,,ii  #aah? ,,congress  #a/ ,session    
,s4 #biic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bh          
7legislative day1 ,septemb] #bb71       
#bjbc,ms4 ,/ab5[ 7= h]self & ,mr4       
,cornyn7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d ! ,social  
,security ,act & ! ,public ,heal?       
,s]vice ,act to p]man5tly au?orize      
c]tifi$ community behavioral heal?      
cl9ics1 & = o!r purposes4  #a4 ,%ort    
title  7a7 ,%ort title ,?is ,act may be 
cit$ z ! ,ensur+ ,excell5ce 9 ,m5tal    
,heal? ,act 4  7b7 ,table ( cont5ts ,!  
table ( cont5ts = ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title4,,title           
,i--,ensur+ ,p]man5cy = ,c]tifi$        
,community ,behavioral ,heal? ,cl9ics 9 
! ,m$icaid ,program,sec4 #aja4 ,e/abli%+
 ,c]tifi$ ,community ,behavioral ,heal? 
,cl9ic ,s]vices z a ,m$icaid ,/ate ,plan
 ,option4,sec4 #ajb4 ,e/abli%+ a        
,m$icaid ,prospective ,paym5t ,sy/em =  
,c]tifi$ ,community ,behavioral ,heal?  

,cl9ics4,,title ,,ii--,cov]age ( c]tifi$
 community behavioral heal? cl9ic       
s]vices "u ! ,m$ic>e program,sec4 #bja4 
,cov]age ( c]tifi$ community behavioral 
heal? cl9ic s]vices "u ! ,m$ic>e        
program4,,title ,,iii--,community       
behavioral heal? cl9ic grants,sec4 #cja4
 ,op]at+ grants = community behavioral  
heal? cl9ics4  ,i ,ensur+ ,p]man5cy =   
,c]tifi$ ,community ,behavioral ,heal?  
,cl9ics 9 ! ,m$icaid ,program  #aja4    
,e/abli%+ ,c]tifi$ ,community           
,behavioral ,heal? ,cl9ic ,s]vices z a  
,m$icaid ,/ate ,plan ,option  7a7 ,9    
g5]al ,section #aije ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 
9 p>agraph 7#cj71 by /rik+ 2 & & ins]t+ 
a semicolon2  7,b7 by r$esignat+        
p>agraph 7#ca7 z p>agraph 7#cb72 &  7,c7
 by ins]t+ aft] p>agraph 7#cj7 ! foll[+ 
new p>agraph3  7#ca7 c]tifi$ community  
behavioral heal? cl9ic s]vices1 z def9$ 
9 subsection 7jj72 &  2 &  7#b7 by add+ 
at ! end ! foll[+ new subsection3  7jj7 

,c]tifi$ community behavioral heal?     
cl9ic s]vices  7#a7 ,9 g5]al ,! t]m     
c]tifi$ community behavioral heal?      
s]vices means any ( ! foll[+ :5 furni%$ 
to an individual z a pati5t ( a c]tifi$ 
community behavioral heal? cl9ic 7z     
def9$ 9 p>agraph 7#b771 9 a mann]       
reflect+ p]son-c5t]$ c>e & :i*1 if n    
available directly ?r\gh a c]tifi$      
community behavioral heal? cl9ic1 may be
 provid$ or ref]r$ ?r\gh =mal           
relation%ips ) o!r provid]s3 7,a7       
,crisis m5tal heal? s]vices1 includ+    
#bd-;h\r mobile crisis teams1 em]g5cy   
crisis int]v5tion s]vices1 & crisis     
/abilization4  7,b7 ,scre5+1 assessm5t1 
& diagnosis1 includ+ risk assessm5t4    
7,c7 ,pati5t-c5t]$ treatm5t plann+ or   
simil> processes1 includ+ risk assessm5t
 & crisis plann+4  7,d7 ,outpati5t m5tal
 heal? & sub/ance use s]vices4  7,e7    
,outpati5t cl9ic prim>y c>e scre5+ &    
monitor+ ( key heal? indicators & heal? 
risk4  7,f7 ,t>get$ case managem5t4     
7,g7 ,psy*iatric rehabilitation s]vices4

  7,h7 ,pe] support & c\nselor s]vices &
 family supports4  7,i7 ,int5sive1      
community-bas$ m5tal heal? c>e = memb]s 
( ! arm$ =ces & vet]ans1 p>ticul>ly ^?  
memb]s & vet]ans locat$ 9 rural areas1  
provid$ ! c>e is consi/5t ) m9imum      
cl9ical m5tal heal? guidel9es promulgat$
 by ! ,vet]ans ,heal? ,adm9i/ration1    
includ+ cl9ical guidel9es conta9$ 9 !   
,uni=m ,m5tal ,heal? ,s]vices ,h&book ( 
su* ,adm9i/ration4  7#b7 ,c]tifi$       
community behavioral heal? cl9ic ,! t]m 
c]tifi$ community behavioral heal? cl9ic
 means an organization t-- 7,a7 is      
engag$ 9 furni%+ to pati5ts all ( !     
s]vices describ$ 9 p>agraph 7#a72  7,b7 
is legally au?oriz$ to furni% su*       
s]vices "u ,/ate law2  7,c7 agrees1 z a 
condition ( ! c]tification describ$ 9   
subp>agraph 7,d71 to furni% to ! ,/ate  
or ,secret>y any data requir$ z "p (    
ongo+ monitor+ ( ! organization's       
provision ( s]vices1 includ+ any su*    
data z ! ,/ate1 by agreem5t ) !         
,secret>y1 %all access via ! sy/em      

describ$ 9 section #cdj;,j-#d ( !       
,public ,heal? ,s]vice ,act2 &  7,d7 has
 be5 c]tifi$ by a ,/ate-- 7i7 z meet+ ! 
crit]ia e/abli%$ by ! ,secret>y pursuant
 to subsection 7a7 ( section #bbc ( !   
,protect+ ,access to ,m$ic>e ,act & is  
c>ry+ out a demon/ration program "u ?is 
title "u subsection 7d7 ( su* section2  
or  7ii7 = purposes ( s]vices furni%$ on
 or aft] ,janu>y #a1 #bjbd1 subject to  
p>agraph 7#c71 z meet+ ! crit]ia        
e/abli%$ "u section #cdj;,j-#a7;a7 ( !  
,public ,heal? ,s]vice ,act1 & z be+    
eligible to furni% m$ical assi/ance "u !
 ,/ate plan "u ?is title 7or "u a waiv] 
( su* plan7 = c]tifi$ community         
behavioral heal? s]vices describ$ 9     
p>agraph 7#a74  7#c7 ,accr$itation ,9 ! 
case ( s]vices furni%$ on or aft]       
,janu>y #a1 #bjbd1 at ,/ate option1 a   
,/ate may det]m9e t an organization does
 n meet ! crit]ia e/abli%$ "u section   
#cdj;,j-#a7;a7 ( ! ,public ,heal?       
,s]vice ,act unless ! organization has  
an accr$itation by an accr$itation body 

approv$ "u section #cdj;,j-#e ( !       
,public ,heal? ,s]vice ,act4 ,an        
election by a ,/ate "u ! prec$+ s5t5ce  
%all n relieve a ,/ate ( ! requirem5t to
 c]tify an organization "u p>agraph     
7#b77;,d74  4  7b7 ,con=m+ am5dm5ts     
7#a7 ,section #aijb7nn77#c7 ( su* ,act  
7#db ,u4,s4,c4 #acif;a7nn77#c771 is     
am5d$ by /rik+ p>agraph 7#ca7 & ins]t+ !
 la/ numb]$ p>agraph4  7#b7 ,! fif?     
s5t5ce ( section #aije7;a7 ( su* ,act   
7#db ,u4,s4,c4 #acif;d7a77 is am5d$ by  
/rik+ p>agraph 7#cj7 & ins]t+ ! la/     
numb]$ p>agraph4  7#c7 ,effective ,july 
#a1 #bjbe1 section #aijb7;a77#hd77;,a7 (
 su* ,act 7#db ,u4,s4,c4                
#acif;a7a77#hd77;,a771 z am5d$ by       
section #eabb7;a77#b7 ( division ,,ff ( 
,public ,law #aag-cbh1 is am5d$ by /rik+
 p>agraph 7#ca7 & ins]t+ ! la/ numb]$   
p>agraph4  #ajb4 ,e/abli%+ a ,m$icaid   
,prospective ,paym5t ,sy/em = ,c]tifi$  
,community ,behavioral ,heal? ,cl9ics   
,section #aijb ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7 is am5d$ by

 add+ at ! end ! foll[+ new subsection3 
7uu7 ,paym5t = s]vices provid$ by       
c]tifi$ community behavioral heal?      
cl9ics  7#a7 ,9 g5]al ,beg9n+ ) fiscal  
ye> #bjbd1 ) respect to s]vices furni%$ 
on or aft] ,janu>y #a1 #bjbd1 & ea*     
succe$+ fiscal ye>1 a ,/ate may provide 
"u ! ,/ate plan "u ?is title 7or "u a   
waiv] ( su* plan7 = paym5t = s]vices    
describ$ 9 section #aije7;a77#ca7       
furni%$ by a c]tifi$ community          
behavioral heal? cl9ic 79 ?is subsection
 ref]r$ to z a cl9ic7 9 accordance ) !  
provisions ( ?is subsection4  7#b7      
,paym5t = s]vices 9 initial ye> & e ?ird
 ye> ,subject to p>agraphs 7#d71 7#e71 &
 7#f71 = s]vices furni%$ by a cl9ic 9 ! 
fir/ fiscal ye> = :i* a ,/ate elects to 
provide = paym5t = s]vices describ$ 9   
section #aije7;a77#ca7 9 accordance ) ! 
paym5t option "u p>agraph 7#a71 & e ?ird
 fiscal ye> !reaft] 9 :i* ! ,/ate makes 
su* an election1 ! ,/ate %all provide = 
paym5t = su* s]vices 9 an am\nt         
7calculat$ on ! basis ( daily visits or 

unduplicat$ mon?ly visits1 at ! ,/ate's 
election7 t is equal to #ajj p]c5t ( !  
av]age co/s ( ! cl9ic ( furni%+ any ( ! 
s]vices describ$ 9 p>agraph 7#ca7 (     
section #aije7;a7 dur+ ! #b fiscal ye>s 
prec$+ ! fiscal ye> involv$ :i* are     
reasonable & relat$ to ! co/s ( furni%+ 
su* s]vices2 provid$ t1 9 ! abs5ce (    
complete actual co/ data repres5t+ !    
provision ( ! full cov]$ b5efit 9 su*   
prec$+ fiscal ye>s1 c]tifi$ community   
behavioral heal? cl9ics may1 at !       
,/ate's discretion1 use e/imat$ or      
project$ data relat+ to specific s]vices
 = :i* !y lack co/ exp]i5ce4 ,! p]-unit 
rate d]iv$ f su* co/ data %all be adju/$
 to take into acc\nt any increase or    
decrease 9 ! scope ( su* s]vices furni%$
 by ! cl9ic 9 ! fiscal ye> involv$4     
7#c7 ,paym5t = s]vices 9 succe$+ fiscal 
ye>s ,subject to p>agraphs 7#d71 7#e71 &
 7#f71 = s]vices describ$ 9 section     
#aije7;a77#ca7 furni%$ by a cl9ic = :i* 
a ,/ate elects to provide = paym5t = su*
 s]vices 9 accordance ) ! paym5t option 

"u p>agraph 7#a7 & t are furni%$ 9 a    
fiscal ye> t is n describ$ 9 p>agraph   
7#b71 ! ,/ate plan %all provide = paym5t
 = su* s]vices 9 an am\nt 7calculat$ on 
! basis ( daily visits or unduplicat$   
mon?ly visits1 at ! ,/ate's election7 t 
is equal to ! am\nt calculat$ "u ?is    
subsection = su* s]vices & cl9ic = !    
prec$+ ye>-- 7,a7 increas$ by ! p]c5tage
 increase 9 ! inflation>y factor        
describ$ 9 section #ahcd7;aa77#b77;,c72 
&  7,b7 adju/$ to take into acc\nt any  
increase or decrease 9 ! scope ( su*    
s]vices furni%$ by ! cl9ic dur+ ! fiscal
 ye> involv$4  7#d7 ,e/abli%m5t (       
initial ye> paym5t = new cl9ics ,9 any  
case 9 :i* an entity fir/ qualifies z a 
c]tifi$ community behavioral heal? cl9ic
 aft] ! fir/ fiscal ye> 9 :i* a ,/ate   
elects to provide = paym5t = s]vices    
describ$ 9 section #aije7;a77#ca7 9     
accordance ) ! paym5t option "u p>agraph
 7#a71 ! ,/ate plan %all provide =      
paym5t = su* s]vices 9 ! fir/ #b ye>s 9 
:i* ! cl9ic s qualifies 9 an am\nt      

7calculat$ on ! basis ( daily visits or 
unduplicat$ mon?ly visits1 at ! ,/ate's 
election7 t is equal to ! rates e/abli%$
 "u ?is subsection = o!r su* cl9ics     
locat$ 9 ! same or adjac5t area ) a     
simil> case load1 or 9 ! abs5ce ( any   
su* cl9ic1 bas$ on ! av]age p]-unit rate
 = o!r c]tifi$ community behavioral     
heal? cl9ics 9 ! ,/ate2 provid$1 h[ev]1 
t effective1 at late/1 z ( ! #crd ye> 9 
:i* ! cl9ic furni%es su* s]vices1 !     
,/ate e/abli%es a unique paym5t rate = !
 cl9ic bas$ on ! me?odology describ$ 9  
p>agraph 7#b71 us+ all[able co/s f !    
cl9ic's fir/ #b fiscal ye>s ( op]ation z
 ! basis = e/abli%+ su* rates2 &        
provid$1 additionally1 t 9 any ye>      
foll[+ ! e/abli%m5t ( an initial rate "u
 ?is p>agraph1 ! ,/ate plan or waiv]    
provides = ! paym5t am\nt to be         
calculat$ 9 accordance ) p>agraph 7#b7  
or 7#c7 7z applicable74  7#e7           
,adm9i/ration 9 ! case ( manag$ c>e     
7,a7 ,9 g5]al ,9 ! case ( s]vices       
furni%$ by a c]tifi$ community          

behavioral heal? cl9ic pursuant to a    
contract betwe5 ! cl9ic & a manag$ c>e  
entity 7z def9$ 9 section               
#aicb7;a77#a77;,b771 ! ,/ate plan or a  
waiv] ( su* plan %all provide = #a ( !  
foll[+3 7i7 ,paym5t to ! cl9ic by !     
,/ate ( a supplem5tal paym5t equal to ! 
am\nt 7if any7 by :i* ! am\nt det]m9$ "u
 p>agraph 7#b71 7#c71 or 7#d7 7z        
applicable7 exce$s ! am\nt ( paym5ts "u 
! contract1 ) su* supplem5tal paym5t be+
 made pursuant to a paym5t s*$ule agre$ 
to by ! ,/ate & ! c]tifi$ community     
behavioral heal? cl9ic1 b 9 no case less
 frequ5tly ?an e #c mon?s4  7ii7        
,delegation by ! ,/ate to ! manag$ c>e  
entity ( ! obligation to pay ! cl9ic at 
lea/ ! rate det]m9$ "u p>agraph 7#b71   
7#c71 or 7#d7 7z applicable72 provid$1  
h[ev]1 t ! ,/ate %all use reconciliation
 & ov]sight processes to ensure t ea*   
cl9ic is paid at lea/ ! am\nts requir$  
"u su* p>agraphs4  7#f7 ,alt]native     
paym5t me?odologies ,not)/&+ any o!r    
provision ( ?is subsection1 ! ,/ate plan

 or a waiv] ( su* plan may provide =    
paym5t 9 any ye> to a c]tifi$ community 
behavioral heal? cl9ic = s]vices        
describ$ 9 p>agraph 7#ca7 ( section     
#aije7;a7 9 an am\nt :i* is det]m9$ "u  
an alt]native paym5t me?odology t-- 7,a7
 is agre$ to by ! ,/ate & ! cl9ic2 &    
7,b7 results 9 paym5t to ! cl9ic ( an   
am\nt :i* is n less ?an ! am\nt o!rwise 
requir$ to be paid to ! cl9ic "u ?is    
subsection4  4  ,,ii ,cov]age ( c]tifi$ 
community behavioral heal? cl9ic s]vices
 "u ! ,m$ic>e program  #bja4 ,cov]age ( 
c]tifi$ community behavioral heal? cl9ic
 s]vices "u ! ,m$ic>e program  7a7      
,cov]age ,section #ahfa7s77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#b77 is am5d$-- 7#a7 9        
subp>agraph 7,,ii71 by /rik+ & at ! end2
  7#b7 9 subp>agraph 7,,jj71 by ins]t+ &
 at ! end2 &  7#c7 by add+ at ! end !   
foll[+ new subp>agraph3  7,,kk7 c]tifi$ 
community behavioral heal? cl9ic s]vices
 7z def9$ 9 subsection 7aa77#h77 furni%$
 on or aft] ,janu>y #a1 #bjbd4  4  7b7  

,def9itions ,section #ahfa7;aa7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7 is am5d$-- 7#a7 9 ! head+1 by   
/rik+ & ,f$]ally ,qualifi$ ,heal? ,c5t] 
,s]vices & ins]t+ 1 ,f$]ally qualifi$   
heal? c5t] s]vices1 & c]tifi$ community 
behavioral heal? cl9ic s]vices2 &  7#b7 
by add+ at ! end ! foll[+ new p>agraph3 
7#h7 ,! t]ms c]tifi$ community          
behavioral heal? cl9ic s]vices & c]tifi$
 community behavioral heal? cl9ic h !   
mean+ giv5 ^? t]ms 9 p>agraphs 7#a7 &   
7#b71 respectively1 ( section           
#aije7;jj74  4  7c7 ,paym5t  7#a7 ,9    
g5]al ,section #ahcc7;a77#a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciel7a77#a77 is am5d$-- 7,a7 by /rik+ 
& 7,,hh7 & ins]t+ 7,,hh72 &  7,b7 by    
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 & 7,,ii7 ) respect to c]tifi$ 
community behavioral heal? cl9ic s]vices
 = :i* paym5t is made "u section        
#ahcd7;aa71 ! am\nts paid %all be equal 
to #hj p]c5t ( ! less] ( ! actual *>ge  
or ! am\nt det]m9$ "u su* section4  7#b7

 ,developm5t & implem5tation (          
prospective paym5t sy/em ,section #ahcd 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7aa7      
,developm5t & implem5tation (           
prospective paym5t sy/em = c]tifi$      
community behavioral heal? cl9ics  7#a7 
,developm5t ,! ,secret>y %all develop a 
prospective paym5t sy/em = paym5t to    
c]tifi$ community behavioral heal?      
cl9ics 7z def9$ 9 section               
#ahfa7;aa77#h77 = ! furni%+ ( c]tifi$   
community behavioral heal? cl9ic s]vices
 7z def9$ 9 su* section7 "u ?is title4  
,su* sy/em %all be e/abli%$ to take into
 acc\nt ! type1 int5sity1 & duration (  
s]vices furni%$ by c]tifi$ community    
behavioral heal? cl9ics4 ,su* sy/em may 
include adju/m5ts1 includ+ geographic   
adju/m5ts1 z det]m9$ appropriate by !   
,secret>y4  7#b7 ,implem5tation  7,a7 ,9
 g5]al ,! ,secret>y %all provide1 = co/ 
report+ p]iods beg9n+ on or aft] ,janu>y
 #a1 #bjbd1 = paym5ts ( prospective     

paym5t rates = c]tifi$ community        
behavioral heal? cl9ic s]vices furni%$  
by c]tifi$ community behavioral heal?   
cl9ics "u ?is title 9 accordance ) !    
prospective paym5t sy/em develop$ by !  
,secret>y "u p>agraph 7#a74  7,b7       
,initial paym5ts ,! ,secret>y %all      
implem5t su* prospective paym5t sy/em to
 reflect ! national av]age all[able     
s]vice co/s ( su* cl9ics on ! basis ( ! 
mo/ curr5t audit$ co/ report data = two 
fiscal ye>s available to ! ,secret>y2   
provid$ t1 9 ! abs5ce ( complete actual 
co/ data repres5t+ ! provision ( ! full 
cov]$ b5efit dur+ ! relevant fiscal     
ye>s1 c]tifi$ community behavioral heal?
 cl9ics may1 at ! ,secret>y's           
discretion1 use e/imat$ or project$ data
 relat+ to specific s]vices4 ,initial   
paym5ts %all be e/abli%$ )\t !          
application ( a p] visit limit or       
productivity scre5 & %all be bas$ on    
national av]age co/s p] unit ( s]vice1  
updat$ z appropriate by ! inflation>y   
adju/m5t describ$ 9 subp>agraph 7,c74   

7,c7 ,paym5ts 9 subsequ5t ye>s ,paym5t  
rates 9 ye>s aft] ! ye> ( implem5tation 
( su* sy/em %all be ! paym5t rates 9 !  
previ\s ye> increas$-- 7i7 9 ! fir/ ye> 
aft] implem5tation ( su* sy/em1 by !    
p]c5tage increase 9 ! ,,mei 7z def9$ 9  
section #ahdb7;i77#c77 = ! ye> involv$2 
&  7ii7 9 subsequ5t ye>s1 by ! p]c5tage 
increase 9 a m>ket basket ( c]tifi$     
community behavioral heal? cl9ic        
s]vices1 design$ by ! ,secret>y1 or if  
su* an index is n available1 by !       
p]c5tage increase 9 ! ,,mei 7z def9$ 9  
section #ahdb7;i77#c77 = ! ye> involv$4 
7#c7 ,unit ( paym5t ,9 e/abli%+ a       
prospective paym5t am\nt "u ! sy/em "u  
?is subsection1 ! ,secret>y %all consid]
 an appropriate unit ( s]vice & a g5]al 
sy/em design t provides = cont9u$ access
 to quality s]vices4  7#d7 ,p]iodic     
reevaluation ( rates ,at ! ,secret>y's  
discretion1 ! ,secret>y %all1 f "t to   
"t1 adju/ ! am\nts t w\ld o!rwise be    
applicable "u subp>agraph 7#b7 by a     
p]c5tage det]m9$ appropriate by !       

,secret>y to reflect su* factors z      
*anges 9 ! int5sity ( s]vices furni%$ )9
 a unit ( s]vice1 ! av]age co/ ( provid+
 c>e p] unit ( s]vice1 & o!r factors t !
 ,secret>y consid]s to be relevant4 ,su*
 adju/m5t %all be made be=e ! update "u 
clause 7i7 or 7ii7 ( p>agraph           
7#b77;,c77i7 has be5 appli$ = ! ye>4  4 
7d7 ,waiv] ( application ( d$uctible    
,section #ahcc7;b77#d7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciel7b77#d77 is am5d$ by ins]t+ or    
c]tifi$ community behavioral heal? cl9ic
 s]vices be=e ! comma at ! end4  7e7    
,,prrb ,review ( co/ reports ,section   
#ahgh7;j7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acieoo7j77 is am5d$ by  
/rik+ & a ,f$]ally qualifi$ heal? c5t] &
 ins]t+ 1 a ,f$]ally qualifi$ heal?     
c5t]1 & a c]tifi$ community behavioral  
heal? cl9ic4  7f7 ,safe h>bor = waiv] ( 
co9surance ,section #aabh;,b7b77#c77;,d7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acbj;a-#g;b7b77#c77;,d77 is  
am5d$ by ins]t+ or a c]tifi$ community  

behavioral heal? cl9ic aft] ,f$]ally    
qualifi$ heal? c>e c5t]4  7g7 ,effective
 date ,! am5dm5ts made by ?is section   
%all apply ) respect to s]vices furni%$ 
on or aft] ,janu>y #a1 #bjbd4  ,,iii    
,community behavioral heal? cl9ic grants
  #cja4 ,op]at+ grants = community      
behavioral heal? cl9ics ,"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  ,,xiii      
,community behavioral heal? cl9ics      
#cdj;,j4 ,def9itions ,9 ?is subp>t3 7#a7
 ,c]tifi$ community behavioral heal?    
cl9ic ,! t]m c]tifi$ community          
behavioral heal? cl9ic has ! mean+ giv5 
! t]m 9 section #aije7;jj77#b77 ( !     
,social ,security ,act4  7#b7 ,c]tifi$  
community behavioral heal? s]vices ,!   
t]m c]tifi$ community behavioral heal?  
s]vices has ! mean+ giv5 ! t]m 9 section
 #aije7;jj77#a7 ( ! ,social ,security   
,act4  #cdj;,j-#a4 ,community behavioral
 heal? cl9ic c]tification  7a7 ,9 g5]al 
,n lat] ?an #ahj days aft] ! date (     

enactm5t ( ! ,ensur+ ,excell5ce 9 ,m5tal
 ,heal? ,act1 ! ,secret>y1 aft] public  
notice & opportunity = comm5t1 %all     
publi% 9 ! ,f$]al ,regi/] crit]ia = a   
cl9ic to be c]tifi$ z a community       
behavioral heal? cl9ic = purposes (     
section #aije7;jj77#b77;,d77ii7 ( !     
,social ,security ,act4  7b7            
,requirem5ts ,! crit]ia publi%$ "u      
subsection 7a7 %all include crit]ia )   
respect to ! foll[+3 7#a7 ,/aff+ ,/aff+ 
requirem5ts1 includ+ crit]ia t /aff h   
div]se discipl9>y backgr\nds1 h necess>y
 ,/ate-requir$ lic5se & accr$itation1 & 
are culturally & l+ui/ically tra9$ to   
s]ve ! ne$s ( ! pati5t populations ( !  
community behavioral heal? cl9ic4  7#b7 
,availability & accessibility ( s]vices 
,availability & accessibility ( s]vices1
 includ+ crisis managem5t s]vices t are 
available & accessible #bd h\rs a day1 !
 use ( a slid+ scale = paym5t1 & no     
rejection = s]vices or limit+ ( s]vices 
on ! basis ( a pati5t's ability to pay  
or a place ( resid5ce4  7#c7 ,c>e       

coord9ation ,c>e coord9ation1 includ+   
requirem5ts to coord9ate c>e across     
sett+s & provid]s to ensure seamless    
transitions = pati5ts across ! full     
spectrum ( heal? s]vices includ+ acute1 
*ronic1 & behavioral heal? ne$s4 ,c>e   
coord9ation requirem5ts %all include    
p>tn]%ips or =mal contracts ) ! foll[+3 
7,a7 ,f$]ally-qualifi$ heal? c5t]s 7z   
def9$ 9 section #aije7l7 ( ! ,social    
,security ,act7 &1 z applicable1 rural  
heal? cl9ics 7z s def9$71 to provide    
,f$]ally-qualifi$ heal? c5t] s]vices 7z 
s def9$7 &1 z applicable1 rural heal?   
cl9ic s]vices 7z s def9$71 to ! ext5t   
su* s]vices are n provid$ directly ?r\gh
 ! community behavioral heal? cl9ic4    
7,b7 ,inpati5t psy*iatric facilities &  
sub/ance use detoxification1            
po/-detoxification /ep-d[n s]vices1 &   
resid5tial programs4  7,c7 ,o!r         
community or regional s]vices1 supports1
 & provid]s1 includ+ s*ools1 *ild welf>e
 ag5cies1 juv5ile & crim9al ju/ice      
ag5cies & facilities1 ,indian ,heal?    

,s]vice y\? regional treatm5t c5t]s1    
,/ate-lic5s$ & nationally accr$it$ *ild 
plac+ ag5cies = !rapeutic fo/] c>e      
s]vice1 & o!r social & human s]vices4   
7,d7 ,m$ical c5t]s1 outpati5t cl9ics1 & 
drop-9 c5t]s ( ! ,dep>tm5t ( ,vet]ans   
,affairs & o!r facilities ( ! ,dep>tm5t 
7z def9$ 9 section #agja ( title #ch1   
,unit$ ,/ates ,code74  7,e7 ,inpati5t   
acute c>e hospitals & hospital outpati5t
 cl9ics4  7#d7 ,scope ( s]vices         
,provision 79 a mann] reflect+          
p]son-c5t]$ c>e7 ( ! full array (       
c]tifi$ community behavioral heal?      
s]vices :i*1 if n available directly    
?r\gh ! community behavioral heal?      
cl9ic1 are provid$ or ref]r$ ?r\gh =mal 
relation%ips ) o!r provid]s4  7#e7      
,quality & o!r report+ ,requirem5ts     
relat+ to developm5t by ! community     
behavioral heal? cl9ic ( an effective   
proc$ure = compil+ & report+ to !       
,secret>y su* /ati/ics & o!r in=mation z
 ! ,secret>y may require relat+ to--    
7,a7 ! co/s ( its op]ations2  7,b7 !    

patt]ns ( use ( its s]vices1 includ+ !  
report+ ( enc\nt] data1 cl9ical outcomes
 data1 quality data1 & su* o!r data z ! 
,secret>y may require2  7,c7 !          
availability1 accessibility1 &          
acceptability ( its s]vices2 &  7,d7 su*
 o!r matt]s relat+ to op]ations ( !     
applicant z ! ,secret>y may require4    
7#f7 ,organizational au?ority           
,requirem5ts t a community behavioral   
heal? cl9ic be-- 7,a7 a nonpr(it entity2
  7,b7 "p ( a local gov]nm5t behavioral 
heal? au?ority2  7,c7 op]at$ "u !       
au?ority ( ! ,indian ,heal? ,s]vice2    
7,d7 op]at$ by an ,indian ,tribe or     
,tribal organization pursuant to a      
contract1 grant1 coop]ative agreem5t1 or
 compact ) ! ,indian ,heal? ,s]vice     
pursuant to ! ,indian ,self-,det]m9ation
 & ,education ,assi/ance ,act2 or  7,e7 
op]at$ by an urban ,indian organization 
pursuant to a grant or contract ) !     
,indian ,heal? ,s]vice "u title ,v ( !  
,indian ,heal? ,c>e ,improvem5t ,act4   
#cdj;,j-#b4 ,op]at+ grants = community  

behavioral heal? cl9ics  7a7 ,9 g5]al ,!
 ,secret>y %all e/abli% a grant program 
"u :i* ! ,secret>y %all aw>d grants to  
eligible community behavioral heal?     
cl9ics to provide 79 a mann] reflect+   
p]son-c5t]$ c>e7 ! full array ( c]tifi$ 
community behavioral heal? s]vices4  7b7
 ,eligibility ,to be eligible to receive
 a grant "u subsection 7a71 a community 
behavioral heal? cl9ic %all be-- 7#a7 a 
c]tifi$ community behavioral heal?      
cl9ic2 or  7#b7 a community behavioral  
heal? cl9ic t indicates 9 ! grant       
application t ! cl9ic w use ! grant     
funds to meet ! crit]ia describ$ 9      
section #cdj;,j-#a7;a74  7c7 ,use (     
funds ,a community behavioral heal?     
cl9ic t receives a grant "u subsection  
7a7-- 7#a7 %all use ! grant funds-- 7,a7
 to provide ! s]vices describ$ 9        
subsection 7a72 &  7,b7 9 ! case ( a    
community behavioral heal? cl9ic        
describ$ 9 subsection 7b77#b71 to meet !
 crit]ia describ$ 9 section             
#cdj;,j-#a7;a72 &  7#b7 may use ! grant 

funds-- 7,a7 to c>ry out o!r activities 
t-- 7i7 r$uce co/s associat$ ) !        
provision ( c]tifi$ community behavioral
 heal? s]vices2  7ii7 improve access to1
 & availability (1 c]tifi$ community    
behavioral heal? s]vices provid$ to     
individuals s]v$ by ! community         
behavioral heal? cl9ic2  7iii7 enhance !
 quality & coord9ation ( c]tifi$        
community behavioral heal? s]vices2 or  
7iv7 improve ! heal? /atus (            
communities2 &  7,b7 to pay =-- 7i7 !   
co/s ( acquir+ & leas+ build+s &        
equipm5t 7includ+ ! co/s ( amortiz+ !   
pr9cipal (1 & pay+ int]e/ on1 loans72   
7ii7 co/s relat+ to ! pur*ase or lease (
 equipm5t1 includ+ data & in=mation     
sy/ems & behavioral heal? in=mation     
te*nology to facilitate data report+ &  
o!r purposes2  7iii7 ! co/s ( 9-s]vice  
/aff tra9+ & o!r op]ational or          
infra/ructure co/s id5tifi$ by !        
,secret>y2 &  7iv7 co/s associat$ )     
exp&+ & mod]niz+ exi/+ build+s or       
con/ruct+ new build+s 7includ+ ! co/s ( 

amortiz+ ! pr9cipal (1 & pay+ ! int]e/  
on1 loans71 if su* co/s are specifically
 all[$ = 9 ! grant opportunity publi%$  
by ! ,secret>y4  7d7 ,t]m ,grants aw>d$ 
"u subsection 7a7 %all be = a p]iod ( n 
m ?an #e ye>s4  7e7 ,condition on       
receipt ( funds ,! ,secret>y %all n make
 a grant to an applicant "u subsection  
7a7 unless ! applicant provides         
assurances to ! ,secret>y t )9 #abj days
 ( receiv+ grant fund+ = ! op]ation ( ! 
cl9ic1 ! applicant w submit = approval  
by ! ,secret>y an implem5tation plan t  
describes h[ ! applicant w-- 7#a7       
provide ! s]vices describ$ 9 subsection 
7a72 &  7#b7 9 ! case ( a community     
behavioral heal? cl9ic describ$ 9       
subsection 7b77#b71 meet ! crit]ia      
describ$ 9 section #cdj;,j-#a7;a74  7f7 
,am\nt ( grant  7#a7 ,9 g5]al ,subject  
to p>agraph 7#b71 ! am\nt ( a grant made
 9 any fiscal ye> to a community        
behavioral heal? cl9ic "u subsection 7a7
 %all be det]m9$ by ! ,secret>y bas$ on 
in=mation provid$ by ! community        

behavioral heal? cl9ic1 b may n exce$ an
 am\nt equal to ! diff]5ce obta9$ by    
subtract+-- 7,a7 ! sum obta9$ by add+-- 
7i7 ! total ,/ate1 local1 & o!r         
op]ational fund+ provid$ to ! cl9ic =   
su* fiscal ye>2 &  7ii7 ! fees1         
premiums1 & ?ird-p>ty reimbursem5ts t ! 
cl9ic reasonably expects to receive =   
its op]ations 9 su* fiscal ye>2 f  7,b7 
! co/s ( op]at+ ! cl9ic to meet !       
purposes & requirem5ts ( ! grant program
 "u ?is section dur+ su* fiscal ye>4    
7#b7 ,requirem5t  7,a7 ,9 g5]al ,9      
det]m9+ ! co/s describ$ 9 p>agraph      
7#a77;,b71 ! ,secret>y may e/imate !    
anticipat$ co/s ( ! grant recipi5t 9--  
7i7 provid+ ! s]vices describ$ 9        
subsection 7a71 includ+ ! anticipat$    
co/s ( provid+ any individual c]tifi$   
community behavioral heal? s]vice t !   
applicant entity does n h co/ exp]i5ce  
provid+ at ! "t ( submitt+ an           
application = su* grant2 &  7ii7 if     
applicable1 meet+ ! crit]ia describ$ 9  
section #cdj;,j-#a7;a74  7,b7           

,anticipat$ co/s ,! ,secret>y %all base 
! e/imate ( anticipat$ co/s "u          
subp>agraph 7,a7 on an e/imate (        
anticipat$ co/s provid$ by ! applicable 
community behavioral heal? cl9ic4  7#c7 
,paym5ts ,! ,secret>y may-- 7,a7 aw>d   
grants "u subsection 7a7-- 7i7 9 advance
 or ?r\gh reimbursem5t2 &  7ii7 9       
in/allm5ts2  7,b7 make adju/m5ts to     
acc\nt = ov]paym5ts or und]paym5ts4  7g7
 ,use ( accr$itation  7#a7 ,9 g5]al ,9  
select+ grant recipi5ts "u ?is section1 
! ,secret>y may take into acc\nt :e!r an
 applicant community behavioral heal?   
cl9ic is accr$it$ "u section            
#cdj;,j-#e7;a74  7#b7 ,compliance ,9    
det]m9+ :e!r a community behavioral     
heal? cl9ic receiv+ a grant "u ?is      
section is provid+ ! s]vices describ$ 9 
subsection 7a7 &1 if applicable1 meet+ !
 crit]ia describ$ 9 section             
#cdj;,j-#a7;a71 ! ,secret>y may take    
into acc\nt :e!r ! community behavioral 
heal? cl9ic is accr$it$ "u section      
#cdj;,j-#e7;a74  7h7 ,au?orization (    

appropriations  7#a7 ,9 g5]al ,!re is   
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #eeb1ejj1jjj = ea* ( fiscal
 ye>s #bjbd ?r\gh #bjbh4  7#b7          
,ma9t5ance ( fund+ ,! am\nt made        
available "u p>agraph 7#a7 %all         
supplem5t 7& n supplant7 any o!r ,f$]al 
fund+ made available = community        
behavioral heal? cl9ics4  #cdj;,j-#c4   
,te*nical assi/ance  7a7 ,9 g5]al ,n    
lat] ?an #ahj days aft] ! date (        
enactm5t ( ! ,ensur+ ,excell5ce 9 ,m5tal
 ,heal? ,act1 ! ,secret>y %all e/abli%  
programs ?r\gh :i* ! ,secret>y %all     
provide 7ei!r ?r\gh ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices or by grant or       
contract7 te*nical assi/ance & o!r      
assi/ance to any ( ! foll[+3 7#a7       
,entities t receive a grant "u section  
#cdj;,j-#b4  7#b7 ,entities p>ticipat+ 9
 a ,m$icaid demon/ration program "u     
section #bbc7;d7 ( ! ,protect+ ,access  
to ,m$ic>e ,act4  7#c7 ,c]tifi$         
community behavioral heal? cl9ics 7z    
def9$ 9 sections #ahfa7;aa77#h7 &       

#aije7;jj77#b7 ( ! ,social ,security    
,act71 furni%+ s]vices "u title ,,xviii 
or title ,,xix ( su* ,act4  7#d7 ,heal? 
or social s]vice provid] organizations  
pursu+ or consid]+ c]tifi$ community    
behavioral heal? cl9ic /atus or p>tn]+ )
 c]tifi$ community behavioral heal?     
cl9ics4  7#e7 ,o!r /akehold]s1 = !      
purpose ( facilitat+ successful         
implem5tation ( ! c]tifi$ community     
behavioral heal? cl9ic model4  7b7      
,inclusions ,assi/ance provid$ by !     
,secret>y "u subsection 7a7 may include 
te*nical & nonf9ancial assi/ance1       
includ+-- 7#a7 fiscal & program         
managem5t assi/ance2  7#b7 op]ational & 
adm9i/rative support2 &  7#c7 !         
provision ( in=mation to ! entities ab\t
 ! v>iety ( res\rces available "u ?is "p
 & h[ ^? res\rces c be be/ us$ to meet !
 heal? & behavioral heal? ne$s ( !      
communities s]v$ by ! entities4  7c7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #f1jjj1jjj = ea* ( fiscal   

ye>s #bjbd ?r\gh #bjbh4  #cdj;,j-#d4    
,data infra/ructure = community         
behavioral heal? cl9ic report+  7a7 ,9  
g5]al ,n lat] ?an #ahj days aft] ! date 
( enactm5t ( ! ,ensur+ ,excell5ce 9     
,m5tal ,heal? ,act1 ! ,secret>y %all    
e/abli% a sy/em "u :i* ! ,secret>y %all 
collect & analyze data on community     
behavioral heal? cl9ics4  7b7 ,scope (  
data collection ,! sy/em e/abli%$ "u    
subsection 7a7 %all be us$ by !         
,secret>y to collect & analyze data f-- 
7#a7 entities t receive a grant "u      
section #cdj;,j-#b2 &  7#b7             
organizations t provide s]vices1 or h   
appli$ to provide s]vices1 "u title     
,,xviii ( ! ,social ,security ,act1 z   
describ$ 9 section #ahfa7;aa77#h7 ( su* 
,act1 or "u a ,/ate ,m$icaid program 9  
accordance ) section #aije7;jj7 ( su*   
,act4  7c7 ,au?orization (              
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#ea1jjj1jjj = ea* ( fiscal ye>s #bjbd   
?r\gh #bjbh4  #cdj;,j-#e4 ,community    

behavioral heal? cl9ic accr$itation  7a7
 ,accr$itation /&>ds ,a community       
behavioral heal? cl9ic may be accr$it$  
if ! entity-- 7#a7 meets ! /&>ds ( an   
approv$ accr$itation body2 &  7#b7      
au?orizes ! accr$itation body to submit 
to ! ,secret>y 7or su* ag5cy z !        
,secret>y may designate7 su* records or 
o!r in=mation z ! ,secret>y may require4
  7b7 ,approval ( accr$itation bodies   
7#a7 ,9 g5]al ,! ,secret>y may approve a
 private nonpr(it organization to be an 
accr$itation body = ! accr$itation (    
community behavioral heal? cl9ics "u    
subsection 7a7 if-- 7,a7 us+ inspectors 
qualifi$ to evaluate quality ( c>e 9 a  
behavioral heal? s]vice sett+1 !        
accr$itation body agrees to inspect !   
cl9ic ) su* frequ5cy z is det]m9$ by !  
,secret>y2  7,b7 ! /&>ds appli$ by !    
body 9 det]m9+ :e!r or n to accr$it a   
cl9ic correspond to ! crit]ia describ$ 9
 section #cdj;,j-#a7;a71 & are n less   
re/rictive ?an su* crit]ia2  7,c7 !re is
 adequate provision = assur+ t ! /&>ds (

 ! accr$itation body cont9ue to be met  
by ! cl9ic2  7,d7 9 ! case ( any cl9ic  
previ\sly accr$it$ by ! body :i* has _h 
its accr$itation d5i$1 susp5d$1 )drawn1 
or revok$ or :i* has _h any o!r action  
tak5 aga9/ x by ! accr$it+ body1 !      
accr$it+ body agrees to submit to !     
,secret>y ! "n ( su* cl9ic )9 #cj days (
 ! action tak52 &  7,e7 if !            
accr$itation body has its approval      
)drawn by ! ,secret>y1 ! body agrees to 
notify ea* cl9ic accr$it$ by ! body ( ! 
)drawal )9 #aj days ( ! )drawal4  4