,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cafe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #cj1 #bjbc,mr4 
,padilla 7= himself & ,mr4 ,m>key7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to help p]sons 9 ! ,unit$   
,/ates exp]i5c+ homelessness &          
significant behavioral heal? issues1    
includ+ sub/ance use disord]1 by        
au?oriz+ a grant program )9 ! ,dep>tm5t 
( ,heal? & ,human ,s]vices 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]1 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]    
frequ5tly makes 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]1 (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 ! #b 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]1 :o are exp]i5c+ homelessness1 !
 grant program e/abli%$ "u ?is ,act c be
 us$ to build ! capacities ( provid]s ( 
homelessness s]vices 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]4  #c4 ,def9itions  
,9 ?is ,act3 7#a7 ,behavioral heal? ,!  
t]m behavioral heal? includes m5tal     
heal? & sub/ance use4  7#b7 ,eligible   
entity ,! t]m eligible entity means an  
entity describ$ 9 section #c7;c77#d7 t  
is eligible = a competitive grant "u    
section #d4  7#c7 ,indian ,tribe ,! t]m 
,indian ,tribe has ! mean+ giv5 ! t]m 9 
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#d7 ,p]son exp]i5c+ homelessness ,! t]m
 p]son exp]i5c+ homelessness has ! same 
mean+ z ! t]ms homeless1 homeless       
individual1 & homeless p]son1 z def9$ 9 
section #ajc ( ! ,mc,kinney-,v5to       
,homeless ,assi/ance ,act 7#db ,u4,s4,c4
 #aacjb74  7#e7 ,public h\s+ ag5cy ,!   
t]m public h\s+ ag5cy has ! mean+ giv5 !
 t]m 9 section #c7;b77#f7 ( ! ,unit$    
,/ates ,h\s+ ,act ( #aicg 7#db ,u4,s4,c4
 #adcg;a7b77#f774  7#f7 ,secret>y ,! t]m
 ,secret>y means ! ,secret>y ( ,heal? & 

,human ,s]vices4  7#g7 ,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  7#h7 ,tribal           
organization ,! t]m ,tribal             
organization-- 7,a7 has ! mean+ giv5 !  
t]m 9 section #d ( ! ,indian            
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #cejd72 &
  7,b7 includes entities t s]ve ,native 
,hawaiians1 z def9$ 9 section #cch,k7c7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #beds7c774  7#i7 ,tribally    
designat$ h\s+ entity ,! t]m tribally   
designat$ h\s+ entity has ! mean+ giv5 !
 t]m 9 section #d ( ! ,native ,am]ican  
,h\s+ ,assi/ance & ,self-,det]m9ation   
,act ( #aiif 7#be ,u4,s4,c4 #dajc74  #d4
 ,e/abli%m5t ( grant program  7a7 ,9    
g5]al ,! ,secret>y1 9 consultation ) !  
work+ gr\p e/abli%$ "u subsection 7b71  

%all e/abli% a grant program to aw>d    
competitive grants to eligible entities 
9 direct coord9ation ) a cont9uum ( c>e 
to build or increase capacity to        
coord9ate ! deliv]y ( heal? c>e &       
homelessness s]vices )9 ! cont9uum (    
c>e4  7b7 ,work+ gr\p  7#a7 ,e/abli%m5t 
,! ,secret>y %all e/abli% an int]ag5cy  
work+ gr\p to provide advice & coord9ate
 along relevant exi/+ work+ gr\ps to !  
,secret>y 9 c>ry+ out ! program e/abli%$
 "u subsection 7a74  7#b7 ,composition  
,! work+ gr\p e/abli%$ "u p>agraph 7#a7 
%all include repres5tatives f !         
,dep>tm5t ( ,heal? & ,human ,s]vices1 ! 
,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 
! ,unit$ ,/ates ,int]ag5cy ,c\ncil on   
,homelessness1 ! ,dep>tm5t (            
,agriculture1 & ! ,bureau ( ,indian     
,affairs1 to be appo9t$ by ! heads ( su*
 ag5cies4  7#c7 ,developm5t ( assi/ance 
tools ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ?is ,act1 ! work+ gr\p       
e/abli%$ "u p>agraph 7#a7 %all-- 7,a7   
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!r2 &  7,b7 circulate ! mat]ials     
describ$ 9 subp>agraph 7,a7 to int]e/$  
entities1 p>ticul>ly eligible entities t
 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  
=-- 7,a7 heal? c>e1 ) ! exception (     
ef=ts to increase ! availability (      
,naloxone & provide tra9+ = !           
adm9i/ration ( ,naloxone2 or  7,b7 r5t4 
7#c7 ,am\nt ,! am\nt aw>d$ to an        
eligible entity "u a grant "u ?is       
subsection %all n exce$ #ejj1jjj4  7#d7 

,eligibility ,to be eligible to receive 
a grant "u ?is subsection1 an entity    
%all-- 7,a7 be designat$ by a cont9uum (
 c>e to ensure coord9ation across !     
cont9uum ( c>e geographic regions1 & :i*
 may be-- 7i7 a gov]nm5tal entity at !  
c\nty1 city1 regional1 or locality      
level2  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 nonpr(it organization2  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[ !        
capacity ( ! entity 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]1 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]1 
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 !  
availability1 & tra9+ = ! adm9i/ration1 

( opioid antagoni/s indicat$ = em]g5cy  
treatm5t ( opioid ov]dose2 &  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 entity 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  
entity 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   
,/ate1 local1 or ,tribal public heal?   
dep>tm5ts1 community heal? c5t]s or     
organizations1 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 ! eligible entity   
%all submit to ! ,secret>y a report on !
 activities c>ri$ out "u ! grant1 :i*   
%all include1 ) respect to activities   
c>ri$ out ) grant am\nts 9 ! community  
s]v$-- 7i7 measures ( outcomes relat+ to
 :e!r p exp]i5c+ homelessness &         
significant behavioral heal? issues1    
includ+ sub/ance use disord]1 :o s\ght  
help f an entity t receiv$ 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  7d7
 ,au?orization ( appropriations ,!re is 
au?oriz$ to be appropriat$ to c>ry out  
?is section #bj1jjj1jjj = ea* ( fiscal  
ye>s #bjbc ?r\gh #bjbh1 ( :i* n less ?an
 #e p]c5t ( su* funds %all be aw>d$ to  
,indian ,tribes1 tribally designat$ h\s+
 entities1 & ,tribal organizations4