5ts h be5 effective 9 c>ry+ out ! purposes ( ! national m$ia campaign4 7ii7 ,evaluation ( effectiv5ess ( national m$ia campaign ,9 evaluat+ ! effectiv5ess ( ! national m$ia campaign "u subp>agraph 7,a77ii71 ! ,secret>y %all-- 7,i7 take into acc\nt ! numb] ( unique calls t are made to ! suicide prev5tion hotl9e ma9ta9$ "u section #ebj;,e-#c & assess :e!r !re are any ,/ate & regional v>iations ) respect to ! capacity to answ] su* calls2 7,,ii7 take into acc\nt ! numb] ( unique enc\nt]s ) suicide prev5tion & support res\rces ( ! ,c5t]s = ,disease ,control & ,prev5tion & ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & assess engagem5t ) su* suicide prev5tion & support res\rces2 7,,iii7 assess :e!r ! national m$ia campaign has contribut$ to increas$ aw>5ess t suicidal individuals %\ld be engag$1 r ?an ignor$2 & 7,,iv7 take into acc\nt su* o!r measures ( evaluation z ! ,secret>y det]m9es are appropriate4 7#b7 ,optional uses ,! ,secret>y may use am\nts made available "u subsection 7f7 = ! foll[+1 ) respect to ! national m$ia campaign3 7,a7 ,p>tn]%ips ) pr(essional & civic gr\ps1 community-bas$ organizations1 includ+ fai?-bas$ organizations1 & ,f$]al ag5cies or ,tribal organizations t ! ,secret>y det]m9es h exp]i5ce 9 suicide prev5tion1 includ+ ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration & ! ,c5t]s = ,disease ,control & ,prev5tion4 7,b7 ,ent]ta9m5t indu/ry outrea*1 int]active outrea*1 m$ia projects & activities1 ! dissem9ation ( public in=mation1 news m$ia outrea*1 outrea* ?r\gh television programs1 & corporate sponsor%ip & p>ticipation4 7d7 ,prohibitions ,none ( ! am\nts made available "u subsection 7f7 may be obligat$ or exp5d$ = any ( ! foll[+3 7#a7 ,to supplant ,f$]al suicide prev5tion campaigns 9 effect z ( ! date ( ! enactm5t ( ?is section4 7#b7 ,= p>tisan political purposes1 or to express advocacy 9 support ( or to defeat any cle>ly id5tifi$ c&idate1 cle>ly id5tifi$ ballot initiative1 or cle>ly id5tifi$ legislative or regulatory proposal4 7e7 ,report to ,congress ,n lat] ?an #ah mon?s aft] implem5tation ( ! national m$ia campaign has begun1 ! ,secret>y1 9 coord9ation ) ! ,assi/ant ,secret>y & ! ,director1 %all1 ) respect to ! fir/ ye> ( ! national m$ia campaign1 submit to ,congress a report t describes-- 7#a7 ! /rategy ( ! national m$ia campaign & :e!r specific objectives ( su* campaign 7 accompli%$1 includ+ :e!r su* campaign impact$ ! numb] ( calls made to lifel9e crisis c5t]s & ! capacity ( su* c5t]s to manage su* calls2 7#b7 /eps tak5 to ensure t ! national m$ia campaign op]ates 9 an effective & effici5t mann] consi/5t ) ! ov]all /rategy & focus ( ! national m$ia campaign2 7#c7 plans to pur*ase adv]tis+ "t & space2 7#d7 policies & practices implem5t$ to ensure t ,f$]al funds are us$ responsibly to pur*ase adv]tis+ "t & space & elim9ate ! pot5tial = wa/e1 fraud1 & abuse2 & 7#e7 all contracts ent]$ into ) a corporation1 a p>tn]%ip1 or an individual work+ on behalf ( ! national m$ia campaign4 7f7 ,au?orization ( appropriations ,= purposes ( c>ry+ out ?is section1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjbb ?r\gh #bjbf4 4 ,,ii ,heal? ,res\rces & ,s]vices ,adm9i/ration #bja4 ,heal? c5t] capital grants ,subp>t #a ( "p ,d ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b et seq47 is am5d$ by add+ at ! end ! foll[+3 #ccj,o4 ,heal? c5t] capital grants 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to eligible entities = capital projects4 7b7 ,eligible entity ,9 ?is section1 ! t]m eligible entity is an entity t is-- 7#a7 a heal? c5t] fund$ "u section #ccj1 or 9 ! case ( a ,tribe or ,tribal organization1 eligible1 to be aw>d$ )\t reg>d to ! "t limitation 9 subsection 7e77#c7 & subsections 7e77#f77;,a77iii71 7e77#f77;,b77iii71 & 7r77#b77;,b7 ( su* section2 or 7#b7 a m5tal heal? & sub/ance use crisis receiv+ & /abilization program & crisis call c5t] describ$ 9 section #cjb7;c77#a7 ( ! #i-h-h ,implem5tation & ,p>ity ,assi/ance ,act ( #bjbb t h a work+ relation%ip ) "o or m local community m5tal heal? & sub/ance use organizations1 community m5tal heal? c5t]s1 & c]tifi$ community behavioral heal? cl9ics1 or o!r local m5tal heal? & sub/ance use c>e provid]s1 includ+ inpati5t & resid5tial treatm5t sett+s4 7c7 ,use ( funds ,am\nts made available to a recipi5t ( a grant or coop]ative agreem5t pursuant to subsection 7a7 %all be us$ = crisis response program facility alt]ation1 r5ovation1 remodel+1 expansion1 con/ruction1 & o!r capital improvem5t co/s1 includ+ ! co/s ( amortiz+ ! pr9cipal (1 & pay+ int]e/ on1 loans = su* purposes4 7d7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is section #a1jjj1jjj1jjj1 to rema9 available until exp5d$4 4 #bjb4 ,exp&+ behavioral heal? work=ce tra9+ programs ,section #gef ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bid;e-#a7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#a71 by ins]t+ crisis managem5t 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program71 aft] occupational !rapy12 7,b7 9 p>agraph 7#b71 by ins]t+ & provid+ crisis managem5t s]vices 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program7 aft] treatm5t s]vices12 7,c7 9 p>agraph 7#c71 by ins]t+ & provid+ crisis managem5t s]vices 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program71 aft] behavioral heal? s]vices2 & 7,d7 9 p>agraph 7#d71 by ins]t+ includ+ = ! provision ( crisis managem5t s]vices 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program71 aft] p>apr(essional field2 7#b7 9 subsection 7d77#b71 by ins]t+ or t emphasize tra9+ 9 crisis managem5t & meet+ ! crisis ne$s ( div]se populations specifi$ 9 7b77#b71 includ+ effective outrea* & engagem5t aft] p>tn]%ips2 & 7#c7 by add+ at ! end ! foll[+3 7g7 ,additional fund+ 7#a7 ,9 g5]al ,= ea* ( fiscal ye>s #bjbc ?r\gh #bjbg1 9 addition to fund+ made available "u subsection 7f71 !re are au?oriz$ to be appropriat$ #ae1jjj1jjj = work=ce developm5t = crisis managem5t1 z specifi$ 9 p>agraphs 7#a7 ?r\gh 7#d7 ( subsection 7a74 7#b7 ,priority ,9 mak+ grants = ! purpose specifi$ 9 p>agraph 7#a71 ! ,secret>y %all give priority to programs demon/rat+ effective recruitm5t & ret5tion ef=ts = individuals & gr\ps f diff]5t racial1 e?nic1 cultural1 geographic1 religi\s1 l+ui/ic1 & class backgr\nds1 & diff]5t g5d]s & sexual ori5tations1 z specifi$ 9 subsection 7b77#b74 4 ,,iii ,behavioral ,heal? ,crisis ,s]vices ,expansion #cja4 ,crisis response cont9uum ( c>e ,subp>t #c ( "p ,b ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ca et seq471 z am5d$ by section #ajf1 is fur!r am5d$ by add+ at ! end ! foll[+3 #ebj,o4 ,crisis response cont9uum ( c>e 7a7 ,9 g5]al ,! ,secret>y %all e/abli% /&>ds = a cont9uum ( c>e = use by heal? c>e provid]s & communities 9 respond+ to individuals1 includ+ *ildr5 & adolesc5ts1 exp]i5c+ m5tal heal? crises1 sub/ance relat$ crises1 & crises aris+ f co-occurr+ disord]s 7ref]r$ to 9 ?is section z ! crisis response cont9uum74 7b7 ,requirem5ts 7#a7 ,scope ( /&>ds ,! /&>ds e/abli%$ "u subsection 7a7 %all def9e-- 7,a7 m9imum requirem5ts ( core crisis s]vices1 z det]m9$ by ! ,secret>y1 to include requirem5ts t ea* entity t furni%es su* s]vices %\ld-- 7i7 n require prior au?orization f an insurance provid] nor ref]ral f a heal? c>e provid] prior to ! deliv]y ( s]vices2 7ii7 s]ve all individuals reg>dless ( age or ability to pay2 7iii7 op]ate #bd h\rs a day1 #g days a week1 & provide c>e to all individuals2 & 7iv7 provide c>e & support ?r\gh res\rces describ$ 9 p>agraph 7#b77;,a7 until ! individual has be5 /abiliz$ or transf] ! individual to ! next level ( crisis c>e2 & 7,b7 psy*iatric /abilization1 includ+ ! po9t at :i* a case may be clos$ =-- 7i7 individuals scre5$ ov] ! phone2 & 7ii7 individuals /abiliz$ on ! sc5e by mobile teams4 7#b7 ,id5tification ( ess5tial functions ,! ,secret>y %all id5tify ! ess5tial functions ( ea* s]vice 9 ! crisis response cont9uum1 :i* %all include at lea/ ! foll[+3 7,a7 ,id5tification ( res\rces = ref]ral & enrollm5t 9 cont9u+ m5tal heal?1 sub/ance use1 or o!r human s]vices relevant = ! individual 9 crisis :]e necess>y4 7,b7 ,del9eation ( access & entry po9ts to s]vices )9 ! crisis response cont9uum4 7,c7 ,developm5t ( & adh]5ce to protocols & agreem5ts = ! transf] & receipt ( individuals to & f o!r segm5ts ( ! crisis response cont9uum segm5ts z ne$$1 & f outside ref]rals includ+ heal? c>e provid]s1 law en=cem5t1 ,,ems1 fire1 education in/itutions1 & community-bas$ organizations4 7,d7 ,description ( ! qualifications ( crisis s]vices /aff1 includ+ roles = physicians1 lic5s$ cl9icians1 case manag]s1 & pe]s 79 accordance ) ,/ate lic5s+ requirem5ts or requirem5ts applicable to ,tribal heal? pr(essionals74 7,e7 ,requirem5ts = ! conv5+ ( collaborative meet+s ( crisis response s]vice provid]s1 fir/ respond]s1 su* z p>am$ics & law en=cem5t1 & community p>tn]s 7includ+ ,national ,suicide ,prev5tion ,lifel9e or #i-h-h call c5t]s1 #i-a-a public s]vice answ]+ po9ts1 & local m5tal heal? & sub/ance use disord] treatm5t provid]s7 op]at+ 9 a common region = ! discussion ( case managem5t1 be/ practices1 & g5]al p]=mance improvem5t4 7#c7 ,s]vice capacity & quality /&>ds ,su* /&>ds %all include def9itions (-- 7,a7 adequate volume ( s]vices to meet population ne$2 7,b7 appropriate timely response2 & 7,c7 capacity to meet ! ne$s ( diff]5t pati5t populations :o may exp]i5ce a m5tal heal? or sub/ance use crisis1 includ+ *ildr51 families1 & all age gr\ps1 cultural & l+ui/ic m9orities1 individuals ) co-occurr+ m5tal heal? & sub/ance use disord]s1 individuals ) cognitive disabilities1 individuals ) developm5tal delays1 & individuals ) *ronic m$ical conditions & physical disabilities4 7#d7 ,ov]sight & accr$itation ,! ,secret>y %all designate entities *>g$ ) ! ov]sight & accr$itation ( entities )9 ! crisis response cont9uum4 7#e7 ,implem5tation timeframe ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is title1 ! ,secret>y %all e/abli% ! /&>ds "u ?is section4 7#f7 ,data collection & evaluations 7,a7 ,9 g5]al ,! ,secret>y1 directly or ?r\gh grants1 contracts1 or int]ag5cy agreem5ts1 %all collect data & conduct evaluations ) respect to ! provision ( s]vices & programs (f]$ on ! crisis response cont9uum = purposes ( assess+ ! ext5t to :i* ! provision ( su* s]vices & programs meet c]ta9 objectives & outcomes measures z det]m9$ by ! ,secret>y4 ,su* objectives %all include-- 7i7 a r$uction 9 reliance on law en=cem5t response to individuals 9 crisis :o w\ld be m appropriately s]v$ by a mobile crisis team capable ( respond+ to m5tal heal? & sub/ance relat$ crises2 7ii7 a r$uction 9 bo>d+ or ext5d$ hold+ ( pati5ts 9 em]g5cy room facilities :o require fur!r psy*iatric c>e1 includ+ c>e = sub/ance use disord]s2 7iii7 evid5ce ( adequate access to crisis c>e c5t]s & crisis b$ s]vices2 & 7iv7 evid5ce ( adequate l9kage to appropriate po/-crisis c>e & longitud9al treatm5t = m5tal heal? or sub/ance use disord] :5 relevant4 7,b7 ,rulemak+ ,! ,secret>y %all c>ry out ?is subsection ?r\gh notice & comm5t rulemak+1 foll[+ a reque/ = in=mation f /akehold]s4 7c7 ,compon5ts ( crisis response cont9uum ,! crisis response cont9uum consi/s ( at lea/ ! foll[+ compon5ts3 7#a7 ,crisis call c5t]s ,regional cl9ically manag$ crisis call c5t]s t provide telephonic crisis int]v5tion capabilities4 ,su* c5t]s %\ld meet ,national ,suicide ,prev5tion ,lifel9e op]ational guidel9es reg>d+ suicide risk assessm5t & engagem5t & (f] air traffic control-quality coord9ation ( crisis c>e 9 real-"t4 7#b7 ,mobile crisis response team ,teams ( provid]s t are available to rea* any individual 9 ! s]vice area 9 _! home1 workplace1 s*ool1 physician's (fice or outpati5t treatm5t sett+1 or any o!r community-bas$ location ( ! individual 9 crisis 9 a timely mann]4 7#c7 ,crisis receiv+ & /abilization facilities ,subacute inpati5t facilities & o!r facilities specifi$ by ! ,secret>y t provide %ort-t]m obs]vation & crisis /abilization s]vices to all ref]rals1 includ+ ! foll[+ s]vices3 7,a7 #bc-;h\r crisis /abilization s]vices ,a direct c>e s]vice t provides individuals 9 sev]e di/ress ) up to #bc consecutive h\rs ( sup]vis$ c>e to assi/ ) deescalat+ ! sev]ity ( _! crisis or ne$ = urg5t c>e 9 a subacute inpati5t sett+4 7,b7 ,%ort-t]m crisis resid5tial s]vices ,a direct c>e s]vice t assi/s ) deescalat+ ! sev]ity ( an individual's level ( di/ress or ne$ = urg5t c>e associat$ ) a sub/ance use or m5tal heal? disord] 9 a resid5tial sett+4 7#d7 ,m5tal heal? & sub/ance use urg5t c>e facilities ,ambulatory s]vices available #ab-bd h\rs p] day1 #g days a week1 :]e individuals exp]i5c+ crisis c walk 9 )\t an appo9tm5t to receive crisis assessm5t1 crisis int]v5tion1 m$ication1 & connection to cont9uity ( c>e4 7#e7 ,additional facilities & provid]s ,! ,secret>y %all specify additional facilities & heal? c>e provid]s z "p ( ! crisis response cont9uum1 z ! ,secret>y det]m9es appropriate4 7d7 ,relation%ip to /ate law 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! /&>ds e/abli%$ "u ?is section are m9imum /&>ds & no?+ 9 ?is section may be con/ru$ to preclude a ,/ate f e/abli%+ additional /&>ds1 s long z su* /&>ds are n inconsi/5t ) ! requirem5ts ( ?is section or o!r applicable law4 7#b7 ,waiv] or modification ,! ,secret>y %all e/abli% a process "u :i* a ,/ate may reque/ a waiv] or modification ( a /&>d e/abli%$ "u ?is section4 4 ,,iv ,m5tal heal? & sub/ance use disord] p>ity implem5tation #dja4 ,grants to support m5tal heal? & sub/ance use disord] p>ity implem5tation 7a7 ,9 g5]al ,section #bgid7;c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#id7;c77 7z add$ by section #ajjc ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh77 is am5d$ by add+ at ! end ! foll[+3 7#c7 ,p>ity implem5tation 7,a7 ,9 g5]al ,beg9n+ #fj days aft] ! date ( enactm5t ( ?is p>agraph1 ! ,secret>y %all aw>d grants to ,/ates to implem5t ! m5tal heal? & sub/ance use disord] p>ity provisions ( section #bgbf1 provid$ t 9 ord] to receive su* a grant1 a ,/ate is requir$ to reque/ & review f heal? insurance issu]s (f]+ gr\p or individual heal? insurance cov]age ! comp>ative analyses & o!r in=mation requir$ ( su* heal? insurance issu]s "u subsection 7a77#h77;,a7 ( su* section #bgbf reg>d+ ! design & application ( nonquantitative treatm5t limitations impos$ on m5tal heal? or sub/ance use disord] b5efits4 7,b7 ,au?orization ( appropriations ,= purposes ( aw>d+ grants "u subp>agraph 7,a71 !re are au?oriz$ to be appropriat$ #be1jjj1jjj = ea* ( ! fir/ five fiscal ye>s beg9n+ aft] ! date ( ! enactm5t ( ?is p>agraph4 4 7b7 ,te*nical am5dm5t ,section #bgid ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ie71 z add$ by section #ffjc ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh7 is r$esignat$ z section #bgie4