,,ii  #aag? ,,congress  #b;d ,session   
,s4 #ddhb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bc1 #bjbb,mr4   
,padilla 7= himself & ,mrs4 ,fe9/e97    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,bank+1 ,h\s+1 & ,urban ,affairs  ,a    
,,bill  ,to help p]sons 9 ! ,unit$      
,/ates exp]i5c+ homelessness &          
significant behavioral heal? issues1    
includ+ sub/ance use disord]s1 by       
au?oriz+ a grant program )9 ! ,dep>tm5t 
( ,h\s+ & ,urban ,developm5t to assi/   
,/ate & local gov]nm5ts1 ,cont9uums (   
,c>e1 community-bas$ organizations t    
adm9i/] bo? heal? & homelessness        
s]vices1 & provid]s ( s]vices to p      
exp]i5c+ homelessness1 bett] coord9ate  
heal? c>e & homelessness s]vices1 & =   
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,coord9at+ ,sub/ance   
,use & ,homelessness ,c>e ,act ( #bjbb4 
#b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7
 ,! ,unit$ ,/ates has a homelessness    
crisis1 ) m ?an #ehj1jjj p exp]i5c+     

homelessness on a s+le night accord+ to 
! ,dep>tm5t ( ,h\s+ & ,urban            
,developm5t's #bjbj ,annual ,homeless   
,assessm5t ,report to ,congress4  7#b7  
,:ile ! lack ( af=dable h\s+ is ! prim>y
 driv] ( homelessness1 behavioral heal? 
conditions1 includ+ sub/ance use        
disord]s1 c exac]bate homelessness & c  
also be a consequ5ce ( homelessness4    
7#c7 ,rese>* %[s t p exp]i5c+           
homelessness h high] rates ( sub/ance   
use disord] ?an p ) h\s+ /ability4 ,"s p
 :o exp]i5ce homelessness use sub/ances 
to cope ) ! trauma & deprivations ( _!  
circum/ances1 b sub/ance use disord]s   
frequ5tly make x m difficult = p        
exp]i5c+ homelessness to secure p]man5t 
h\s+4  7#d7 ,_m individuals ) sub/ance  
use disord] :o exp]i5ce homelessness h  
co-occurr+ illnesses4 ,! comb9$ effect (
 physical illness1 m5tal illness1 & lack
 ( h\s+ results 9 high] mortality rates 
= individuals exp]i5c+ homelessness4    
7#e7 ,safely & securely h\s+ individuals
 :o are exp]i5c+ bo? homelessness &     

behavioral heal? issues1 includ+        
sub/ance use disord]s1 (t5 requires     
supportive s]vices & close coord9ation  
betwe5 h\s+ & social s]vice provid]s1 9 
addition to l[-b>ri]1 af=dable h\s+4    
,subsidiz$ h\s+ is critical1 b n        
en\gh--access to additional volunt>y    
p]son-c5t]$ supportive s]vices is ne$$4 
7#f7 ,nev]!less1 x is imp]ative t :5 p  
exp]i5c+ homelessness1 includ+ ^? ) a   
behavioral heal? condition su* z        
sub/ance use disord]1 *oose to seek help
 t h\s+ z well z heal? c>e & p]son-c5t]$
 supportive s]vices be coord9at$1       
p>ticul>ly giv5 _! acute ne$s & !       
significant co/s incurr$ by communities 
= law en=cem5t1 correctional1 & em]g5cy 
dep>tm5t c>e = fail+ to d s4  7#g7      
,provid+ access to heal? c>e & volunt>y 
p]son-c5t]$ supportive s]vices c be     
b5eficial 9 secur+ & successfully       
ma9ta9+ /able h\s+4  7#h7 ,integration (
 heal? & homelessness s]vices to a*ieve 
optimal outcomes = p exp]i5c+           
homelessness1 significant behavioral    

heal? conditions su* z sub/ance use     
disord]1 & o!r heal? conditions c be    
*all5g+ = ,/ate & local gov]nm5ts1      
cont9uums ( c>e1 & community-bas$       
organizations t adm9i/] bo? heal? &     
homelessness s]vices & provid]s (       
homelessness s]vices4  7#i7             
,capacity-build+ is ne$$ to create      
sy/ems-level l9kages betwe5 ! #b sets ( 
s]vices to all[ = smoo!r pa?ways &      
simpl] navigation4  7#aj7 ,black1       
,hispanic1 & ,indig5\s p are            
disproportionately und]s]v$ by          
p]son-c5t]$ supportive s]vices4 ,9 ord] 
to address critical s]vices deficits &  
affirmatively s]ve protect$ classes ( p 
) significant behavioral heal?          
conditions1 includ+ sub/ance use        
disord]s1 :o are exp]i5c+ homelessness1 
! grant program e/abli%$ "u ?is ,act c  
be us$ to build ! capacities (          
homelessness s]vices provid]s t h       
demon/rat$ cultural compet5cies 9 s]vice
 provision & a record ( s]v+ ,black1    
,hispanic1 & ,indig5\s p & o!r und]s]v$ 

populations exp]i5c+ homelessness t also
 suff] f sub/ance use disord]s4  #c4    
,def9itions ,9 ?is ,act3 7#a7 ,indian   
,tribe2 ,tribal organization ,! t]ms    
,indian ,tribe & ,tribal organization-- 
7,a7 h ! mean+s giv5 ^? t]ms 9 section  
#d ( ! ,indian ,self-,det]m9ation &     
,education ,assi/ance ,act 7#be         
,u4,s4,c4 #ecjd72 &  7,b7 include       
entities t s]ve ,native ,hawaiians1 z   
def9$ 9 section #cch,k7c7 ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#beds7c774  7#b7 ,p]son exp]i5c+        
homelessness ,! t]m p]son exp]i5c+      
homelessness has ! same mean+ z ! t]ms  
homeless1 homeless individual1 &        
homeless p]son1 z ^? t]ms are def9$ 9 ! 
,mc,kinney-,v5to ,homeless ,assi/ance   
,act 7#db ,u4,s4,c4 #aacjb74  7#c7      
,public h\s+ ag5cy ,! t]m public h\s+   
ag5cy has ! mean+ giv5 ! t]m 9 section  
#c7;b7 ( ! ,unit$ ,/ates ,h\s+ ,act (   
#aicg 7#db ,u4,s4,c4 #adcg;a7b774  7#d7 
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,h\s+ & ,urban ,developm5t4 

7#e7 ,sub/ance use disord] ,! t]m       
sub/ance use disord] means ! disord] t  
occurs :5 ! recurr5t use ( alcohol or   
drugs1 or bo?1 causes cl9ically         
significant impairm5t1 includ+ heal?    
problems1 disability1 & failure to meet 
major responsibilities at "w1 s*ool1 or 
home4  7#f7 ,tribally designat$ h\s+    
entity ,! t]m tribally designat$ h\s+   
entity has ! mean+ giv5 ! t]m 9 section 
#d ( ! ,native ,am]ican ,h\s+ ,assi/ance
 & ,self-,det]m9ation ,act ( #aiif4  #d4
 ,e/abli%m5t ( grant program  7a7 ,9    
g5]al ,! ,secret>y1 9 consultation ) !  
work+ gr\p e/abli%$ pursuant to         
subsection 7b71 %all e/abli% a grant    
program to aw>d competitive grants to   
eligible entities describ$ 9 subsection 
7c77#d7 to build or increase _!         
capacities = ! bett] coord9ation ( heal?
 c>e & homelessness s]vices = p :o are  
exp]i5c+ homelessness & significant     
behavioral heal? issues1 includ+        
sub/ance use disord]s1 & are volunt>ily 
seek+ assi/ance4  7b7 ,work+ gr\p  7#a7 

,e/abli%m5t ,! ,secret>y %all e/abli% an
 int]ag5cy work+ gr\p to provide advice 
to ! ,secret>y 9 c>ry+ out ! program "u 
subsection 7a74  7#b7 ,composition ,!   
work+ gr\p e/abli%$ "u p>agraph 7#a7    
%all include repres5tatives f !         
,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 
! ,unit$ ,/ates ,int]ag5cy ,c\ncil on   
,homelessness1 ! ,dep>tm5t ( ,heal? &   
,human ,s]vices1 ! ,dep>tm5t (          
,agriculture1 & ! ,bureau ( ,indian     
,affairs1 to be appo9t$ by ! heads ( ^? 
ag5cies4  7#c7 ,developm5t ( assi/ance  
tools ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ?is ,act1 ! work+ gr\p       
e/abli%$ "u p>agraph 7#a7 %all-- 7,a7   
develop tra9+1 tools1 & o!r te*nical    
assi/ance mat]ials t simplify           
homelessness s]vices = provid]s ( heal? 
c>e & simplify heal? c>e s]vices =      
provid]s ( homelessness s]vices by      
id5tify+ ! basic elem5ts ! heal? &      
homelessness sectors ne$ to und]/& ab\t 
! o!r2 &  7,b7 circulate ! mat]ials     
describ$ 9 subp>agraph 7,a7 to int]e/$  

entities1 p>ticul>ly ^? t apply = grants
 aw>d$ "u ?is section4  7c7             
,capacity-,build+ grants  7#a7 ,9 g5]al 
,! ,secret>y %all aw>d #e-ye> grants to 
eligible entities describ$ 9 p>agraph   
7#d71 :i* %all be us$ only to build or  
increase _! capacities to coord9ate     
heal? c>e & homelessness s]vices4  7#b7 
,prohibition ,none ( ! proce$s f !      
grants aw>d$ pursuant to ?is ,act may be
 us$ to pay =-- 7,a7 heal? c>e1 ) !     
exception ( ef=ts to increase !         
availability ( ,naloxone & provide tra9+
 = its adm9i/ration2 or  7,b7 r5t4  7#c7
 ,am\nt ,! am\nt aw>d$ to an entity "u a
 grant "u ?is section %all n exce$      
#ejj1jjj4  7#d7 ,eligibility ,to be     
eligible to receive a grant "u ?is      
subsection an entity %all-- 7,a7 be--   
7i7 a gov]nm5tal entity at ! c\nty1     
city1 regional1 or locality level2  7ii7
 an ,indian ,tribe1 a tribally designat$
 h\s+ entity1 or a ,tribal organization2
  7iii7 a public h\s+ ag5cy adm9i/]+    
h\s+ *oice v\*]s2 or  7iv7 a cont9uum ( 

c>e or nonpr(it organization designat$  
by ! cont9uum ( c>e2  7,b7 be           
responsible = homelessness s]vices2     
7,c7 provide su* assurances z !         
,secret>y %all require t1 9 c>ry+ out   
activities ) am\nts f ! grant1 ! entity 
w ensure t s]vices are culturally       
compet5t1 meet ! ne$s ( ! p be+ s]v$1 & 
foll[ trauma-in=m$ be/ practices to     
address ^? ne$s us+ a h>m r$uction      
approa*2 &  7,d7 demon/rate h[ !        
capacity ( ! entity to coord9ate heal?  
c>e & homelessness s]vices to bett] s]ve
 p exp]i5c+ homelessness & significant  
behavioral heal? issues1 includ+        
sub/ance use disord]s1 c be increas$    
?r\gh-- 7i7 ! designation ( a gov]nm5tal
 (ficial z a coord9ator = mak+          
connections betwe5 heal? & homelessness 
s]vices & develop+ a /rategy = us+ ^?   
s]vices 9 a holi/ic way to help p       
exp]i5c+ homelessness & behavioral heal?
 conditions su* z sub/ance use disord]s1
 includ+ ^? ) cooccurr+ conditions2     
7ii7 improvem5ts 9 infra/ructure at !   

sy/ems level2  7iii7 improvem5ts 9      
te*nology = volunt>y remote monitor+    
capabilities1 includ+ int]net & video1  
:i* c all[ = m home- & community-bas$   
behavioral heal? c>e s]vices & ensure ^?
 improvem5ts ma9ta9 effective           
communication requirem5ts = p]sons )    
disabilities & program access = p]sons )
 limit$ ,engli% pr(ici5cy2  7iv7        
improvem5ts 9 connections to heal? c>e  
s]vices deliv]$ by provid]s exp]i5c$ 9  
behavioral heal? c>e & p exp]i5c+       
homelessness2  7v7 ef=ts to increase !  
availability ( ,naloxone & provide tra9+
 = its adm9i/ration2 &  7vi7 any        
additional activities id5tifi$ by !     
,secret>y t w advance ! coord9ation (   
homelessness assi/ance1 h\s+1 & sub/ance
 use s]vices & o!r heal? c>e s]vices4   
7#e7 ,eligible activities ,an eligible  
entity receiv+ a grant "u ?is section   
may use ! grant to cov] co/s relat$ to--
 7,a7 hir+ sy/em coord9ators2 &  7,b7   
adm9i/rative co/s1 includ+ /aff+ co/s1  
te*nology co/s1 & o!r su* co/s id5tifi$ 

by ! ,secret>y4  7#f7 ,di/ribution (    
funds ,an eligible entity receiv+ a     
grant "u ?is section may di/ribute all  
or a portion ( ! grant am\nts to private
 nonpr(it organizations1 o!r gov]nm5t   
entities1 public h\s+ ag5cies1 tribally 
designat$ h\s+ entities1 or o!r entities
 z det]m9$ by ! ,secret>y to c>ry out   
programs & activities 9 accordance ) ?is
 section4  7#g7 ,ov]sight requirem5ts   
7,a7 ,annual reports ,n lat] ?an #f ye>s
 aft] ! date on :i* grant am\nts are    
fir/ receiv$ by an eligible entity "u   
?is section1 ! entity %all submit to !  
,secret>y a report on ! activities c>ri$
 out "u ! grant1 :i* %all include1 )    
respect to activities c>ri$ out ) grant 
am\nts 9 ! community s]v$-- 7i7 measures
 ( outcomes relat+ to :e!r p exp]i5c+   
homelessness & significant behavioral   
heal? issues1 includ+ sub/ance use      
disord]s1 :o s\ght help f ! entity--    
7,i7 7 h\s$ & did n exp]i5ce int]mitt5t 
p]iods ( homelessness2  7,,ii7 7        
volunt>ily enroll$ 9 treatm5t & recov]y 

programs2  7,,iii7 exp]i5c$ improvem5ts 
9 _! heal?2  7,,iv7 obta9$ access to    
specific prim>y c>e provid]s2 &  7,v7 h 
heal? c>e plans t meet _! individual    
ne$s1 includ+ access to m5tal heal? &   
sub/ance use disord] treatm5t & recov]y 
s]vices2  7ii7 h[ grant funds 7 us$2 &  
7iii7 any o!r matt]s det]m9$ appropriate
 by ! ,secret>y4  7,b7 ,rule (          
con/ruction ,no?+ 9 ?is subsection may  
be con/ru$ to condition ! receipt (     
future h\s+ & o!r s]vices by individuals
 assi/$ ) activities & s]vices provid$ )
 grant am\nts on ! outcomes detail$ 9 ! 
reports submitt$ "u ?is p>agraph4  7d7  
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #bj1jjj1jjj = ea* ( fiscal  
ye>s #bjbb ?r\gh #bjbg1 ( :i* n less ?an
 #e p]c5t ( su* funds %all be aw>d$ to  
,indian ,tribes1 tribally designat$ h\s+
 entities1 & ,tribal organizations4