,i #aahth ,,congress #b;d ,session ,h4 ,r4 #gcja ,,in ,,the ,,house ,,of ,,representatives ,february #g1 #bjbd,mr4 ,torres of ,new ,york 7for himself and ,mr4 ,thanedar7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,protecting ,access to ,medicare ,act of #bjad to clarify the meaning of psychiatric rehabilitation services under demonstration programs to improve community mental health services1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,certified ,community ,behavioral ,health ,clinic ,expansion ,act of #bjbd4 #b4 ,clarifying psychiatric rehabilitation services under demonstration programs to improve community mental health services 7a7 ,psychosocial rehabilitation services 7#a7 ,care coordination ,section #bbc7;a77#b77;,c7 of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 is amended-- 7,a7 in the matter preceding clause 7i71 by inserting psychosocial1 after chronic12 7,b7 by redesignating clauses 7iv7 and 7v7 as clauses 7v7 and 7vi71 respectively2 7,c7 by inserting after clause 7iii7 the following3 7iv7 ,clubhouses located within the same metropolitan statistical area as the certified community behavioral health clinic1 if any such clubhouses exist4 2 and 7,d7 by adding at the end the following3 7vii7 ,housing and residential programs4 4 7#b7 ,scope of services for certification ,section #bbc7;a77#b77;,d7 of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 is amended-- 7,a7 by amending clause 7iii7 to read as follows3 7iii7 ,patient-centered treatment planning or similar processes1 including-- 7,i7 risk assessment and crisis planning2 7,,ii7 programs that are respectful of the person's autonomy to choose the services they prefer and are provided equitably2 and 7,,iii7 equity-based and noncompulsory programmatic practices in which persons are invited to support each other and participate in decision-making around community activities and services4 2 7,b7 by redesignating clause 7viii7 as clause 7ix72 and 7,c7 by striking clause 7vii7 and inserting the following3 7vii7 ,supporting self-management1 including in-- 7,i7 managing the person's finances1 medications1 and self-care2 and 7,,ii7 using community resources4 7viii7 ,psychiatric rehabilitation services1 and psychosocial rehabilitation services1 that-- 7,i7 restore1 rehabilitate1 and support daily functioning1 skills development1 self-esteem1 and agency to improve self-management of the negative effects of psychiatric and emotional symptoms2 and 7,,ii7 include formalized activities1 peer supports1 and counselor services1 and family supports to help individuals develop resilience to changes in psychiatric symptoms and stressors of all kinds to prevent crisis and promote functioning and stability4 4 7#c7 ,quality and other reporting ,subparagraph 7,e7 of section #bbc7;a77#b7 of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 is amended to read as follows3 7,e7 ,quality and other reporting ,reporting of-- 7i7 encounter data2 7ii7 clinical outcomes data2 7iii7 quality data2 7iv7 patient-reported outcome measures that assess people's loneliness1 quality of life1 thriving1 and other outcomes of recovery2 and 7v7 such other data as the ,secretary requires4 4 7b7 ,definitions ,section #bbc7;e7 of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 is amended-- 7#a7 by redesignating paragraphs 7#a71 7#b71 7#c71 and 7#d7 as paragraphs 7#b71 7#c71 7#d71 and 7#e71 respectively2 7#b7 by inserting before paragraph 7#b7 7as so redesignated7 the following3 7#a7 ,clubhouse ,the term clubhouse means a therapeutic social environment that-- 7,a7 is accredited1 or is in the process of becoming accredited1 by a recognized body or bodies approved by the ,secretary for purposes of this paragraph2 7,b7 addresses psychosocial deficits and social drivers of health2 7,c7 uses a therapeutic approach that emphasizes purposeful work1 engagement1 relationship development1 and mutual support for people with serious mental illness2 7,d7 uses blended leadership of professional mental health staff and individuals with lived experience to create and manage the therapeutic community and its services in a nonclinical setting2 7,e7 offers members a community-based rehabilitative environment that both addresses often-unmet psychosocial needs of people living with serious mental illness and provides structures that offer support in natural1 community environments2 7,f7 offers support services for employment1 education1 health care1 housing1 and more to broadly address health-related social care needs2 7,g7 is an essential part of the continuum of care and works in tandem with other medical and behavioral health services2 7,h7 relies on the restorative power of work and work-mediated relationships to build a firm foundation for growth and individual achievement for members2 7,i7 emphasizes strengths-based teamwork and opportunities to contribute to operations through a work-ordered day2 and 7,j7 offers naturalistic social and community-based recreational opportunities to contribute to a member's path and success in recovery4 4 7c7 ,implementation timeline ,not later than #a year after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall publish revised criteria under subsection 7a7 of section #bbc of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note7 for a clinic to be certified by a ,state as a certified community behavioral health clinic for purposes of participating in a demonstration program conducted under subsection 7d7 of such section4