,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ggc  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #b1 #bjbc    
,ms4 ,dean ( ,p5nsylvania 7= h]self &   
,ms4 ,g>cia ( ,texas7 introduc$ ! foll[+
 bill2 :i* 0 ref]r$ to ! ,committee on  
,f9ancial ,s]vices  ,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 ! ,homelessness & ,behavioral
 ,heal? ,c>e ,coord9ation ,act ( #bjbc4 
#b4 ,f9d+s ,congress f9ds ! foll[+3     
7#a7 ,! ,unit$ ,/ates has a homelessness
 crisis1 ) m ?an #ehb1jjj p exp]i5c+    

homelessness on a s+le night accord+ to 
! ,dep>tm5t ( ,h\s+ & ,urban            
,developm5t's #bjbb ,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 ,x is imp]ative t :5 p exp]i5c+    
homelessness *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 ,:ile
 p>ticipation 9 heal? c>e & p]son-c5t]$ 
supportive s]vices %\ld n be a          
requirem5t = p exp]i5c+ homelessness to 
receive h\s+1 access to su* 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 ! two 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 ,e/abli%m5t 
( grant program  7a7 ,9 g5]al ,!        
,secret>y ( ,h\s+ & ,urban ,developm5t  
79 ?is ,act ref]r$ to z ! ,secret>y71 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 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 ,!     
work+ gr\p %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 ( su*
 ag5cies4  7#b7 ,developm5t ( assi/ance 
tools ,! work+ gr\p %all1 n lat] ?an #ab
 mon?s aft] ! date ( ! enactm5t ( ?is   
,act1 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!r1 & %all circulate su* mat]ials to 
int]e/$ entities1 p>ticul>ly ^? :o apply
 = grants aw>d$ pursuant to ?is ,act4   
7c7 ,capacity-,build+ grants  7#a7 ,9   
g5]al ,! ,secret>y %all aw>d #e-ye>     
grants to eligible entities1 :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 =
 heal? c>e1 ) ! exception ( ef=ts to    
increase ! availability ( ,naloxone &   
provide tra9+ = its adm9i/ration1 or    

r5t4  7#c7 ,am\nt ,! am\nt aw>d$ to an  
entity "u a grant "u ?is subsection %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 7at !     
c\nty1 city1 regional1 or locality      
level72  7ii7 an ,indian tribe1 a       
,tribally designat$ h\s+ entity1 a      
,tribal organization1 or an urban       
,indian 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[ its      
capacity 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+ ^? ) co-occurr+ 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   
su* 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 &         
behavioral heal? c>e s]vices & o!r heal?
 c>e s]vices4  7#e7 ,eligible activities
 ,an eligible grantee receiv+ a grant "u
 ?is subsection 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  
grantee receiv+ a grant "u ?is          
subsection 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 entity1 su* 
entity %all submit to ! ,secret>y a     
report on ! activities c>ri$ out "u !   
grant4 ,su* report %all include1 )      
respect to activities c>ri$ out ) grant 
am\nts 9 ! community s]v$--  7i7        
measures ( outcomes relat+ to :e!r p    
exp]i5c+ homelessness & significant     
behavioral heal? issues1 includ+        
sub/ance use disord]s1 :o s\ght help f  
an entity t receiv$ a grant-- 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 subsection4  7#h7      
,def9itions ,9 ?is section3  7,a7       
,behavioral heal? ,! t]m behavioral     
heal? includes m5tal heal? & sub/ance   
use4  7,b7 ,indian ,tribe2 ,tribal      
organization ,! t]ms ,indian ,tribe &   
,tribal organization h ! mean+s giv5 su*
 t]ms 9 section #d ( ! ,indian          
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd7 & 
%all include tribally designat$ h\s+    
entities 7z su* t]m is def9$ 9 section  
#d ( ! ,native ,am]ican ,h\s+ ,assi/ance
 & ,self-,det]m9ation ,act ( #aiif 7#be 
,u4,s4,c4 #dajc77 & entities t s]ve     
,native ,hawaiians 7z su* t]m is def9$ 9
 section #cch,k7c7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #beds7c7774 
7,c7 ,p]son exp]i5c+ homelessness ,! t]m
 p]son exp]i5c+ homelessness has ! same 
mean+ z ! t]ms homeless1 homeless       
individual1 & homeless p]son z ^? t]ms  

are def9$ 9 ! ,mc,kinney-,v5to ,act 7#db
 ,u4,s4,c4 #aacjb74  7,d7 ,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  7d7 ,au?orization (    
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#bj1jjj1jjj = ea* ( fiscal ye>s #bjbc   
?r\gh #bjbh1 ( :i* n less ?an #e p]c5t (
 su* funds %all be aw>d$ to ,indian     
tribes & tribal organizations4