,,ii #aahth ,,congress #ast ,session ,s4 #biic ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #bh 7legislative day1 ,september #bb71 #bjbc,ms4 ,stabenow 7for herself and ,mr4 ,cornyn7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend the ,social ,security ,act and the ,public ,health ,service ,act to permanently authorize certified community behavioral health clinics1 and for other purposes4 #a4 ,short title 7a7 ,short title ,this ,act may be cited as the ,ensuring ,excellence in ,mental ,health ,act 4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title4,,title ,i--,ensuring ,permanency for ,certified ,community ,behavioral ,health ,clinics in the ,medicaid ,program,sec4 #aja4 ,establishing ,certified ,community ,behavioral ,health ,clinic ,services as a ,medicaid ,state ,plan ,option4,sec4 #ajb4 ,establishing a ,medicaid ,prospective ,payment ,system for ,certified ,community ,behavioral ,health ,clinics4,,title ,,ii--,coverage of certified community behavioral health clinic services under the ,medicare program,sec4 #bja4 ,coverage of certified community behavioral health clinic services under the ,medicare program4,,title ,,iii--,community behavioral health clinic grants,sec4 #cja4 ,operating grants for community behavioral health clinics4 ,i ,ensuring ,permanency for ,certified ,community ,behavioral ,health ,clinics in the ,medicaid ,program #aja4 ,establishing ,certified ,community ,behavioral ,health ,clinic ,services as a ,medicaid ,state ,plan ,option 7a7 ,in general ,section #aije of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#cj71 by striking 2 and and inserting a semicolon2 7,b7 by redesignating paragraph 7#ca7 as paragraph 7#cb72 and 7,c7 by inserting after paragraph 7#cj7 the following new paragraph3 7#ca7 certified community behavioral health clinic services1 as defined in subsection 7jj72 and 2 and 7#b7 by adding at the end the following new subsection3 7jj7 ,certified community behavioral health clinic services 7#a7 ,in general ,the term certified community behavioral health services means any of the following when furnished to an individual as a patient of a certified community behavioral health clinic 7as defined in paragraph 7#b771 in a manner reflecting person-centered care and which1 if not available directly through a certified community behavioral health clinic1 may be provided or referred through formal relationships with other providers3 7,a7 ,crisis mental health services1 including #bd-;hour mobile crisis teams1 emergency crisis intervention services1 and crisis stabilization4 7,b7 ,screening1 assessment1 and diagnosis1 including risk assessment4 7,c7 ,patient-centered treatment planning or similar processes1 including risk assessment and crisis planning4 7,d7 ,outpatient mental health and substance use services4 7,e7 ,outpatient clinic primary care screening and monitoring of key health indicators and health risk4 7,f7 ,targeted case management4 7,g7 ,psychiatric rehabilitation services4 7,h7 ,peer support and counselor services and family supports4 7,i7 ,intensive1 community-based mental health care for members of the armed forces and veterans1 particularly those members and veterans located in rural areas1 provided the care is consistent with minimum clinical mental health guidelines promulgated by the ,veterans ,health ,administration1 including clinical guidelines contained in the ,uniform ,mental ,health ,services ,handbook of such ,administration4 7#b7 ,certified community behavioral health clinic ,the term certified community behavioral health clinic means an organization that-- 7,a7 is engaged in furnishing to patients all of the services described in paragraph 7#a72 7,b7 is legally authorized to furnish such services under ,state law2 7,c7 agrees1 as a condition of the certification described in subparagraph 7,d71 to furnish to the ,state or ,secretary any data required as part of ongoing monitoring of the organization's provision of services1 including any such data as the ,state1 by agreement with the ,secretary1 shall access via the system described in section #cdj;,j-#d of the ,public ,health ,service ,act2 and 7,d7 has been certified by a ,state-- 7i7 as meeting the criteria established by the ,secretary pursuant to subsection 7a7 of section #bbc of the ,protecting ,access to ,medicare ,act and is carrying out a demonstration program under this title under subsection 7d7 of such section2 or 7ii7 for purposes of services furnished on or after ,january #a1 #bjbd1 subject to paragraph 7#c71 as meeting the criteria established under section #cdj;,j-#a7;a7 of the ,public ,health ,service ,act1 and as being eligible to furnish medical assistance under the ,state plan under this title 7or under a waiver of such plan7 for certified community behavioral health services described in paragraph 7#a74 7#c7 ,accreditation ,in the case of services furnished on or after ,january #a1 #bjbd1 at ,state option1 a ,state may determine that an organization does not meet the criteria established under section #cdj;,j-#a7;a7 of the ,public ,health ,service ,act unless the organization has an accreditation by an accreditation body approved under section #cdj;,j-#e of the ,public ,health ,service ,act4 ,an election by a ,state under the preceding sentence shall not relieve a ,state of the requirement to certify an organization under paragraph 7#b77;,d74 4 7b7 ,conforming amendments 7#a7 ,section #aijb7nn77#c7 of such ,act 7#db ,u4,s4,c4 #acif;a7nn77#c771 is amended by striking paragraph 7#ca7 and inserting the last numbered paragraph4 7#b7 ,the fifth sentence of section #aije7;a7 of such ,act 7#db ,u4,s4,c4 #acif;d7a77 is amended by striking paragraph 7#cj7 and inserting the last numbered paragraph4 7#c7 ,effective ,july #a1 #bjbe1 section #aijb7;a77#hd77;,a7 of such ,act 7#db ,u4,s4,c4 #acif;a7a77#hd77;,a771 as amended by section #eabb7;a77#b7 of division ,,ff of ,public ,law #aag-cbh1 is amended by striking paragraph 7#ca7 and inserting the last numbered paragraph4 #ajb4 ,establishing a ,medicaid ,prospective ,payment ,system for ,certified ,community ,behavioral ,health ,clinics ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended by adding at the end the following new subsection3 7uu7 ,payment for services provided by certified community behavioral health clinics 7#a7 ,in general ,beginning with fiscal year #bjbd1 with respect to services furnished on or after ,january #a1 #bjbd1 and each succeeding fiscal year1 a ,state may provide under the ,state plan under this title 7or under a waiver of such plan7 for payment for services described in section #aije7;a77#ca7 furnished by a certified community behavioral health clinic 7in this subsection referred to as a clinic7 in accordance with the provisions of this subsection4 7#b7 ,payment for services in initial year and every third year ,subject to paragraphs 7#d71 7#e71 and 7#f71 for services furnished by a clinic in the first fiscal year for which a ,state elects to provide for payment for services described in section #aije7;a77#ca7 in accordance with the payment option under paragraph 7#a71 and every third fiscal year thereafter in which the ,state makes such an election1 the ,state shall provide for payment for such services in an amount 7calculated on the basis of daily visits or unduplicated monthly visits1 at the ,state's election7 that is equal to #ajj percent of the average costs of the clinic of furnishing any of the services described in paragraph 7#ca7 of section #aije7;a7 during the #b fiscal years preceding the fiscal year involved which are reasonable and related to the costs of furnishing such services2 provided that1 in the absence of complete actual cost data representing the provision of the full covered benefit in such preceding fiscal years1 certified community behavioral health clinics may1 at the ,state's discretion1 use estimated or projected data relating to specific services for which they lack cost experience4 ,the per-unit rate derived from such cost data shall be adjusted to take into account any increase or decrease in the scope of such services furnished by the clinic in the fiscal year involved4 7#c7 ,payment for services in succeeding fiscal years ,subject to paragraphs 7#d71 7#e71 and 7#f71 for services described in section #aije7;a77#ca7 furnished by a clinic for which a ,state elects to provide for payment for such services in accordance with the payment option under paragraph 7#a7 and that are furnished in a fiscal year that is not described in paragraph 7#b71 the ,state plan shall provide for payment for such services in an amount 7calculated on the basis of daily visits or unduplicated monthly visits1 at the ,state's election7 that is equal to the amount calculated under this subsection for such services and clinic for the preceding year-- 7,a7 increased by the percentage increase in the inflationary factor described in section #ahcd7;aa77#b77;,c72 and 7,b7 adjusted to take into account any increase or decrease in the scope of such services furnished by the clinic during the fiscal year involved4 7#d7 ,establishment of initial year payment for new clinics ,in any case in which an entity first qualifies as a certified community behavioral health clinic after the first fiscal year in which a ,state elects to provide for payment for services described in section #aije7;a77#ca7 in accordance with the payment option under paragraph 7#a71 the ,state plan shall provide for payment for such services in the first #b years in which the clinic so qualifies in an amount 7calculated on the basis of daily visits or unduplicated monthly visits1 at the ,state's election7 that is equal to the rates established under this subsection for other such clinics located in the same or adjacent area with a similar case load1 or in the absence of any such clinic1 based on the average per-unit rate for other certified community behavioral health clinics in the ,state2 provided1 however1 that effective1 at latest1 as of the #crd year in which the clinic furnishes such services1 the ,state establishes a unique payment rate for the clinic based on the methodology described in paragraph 7#b71 using allowable costs from the clinic's first #b fiscal years of operation as the basis for establishing such rates2 and provided1 additionally1 that in any year following the establishment of an initial rate under this paragraph1 the ,state plan or waiver provides for the payment amount to be calculated in accordance with paragraph 7#b7 or 7#c7 7as applicable74 7#e7 ,administration in the case of managed care 7,a7 ,in general ,in the case of services furnished by a certified community behavioral health clinic pursuant to a contract between the clinic and a managed care entity 7as defined in section #aicb7;a77#a77;,b771 the ,state plan or a waiver of such plan shall provide for #a of the following3 7i7 ,payment to the clinic by the ,state of a supplemental payment equal to the amount 7if any7 by which the amount determined under paragraph 7#b71 7#c71 or 7#d7 7as applicable7 exceeds the amount of payments under the contract1 with such supplemental payment being made pursuant to a payment schedule agreed to by the ,state and the certified community behavioral health clinic1 but in no case less frequently than every #c months4 7ii7 ,delegation by the ,state to the managed care entity of the obligation to pay the clinic at least the rate determined under paragraph 7#b71 7#c71 or 7#d7 7as applicable72 provided1 however1 that the ,state shall use reconciliation and oversight processes to ensure that each clinic is paid at least the amounts required under such paragraphs4 7#f7 ,alternative payment methodologies ,notwithstanding any other provision of this subsection1 the ,state plan or a waiver of such plan may provide for payment in any year to a certified community behavioral health clinic for services described in paragraph 7#ca7 of section #aije7;a7 in an amount which is determined under an alternative payment methodology that-- 7,a7 is agreed to by the ,state and the clinic2 and 7,b7 results in payment to the clinic of an amount which is not less than the amount otherwise required to be paid to the clinic under this subsection4 4 ,,ii ,coverage of certified community behavioral health clinic services under the ,medicare program #bja4 ,coverage of certified community behavioral health clinic services under the ,medicare program 7a7 ,coverage ,section #ahfa7s77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is amended-- 7#a7 in subparagraph 7,,ii71 by striking and at the end2 7#b7 in subparagraph 7,,jj71 by inserting and at the end2 and 7#c7 by adding at the end the following new subparagraph3 7,,kk7 certified community behavioral health clinic services 7as defined in subsection 7aa77#h77 furnished on or after ,january #a1 #bjbd4 4 7b7 ,definitions ,section #ahfa7;aa7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is amended-- 7#a7 in the heading1 by striking and ,federally ,qualified ,health ,center ,services and inserting 1 ,federally qualified health center services1 and certified community behavioral health clinic services2 and 7#b7 by adding at the end the following new paragraph3 7#h7 ,the terms certified community behavioral health clinic services and certified community behavioral health clinic have the meaning given those terms in paragraphs 7#a7 and 7#b71 respectively1 of section #aije7;jj74 4 7c7 ,payment 7#a7 ,in general ,section #ahcc7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is amended-- 7,a7 by striking and 7,,hh7 and inserting 7,,hh72 and 7,b7 by inserting before the semicolon at the end the following3 1 and 7,,ii7 with respect to certified community behavioral health clinic services for which payment is made under section #ahcd7;aa71 the amounts paid shall be equal to #hj percent of the lesser of the actual charge or the amount determined under such section4 7#b7 ,development and implementation of prospective payment system ,section #ahcd of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is amended by adding at the end the following new subsection3 7aa7 ,development and implementation of prospective payment system for certified community behavioral health clinics 7#a7 ,development ,the ,secretary shall develop a prospective payment system for payment to certified community behavioral health clinics 7as defined in section #ahfa7;aa77#h77 for the furnishing of certified community behavioral health clinic services 7as defined in such section7 under this title4 ,such system shall be established to take into account the type1 intensity1 and duration of services furnished by certified community behavioral health clinics4 ,such system may include adjustments1 including geographic adjustments1 as determined appropriate by the ,secretary4 7#b7 ,implementation 7,a7 ,in general ,the ,secretary shall provide1 for cost reporting periods beginning on or after ,january #a1 #bjbd1 for payments of prospective payment rates for certified community behavioral health clinic services furnished by certified community behavioral health clinics under this title in accordance with the prospective payment system developed by the ,secretary under paragraph 7#a74 7,b7 ,initial payments ,the ,secretary shall implement such prospective payment system to reflect the national average allowable service costs of such clinics on the basis of the most current audited cost report data for two fiscal years available to the ,secretary2 provided that1 in the absence of complete actual cost data representing the provision of the full covered benefit during the relevant fiscal years1 certified community behavioral health clinics may1 at the ,secretary's discretion1 use estimated or projected data relating to specific services4 ,initial payments shall be established without the application of a per visit limit or productivity screen and shall be based on national average costs per unit of service1 updated as appropriate by the inflationary adjustment described in subparagraph 7,c74 7,c7 ,payments in subsequent years ,payment rates in years after the year of implementation of such system shall be the payment rates in the previous year increased-- 7i7 in the first year after implementation of such system1 by the percentage increase in the ,,mei 7as defined in section #ahdb7;i77#c77 for the year involved2 and 7ii7 in subsequent years1 by the percentage increase in a market basket of certified community behavioral health clinic services1 designed by the ,secretary1 or if such an index is not available1 by the percentage increase in the ,,mei 7as defined in section #ahdb7;i77#c77 for the year involved4 7#c7 ,unit of payment ,in establishing a prospective payment amount under the system under this subsection1 the ,secretary shall consider an appropriate unit of service and a general system design that provides for continued access to quality services4 7#d7 ,periodic reevaluation of rates ,at the ,secretary's discretion1 the ,secretary shall1 from time to time1 adjust the amounts that would otherwise be applicable under subparagraph 7#b7 by a percentage determined appropriate by the ,secretary to reflect such factors as changes in the intensity of services furnished within a unit of service1 the average cost of providing care per unit of service1 and other factors that the ,secretary considers to be relevant4 ,such adjustment shall be made before the update under clause 7i7 or 7ii7 of paragraph 7#b77;,c77i7 has been applied for the year4 4 7d7 ,waiver of application of deductible ,section #ahcc7;b77#d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7b77#d77 is amended by inserting or certified community behavioral health clinic services before the comma at the end4 7e7 ,,prrb ,review of cost reports ,section #ahgh7;j7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieoo7j77 is amended by striking and a ,federally qualified health center and inserting 1 a ,federally qualified health center1 and a certified community behavioral health clinic4 7f7 ,safe harbor for waiver of coinsurance ,section #aabh;,b7b77#c77;,d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7b77#c77;,d77 is amended by inserting or a certified community behavioral health clinic after ,federally qualified health care center4 7g7 ,effective date ,the amendments made by this section shall apply with respect to services furnished on or after ,january #a1 #bjbd4 ,,iii ,community behavioral health clinic grants #cja4 ,operating grants for community behavioral health clinics ,part ,d of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;b et seq47 is amended by adding at the end the following3 ,,xiii ,community behavioral health clinics #cdj;,j4 ,definitions ,in this subpart3 7#a7 ,certified community behavioral health clinic ,the term certified community behavioral health clinic has the meaning given the term in section #aije7;jj77#b77 of the ,social ,security ,act4 7#b7 ,certified community behavioral health services ,the term certified community behavioral health services has the meaning given the term in section #aije7;jj77#a7 of the ,social ,security ,act4 #cdj;,j-#a4 ,community behavioral health clinic certification 7a7 ,in general ,not later than #ahj days after the date of enactment of the ,ensuring ,excellence in ,mental ,health ,act1 the ,secretary1 after public notice and opportunity for comment1 shall publish in the ,federal ,register criteria for a clinic to be certified as a community behavioral health clinic for purposes of section #aije7;jj77#b77;,d77ii7 of the ,social ,security ,act4 7b7 ,requirements ,the criteria published under subsection 7a7 shall include criteria with respect to the following3 7#a7 ,staffing ,staffing requirements1 including criteria that staff have diverse disciplinary backgrounds1 have necessary ,state-required license and accreditation1 and are culturally and linguistically trained to serve the needs of the patient populations of the community behavioral health clinic4 7#b7 ,availability and accessibility of services ,availability and accessibility of services1 including crisis management services that are available and accessible #bd hours a day1 the use of a sliding scale for payment1 and no rejection for services or limiting of services on the basis of a patient's ability to pay or a place of residence4 7#c7 ,care coordination ,care coordination1 including requirements to coordinate care across settings and providers to ensure seamless transitions for patients across the full spectrum of health services including acute1 chronic1 and behavioral health needs4 ,care coordination requirements shall include partnerships or formal contracts with the following3 7,a7 ,federally-qualified health centers 7as defined in section #aije7l7 of the ,social ,security ,act7 and1 as applicable1 rural health clinics 7as so defined71 to provide ,federally-qualified health center services 7as so defined7 and1 as applicable1 rural health clinic services 7as so defined71 to the extent such services are not provided directly through the community behavioral health clinic4 7,b7 ,inpatient psychiatric facilities and substance use detoxification1 post-detoxification step-down services1 and residential programs4 7,c7 ,other community or regional services1 supports1 and providers1 including schools1 child welfare agencies1 juvenile and criminal justice agencies and facilities1 ,indian ,health ,service youth regional treatment centers1 ,state-licensed and nationally accredited child placing agencies for therapeutic foster care service1 and other social and human services4 7,d7 ,medical centers1 outpatient clinics1 and drop-in centers of the ,department of ,veterans ,affairs and other facilities of the ,department 7as defined in section #agja of title #ch1 ,united ,states ,code74 7,e7 ,inpatient acute care hospitals and hospital outpatient clinics4 7#d7 ,scope of services ,provision 7in a manner reflecting person-centered care7 of the full array of certified community behavioral health services which1 if not available directly through the community behavioral health clinic1 are provided or referred through formal relationships with other providers4 7#e7 ,quality and other reporting ,requirements relating to development by the community behavioral health clinic of an effective procedure for compiling and reporting to the ,secretary such statistics and other information as the ,secretary may require relating to-- 7,a7 the costs of its operations2 7,b7 the patterns of use of its services1 including the reporting of encounter data1 clinical outcomes data1 quality data1 and such other data as the ,secretary may require2 7,c7 the availability1 accessibility1 and acceptability of its services2 and 7,d7 such other matters relating to operations of the applicant as the ,secretary may require4 7#f7 ,organizational authority ,requirements that a community behavioral health clinic be-- 7,a7 a nonprofit entity2 7,b7 part of a local government behavioral health authority2 7,c7 operated under the authority of the ,indian ,health ,service2 7,d7 operated by an ,indian ,tribe or ,tribal organization pursuant to a contract1 grant1 cooperative agreement1 or compact with the ,indian ,health ,service pursuant to the ,indian ,self-,determination and ,education ,assistance ,act2 or 7,e7 operated by an urban ,indian organization pursuant to a grant or contract with the ,indian ,health ,service under title ,v of the ,indian ,health ,care ,improvement ,act4 #cdj;,j-#b4 ,operating grants for community behavioral health clinics 7a7 ,in general ,the ,secretary shall establish a grant program under which the ,secretary shall award grants to eligible community behavioral health clinics to provide 7in a manner reflecting person-centered care7 the full array of certified community behavioral health services4 7b7 ,eligibility ,to be eligible to receive a grant under subsection 7a71 a community behavioral health clinic shall be-- 7#a7 a certified community behavioral health clinic2 or 7#b7 a community behavioral health clinic that indicates in the grant application that the clinic will use the grant funds to meet the criteria described in section #cdj;,j-#a7;a74 7c7 ,use of funds ,a community behavioral health clinic that receives a grant under subsection 7a7-- 7#a7 shall use the grant funds-- 7,a7 to provide the services described in subsection 7a72 and 7,b7 in the case of a community behavioral health clinic described in subsection 7b77#b71 to meet the criteria described in section #cdj;,j-#a7;a72 and 7#b7 may use the grant funds-- 7,a7 to carry out other activities that-- 7i7 reduce costs associated with the provision of certified community behavioral health services2 7ii7 improve access to1 and availability of1 certified community behavioral health services provided to individuals served by the community behavioral health clinic2 7iii7 enhance the quality and coordination of certified community behavioral health services2 or 7iv7 improve the health status of communities2 and 7,b7 to pay for-- 7i7 the costs of acquiring and leasing buildings and equipment 7including the costs of amortizing the principal of1 and paying interest on1 loans72 7ii7 costs relating to the purchase or lease of equipment1 including data and information systems and behavioral health information technology to facilitate data reporting and other purposes2 7iii7 the costs of in-service staff training and other operational or infrastructure costs identified by the ,secretary2 and 7iv7 costs associated with expanding and modernizing existing buildings or constructing new buildings 7including the costs of amortizing the principal of1 and paying the interest on1 loans71 if such costs are specifically allowed for in the grant opportunity published by the ,secretary4 7d7 ,term ,grants awarded under subsection 7a7 shall be for a period of not more than #e years4 7e7 ,condition on receipt of funds ,the ,secretary shall not make a grant to an applicant under subsection 7a7 unless the applicant provides assurances to the ,secretary that within #abj days of receiving grant funding for the operation of the clinic1 the applicant will submit for approval by the ,secretary an implementation plan that describes how the applicant will-- 7#a7 provide the services described in subsection 7a72 and 7#b7 in the case of a community behavioral health clinic described in subsection 7b77#b71 meet the criteria described in section #cdj;,j-#a7;a74 7f7 ,amount of grant 7#a7 ,in general ,subject to paragraph 7#b71 the amount of a grant made in any fiscal year to a community behavioral health clinic under subsection 7a7 shall be determined by the ,secretary based on information provided by the community behavioral health clinic1 but may not exceed an amount equal to the difference obtained by subtracting-- 7,a7 the sum obtained by adding-- 7i7 the total ,state1 local1 and other operational funding provided to the clinic for such fiscal year2 and 7ii7 the fees1 premiums1 and third-party reimbursements that the clinic reasonably expects to receive for its operations in such fiscal year2 from 7,b7 the costs of operating the clinic to meet the purposes and requirements of the grant program under this section during such fiscal year4 7#b7 ,requirement 7,a7 ,in general ,in determining the costs described in paragraph 7#a77;,b71 the ,secretary may estimate the anticipated costs of the grant recipient in-- 7i7 providing the services described in subsection 7a71 including the anticipated costs of providing any individual certified community behavioral health service that the applicant entity does not have cost experience providing at the time of submitting an application for such grant2 and 7ii7 if applicable1 meeting the criteria described in section #cdj;,j-#a7;a74 7,b7 ,anticipated costs ,the ,secretary shall base the estimate of anticipated costs under subparagraph 7,a7 on an estimate of anticipated costs provided by the applicable community behavioral health clinic4 7#c7 ,payments ,the ,secretary may-- 7,a7 award grants under subsection 7a7-- 7i7 in advance or through reimbursement2 and 7ii7 in installments2 7,b7 make adjustments to account for overpayments or underpayments4 7g7 ,use of accreditation 7#a7 ,in general ,in selecting grant recipients under this section1 the ,secretary may take into account whether an applicant community behavioral health clinic is accredited under section #cdj;,j-#e7;a74 7#b7 ,compliance ,in determining whether a community behavioral health clinic receiving a grant under this section is providing the services described in subsection 7a7 and1 if applicable1 meeting the criteria described in section #cdj;,j-#a7;a71 the ,secretary may take into account whether the community behavioral health clinic is accredited under section #cdj;,j-#e7;a74 7h7 ,authorization of appropriations 7#a7 ,in general ,there is authorized to be appropriated to carry out this section1 #eeb1ejj1jjj for each of fiscal years #bjbd through #bjbh4 7#b7 ,maintenance of funding ,the amount made available under paragraph 7#a7 shall supplement 7and not supplant7 any other ,federal funding made available for community behavioral health clinics4 #cdj;,j-#c4 ,technical assistance 7a7 ,in general ,not later than #ahj days after the date of enactment of the ,ensuring ,excellence in ,mental ,health ,act1 the ,secretary shall establish programs through which the ,secretary shall provide 7either through the ,department of ,health and ,human ,services or by grant or contract7 technical assistance and other assistance to any of the following3 7#a7 ,entities that receive a grant under section #cdj;,j-#b4 7#b7 ,entities participating in a ,medicaid demonstration program under section #bbc7;d7 of the ,protecting ,access to ,medicare ,act4 7#c7 ,certified community behavioral health clinics 7as defined in sections #ahfa7;aa77#h7 and #aije7;jj77#b7 of the ,social ,security ,act71 furnishing services under title ,,xviii or title ,,xix of such ,act4 7#d7 ,health or social service provider organizations pursuing or considering certified community behavioral health clinic status or partnering with certified community behavioral health clinics4 7#e7 ,other stakeholders1 for the purpose of facilitating successful implementation of the certified community behavioral health clinic model4 7b7 ,inclusions ,assistance provided by the ,secretary under subsection 7a7 may include technical and nonfinancial assistance1 including-- 7#a7 fiscal and program management assistance2 7#b7 operational and administrative support2 and 7#c7 the provision of information to the entities about the variety of resources available under this part and how those resources can be best used to meet the health and behavioral health needs of the communities served by the entities4 7c7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #f1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #cdj;,j-#d4 ,data infrastructure for community behavioral health clinic reporting 7a7 ,in general ,not later than #ahj days after the date of enactment of the ,ensuring ,excellence in ,mental ,health ,act1 the ,secretary shall establish a system under which the ,secretary shall collect and analyze data on community behavioral health clinics4 7b7 ,scope of data collection ,the system established under subsection 7a7 shall be used by the ,secretary to collect and analyze data from-- 7#a7 entities that receive a grant under section #cdj;,j-#b2 and 7#b7 organizations that provide services1 or have applied to provide services1 under title ,,xviii of the ,social ,security ,act1 as described in section #ahfa7;aa77#h7 of such ,act1 or under a ,state ,medicaid program in accordance with section #aije7;jj7 of such ,act4 7c7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #ea1jjj1jjj for each of fiscal years #bjbd through #bjbh4 #cdj;,j-#e4 ,community behavioral health clinic accreditation 7a7 ,accreditation standards ,a community behavioral health clinic may be accredited if the entity-- 7#a7 meets the standards of an approved accreditation body2 and 7#b7 authorizes the accreditation body to submit to the ,secretary 7or such agency as the ,secretary may designate7 such records or other information as the ,secretary may require4 7b7 ,approval of accreditation bodies 7#a7 ,in general ,the ,secretary may approve a private nonprofit organization to be an accreditation body for the accreditation of community behavioral health clinics under subsection 7a7 if-- 7,a7 using inspectors qualified to evaluate quality of care in a behavioral health service setting1 the accreditation body agrees to inspect the clinic with such frequency as is determined by the ,secretary2 7,b7 the standards applied by the body in determining whether or not to accredit a clinic correspond to the criteria described in section #cdj;,j-#a7;a71 and are not less restrictive than such criteria2 7,c7 there is adequate provision for assuring that the standards of the accreditation body continue to be met by the clinic2 7,d7 in the case of any clinic previously accredited by the body which has had its accreditation denied1 suspended1 withdrawn1 or revoked or which has had any other action taken against it by the accrediting body1 the accrediting body agrees to submit to the ,secretary the name of such clinic within #cj days of the action taken2 and 7,e7 if the accreditation body has its approval withdrawn by the ,secretary1 the body agrees to notify each clinic accredited by the body of the withdrawal within #aj days of the withdrawal4 4