,,ii  #aagth ,,congress  #b;d ,session  
,s4 #dcjf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #be1      
#bjbb,ms4 ,smith 7for herself and ,mr4  
,moran7 introduced the following bill2  
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
support behavioral health integration   
into primary care practices1 and for    
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,improving     
,access to ,behavioral ,health          
,integration ,act4  #b4 ,program to     
support behavioral health integration   
,section #gfj of the ,public ,health    
,service ,act 7#db ,u4,s4,c4 #bidk7 is  
amended-- 7#a7 in the section heading1  
by striking ,training demonstration     
program and inserting ,program to       
support behavioral health integration2  
7#b7 in subsection 7a7-- 7,a7 in        
paragraph 7#b71 by striking 2 and and   
inserting a semicolon2  7,b7 in         
paragraph 7#c77;,b71 by striking the    

period and inserting 2 and2 and  7,c7 by
 adding at the end the following3  7#d7 
supporting primary care practices in    
implementing evidence-based behavioral  
health integration programs that involve
 professionals whose primary job        
function is the direct screening1       
diagnosis1 treatment1 or recovery       
support of patients with or in recovery 
from a behavioral health disorder1 such 
as physicians1 psychiatric nurses1      
social workers1 marriage and family     
therapists1 mental health counselors1   
occupational therapists1 psychologists1 
and peer support specialists4  2  7#c7  
by adding at the end of subsection 7b7  
the following3  7#d7 ,behavioral health 
integration programs ,a recipient of a  
grant under subsection 7a77#d7 shall use
 the grant funds to-- 7,a7 hire         
physicians1 psychiatric nurses1 social  
workers1 marriage and family therapists1
 mental health counselors1 occupational 
therapists1 psychologists1 or peer      
support specialists to provide          

behavioral health services2  7,b7       
identify and enter into contractual     
relationships with health care providers
 or vendors offering care management and
 behavioral health consultation to      
facilitate the adoption of behavioral   
health integration models2 or  7,c7 for 
such other purposes as the ,secretary   
determines appropriate4  2  7#d7 by     
adding at the end of subsection 7c7 the 
following3  7#d7 ,behavioral health     
integration programs ,to be eligible to 
receive a grant under subsection        
7a77#d71 an entity shall be a primary   
care practice1 including adult primary  
care practices and pediatric primary    
care practices4  2  7#e7 by adding at   
the end of subsection 7d7 the following3
  7#c7 ,behavioral health integration   
programs ,in awarding grants under      
subsection 7a77#d71 the ,secretary shall
 give priority to eligible entities     
that-- 7,a7 demonstrate a pathway to    
financially sustain the behavioral      
health integration program beyond the   

initial grant period1 such as           
participation in value-based behavioral 
health integration models2  7,b7 have   
the capacity to expand access to mental 
health and substance use disorder       
services in areas with demonstrated     
need1 as determined by the ,secretary1  
such as ,tribal1 rural1 or other        
medically underserved communities2 or   
7,c7 are practices that are eligible for
 technical assistance under section     
#ahdh7q77#aa7 of the ,social ,security  
,act on the basis of the number of      
professionals4  2  7#f7 in subsection   
7f7-- 7,a7 by striking demonstration    
program each place such term appears and
 inserting program2  7,b7 in paragraph  
7#b7-- 7i7 in subparagraph 7,b71 by     
striking 2 and and inserting a          
semicolon2  7ii7 by redesignating       
subparagraph 7,c7 as subparagraph 7,d72 
and  7iii7 by inserting after           
subparagraph 7,b7 the following3  7,c7  
an analysis of the uptake of behavioral 
health integration models in primary    

care practices2 and  2 and  7,c7 by     
adding at the end the following3  7#c7  
,metrics for measuring the uptake of    
behavioral health integration models    
,for purposes of the reporting          
requirement under paragraph 7#b77;,c71  
the ,secretary shall develop            
evidence-based metrics and reporting    
requirements to measure the uptake of   
behavioral health integration models by 
primary care practices1 including by    
measuring the increase in provider      
capacity1 patient access to behavioral  
health care1 and patient outcomes4 ,the 
,secretary shall consult with primary   
care and behavioral health              
professionals1 and patient advocates    
when developing measures and performance
 metrics4  7#d7 ,publication of data    
,the ,secretary shall make public       
aggregate evaluation results collected  
through the study under paragraph 7#a7  
to facilitate identifying best practices
 and promising models for scale with    
respect to behavioral health integration

 programs4  2 and  7#g7 by amending     
subsection 7g7 to read as follows3  7g7 
,authorization of appropriations ,there 
are authorized to be appropriated1 for  
each of fiscal years #bjbc through      
#bjbg-- 7#a7 to carry out the grant     
programs under paragraphs 7#a71 7#b71   
and 7#c7 of subsection 7a71 #aj1jjj1jjj2
 and  7#b7 to carry out the grant       
program under subsection 7a77#d71       
#cj1jjj1jjj4  4