,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #gcja  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #g1 #bjbd,mr4
 ,torres ( ,new ,york 7= himself & ,mr4 
,?an$>7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d !         
,protect+ ,access to ,m$ic>e ,act (     
#bjad to cl>ify ! mean+ ( psy*iatric    
rehabilitation s]vices "u demon/ration  
programs to improve community m5tal     
heal? s]vices1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,c]tifi$ ,community ,behavioral ,heal?  
,cl9ic ,expansion ,act ( #bjbd4  #b4    
,cl>ify+ psy*iatric rehabilitation      
s]vices "u demon/ration programs to     
improve community m5tal heal? s]vices   
7a7 ,psy*osocial rehabilitation s]vices 
7#a7 ,c>e coord9ation ,section          
#bbc7;a77#b77;,c7 ( ! ,protect+ ,access 
to ,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4  
#acif;a note7 is am5d$-- 7,a7 9 ! matt] 
prec$+ clause 7i71 by ins]t+            
psy*osocial1 aft] *ronic12  7,b7 by     

r$esignat+ clauses 7iv7 & 7v7 z clauses 
7v7 & 7vi71 respectively2  7,c7 by      
ins]t+ aft] clause 7iii7 ! foll[+3  7iv7
 ,clubh\ses locat$ )9 ! same            
metropolitan /ati/ical area z ! c]tifi$ 
community behavioral heal? cl9ic1 if any
 su* clubh\ses exi/4  2 &  7,d7 by add+ 
at ! end ! foll[+3  7vii7 ,h\s+ &       
resid5tial programs4  4  7#b7 ,scope (  
s]vices = c]tification ,section         
#bbc7;a77#b77;,d7 ( ! ,protect+ ,access 
to ,m$ic>e ,act ( #bjad 7#db ,u4,s4,c4  
#acif;a note7 is am5d$-- 7,a7 by am5d+  
clause 7iii7 to read z foll[s3  7iii7   
,pati5t-c5t]$ treatm5t plann+ or simil> 
processes1 includ+-- 7,i7 risk assessm5t
 & crisis plann+2  7,,ii7 programs t are
 respectful ( ! p]son's autonomy to     
*oose ! s]vices !y pref] & are provid$  
equitably2 &  7,,iii7 equity-bas$ &     
noncompulsory programmatic practices 9  
:i* p]sons are invit$ to support ea* o!r
 & p>ticipate 9 decision-mak+ ar\nd     
community activities & s]vices4  2  7,b7
 by r$esignat+ clause 7viii7 z clause   

7ix72 &  7,c7 by /rik+ clause 7vii7 &   
ins]t+ ! foll[+3  7vii7 ,support+       
self-managem5t1 includ+ 9-- 7,i7 manag+ 
! p]son's f9ances1 m$ications1 &        
self-c>e2 &  7,,ii7 us+ community       
res\rces4  7viii7 ,psy*iatric           
rehabilitation s]vices1 & psy*osocial   
rehabilitation s]vices1 t-- 7,i7 re/ore1
 rehabilitate1 & support daily          
function+1 skills developm5t1           
self-e/eem1 & ag5cy to improve          
self-managem5t ( ! negative effects (   
psy*iatric & emotional symptoms2 &      
7,,ii7 include =maliz$ activities1 pe]  
supports1 & c\nselor s]vices1 & family  
supports to help individuals develop    
resili5ce to *anges 9 psy*iatric        
symptoms & /ressors ( all k9ds to prev5t
 crisis & promote function+ & /ability4 
4  7#c7 ,quality & o!r report+          
,subp>agraph 7,e7 ( section #bbc7;a77#b7
 ( ! ,protect+ ,access to ,m$ic>e ,act (
 #bjad 7#db ,u4,s4,c4 #acif;a note7 is  
am5d$ to read z foll[s3  7,e7 ,quality &
 o!r report+ ,report+ (-- 7i7 enc\nt]   

data2  7ii7 cl9ical outcomes data2      
7iii7 quality data2  7iv7 pati5t-report$
 outcome measures t assess p's          
lonel9ess1 quality ( life1 ?riv+1 & o!r 
outcomes ( recov]y2 &  7v7 su* o!r data 
z ! ,secret>y requires4  4  7b7         
,def9itions ,section #bbc7;e7 ( !       
,protect+ ,access to ,m$ic>e ,act (     
#bjad 7#db ,u4,s4,c4 #acif;a note7 is   
am5d$-- 7#a7 by r$esignat+ p>agraphs    
7#a71 7#b71 7#c71 & 7#d7 z p>agraphs    
7#b71 7#c71 7#d71 & 7#e71 respectively2 
7#b7 by ins]t+ be=e p>agraph 7#b7 7z s  
r$esignat$7 ! foll[+3  7#a7 ,clubh\se ,!
 t]m clubh\se means a !rapeutic social  
environm5t t-- 7,a7 is accr$it$1 or is 9
 ! process ( becom+ accr$it$1 by a      
recogniz$ body or bodies approv$ by !   
,secret>y = purposes ( ?is p>agraph2    
7,b7 addresses psy*osocial deficits &   
social driv]s ( heal?2  7,c7 uses a     
!rapeutic approa* t emphasizes          
purposeful "w1 engagem5t1 relation%ip   
developm5t1 & mutual support = p ) s]i\s
 m5tal illness2  7,d7 uses bl5d$        

lead]%ip ( pr(essional m5tal heal? /aff 
& individuals ) liv$ exp]i5ce to create 
& manage ! !rapeutic community & its    
s]vices 9 a noncl9ical sett+2  7,e7 (f]s
 memb]s a community-bas$ rehabilitative 
environm5t t bo? addresses (t5-unmet    
psy*osocial ne$s ( p liv+ ) s]i\s m5tal 
illness & provides /ructures t (f]      
support 9 natural1 community            
environm5ts2  7,f7 (f]s support s]vices 
= employm5t1 education1 heal? c>e1 h\s+1
 & m to broadly address heal?-relat$    
social c>e ne$s2  7,g7 is an ess5tial "p
 ( ! cont9uum ( c>e & works 9 t&em ) o!r
 m$ical & behavioral heal? s]vices2     
7,h7 relies on ! re/orative p[] ( "w &  
"w-m$iat$ relation%ips to build a firm  
f\ndation = gr[? & individual a*ievem5t 
= memb]s2  7,i7 emphasizes /r5g?s-bas$  
teamwork & opportunities to contribute  
to op]ations ?r\gh a "w-ord]$ day2 &    
7,j7 (f]s naturali/ic social &          
community-bas$ recreational             
opportunities to contribute to a memb]'s
 pa? & success 9 recov]y4  4  7c7       

,implem5tation timel9e ,n lat] ?an #a   
ye> aft] ! date ( enactm5t ( ?is ,act1 !
 ,secret>y ( ,heal? & ,human ,s]vices   
%all publi% revis$ crit]ia "u subsection
 7a7 ( section #bbc ( ! ,protect+       
,access to ,m$ic>e ,act ( #bjad 7#db    
,u4,s4,c4 #acif;a note7 = a cl9ic to be 
c]tifi$ by a ,/ate z a c]tifi$ community
 behavioral heal? cl9ic = purposes (    
p>ticipat+ 9 a demon/ration program     
conduct$ "u subsection 7d7 ( su*        
section4