,i #aah? ,,congress #a/ ,session ,h4 ,r4 #dhea ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #be1 #bjbc,mr4 ,crd5as 7= himself1 ,mr4 ,fitzpatrick1 ,ms4 ,blunt ,ro*e/]1 ,mr4 ,m\lton1 ,ms4 ,matsui1 ,mrs4 ,napolitano1 ,mr4 ,bey]1 ,mr4 ,rask91 ,ms4 ,/rickl&1 ,mr4 ,gomez1 ,mr4 ,pocan1 ,mr4 ,tonko1 ,ms4 ,moore ( ,wiscons91 ,ms4 ,b>ragn1 ,ms4 ,und]wood1 ,ms4 ,cl>ke ( ,new ,york1 ,mr4 ,trone1 ,ms4 ,bal9t1 ,mr4 ,lyn*1 ,ms4 ,s*ri]1 ,ms4 ,craig1 & ,ms4 ,jayapal7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,ways & ,means1 ,arm$ ,s]vices1 ,vet]ans' ,affairs1 & ,ov]sight & ,acc\ntability1 = 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 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 ,implem5tation ,act ( #bjbc 4 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 ,regional & local lifel9e call c5t] program4,sec4 #ajb4 ,m5tal ,heal? ,crisis ,response ,p>tn]%ip ,pilot ,program4,sec4 #ajc4 ,national suicide prev5tion m$ia campaign4,title ,,ii--,heal? ,res\rces & ,s]vices ,administration,sec4 #bja4 ,heal? c5t] capital grants4,sec4 #bjb4 ,exp&+ behavioral heal? work=ce tra9+ programs4,title ,,iii--,behavioral ,heal? ,crisis ,s]vices ,expansion,sec4 #cja4 ,cov]age ( crisis response s]vices4,sec4 #cjb4 ,incid5t report+4,title ,,iv--,m$icaid amendments,sec4 #dja4 ,revisions to ! ,/ate option to provide qualify+ community-bas$ mobile crisis int]v5tion s]vices & o!r s]vices "u ,/ate plans "u ! ,m$icaid program4,sec4 #djb4 ,revisions to ! ,,imd exclusion "u ,m$icaid4 ,i ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration #aja4 ,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 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> #bjbd1 to rema9 available until exp5d$4 4 #ajb4 ,m5tal ,heal? ,crisis ,response ,p>tn]%ip ,pilot ,program ,section #ebj;,f7e7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#cg7;e77 is am5d$ by /rik+ section1 #aj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg & ins]t+ ! foll[+3 section-- 7#a7 #aj1jjj1jjj = fiscal ye> #bjbc2 & 7#b7 #ajj1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbg 4 #ajc4 ,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 #ebjj4 ,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 #bjbd ?r\gh #bjbh4 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,q4 ,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] 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$4 4 #bjb4 ,exp&+ behavioral heal? work=ce tra9+ programs 7a7 ,national ,heal? ,s]vice ,corps ,section #cca7;a77#c77;,e77i7 ( ! ,public ,heal? ,s]vice ,act 7#bed;d7a77#c77;,e77i77 is am5d$ by /rik+ & psy*iatri/s & ins]t+ psy*iatri/s & pr(essionals :o provide crisis managem5t s]vices 7su* z at a crisis call c5t]1 z "p ( a mobile crisis team1 or ?r\gh crisis receiv+ & /abilization program74 7b7 ,m9ority ,fell[%ip ,program ,section #eig7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bijll7b77 is am5d$ by ins]t+ 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] m5tal heal? c\nsel+14 7c7 ,behavioral ,heal? ,work=ce ,education & ,tra9+ ,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 #bjbd ?r\gh #bjbh1 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 ,cov]age ( crisis response s]vices 7a7 ,cov]age "u ! ,m$ic>e program 7#a7 ,9 g5]al ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7,a7 9 subp>agraph 7,,ii71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,,jj71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,kk7 crisis response s]vices z def9$ 9 subsection 7nnn72 4 7#b7 ,crisis response s]vices def9$ ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7nnn7 ,crisis response s]vices ,! t]m crisis response s]vices means m5tal heal? or sub/ance use s]vices t are furni%$ by a mobile crisis response team1 a crisis receiv+ & /abilization facility1 m5tal heal? or sub/ance use urg5t c>e facility1 or o!r appropriate provid]1 z det]m9$ by ! ,secret>y1 to an individual1 includ+ *ildr5 & adolesc5ts1 exp]i5c+ a m5tal heal? or sub/ance use crisis4 4 7#c7 ,paym5t 7,a7 ,9 g5]al ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7i7 by /rik+ & 7,,hh7 & ins]t+ 7,,hh72 & 7ii7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 & 7,,ii7 ) respect to crisis response s]vices describ$ 9 section #ahfa7s77#b77,,kk71 ! am\nts paid %all be #hj p]c5t ( ! less] ( ! actual *>ge = ! s]vice or ! am\nt det]m9$ "u ! paym5t basis e/abli%$ "u section #ahcd7;aa74 7,b7 ,e/abli%m5t ( paym5t basis ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7aa7 ,paym5t = crisis response s]vices ,! ,secret>y %all e/abli% a paym5t basis det]m9$ appropriate by ! ,secret>y ) respect to crisis response s]vices 7z def9$ 9 section #ahfa7nnn77 furni%$ by a provid] ( s]vices or suppli]4 4 7#d7 ,ambulance transport ( individuals 9 crisis 7,a7 ,9 g5]al ,section #ahcd7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7l77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ah7 ,transportation ( individuals 9 crisis ,) respect to ambulance s]vices furni%$ on or aft] ! date t is #c ye>s aft] ! date ( ! enactm5t ( ! ,behavioral ,heal? ,crisis ,s]vices ,expansion ,act1 ! regulations describ$ 9 section #ahfa7s77#g7 %all provide cov]age "u su* section = ambulance & o!r qualifi$ em]g5cy transport s]vices to transport an individual exp]i5c+ a m5tal heal? or sub/ance crisis to an appropriate facility1 su* z a community m5tal heal? c5t] 7z def9$ 9 section #ahfa7;ff77#c77;,b77 or o!r facility or provid] id5tifi$ by ! ,secret>y1 z appropriate1 = crisis response s]vices describ$ 9 section #ahfa7s77#b77,,kk74 4 7,b7 ,con=m+ am5dm5t ,section #ahfa7s77#g7 ( su* ,act 7#db ,u4,s4,c4 #aciex7s77#g77 is am5d$ by /rik+ section #ahcd7l77#ad7 & ins]t+ p>agraphs 7#ad7 & 7#ah7 ( section #ahcd7l74 7#e7 ,effective date ,! am5dm5ts made by ?is subsection %all apply to s]vices furni%$ on or aft] ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7b7 ,m&atory cov]age ( crisis response s]vices "u ! m$icaid program ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is am5d$-- 7#a7 9 section #aijb7;a77#aj77;,a71 9 ! matt] prec$+ clause 7i71 by /rik+ & 7#cj7 & ins]t+ 7#cj71 & 7#ca72 & 7#b7 9 section #aije-- 7,a7 9 subsection 7a7-- 7i7 9 p>agraph 7#cj71 by /rik+ 2 & & ins]t+ a semicolon2 7ii7 by r$esignat+ p>agraph 7#ca7 z p>agraph 7#cb72 & 7iii7 by ins]t+ ! foll[+ p>agraph aft] p>agraph 7#cj73 7#ca7 crisis response s]vices 7z def9$ 9 section #ahfa7nnn772 & 4 7#c7 ,presumptive eligibility det]m9ation by crisis response s]vice provid]s ,section #aijb7;a77#dg77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#dg77;,b77 is am5d$ by ins]t+ or provid] ( crisis response s]vices 7z def9$ 9 section #ahfa7nnn77 aft] any hospital4 7#d7 ,effective date 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 ! am5dm5ts made by ?is section %all take effect on ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is ,act4 7,b7 ,delay p]mitt$ if /ate legislation requir$ ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5ts impos$ by ! am5dm5ts made by ?is section1 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( ! failure ( ! plan to meet su* additional requirem5ts be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( su* session %all be deem$ to be a sep>ate regul> session ( ! ,/ate legislature4 7c7 ,ess5tial heal? b5efits ,section #acjb7;b77#a77;,e7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjbb7;b77#a77;,e77 is am5d$ by ins]t+ & crisis response s]vices 7z def9$ 9 section #ahfa7nnn7 ( ! ,social ,security ,act7 be=e ! p]iod4 7d7 ,gr\p heal? plans & heal? insurance issu]s 7#a7 ,9 g5]al ,section #bgjg ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#f7 is am5d$ by add+ at ! end ! foll[+3 7e7 ,crisis response s]vices ,a gr\p heal? plan or a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all ensure t su* cov]age includes crisis response s]vices 7z def9$ 9 section #ahfa7nnn7 ( ! ,social ,security ,act74 4 7#b7 ,application to gr&fa!r$ plans ,section #abea7;a77#d77;,a7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #ahjaa7;a77#d77;,a77 is am5d$ by add+ at ! end ! foll[+ new clause3 7v7 ,section #bgjg7;e7 7relat+ to cov]age ( crisis response s]vices74 4 7e7 ,tric>e cov]age 7#a7 ,9 g5]al ,! ,secret>y ( ,def5se %all provide cov]age "u ! ,,tric>e program = crisis response s]vices1 z def9$ 9 section #ahfa7nnn7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex74 7#b7 ,tric>e program def9$ ,9 ?is section1 ! t]m ,,tric>e program has ! mean+ giv5 ! t]m 9 section #ajgb ( title #aj1 ,unit$ ,/ates ,code4 7f7 ,reimbursem5t = crisis response s]vices = vet]ans ,section #agbe7;f77#a7 ( title #ch1 ,unit$ ,/ates ,code1 is am5d$1 9 ! matt] prec$+ subp>agraph 7,a71 by ins]t+ 1 includ+ crisis response s]vices 7z def9$ 9 subsection 7nnn7 ( section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex771 aft] s]vices4 7g7 ,cov]age "u ,,fehb 7#a7 ,9 g5]al ,section #hijb ( title #e1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+3 7p7 ,ea* contract = a plan "u ?is *apt] %all require ! c>ri] to provide cov]age = crisis response s]vices1 z t t]m is def9$ 9 subsection 7nnn7 ( section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex74 4 7#b7 ,effective date ,! am5dm5t made by p>agraph 7#a7 %all apply beg9n+ ) respect to ! ?ird contract ye> = *apt] #hi ( title #e1 ,unit$ ,/ates ,code1 t beg9s on or aft] ! date t is #c ye>s aft] ! date ( enactm5t ( ?is ,act4 7h7 ,cov]age "u ,,*ip ,section #bajc7;c77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7c77#e77 is am5d$-- 7#a7 9 subp>agraph 7,a71 by /rik+ & at ! end2 7#b7 9 subp>agraph 7,b71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 beg9n+ on ! date t is #c ye>s aft] ! date ( ! enactm5t ( ?is subp>agraph1 crisis response s]vices 7z def9$ 9 section #ahfa7nnn774 4 #cjb4 ,incid5t report+ 7a7 ,e/abli%m5t ( protocol panel ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y71 9 consultation ) ! ,attorney ,g5]al1 %all conv5e a panel = ! purposes ( mak+ recomm5dations = tra9+ & protocol = #i-a-a dispat*]s to respond appropriately to individuals exp]i5c+ a behavioral heal? crisis bas$ on ! *>act]i/ics ( ! incid5t & ! ne$s ( ! call]4 7b7 ,paneli/s ,! ,secret>y %all appo9t individuals to s]ve /agg]$ #aj-ye> t]ms on ! panel e/abli%$ "u subsection 7a74 ,su* individuals %all include-- 7#a7 psy*iatri/s2 7#b7 p>am$ics & o!r em]g5cy m$ical s]vices p]sonnel2 7#c7 law en=cem5t (fic]s & #i-a-a dispat*]s2 7#d7 repres5tatives f ea* segm5t ( ! crisis response cont9uum1 includ+ #i-h-h dispat*]s2 7#e7 memb]s ( und]s]v$ communities includ+ e?nic & racial m9ority gr\ps & sexual ori5tation & g5d] m9ority gr\ps2 7#f7 repres5tatives f ,tribes or ,tribal organizations2 & 7#g7 o!r individuals1 z ! ,secret>y det]m9es appropriate4 7c7 ,recomm5dations 7#a7 ,topics ,9 issu+ recomm5dations "u ?is section1 ! panel %all consid]-- 7,a7 connect+ #i-a-a call]s to crisis c>e s]vices in/ead ( respond+ ) law en=cem5t (fic]s2 7,b7 integrat+ ! #i-h-h sy/em into ! #i-a-a sy/em1 or transf]r+ calls f ! #i-a-a sy/em to ! #i-h-h sy/em z appropriate2 & 7,c7 a process = id5tify+ #i-a-a call]s :o may be exp]i5c+ psy*iatric symptoms or a m5tal heal? crisis1 sub/ance use crisis1 or co-occurr+ crisis & evaluat+ ! level ( ne$ ( su* call]s1 z def9$ by relevant1 /&>diz$ assessm5t tools su* z ! ,level ( ,c>e ,utilization ,sy/em 7,,locus71 ! ,*ild & ,adolesc5t ,level ( ,c>e ,utilization ,sy/em 7,,calocus71 & ! ,am]ican ,society ( ,addiction ,m$ic9e 7,,asam7 ,crit]ia4 7#b7 ,updates ,! panel %all update recomm5dations issu$ "u ?is section n less frequ5tly ?an e #e ye>s4 ,,iv ,m$icaid am5dm5ts #dja4 ,revisions to ! ,/ate option to provide qualify+ community-bas$ mobile crisis int]v5tion s]vices & o!r s]vices "u ,/ate plans "u ! ,m$icaid program 7a7 ,9 g5]al ,section #aidg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#f7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 by /rik+ = qualify+ community-bas$ mobile crisis int]v5tion s]vices & ins]t+ =-- 7#a7 qualify+ community-bas$ mobile crisis int]v5tion s]vices2 7#b7 regional & local lifel9e call c5t] op]ations2 & 7#c7 programs = ! purpose receiv+ & /abilization individuals 7includ+ b$s 9 homes & facilities = su* purpose74 2 & 7,b7 by /rik+ dur+ ! #e-ye> p]iod2 7#b7 9 subsection 7c7-- 7,a7 by /rik+ #he p]c5t4 & ins]t+ ! foll[+3 #he p]c5t1 & = m$ical assi/ance = items describ$ 9 p>agraphs 7#b7 & 7#c7 ( subsection 7a7 furni%$ dur+ su* qu>t] %all be equal to #he p]c5t42 & 7,b7 by /rik+ occurr+ dur+ ! p]iod describ$ 9 subsection 7a7 t a ,/ate & ins]t+ 9 :i* a ,/ate provides m$ical assi/ance = qualify+ community-bas$ mobile crisis int]v5tion s]vices "u ?is section &2 7#c7 9 subsection 7e71 by add+ at ! end at ! foll[+ new s5t5ce3 ,!re is appropriat$1 out ( any funds 9 ! ,treasury n o!rwise appropriat$1 #e1jjj1jjj to ! ,secret>y = ! purposes describ$ 9 ! prec$+ s5t5ce to rema9 available until exp5d$42 & 7#d7 9 subsection 7d77#b7-- 7,a7 9 subp>agraph 7,a71 by /rik+ = ! fiscal ye> prec$+ ! fir/ fiscal qu>t] occurr+ dur+ ! p]iod describ$ 9 subsection 7a7 & ins]t+ = ! fiscal ye> prec$+ ! fir/ fiscal qu>t] 9 :i* ! ,/ate provides m$ical assi/ance = qualify+ community-bas$ mobile crisis int]v5tion s]vices "u ?is section2 & 7,b7 9 subp>agraph 7,b71 by /rik+ occurr+ dur+ ! p]iod describ$ 9 subsection 7a7 & ins]t+ occurr+ dur+ a fiscal qu>t]4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all take effect z if includ$ 9 ! enactm5t ( ! ,am]ican ,rescue ,plan ,act ( #bjba 7,public ,law #aag-b74 #djb4 ,revisions to ! ,,imd exclusion "u ,m$icaid 7a7 ,%r9k+ ( ! ,,imd exclusion "u ,m$icaid ,section #aije7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77#a77 is am5d$ by ins]t+ 1 except =1 s]vices t1 beg9n+ ! day aft] ! date ( ! enactm5t ( ! #i-h-h ,national ,suicide ,prev5tion ,lifel9e ,implem5tation ,act ( #bjbb1 are furni%$ 9 psy*iatric acute c>e crisis b$s adm9i/]$ by community behavioral heal? organizations c]tifi$ "u section #bbc ( ! ,protect+ ,access to ,m$ic>e ,act ( #bjad1 m5tal heal? c5t]s t meet ! crit]ia ( section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act1 crisis receiv+ & /abilization facilities1 & ! m5tal heal? & sub/ance use urg5t c>e facilities4 7b7 ,guidance relat+ to ,,imd exclusion ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance t crisis /abilization units 7z describ$ 9 section #aije7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77#a77 are exclud$ f ! prohibition specifi$ 9 ! p>5!tical ( p>agraph 7#a7 ( section #aije7;a7 7relat+ to s]vices 9 an in/itution = m5tal diseases71 includ+ ! foll[+ facilities & s]vices3 7#a7 ,subacute crisis receiv+ 9 inpati5t or o!r facilities specifi$ by ! ,secret>y t provide %ort-t]m obs]vation = all ref]rals to individuals 9 sev]e di/ress1 z fur!r def9$ by ! ,secret>y1 ) up to #bc consecutive h\rs ( sup]vis$ c>e to assi/ ) deescalat+ ! sev]ity ( a m5tal heal? or sub/ance use crisis or ne$ = urg5t c>e 9 a sub-acute inpati5t sett+4 7#b7 ,%ort t]m crisis /abilization s]vices assi/+ ) deescalat+ ! sev]ity ( individuals 9 sev]e di/ress1 z def9$ by ! ,secret>y1 or ne$ = urg5t c>e associat$ ) a sub/ance use or m5tal heal? disord] 9 an inpati5t or resid5tial sett+ ) reimbursem5t limit$ to #gb h\rs4 7c7 ,reports on crisis /abilization utilization ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ! appropriate congressional committees ( jurisdiction a report address+ ! utilization ( facility-bas$ crisis s]vices1 includ+ ! numb] ( pati5ts s]v$1 type & duration ( facility-bas$ s]vices1 l9kage to community-bas$ res\rces1 & in=mation on ! total numb] ( law en=cem5t drop-(fs & o!r data relevant = div]t+ m5tal heal? & sub/ance use disord] em]g5cies f law en=cem5t response4