,i #aah? ,,congress #b;d ,session ,h4 ,r4 #ajddh ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #ag1 #bjbd,ms4 ,bal9t 7= h]self & ,mr4 ,tonko7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,f9ancial ,s]vices1 ,education & ! ,work=ce1 & ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to combat lonel9ess & increase social connection1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,combat+ ,lonel9ess ,act4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,sec4 #b4 ,f9d+s4,sec4 #c4 ,s5se ( ,congress4,title ,i--,community-bas$ programs,sec4 #aja4 ,grants = ?ird-spaces4,sec4 #ajb4 ,grants = social infra/ructure4,sec4 #ajc4 ,grants = ,outrea* & ,int]v5tion to address lonel9ess4,title ,,ii--,public health,sec4 #bja4 ,support gr\p demon/ration program4,sec4 #bjb4 ,build+ communities ( recov]y program reau?orization4,sec4 #bjc4 ,m5tal heal? provid] /ud5t loan =giv5ess4,sec4 #bjd4 ,heal? work=ce resili5cy program4,sec4 #bje4 ,task =ce to prev5t heal? c>e work] burn\t4,title ,,iii--,measurem5ts ( loneliness,sec4 #cja4 ,addition ( lonel9ess to ! ,old] ,am]icans ,act ( #aife4,sec4 #cjb4 ,,hhs work+ gr\p on measurem5ts ( lonel9ess & isolation4,sec4 #cjc4 ,,gao /udy & report on impact ( social isolation4,title ,,iv--,community heal? workers,sec4 #dja4 ,cov]age ( ,community ,heal? ,work] s]vices "u ,m$ic>e & ,increas$ ,,fmap = ,community ,heal? ,work] s]vices4,sec4 #djb4 ,community ,heal? ,work]s 9 ,,nhsc loan repaym5t program4,title ,v--,education,sec4 #eja4 ,s*ool-bas$ s]vices "u ,m$icaid & ,,*ip4,sec4 #ejb4 ,support = ,project ,,aw>e4,sec4 #ejc4 ,support = ! #ba/ ,c5tury ,community ,le>n+ ,c5t]s program & ! ,full-,s]vice ,community ,s*ools ,program4,title ,,vi--,definitions,sec4 #fja4 ,def9itions4 #b4 ,f9d+s ,! ,congress f9ds ! foll[+3 7#a7 #cf p]c5t ( individuals 9 ! ,unit$ ,/ates report s]i\s lonel9ess4 7#b7 #fa p]c5t ( "y adults & ov] #ej p]c5t ( mo!rs ) "y *ildr5 9 ! ,unit$ ,/ates report s]i\s lonel9ess4 7#c7 #fa p]c5t ( disabl$ individuals 9 ! ,unit$ ,/ates exp]i5ce *ronic lonel9ess1 ) an ev5 high] preval5ce ( #gj p]c5t among "y disabl$ p 9 ! ,unit$ ,/ates4 7#d7 ,,lgbtqi y\?1 p>ticul>ly transg5d] & ,black individuals1 exp]i5ce high] levels ( lonel9ess1 depression1 & anxiety ?an _! /raight or cisg5d] c\nt]p>ts4 7#e7 ,black individuals1 ,indig5\s individuals1 & individuals ( color are disproportionately affect$ by social lonel9ess & isolation1 ) #ge p]c5t ( ,lat9x & ,hispanic adults & #fh p]c5t ( ,black & ,african ,am]ican adults categoriz$ z lonely4 7#f7 ,due to fragm5t$ social networks1 lonel9ess is especially p]vasive ) p exp]i5c+ homelessness1 ) #a 9 #e report+ to h no fri5ds4 7#g7 ,f>m]s & agricultural work]s1 pr$om9antly bas$ 9 rural areas1 face height5$ risks to m5tal well-be+ due to social & geographical isolation4 7#h7 ,old] adults face height5$ vuln]ability to lonel9ess & social isolation due to factors includ+ liv+ alone1 loss ( familial & social ties1 *ronic illness1 & impair$ he>+4 7#i7 ,eld]ly individuals are increas+ly affect$ by homelessness & lonel9ess z _! social circles %r9k1 lifespans increase1 & economic *all5ges gr[1 mak+ !m "o ( ! fa/e/-gr[+ segm5ts ( ! homeless population4 7#aj7 ,vet]ans (t5 exp]i5ce feel+s ( isolation due to los+ t\* ) _! milit>y community1 physical or m5tal heal? issues1 & difficulties adju/+ to civilian life4 7#aa7 #a out ( e #e vet]ans reports t !y (t5 feel lonely1 lead+ to high] rates ( m5tal & physical heal?1 z well z suicidal ideation4 7#ab7 ,climate-relat$ disa/]s are associat$ ) negative impacts on m5tal heal? nationwide4 7#ac7 ,p :o use social m$ia = m ?an #b h\rs a day are twice z likely to report increas$ feel+s ( social isolation ?an ^? :o 7 us+ x = less ?an #cj m9utes a day4 7#ad7 ,/ud5ts ) l[ academic p]=mance may turn to social network+ sites to cope ) feel+s ( lonel9ess & isolation1 f9d+ onl9e int]actions less /ressful ?an face-to-face relation%ips4 7#ae7 ,a %ortage ( #aci1jjj prim>y c>e physicians is project$ by #bjcc1 ) p>ticul>ly conc]n+ deficits anticipat$ rural areas4 7#af7 ,burn\t rates report$ by heal? c>e work]s nationally are high] ?an 9 any o!r indu/ry4 7#ag7 ,ne>ly half ( heal? work]s report$ (t5 feel+ burn$ out 9 #bjbb1 up f #cb p]c5t 9 #bjah4 7#ah7 ,rural cl9ics report ! highe/ rates ( burn\t4 7#ai7 ,increas$ feel+ ( lonel9ess & social isolation c lead to an increase 9 susceptibility to radicalization & viol5ce4 7#bj7 ,increas$ feel+s ( lonel9ess lead to a r$uc$ s5se ( civic duty & l[] vot] turn\t4 7#ba7 ,positive relation%ips ) pe]s1 p>5ts1 & tea*]s dur+ *ildhood & adolesc5ce correlate ) improv$ academic outcomes & pr$ict high] rates ( college graduation & atta9m5t ( f\r-ye> degrees 9 e>ly adul?ood4 7#bb7 ,build+ design incorporat+ elem5ts t promote physical activity & social int]action enhances heal? & r$uces lonel9ess among old] adults4 7#bc7 ,h\s+ ) c>e is effective at r$uc+ lonel9ess & social isolation 9 lat] life1 provid+ bett] outcomes ?an liv+ 9 ! g5]al community4 #c4 ,s5se ( ,congress ,x is ! s5se ( ! ,congress t x is ! duty ( ! ,f$]al ,gov]nm5t to-- 7#a7 create a national heal? insurance program t provides compreh5sive & ess5tial c>e to all individuals 9 ! ,unit$ ,/ates1 :i* is critical to build+ heal?i] communities2 7#b7 e/abli% a national paid family & m$ical leave program t all[s e work] to take c>e ( _! own heal? & _! families' heal?1 :i* creates heal?y & vibrant communities2 7#c7 enc\rage p>ticipation 9 ! arts & ! humanities1 :i* provides communities ) a f\ndation to engage 9 our democracy & fo/]s an appreciation = our %>$ cultural h]itage2 7#d7 e/abli% univ]sal e>ly education t supports e>ly *ildhood developm5t & sets *ildr5 up = academic success1 :i* is an inve/m5t 9 our *ildr51 _! families1 & future g5]ations2 7#e7 provide safe1 af=dable h\s+ t provides work+ families ) /ability1 :i* is critical to build+ vibrant communities2 7#f7 provide af=dable & quality *ild c>e t is a lifel9e = work+ families1 :i* is critical to build+ a /rong] economy1 work=ce1 & communities2 7#g7 address ! climate crisis by transition+ to r5ewable en]gy1 promot+ environm5tal ju/ice1 & cons]v+ public & wild l&s1 :i* is ess5tial to build+ resili5t communities & a su/a9able future2 7#h7 r$uce gun viol5ce ?r\gh common-s5se gun safety re=m1 :i* w protect families f s5seless gun viol5ce1 :i* is critical to creat+ saf] communities2 7#i7 build a tax code t works = work+ families & small bus9esses1 & ensure ! weal?y pay _! fair %>e1 :i* is ess5tial 9 ord] to inve/ 9 critical res\rces su* z h\s+ & m5tal heal? c>e2 & 7#aj7 enc\rage ,/ates1 c\nties1 & local municipalities to develop policies t h a focus on connection & social connectivity4 ,i ,community-bas$ programs #aja4 ,grants = ?ird-spaces 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y71 9 consultation ) ! appropriate ,f$]al (ficials1 %all e/abli% a program to aw>d grants1 on a competitive basis1 to ,/ate or local gov]nm5ts to support eligible entities to create & scale community connection programs & local in/itutions t br+ p toge!r at community facilities4 7b7 ,applications ,to be eligible to receive a grant "u ?is section1 a ,/ate or local gov]nm5t %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7c7 ,use ( funds ,a grant aw>d$ "u ?is section-- 7#a7 may be us$ to pay ! sal>y or wages ( appropriate /aff ( ! community connection programs & local in/itutions ref]r$ to 9 subsection 7a72 & 7#b7 may n be us$ = ! con/ruction ( any facility4 7d7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all prioritize-- 7#a7 und]s]v$ communities2 & 7#b7 communities ) high p]c5tages ( *ildr5 or eld]ly individuals4 7e7 ,def9itions ,9 ?is section3 7#a7 ,appropriate ,f$]al (ficials ,! t]m appropriate ,f$]al (ficials means-- 7,a7 ! ,adm9i/rator ( ! ,adm9i/ration = ,community ,liv+2 7,b7 ! ,secret>y ( ,education2 7,c7 ! ,secret>y ( ,vet]ans ,affairs2 7,d7 ! ,secret>y ( ,labor2 & 7,e7 ! ,director ( ! ,in/itute ( ,museum & ,libr>y ,s]vices4 7#b7 ,eligible entity ,! t]m eligible entity means a gov]nm5tal or nonpr(it entity t is-- 7,a7 a libr>y2 7,b7 a s5ior c5t]2 7,c7 a *ildc>e c5t] or aft]-s*ool program2 7,d7 a recreation c5t]2 7,e7 a te5 c5t]2 7,f7 a vet]an s]vice organization2 or 7,g7 any o!r entity1 z ! relevant ,/ate or local gov]nm5t det]m9es appropriate4 7f7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #bjj1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjbi4 #ajb4 ,grants = social infra/ructure 7a7 ,9 g5]al ,! ,secret>y ( ,h\s+ & ,urban ,developm5t 79 ?is section ref]r$ to z ! ,secret>y7 %all e/abli% a competitive grant program to aw>d grants to eligible entities to plan & build infra/ructure t enc\rages social connection4 7b7 ,eligible entities ,to be eligible = a grant "u ?is section1 an entity %all be-- 7#a7 a ,/ate gov]nm5t2 7#b7 a local gov]nm5t2 7#c7 a metropolitan plann+ organization2 or 7#d7 a multijurisdictional gr\p ( entities describ$ 9 p>agraphs 7#a7 ?r\gh 7#c74 7c7 ,eligible uses ,an eligible entity may use am\nts aw>d$ "u ?is section to-- 7#a7 plan infra/ructure projects t enc\rage social connection1 includ+-- 7,a7 p>ks2 7,b7 playgr\nds2 7,c7 recreation spaces2 & 7,d7 access to natural areas2 7#b7 build su* projects2 & 7#c7 pres]ve su* projects4 7d7 ,applicant pref]5ce ,! ,secret>y %all give pref]5ce to eligible entities t-- 7#a7 demon/rate environm5tally consci\s op]ations2 7#b7 emphasize accessibility = disabl$ individuals2 or 7#c7 are locat$ 9 or repres5t und]s]v$ communities4 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to ! ,secret>y to c>ry out ?is section #agj1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjbi4 #ajc4 ,grants = ,outrea* & ,int]v5tion to address lonel9ess 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all e/abli% a program to make grants1 on a competitive basis1 to cov]$ entities = ! purposes describ$ 9 subsection 7c74 7b7 ,applications ,to be eligible to receive a grant "u ?is section1 a cov]$ entity %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,secret>y may require4 7c7 ,purposes describ$ ,! purposes describ$ 9 ?is subsection are ! foll[+3 7#a7 ,to conduct outrea*1 ?r\gh e/abli%$ scre5+ tools or o!r me?ods1 z ! ,secret>y det]m9es appropriate1 to at-risk individuals reg>d+ ! heal? effects ( lonel9ess & social isolation4 7#b7 ,to develop & implem5t community-bas$ int]v5tions = ! purpose ( mitigat+ lonel9ess or social isolation 9 at-risk individuals1 includ+ evid5ce-bas$ programs1 z det]m9$ by ! ,secret>y1 develop$ ) multi-/akehold] input4 7#c7 ,to connect at-risk individuals ) community social or cl9ical support4 7d7 ,def9itions ,9 ?is section3 7#a7 ,at-risk individual ,! t]m at-risk individual means an individual :o-- 7,a7 is-- 7i7 betwe5 ! ages ( #ah & #be ye>s old2 or 7ii7 #fj ye>s ( age or old]2 7,b7 has a disability2 7,c7 has a pre-exi/+ heal? condition2 or 7,d7 has poor indicators ( social det]m9ants ( heal?1 :i* may include-- 7i7 ! conditions 9 :i* p are born1 gr[1 "w1 live1 wor%ip1 & age2 & 7ii7 a wide set ( =ces & sy/ems t %ape daily life1 su* z economic policies & sy/ems4 7#b7 ,cov]$ entity ,! t]m cov]$ entity means-- 7,a7 an area ag5cy on ag+2 7,b7 a c5t] = indep5d5t liv+2 & 7,c7 su* o!r community-bas$ organization1 z ! ,secret>y det]m9es appropriate4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ su* sums z may be necess>y to c>ry out ?is section4 ,,ii ,public heal? #bja4 ,support gr\p demon/ration program 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 79 ?is section ref]r$ to z ! ,secret>y7 %all e/abli% a demon/ration program to aw>d grants to ,/ates & localities to support eligible organizations 9-- 7#a7 coord9at+ gr\p !rapy c>e = m5tal heal? & sub/ance use treatm5t2 7#b7 adm9i/rative & op]ational co/s relat$ to su* treatm5t2 & 7#c7 outrea*1 p>ticipant recruitm5t1 pati5t education1 & treatm5t plan developm5t4 7b7 ,priority ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to ,/ates & localities t w support eligible organizations 9 rural areas4 7c7 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance to ,/ates & localities seek+ or receiv+ a grant "u ?is section4 7d7 ,eligible organization def9$ ,9 ?is section1 ! t]m eligible organization means a p>tn]%ip betwe5-- 7#a7 at lea/ #a-- 7,a7 cl9ician ) a private practice2 7,b7 heal? c>e c5t] or association ( community heal? c5t]s2 or 7,c7 hospital2 & 7#b7 at lea/ #a-- 7,a7 elem5t>y or second>y s*ool2 7,b7 in/itution ( high] education2 or 7,c7 community organization1 includ+ a s5ior c5t]1 y\? c5t]1 or ,,lgbtq c5t]4 #bjb4 ,build+ communities ( recov]y program reau?orization ,section #edg7;f7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#b7;f77 is am5d$ by /rik+ #e1jjj1jjj = ea* ( fiscal ye>s #bjai ?r\gh #bjbc & ins]t+ #af1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjbi4 #bjc4 ,m5tal heal? provid] /ud5t loan =giv5ess ,"p ,f ( title ,,vii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bie;h7 is am5d$-- 7#a7 by am5d+ ! "p head+ to read z foll[s3 ,sub/ance use disord] treatm5t & m5tal heal? work=ce loan repaym5t programs2 7#b7 9 section #gha7;e77#b71 by /rik+ #cch;,i1 or #hdf & ins]t+ #cch;,i1 #ghb1 or #hdf2 & 7#c7 by add+ at ! end ! foll[+3 #ghb4 ,loan repaym5t program = m5tal heal? work=ce 7a7 ,9 ,g5]al ,! ,secret>y1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 79 ?is section ref]r$ to z ! ,secret>y7 %all c>ry out a program "u :i*-- 7#a7 ! ,secret>y ent]s into agreem5ts ) individuals to make paym5ts 9 accordance ) subsection 7b7 on ! pr9cipal ( & int]e/ on any eligible loan2 & 7#b7 ! individuals ea* agree to ! requirem5ts ( s]vice 9 m5tal heal? s]vices employm5t1 z describ$ 9 subsection 7d74 7b7 ,paym5ts ,= ea* ye> ( obligat$ s]vice by an individual pursuant to an agreem5t "u subsection 7a71 ! ,secret>y %all make a paym5t to su* individual z foll[s3 7#a7 ,s]vice 9 a %ortage area ,! ,secret>y %all pay-- 7,a7 = ea* ye> ( obligat$ s]vice by an individual pursuant to an agreem5t "u subsection 7a71 #a_/f ( ! pr9cipal ( & int]e/ on ea* eligible loan ( ! individual :i* is out/&+ on ! date ! individual began s]vice pursuant to ! agreem5t2 & 7,b7 = completion ( ! six? & f9al ye> ( su* s]vice1 ! rema9d] ( su* pr9cipal & int]e/4 7#b7 ,maximum am\nt ,! total am\nt ( paym5ts "u ?is section to any individual %all n exce$ #ge1jjj4 7c7 ,eligible ,loans ,! loans eligible = repaym5t "u ?is section are ea* ( ! foll[+3 7#a7 ,any loan = education or tra9+ = a sub/ance use disord] treatm5t employm5t4 7#b7 ,any loan "u "p ,e ( title ,,viii 7relat+ to nurs+ /ud5t loans74 7#c7 ,any ,f$]al ,direct ,/af=d ,loan1 ,f$]al ,direct ,,plus ,loan1 ,f$]al ,direct ,unsubsidiz$ ,/af=d ,loan1 or ,f$]al ,direct ,consolidation ,loan 7z su* t]ms are us$ 9 section #dee ( ! ,high] ,education ,act ( #aife74 7#d7 ,any ,f$]al ,p]k9s ,loan "u "p ,e ( title ,i ( ! ,high] ,education ,act ( #aife4 7#e7 ,any o!r ,f$]al loan z det]m9$ appropriate by ! ,secret>y4 7d7 ,requirem5ts ( ,s]vice ,any individual receiv+ paym5ts "u ?is program z requir$ by an agreem5t "u subsection 7a7 %all agree to an annual commitm5t to full-"t employm5t1 ) no m ?an #a ye> pass+ betwe5 any #b ye>s ( cov]$ employm5t1 9 m5tal heal? s]vices employm5t 9 ! ,unit$ ,/ates 9 a ,m5tal ,heal? ,pr(essional ,%ortage ,area1 z designat$ "u section #ccb4 7e7 ,ineligibility = ,d\ble ,b5efits ,no borr[] may1 = ! same s]vice1 receive a r$uction ( loan obligations or a loan repaym5t "u bo?-- 7#a7 ?is section2 & 7#b7 any f$]ally support$ loan =giv5ess program1 includ+ "u section #cch;,b1 #cch;,i1 #gha1 or #hdf ( ?is ,act1 or section #dbh;,j1 #dbh,l1 #dee7m71 or #dfj ( ! ,high] ,education ,act ( #aife4 7f7 ,brea* 7#a7 ,liquidat$ damages =mula ,! ,secret>y may e/abli% a liquidat$ damages =mula to be us$ 9 ! ev5t ( a brea* ( an agreem5t ent]$ into "u subsection 7a74 7#b7 ,limitation ,! failure by an individual to complete ! full p]iod ( s]vice obligat$ pursuant to su* an agreem5t1 tak5 alone1 %all n con/itute a brea* ( ! agreem5t1 s long z ! individual complet$ 9 good fai? ! ye>s ( s]vice = :i* paym5ts 7 made to ! individual "u ?is section4 7g7 ,additional ,crit]ia ,! ,secret>y-- 7#a7 may e/abli% su* crit]ia & rules to c>ry out ?is section z ! ,secret>y det]m9es are ne$$ & 9 addition to ! crit]ia & rules specifi$ 9 ?is section2 & 7#b7 %all give notice to ! committees specifi$ 9 subsection 7h7 ( any crit]ia & rules s e/abli%$4 7h7 ,report to ,congress ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is section1 & e o!r ye> !reaft]1 ! ,secret>y %all prep>e & submit to ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate a report on-- 7#a7 ! numb] & location ( borr[]s :o h qualifi$ = loan repaym5ts "u ?is section2 & 7#b7 ! impact ( ?is section on ! availability ( sub/ance use disord] treatm5t employees nationally & 9 %ortage areas & c\nties describ$ 9 subsection 7d74 7i7 ,def9ition ,9 ?is section3 7#a7 ,community-bas$ organization ,! t]m community-bas$ organization includes1 except z o!rwise provid$ by ! ,secret>y1 a nonpr(it community-bas$ organization1 a consortium ( nonpr(it community-bas$ organizations1 a national nonpr(it organization act+ z an int]m$i>y = a community-bas$ organization1 or a community-bas$ organization t has a fiscal sponsor t all[s ! organization to function z an organization describ$ 9 section #eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code ( #aihf & exempt f taxation "u section #eja7;a7 ( su* ,code4 7#b7 ,,isdeaa t]ms ,! t]ms ,indian tribe & tribal organization h ! mean+s giv5 ^? t]ms 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#c7 ,m5tal heal? s]vices employm5t ,! t]m m5tal heal? s]vices employm5t means full-"t employm5t 7includ+ a fell[%ip7-- 7,a7 :]e ! prim>y int5t & function ( ! position is ! direct treatm5t or recov]y support ( pati5ts ) or 9 recov]y f a diagnosable m5tal1 behavioral1 or emotional disord]1 includ+ ma/]'s level social work]s1 psy*ologi/s1 c\nselors1 m>riage & family !rapi/s1 psy*iatric m5tal heal? practition]s1 *ild & adolesc5t psy*iatri/s1 occupational !rapi/s1 psy*ology doctoral int]ns1 behavioral heal? p>apr(essionals & physicians1 physician assi/ants1 & nurses1 :o are lic5s$ or c]tifi$ 9 accordance ) applicable ,/ate & ,f$]al laws2 & 7,b7 :i* is locat$ at a m5tal heal? treatm5t program1 private physician practice1 hospital or heal? sy/em-affiliat$ inpati5t treatm5t c5t] or outpati5t cl9ic 7includ+ an academic m$ical c5t]-affiliat$ treatm5t program71 correctional facility or program1 y\? det5tion c5t] or program1 inpati5t psy*iatric facility1 crisis /abilization unit1 community heal? c5t]1 community m5tal heal? or o!r specialty community behavioral heal? c5t]1 recov]y c5t]1 s*ool1 community-bas$ organization1 teleheal? plat=m1 migrant heal? c5t]1 heal? program or facility op]at$ by an ,indian tribe or tribal organization1 ,f$]al m$ical facility1 or any o!r facility z det]m9$ appropriate = purposes ( ?is section by ! ,secret>y4 7#d7 ,municipality ,! t]m municipality means a city1 t[n1 or o!r public body creat$ by or pursuant to ,/ate law1 or an ,indian tribe4 4 #bjd4 ,heal? work=ce resili5cy program 7a7 ,fund+ = m5tal heal? & sub/ance use disord] tra9+ = heal? c>e pr(essionals1 p>apr(essionals1 & public safety (fic]s ,section #bgjc ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b2 #ace ,/at4 #df7 is am5d$-- 7#a7 9 subsection 7b71 by /rik+ appropriat$ by subsection 7a7 & ins]t+ appropriat$ by subsection 7a7 or pursuant to subsection 7c72 & 7#b7 by add+ at ! end ! foll[+3 7c7 ,au?orization = ,,fy #bjbe to #bjbi ,!re is au?oriz$ to be appropriat$ = ! purpose describ$ 9 subsection 7b7 #ajj1jjj1jjj = ! p]iod ( fiscal ye>s #bjbe ?r\gh #bjbi4 4 7b7 ,fund+ = education & aw>5ess campaign enc\rag+ heal?y "w conditions & use ( m5tal heal? & sub/ance use disord] s]vices by heal? c>e pr(essionals ,section #bgjd ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b2 #ace ,/at4 #df7 is am5d$-- 7#a7 9 subsection 7b71 by /rik+ appropriat$ by subsection 7a7 & ins]t+ appropriat$ by subsection 7a7 or pursuant to subsection 7c72 & 7#b7 by add+ at ! end ! foll[+3 7c7 ,au?orization = ,,fy #bjbe to #bjbi ,!re is au?oriz$ to be appropriat$ = ! purpose describ$ 9 subsection 7b7 #ajj1jjj1jjj = ! p]iod ( fiscal ye>s #bjbe ?r\gh #bjbi4 4 7c7 ,fund+ = grants = heal? c>e provid]s ,to promote m5tal heal? among _! heal? pr(essional work=ce ,section #bgje ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b2 #ace ,/at4 #df7 is am5d$-- 7#a7 9 subsection 7b71 by /rik+ appropriat$ by subsection 7a7 & ins]t+ appropriat$ by subsection 7a7 or pursuant to subsection 7c72 & 7#b7 by add+ at ! end ! foll[+3 7c7 ,au?orization = ,,fy #bjbe to #bjbi ,!re is au?oriz$ to be appropriat$ = ! purpose describ$ 9 subsection 7b7 #ajj1jjj1jjj = ! p]iod ( fiscal ye>s #bjbe ?r\gh #bjbi4 4 #bje4 ,task =ce to prev5t heal? c>e work] burn\t 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 79 ?is section ref]r$ to z ! ,secret>y7 %all e/abli% a task =ce to prev5t heal? c>e work] burn\t 79 ?is section ref]r$ to z ! ,task ,=ce74 7b7 ,memb]s ,! ,task ,=ce %all h ! foll[+ memb]s1 to be appo9t$ by ! ,secret>y 7unless o!rwise specifi$73 7#a7 ,! ,surgeon ,g5]al1 :o %all s]ve z *air4 7#b7 ,a repres5tative f ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices4 7#c7 ,a repres5tative f ! ,c5t]s = ,disease ,control & ,prev5tion4 7#d7 ,a repres5tative f ! ,(fice ( ,rural ,heal? ,policy ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7#e7 ,a repres5tative f ! ,provid] ,relief ,bureau ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7#f7 ,a repres5tative f ! ,(fice ( ,civil ,rights1 ,div]sity1 & ,inclusion ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration4 7#g7 ,su* o!r memb]s z ! *air det]m9es appropriate1 :o %all be appo9t$ by ! *air4 7c7 ,reports ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,task ,=ce %all submit to ,congress a report t includes-- 7#a7 /ati/ics & data on turnov] 9 heal? c>e employm5t & heal? c>e work] satisfaction 7includ+ ) reg>d to ! m5tal heal? & sub/ance use disord] work=ces72 7#b7 recomm5dations on h[ to r$uce burn\t among heal? c>e work]s2 7#c7 an assessm5t ( burn\t 9 ,heal? ,res\rces & ,s]vices ,adm9i/ration work=ce programs & h[ su* programs may be improv$2 & 7#d7 a /udy ( ! adm9i/rative burd5 ( heal? insurance sy/ems 7includ+ ,m$ic>e1 ,m$icaid1 ,,*ip programs1 & ,,va heal?74 ,,iii ,measurem5ts ( lonel9ess #cja4 ,addition ( lonel9ess to ! ,old] ,am]icans ,act ( #aife ,section #ajb7ad77,n7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7ad77,n77 is am5d$ by ins]t+ or lonel9ess aft] social isolation ea* place x appe>s4 #cjb4 ,,hhs work+ gr\p on measurem5ts ( lonel9ess & isolation ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices a work+ gr\p to =mulate recomm5dations = /&>diz+ ! me?ods by :i* ag5cies & compon5ts ( ! ,dep>tm5t measure lonel9ess & isolation4 #cjc4 ,,gao /udy & report on impact ( social isolation 7a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a /udy on ! impact ( social isolation & ef=ts by ! ,f$]al ,gov]nm5t & ,/ate & local gov]nm5ts to address su* social isolation4 7b7 ,report ,n lat] ?an #e ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ %all submit to ,congress a report detail+ ! results ( ! /udy "u subsection 7a74 ,,iv ,community heal? work]s #dja4 ,cov]age ( ,community ,heal? ,work] s]vices "u ,m$ic>e & ,increas$ ,,fmap = ,community ,heal? ,work] s]vices 7a7 ,cov]age ( community heal? work] s]vices & c]tifi$ community behavioral heal? cl9ic s]vices "u ,m$ic>e 7#a7 ,9 g5]al ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$-- 7,a7 9 subsection 7s77#b71 by add+ at ! end ! foll[+ new subp>agraphs3 7,,kk7 pr(essional s]vices furni%$ by a community heal? work] 7z def9$ 9 subsection 7nnn77 on or aft] ,octob] #a1 #bjbf2 7,,ll7 c]tifi$ community behavioral heal? cl9ic s]vices 7z def9$ 9 section #aije7;jj77 furni%$ on or aft] ,octob] #a1 #bjbf2 2 & 7,b7 by add+ at ! end ! foll[+ new subsection3 7nnn7 ,community heal? work] ,! t]m community heal? work] means an individual :o is a frontl9e heal? work] :o is a tru/$ memb] ( ! community 9 :i* ! work] s]ves or :o has an unusually close und]/&+ ( ! community s]v$ t enables ! work] to build tru/$ relation%ips1 s]ve z a liaison or l9k betwe5 heal? & social s]vices & ! community1 facilitate access to s]vices1 improve ! quality & cultural compet5ce ( s]vice deliv]y1 build individual & community capacity1 & increase heal? k & self-suffici5cy ?r\gh a wide range ( community heal? work] core roles1 includ+ ?r\gh-- 7#a7 provid+ cultural m$iation among individuals1 communities1 & heal? & social s]vice sy/ems2 7#b7 provid+ culturally appropriate heal? education & in=mation2 7#c7 provid+ c>e coord9ation1 case managem5t1 & sy/em navigation2 7#d7 provid+ coa*+ & social support2 7#e7 advocat+ = individuals & communities2 7#f7 build+ individual & community capacity2 7#g7 provid+ direct s]vice1 includ+ basic scre5+ te/s1 su* z weight & blood pressure scre5+1 basic s]vices su* z diabetic foot *ecks1 & meet+ basic ne$s2 7#h7 implem5t+ individual & community assessm5ts2 7#i7 conduct+ outrea*2 & 7#aj7 p>ticipat+ 9 evaluation & rese>* 4 7#b7 ,paym5t rule ,section #ahcc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7 is am5d$-- 7,a7 9 subsection 7a77#a7-- 7i7 9 subp>agraph 7,,gg71 by /rik+ & at ! end2 & 7ii7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 & 7,,ii7 ) respect to pr(essional s]vices furni%$ by a community heal? work] 7z def9$ 9 section #ahfa7nnn77 & c]tifi$ community behavioral heal? cl9ic s]vices 7z def9$ 9 section #aije7;jj771 ! am\nts paid %all be #ajj p]c5t ( ! less] ( ! actual *>ge = ! s]vices or ! am\nt det]m9$ "u a fee s*$ule e/abli%$ by ! ,secret>y = su* s]vices2 & 7,b7 9 subsection 7b7-- 7i7 by /rik+ 1 & 7#ac7 & ins]t+ 7#ac72 & 7ii7 by /rik+ #ahfa7n74 & ins]t+ #ahfa7n71 7#ad7 su* d$uctible %all n apply ) respect to pr(essional s]vices furni%$ by a community heal? work] 7z def9$ 9 section #ahfa7nnn771 & 7#ae7 su* d$uctible %all n apply ) respect to c]tifi$ community behavioral heal? cl9ic s]vices 7z def9$ 9 section #aije7;jj774 7b7 ,cov]age ( community heal? work] s]vices "u ,m$icaid 7#a7 ,9 g5]al ,section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is am5d$-- 7,a7 9 p>agraph 7#ca71 by /rik+ & at ! end2 7,b7 by r$esignat+ p>agraph 7#cb7 z p>agraph 7#cc72 & 7,c7 by ins]t+ aft] p>agraph 7#ca7 ! foll[+ new p>agraph3 7#cb7 beg9n+ on ,octob] #a1 #bjbf1 pr(essional s]vices furni%$ by a community heal? work] 7z def9$ 9 section #ahfa7nnn772 & 4 7#b7 ,,fmap increase ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7,a7 9 subsection 7b71 by /rik+ & 7ii7 & ins]t+ 7ii71 & 7kk72 & 7,b7 by add+ at ! end ! foll[+ new subsection3 7kk7 ,increas$ ,,fmap = community heal? work] s]vices ,= ea* fiscal qu>t] beg9n+ on or aft] ,octob] #a1 #bjbf1 ! ,f$]al m$ical assi/ance p]c5tage = a ,/ate %all be increas$ by #f p]c5tage po9ts ) respect to am\nts exp5d$ by ! ,/ate = m$ical assi/ance = pr(essional s]vices furni%$ by a community heal? work] 7z def9$ 9 section #ahfa7nnn774 4 #djb4 ,community ,heal? ,work]s 9 ,,nhsc loan repaym5t program ,section #cch;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bedl-#a7 is am5d$-- 7#a7 9 subsection 7b77#a77;,a71 by /rik+ or physician assi/ant & ins]t+ physician assi/ant1 or community heal? work]2 & 7#b7 by add+ at ! end ! foll[+3 7i7 ,community heal? work] def9$ ,9 ?is section1 ! t]m community heal? work] means an individual :o-- 7#a7 promotes wellness by help+ individuals adopt heal?y behaviors2 7#b7 implem5ts programs & advocates = individuals :o may h limit$ access to heal? res\rces & social s]vices2 & 7#c7 works closely ) o!r heal? c>e & social s]vice provid]s4 4 ,v ,education #eja4 ,s*ool-bas$ s]vices "u ,m$icaid & ,,*ip ,section #aajjc7;b7 ( ! ,bip>tisan ,saf] ,communities ,act 7#db ,u4,s4,c4 #acif;a note7 is am5d$ by ins]t+ 1 & #ej1jjj1jjj = fiscal ye> #bjbf1 aft] fiscal ye> #bjbb4 #ejb4 ,support = ,project ,,aw>e ,"p ,d ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;dd et seq47 is am5d$ by add+ at ! end ! foll[+3 #eed4 ,project ,,aw>e grants 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 79 ?is section ref]r$ to z ! ,secret>y7 %all e/abli% ! ,project ,advanc+ ,wellness & ,resili5cy 9 ,education 79 ?is section ref]r$ to z ,project ,,aw>e71 to aw>d grants to develop a su/a9able infra/ructure = s*ool-bas$ m5tal heal? programs & s]vices4 7b7 ,use ( funds ,a grant aw>d$ "u ,project ,,aw>e may be us$ to provide pe] m5tal heal? fir/ aid tra9+1 includ+-- 7#a7 to tra9 tea*]s1 o!r relevant s*ool p]sonnel 7includ+ education support pr(essionals71 /ud5ts1 & p>5ts & c>egiv]s ( /ud5ts-- 7,a7 to recognize symptoms ( *ildhood & adolesc5t m5tal heal? conditions2 7,b7 to ref] tea*]s1 s*ool p]sonnel1 /ud5ts1 & _! family memb]s to appropriate m5tal heal? s]vices if necess>y2 & 7,c7 to recognize signs ( imm$iate m5tal di/ress &1 ^u recogniz+ su* signs apply m5tal heal? fir/ aid tactics2 & 7#b7 to provide education to su* tea*]s1 p]sonnel1 /ud5ts1 p>5ts1 & c>egiv]s reg>d+ res\rces t are available 9 ! community = individuals ) a m5tal illness4 7c7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section #acj1jjj1jjj = ea* ( fiscal ye>s #bjbf ?r\gh #bjcj4 4 #ejc4 ,support = ! #ba/ ,c5tury ,community ,le>n+ ,c5t]s program & ! ,full-,s]vice ,community ,s*ools ,program 7a7 ,community le>n+ c5t] s]vices1 programs1 & activities ,section #dbja7;a77#b7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gaga7;a77#b77 is am5d$ by ins]t+ m5tal heal? s]vices1 community s]vice activities1 aft] c\nsel+ programs14 7b7 ,au?orization ( appropriations = #ba/ ,c5tury ,community ,le>n+ ,c5t]s program ,section #dbjf ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gagf7 is am5d$ to read z foll[s3 #dbjf4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is "p-- 7#a7 #a1cbi1fgc1jjj = fiscal ye> #bjbe2 7#b7 #a1dbi1fgc1jjj = fiscal ye> #bjbf2 7#c7 #a1ebi1fgc1jjj = fiscal ye> #bjbg2 7#d7 #a1fbi1fgc1jjj = fiscal ye> #bjbh2 & 7#e7 #a1gbi1fgc1jjj = fiscal ye> #bjbi4 4 7c7 ,au?orization ( appropriations = full-,s]vice community s*ools program ,section #dfja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gbea7;a77 is am5d$-- 7#a7 9 ! matt] prec$+ p>agraph 7#a7 ( subsection 7a71 by ins]t+ 7except = section #dfbe7 aft] "p2 7#b7 9 ! matt] prec$+ clause 7i7 ( subsection 7b77#b77;,b71 by ins]t+ 7except = section #dfbe7 aft] subp>t #b2 & 7#c7 by add+ at ! end ! foll[+3 7c7 ,au?orization ( appropriations = full-,s]vice community s*ools ,!re are au?oriz$ to be appropriat$ to c>ry out section #dfbe-- 7#a7 #ejj1jjj1jjj = fiscal ye> #bjbe2 7#b7 #fjj1jjj1jjj = fiscal ye> #bjbf2 7#c7 #gjj1jjj1jjj = fiscal ye> #bjbg2 7#d7 #hej1jjj1jjj = fiscal ye> #bjbh2 & 7#e7 #a1jjj1jjj1jjj = fiscal ye> #bjbi4 4 7d7 ,con=m+ am5dm5ts ,section #dfbc7;a7 ( ! ,elem5t>y & ,second>y ,education ,act ( #aife 7#bj ,u4,s4,c4 #gbgc7;a77 is am5d$-- 7#a7 by r$esignat+ p>agraph 7#b7 z p>agraph 7#c72 & 7#b7 by /rik+ p>agraph 7#a7 & ins]t+ ! foll[+3 7#a7 ,promise neighborhoods ,! ,secret>y %all use n less ?an #ie p]c5t ( ! am\nts made available "u section #dfja7;b77#b77;,b7 to aw>d grants1 on a competitive basis & subject to subsection 7e71 to eligible entities = ! implem5tation ( a compreh5sive1 effective cont9uum ( coord9at$ s]vices t meets ! purpose describ$ 9 section #dfba7a7 by c>ry+ out activities 9 neighborhoods )-- 7,a7 high conc5trations ( l[-income individuals2 7,b7 multiple signs ( di/ress1 :i* may include high rates ( pov]ty1 *ildhood obesity1 academic failure1 & juv5ile del9qu5cy1 adjudication1 or inc>c]ation2 & 7,c7 s*ools implem5t+ compreh5sive support & improvem5t activities or t>get$ support & improvem5t activities "u section #aaaa7;d74 7#b7 ,full-s]vice community s*ools au?oriz$ ,! ,secret>y %all use ! am\nts made available "u section #dfja7;c7 to c>ry out ! full-s]vice community s*ool program "u section #dfbe4 4 ,,vi ,def9itions #fja4 ,def9itions ,9 ?is ,act3 7#a7 ,burn\t ,! t]m burn\t means exhau/ion & m5tal di/ance f "o's job4 7#b7 ,lonel9ess ,! t]m lonel9ess means subjectively feel+ alone1 or ! discrepancy betwe5 "o's desir$ level ( social connection & "o's actual level ( social connection4 7#c7 ,social connection ,! t]m social connection means ! v>iety ( ways "o c connect ) o!rs socially1 ?r\gh physical1 behavioral1 social-cognitive1 & emotional *annels4 7#d7 ,social isolation ,! t]m social isolation means objectively be+ alone1 or hav+ few relation%ips or infrequ5t social contact4 7#e7 ,und]s]v$ communities ,! t]m und]s]v$ communities includes communities ) a high proportion ( individuals :o-- 7,a7 are socioeconomically disadvantag$2 7,b7 h limit$ ,engli% pr(ici5cy2 7,c7 are geographically isolat$2 7,d7 are educationally dis5fran*is$2 7,e7 are individuals ( color2 7,f7 are ( e?nic or national orig9 m9orities2 7,g7 are wom5 or *ildr52 7,h7 h disabilities2 or 7,i7 are s5iors4